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 08:07:05.516557 | 2025-09-13 02:37:05.071744 | 12263239 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12263239 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-15 | M | AE | PT | SMITH | 99688004H | MATTHEW | 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/2222/7022680/check_12263239_cd2d40f8-3fb9-4c10-8fea-a3351d70f856.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776958394 | N/A | N/A | 7022680 | 2222 | 4793 | 12527162 | N/A | 6037802 | 2025-09-13 02:37:05.071744 | 2025-07-22 17:48:16.997014 |
| 2025-09-12 08:06:57.242070 | 2025-09-13 02:53:45.749421 | 12262934 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12262934 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-09-15 | F | PT | N/A | Schwarz | LDU982A72978 | Linda | 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/2222/7546197/check_12262934_626da59d-d4fe-4bd8-a364-24255dd67980.json | N/A | N/A | N/A | N/A | N/A | LDU982A72978 | Exclusive Provider Organization | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1950-02-15 | 040 | 1838NJ | N/A | EP | false | SCHWARZ | N/A | LINDA | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776932543 | N/A | N/A | 7546197 | 2222 | 4802 | 12536687 | N/A | 6470898 | 2025-09-13 02:53:45.749421 | 2025-07-29 20:29:16.916703 |
| 2025-09-12 08:06:44.970454 | 2025-09-12 08:06:45.326068 | 12262489 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12262489 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-09-15 | F | AE | PT | SCHILLER | 4NG7R64EW31 | JUDY | 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 | 5874437 | 2222 | 4802 | N/A | N/A | 4534564 | 2025-09-12 08:06:45.326068 | 2025-05-22 18:42:12.452816 |
| 2025-09-12 08:06:42.655055 | 2025-09-12 08:06:43.015205 | 12262425 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12262425 | Athletic Physical Therapy Inc | 1983-07-06 | 2025-09-15 | M | PT | N/A | VALENCIA | NCF972A20708 | ERIC | 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 | 8764059 | 2222 | 4801 | N/A | N/A | 7374543 | 2025-09-12 08:06:43.015205 | 2025-09-11 17:23:18.917967 |
| 2025-09-12 08:06:21.454386 | 2025-09-13 02:34:51.614416 | 12261827 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12261827 | N/A | 1960-02-19 | 2025-09-15 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | 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/2222/8048674/check_12261827_5f1d433c-3ea7-4b53-905f-67335a63448d.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1960-02-19 | N/A | N/A | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776942927 | N/A | N/A | 8048674 | 2222 | 4801 | 12525647 | N/A | 6844466 | 2025-09-13 02:34:51.614416 | 2025-08-13 17:29:27.130257 |
| 2025-09-12 08:06:02.486553 | 2025-09-13 02:48:47.316171 | 12261358 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12261358 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-09-15 | M | AE | PT | BHAMRAH | 12Y0175341 | KULDIP | 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/2222/7442859/check_12261358_2a23a224-9a07-46b8-b33c-d8638d2b456b.json | N/A | N/A | N/A | N/A | N/A | 12Y0175341 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1950-02-07 | N/A | N/A | N/A | N/A | 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 | 8776932828 | N/A | N/A | 7442859 | 2222 | 4801 | 12534228 | N/A | 6393941 | 2025-09-13 02:48:47.316171 | 2025-08-13 16:33:53.313259 |
| 2025-09-12 08:05:49.478355 | 2025-09-13 02:27:04.179982 | 12261160 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12261160 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-09-15 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | 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/2222/6967909/check_12261160_ba19bafe-e01d-4f58-8696-d00fa3f85ab6.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | PREFERRED VISION FOR SMALL BUSINESS 0 0 120 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776958584 | N/A | N/A | 6967909 | 2222 | 4793 | 12520433 | N/A | 5990447 | 2025-09-13 02:27:04.179982 | 2025-07-21 18:40:33.917911 |
| 2025-09-12 08:05:45.156705 | 2025-09-13 02:57:58.957825 | 12261085 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12261085 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-15 | M | AE | PT | SMITH | 99688004H | MATTHEW | 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/2222/7321767/check_12261085_1bef2271-68ff-4ab0-ba8d-b77e1f16cbba.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776932806 | N/A | N/A | 7321767 | 2222 | 4793 | 12538530 | N/A | 6037802 | 2025-09-13 02:57:58.957825 | 2025-07-22 17:48:16.997014 |
| 2025-09-12 08:05:32.672104 | 2025-09-13 02:39:32.373985 | 12260756 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12260756 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-09-15 | M | AE | PT | Aldana | 95423949E | George | 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/2222/6568645/check_12260756_032a0c9e-0614-492c-93a2-fe4e2ce1d8d4.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776940464 | N/A | N/A | 6568645 | 2222 | 4802 | 12528876 | N/A | 5190481 | 2025-09-13 02:39:32.373985 | 2025-06-24 17:29:30.756528 |
| 2025-09-12 08:05:29.689955 | 2025-09-13 02:35:39.496061 | 12260655 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12260655 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-15 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | 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/2222/8027485/check_12260655_f5bc2e84-d0f6-45d9-9ef3-eb3dd7ff598f.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776941639 | N/A | N/A | 8027485 | 2222 | 4793 | 12526203 | N/A | 6828971 | 2025-09-13 02:35:39.496061 | 2025-09-02 17:27:57.794692 |
| 2025-09-12 08:05:27.445457 | 2025-09-13 02:36:57.045719 | 12260589 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12260589 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-09-15 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | 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/2222/6958289/check_12260589_9174ecea-b4de-4992-9829-f6f1b6946547.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 8776959293 | N/A | N/A | 6958289 | 2222 | 4793 | 12527080 | N/A | 5983606 | 2025-09-13 02:36:57.045719 | 2025-07-18 18:03:17.155924 |
| 2025-09-12 08:05:22.527127 | 2025-09-13 02:37:11.169333 | 12260471 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12260471 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-15 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | 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/2222/6956492/check_12260471_17bb00b1-614b-4ebc-8262-1af32012adc3.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-23 | 040 | CAMCRWP0 | N/A | MP | false | BURNS | N/A | MARY | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959272 | N/A | N/A | 6956492 | 2222 | 4801 | 12527239 | N/A | 4209247 | 2025-09-13 02:37:11.169333 | 2025-07-22 18:58:10.876206 |
| 2025-09-12 08:05:03.387448 | 2025-09-13 02:27:46.554466 | 12259988 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12259988 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-09-15 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_12259988_0cf54163-220f-49cd-b869-344bfe9729fa.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776934873 | N/A | N/A | 7626895 | 2222 | 4793 | 12520895 | N/A | 6525917 | 2025-09-13 02:27:46.554466 | 2026-05-08 22:53:13.232007 |
| 2025-09-12 08:05:03.319441 | 2025-09-13 02:51:54.762086 | 12259983 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12259983 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-15 | F | AE | PT | FERTSCHNEIDER | JQE833W19120 | NANCY | 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/2222/7204596/check_12259983_7726d408-7538-4643-9faf-70897d40d16e.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776931432 | N/A | N/A | 7204596 | 2222 | 4801 | 12535750 | N/A | 6175435 | 2025-09-13 02:51:54.762086 | 2025-08-05 19:05:08.506352 |
| 2025-09-12 08:05:03.058371 | 2025-09-13 02:35:38.448136 | 12259976 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12259976 | Athletic Physical Therapy Inc | 1992-09-28 | 2025-09-15 | F | AE | PT | Moss | 97177129F | Jasmine | 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/2222/7623656/check_12259976_b726e487-b250-4568-b93b-ef6c421f22dd.json | N/A | N/A | N/A | N/A | N/A | 97177129F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1992-09-28 | N/A | N/A | N/A | N/A | false | MOSS | N/A | JASMINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776934871 | N/A | N/A | 7623656 | 2222 | 4802 | 12526181 | N/A | 6522888 | 2025-09-13 02:35:38.448136 | 2025-08-01 20:32:35.996430 |
| 2025-09-12 08:04:47.271711 | 2025-09-13 02:53:26.708363 | 12259384 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12259384 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-09-15 | F | AE | PT | SCHILLER | XEM913975324 | JUDY | 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/2222/7018196/check_12259384_b4587c27-f628-49fe-b891-101878d5673b.json | N/A | N/A | N/A | N/A | N/A | XEM913975324 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-03-16 | 2002SEW00028 | X0001002 | N/A | OT | false | SCHILLER | N/A | JUDY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776932634 | N/A | N/A | 7018196 | 2222 | 4802 | 12536511 | N/A | 4534564 | 2025-09-13 02:53:26.708363 | 2025-05-22 18:42:12.452816 |
| 2025-09-12 08:04:28.023195 | 2025-09-13 02:53:25.026017 | 12258736 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12258736 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-15 | M | PT | N/A | Lane | LNJ914036056 | Jason | 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/2222/6967170/check_12258736_0b35068f-c5ef-4fa5-8bdd-bfced9ef549e.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM DENTAL 50 1500 L | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776932179 | N/A | N/A | 6967170 | 2222 | 4802 | 12536498 | N/A | 5857104 | 2025-09-13 02:53:25.026017 | 2025-07-08 17:08:11.593095 |
| 2025-09-12 08:04:21.842975 | 2025-09-13 02:36:12.040267 | 12258542 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12258542 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-15 | F | AE | PT | NANVAR | XEM905919639 | GUITY | 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/2222/8650849/check_12258542_0b55ebe9-4695-4851-9d92-3999367a03fb.json | N/A | N/A | N/A | N/A | N/A | XEM905919639 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-07-28 | 2004SE000030 | X0001002 | N/A | OT | false | NAMVAR | N/A | DAVID | 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 | 8776928206 | N/A | N/A | 8650849 | 2222 | 4802 | 12526561 | N/A | 7292786 | 2025-09-13 02:36:12.040267 | 2025-09-04 04:11:35.031790 |
| 2025-09-12 08:03:56.454289 | 2025-09-13 02:55:56.100042 | 12257742 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12257742 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-09-15 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | 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/2222/6553930/check_12257742_b9c82e6b-4223-400f-ab32-931cb87d4e36.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776940122 | N/A | N/A | 6553930 | 2222 | 4801 | 12537679 | N/A | 5177091 | 2025-09-13 02:55:56.100042 | 2025-06-23 20:23:14.340232 |
| 2025-09-12 08:03:55.679985 | 2025-09-12 08:03:56.204667 | 12257717 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12257717 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-09-15 | M | AE | PT | TEDDER | 00000390480 | CHARLES | 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 | 5676415 | 2222 | 4801 | N/A | 2630 | 4343470 | 2025-09-12 08:03:56.204667 | 2025-05-13 04:29:37.230947 |
| 2025-09-12 08:03:54.951222 | 2025-09-12 08:03:55.651151 | 12257688 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12257688 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-15 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | 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 | 5676399 | 2222 | 4793 | N/A | 2630 | 4343454 | 2025-09-12 08:03:55.651151 | 2025-05-13 04:29:37.230932 |
| 2025-09-12 08:03:53.258644 | 2025-09-12 08:03:54.900588 | 12257633 | N/A | N/A | 60054 | Aetna | 1114042165 | 12257633 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-15 | M | AE | PT | ARROW | 101393152200 | PAUL | 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 | 5676385 | 2222 | 4802 | N/A | N/A | 4343439 | 2025-09-12 08:03:54.900588 | 2025-05-13 04:29:37.230918 |
| 2025-09-12 08:03:52.025475 | 2025-09-12 08:03:53.145243 | 12257592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12257592 | Athletic Physical Therapy Inc | 1990-07-18 | 2025-09-15 | F | PT | N/A | SHARMA | QUC527W09031 | SUMITA | 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 | 5676371 | 2222 | 4802 | N/A | N/A | 4219828 | 2025-09-12 08:03:53.145243 | 2026-05-14 20:22:48.706745 |
| 2025-09-12 08:03:39.561332 | 2025-09-13 02:40:52.295301 | 12257197 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12257197 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-09-15 | M | PT | N/A | Shachory | XEK906003800 | Rafael | 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/2222/6919729/check_12257197_f1d557fc-2a6e-4a81-b269-c2d3a9c5b8bb.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | 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 | 8776959082 | N/A | N/A | 6919729 | 2222 | 4793 | 12529744 | N/A | 5950744 | 2025-09-13 02:40:52.295301 | 2025-07-10 00:33:25.010317 |
| 2025-09-12 08:03:39.069202 | 2025-09-13 02:37:13.426211 | 12257181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12257181 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-09-15 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | 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/2222/6917703/check_12257181_d896f17b-6002-462d-b14e-3c9d32630d89.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959081 | N/A | N/A | 6917703 | 2222 | 4793 | 12527266 | N/A | 5949095 | 2025-09-13 02:37:13.426211 | 2025-07-28 22:15:30.266976 |
| 2025-09-12 08:03:38.757020 | 2025-09-13 02:37:01.793524 | 12257172 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12257172 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-09-15 | M | AE | PT | KIM | 96135332F | JOSEPH | 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/2222/6917652/check_12257172_8c5a6928-37ed-480c-8f4b-d969e837ff33.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776959080 | N/A | N/A | 6917652 | 2222 | 4802 | 12527129 | N/A | 5949044 | 2025-09-13 02:37:01.793524 | 2025-07-08 23:15:13.625855 |
| 2025-09-12 08:03:37.525706 | 2025-09-13 02:51:54.232348 | 12257131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12257131 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-15 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | 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/2222/6752939/check_12257131_ece9a438-1bc4-4d74-a8b8-936ea5b0af50.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776931400 | N/A | N/A | 6752939 | 2222 | 4801 | 12535745 | N/A | 5065602 | 2025-09-13 02:51:54.232348 | 2025-07-01 17:25:13.681724 |
| 2025-09-12 08:03:34.796419 | 2025-09-13 02:51:55.905056 | 12257055 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12257055 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-09-15 | M | AE | PT | Walter | XDO472A63371 | Howard | 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/2222/6751424/check_12257055_2d2bfe98-4fac-474b-ba23-47849e886e99.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776931392 | N/A | N/A | 6751424 | 2222 | 4802 | 12535758 | N/A | 5557241 | 2025-09-13 02:51:55.905056 | 2025-07-22 17:08:51.810153 |
| 2025-09-12 08:03:27.488720 | 2025-09-12 08:03:28.138673 | 12256896 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12256896 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-15 | F | AE | PT | NANVAR | 9H60FA1UD17 | GUITY | 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 | 8650848 | 2222 | 4802 | N/A | N/A | 7292786 | 2025-09-12 08:03:28.138673 | 2025-09-04 04:11:35.031790 |
| 2025-09-12 08:03:16.969586 | 2025-09-13 02:36:29.954544 | 12256547 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12256547 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-09-15 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | 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/2222/7994545/check_12256547_7eb3750f-9b3d-4575-b9e8-84bfc0f2a72d.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942566 | N/A | N/A | 7994545 | 2222 | 4802 | 12526770 | N/A | 6802250 | 2025-09-13 02:36:29.954544 | 2025-08-11 23:58:28.358402 |
| 2025-09-12 08:03:14.165191 | 2025-09-13 02:34:51.903907 | 12256469 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12256469 | N/A | 1950-08-25 | 2025-09-15 | F | AE | PT | POLLOCK | 40002008301 | MARY | 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/2222/7992096/check_12256469_74112644-9471-423d-bef0-cec9ec6c9153.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1950-08-25 | N/A | N/A | N/A | N/A | false | POLLOCK | 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 | 8776942563 | N/A | N/A | 7992096 | 2222 | 4801 | 12525651 | N/A | 4212687 | 2025-09-13 02:34:51.903907 | 2025-08-27 18:05:06.350903 |
| 2025-09-12 08:03:07.878433 | 2025-09-13 02:47:12.995143 | 12256293 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12256293 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-09-15 | F | PT | N/A | Schwarz | 6K39DA7XC53 | Linda | 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/2222/7546108/check_12256293_5f1df83a-a8ce-443a-bf16-6d7c5d2f6909.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Medicare Part A | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-15 | N/A | C18445 1838NJ | N/A | MA | false | SCHWARZ | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776933692 | N/A | N/A | 7546108 | 2222 | 4802 | 12533284 | N/A | 6470898 | 2025-09-13 02:47:12.995143 | 2025-07-29 20:29:16.916703 |
| 2025-09-12 08:03:04.294515 | 2025-09-13 02:36:11.046353 | 12256209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12256209 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-15 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 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/2222/8493312/check_12256209_9521557a-d44d-47ba-9a8b-d0f53f9b00a8.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | 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 | 8776927973 | N/A | N/A | 8493312 | 2222 | 4802 | 12526552 | N/A | 7159835 | 2025-09-13 02:36:11.046353 | 2025-08-25 22:38:59.735145 |
| 2025-09-12 08:03:01.672927 | 2025-09-13 02:24:42.393977 | 12256138 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12256138 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-09-15 | M | AE | PT | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110522917.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_12256138_a0a6705a-2ad1-4b60-bcdf-00f026e63d21.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776935748 | N/A | N/A | 9280203 | 2222 | 4793 | 12519100 | 6798 | 7788651 | 2025-09-13 02:24:42.393977 | 2025-09-10 18:50:22.494063 |
| 2025-09-12 08:02:59.798459 | 2025-09-13 02:35:40.259582 | 12256081 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12256081 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-15 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | MELONY | 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/2222/7988722/check_12256081_fc0c73b7-79e4-4a52-a805-369b38c4c24c.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942545 | N/A | N/A | 7988722 | 2222 | 4793 | 12526213 | N/A | 6798209 | 2025-09-13 02:35:40.259582 | 2025-10-29 15:15:17.952230 |
| 2025-09-12 08:02:52.821231 | 2025-09-13 02:41:58.414000 | 12255865 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12255865 | Athletic Physical Therapy Inc | 1950-03-25 | 2025-09-15 | F | AE | PT | YEKTA | 93973471F | AZAM | 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/2222/8491193/check_12255865_e99b51a1-314c-4169-959d-504bd0ef67f8.json | N/A | N/A | N/A | N/A | N/A | 93973471F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1950-03-25 | N/A | N/A | N/A | N/A | false | YEKTA | N/A | AZAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776927679 | N/A | N/A | 8491193 | 2222 | 4801 | 12530344 | N/A | 7158284 | 2025-09-13 02:41:58.414000 | 2025-08-25 22:00:30.718611 |
| 2025-09-12 08:02:38.830194 | 2025-09-13 02:33:53.232981 | 12255416 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12255416 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-09-15 | F | AE | PT | LESLIE | 106969238 | CAROLYN | 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/2222/7978844/check_12255416_d98254fd-51f1-43e9-a584-59a4eb8d1c31.json | N/A | N/A | N/A | N/A | N/A | 10696923800 | N/A | BELLWETHER ASSET MANAGEMENT, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1977-08-24 | N/A | 00634196 | N/A | N/A | false | LESLIE | N/A | CAROLYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776942518 | N/A | N/A | 7978844 | 2222 | 4802 | 12524956 | N/A | 6791609 | 2025-09-13 02:33:53.232981 | 2025-08-12 23:25:40.841503 |
| 2025-09-12 08:02:32.793000 | 2025-09-13 02:37:15.017821 | 12255225 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12255225 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-15 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/6528155/check_12255225_7a374e04-11fe-4234-8b46-4f2812f05952.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776931809 | N/A | N/A | 6528155 | 2222 | 4793 | 12527290 | N/A | 4214447 | 2025-09-13 02:37:15.017821 | 2026-04-23 20:11:34.441054 |
| 2025-09-12 08:02:24.196312 | 2025-09-12 08:02:25.235665 | 12254943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12254943 | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-15 | F | PT | N/A | VALENCIA | NCF972A20708 | NEVAEH | 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 | 8639700 | 2222 | 4801 | N/A | N/A | 7100343 | 2025-09-12 08:02:25.235665 | 2025-08-26 17:30:26.978462 |
| 2025-09-12 08:02:15.229048 | 2025-09-13 02:38:14.273554 | 12254662 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12254662 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-09-15 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | 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/2222/7513987/check_12254662_feac82ad-e4c1-4027-aa8d-bce63723c43f.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776934024 | N/A | N/A | 7513987 | 2222 | 4802 | 12527951 | N/A | 6451061 | 2025-09-13 02:38:14.273554 | 2025-07-28 22:43:26.605856 |
| 2025-09-12 08:02:14.539489 | 2025-09-13 02:35:39.943005 | 12254645 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12254645 | Athletic Physical Therapy Inc | 1994-03-01 | 2025-09-15 | F | PT | N/A | GUTIERREZ | NCF513W15087 | ALBA | 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/2222/7972178/check_12254645_c17c1659-9b86-48a4-9fa1-835b3640ae4e.json | N/A | N/A | N/A | N/A | N/A | NCF513W15087 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1994-03-01 | 040 | 57AJCA | N/A | HM | false | GUTIERREZ POLANC | N/A | ALBA | N/A | 9999-12-31 | 2023-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942330 | N/A | N/A | 7972178 | 2222 | 4802 | 12526207 | N/A | 6787192 | 2025-09-13 02:35:39.943005 | 2026-03-20 03:02:52.647595 |
| 2025-09-12 08:02:10.812928 | 2025-09-13 02:40:28.184494 | 12254510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12254510 | Athletic Physical Therapy Inc | 2008-01-30 | 2025-09-15 | F | PT | N/A | NICCOL | WRXA12977807 | AVA | 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/2222/6528022/check_12254510_1d5438f1-6078-474d-8abf-41d01448c4da.json | N/A | N/A | N/A | N/A | N/A | WRXA12977807 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 2008-01-30 | 040 | 277242M002 | N/A | PR | false | NICCOL | N/A | ANDREW | 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 | 8776939792 | N/A | N/A | 6528022 | 2222 | 4793 | 12529542 | N/A | 5148860 | 2025-09-13 02:40:28.184494 | 2025-06-30 14:56:45.395723 |
| 2025-09-12 08:02:03.764392 | 2025-09-13 02:35:33.757701 | 12254268 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12254268 | Athletic Physical Therapy Inc | 1992-08-12 | 2025-09-15 | M | AE | PT | Abramson | U8547035201 | Mitch | 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/2222/6522486/check_12254268_6cc7f4e8-1c04-47e6-a5ee-94409c8ab098.json | N/A | N/A | N/A | N/A | N/A | 11165739900 | N/A | ALTRUIST CORP | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1992-08-12 | N/A | 00633257 | N/A | N/A | false | ABRAMSON | N/A | MITCH | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776939774 | N/A | N/A | 6522486 | 2222 | 4802 | 12526135 | N/A | 5145779 | 2025-09-13 02:35:33.757701 | 2025-06-24 17:10:45.890456 |
| 2025-09-12 08:01:51.605425 | 2025-09-13 02:39:11.490254 | 12253854 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12253854 | Athletic Physical Therapy Inc | 1960-07-22 | 2025-09-15 | F | PT | N/A | Fairbairn | VUC381M87189 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110522917.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9256797/check_12253854_4c30135a-8b17-4700-ba62-bcd77e3e42df.json | N/A | N/A | N/A | N/A | N/A | VUC381M87189 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1960-07-22 | 040 | 280509A400 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776936155 | N/A | N/A | 9256797 | 2222 | 4802 | 12528615 | N/A | 7767722 | 2025-09-13 02:39:11.490254 | 2025-09-09 21:30:42.448470 |
| 2025-09-12 08:01:48.653128 | 2025-09-13 02:53:24.384110 | 12253738 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12253738 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-15 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | 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/2222/6203312/check_12253738_0c4a54dc-2835-495f-bbdb-a4503694afe3.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | 2025-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776931301 | N/A | N/A | 6203312 | 2222 | 4801 | 12536492 | N/A | 4846213 | 2025-09-13 02:53:24.384110 | 2025-06-10 21:58:09.734801 |
| 2025-09-12 08:01:46.010274 | 2025-09-13 02:53:25.689330 | 12253632 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12253632 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-15 | F | AE | PT | MAYER | XEM912219422 | MARY | 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/2222/6175091/check_12253632_dcc85ede-6088-4fe9-9602-fdf9f21c4055.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | 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 | 8776931174 | N/A | N/A | 6175091 | 2222 | 4801 | 12536504 | N/A | 4213917 | 2025-09-13 02:53:25.689330 | 2025-06-25 01:53:37.609327 |
| 2025-09-12 08:01:22.180128 | 2025-09-13 02:32:13.356637 | 12252688 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12252688 | N/A | 1956-10-21 | 2025-09-15 | M | PT | N/A | TOROS | SAD103594467 | HALIL | 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/2222/7896723/check_12252688_9cada562-fb90-4670-af36-68b03bfe1a51.json | N/A | N/A | N/A | N/A | N/A | SAD103594467 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1956-10-21 | N/A | N/A | N/A | N/A | false | TOROS | N/A | HALIL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776941858 | N/A | N/A | 7896723 | 2222 | 4802 | 12523828 | N/A | 6723602 | 2025-09-13 02:32:13.356637 | 2025-08-12 18:22:41.461515 |
| 2025-09-12 08:01:18.204309 | 2025-09-13 02:26:45.957414 | 12252576 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12252576 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-09-15 | F | AE | PT | Dickenson | 91000390H | Linda | 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/2222/7449889/check_12252576_9f397d45-494a-44ff-beb2-04b4d548b932.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776933202 | N/A | N/A | 7449889 | 2222 | 4802 | 12520245 | N/A | 6399696 | 2025-09-13 02:26:45.957414 | 2025-07-24 23:24:56.744520 |
| 2025-09-12 07:55:06.630149 | 2025-09-12 07:55:09.672954 | 12252357 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-09-12 | 2025-09-08 | N/A | PT | AE | Guzzo | JQU895W23533 | Aaron | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9274785/check_12252357_ac80bd62-2ead-4f1f-b9a8-128bab35c028.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9274785/check_12252357_f34764d4-9111-4d1d-9a27-8e274f4e8b92.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | ANTHEM BLUE CROSS | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8776821714 | 1275 | N/A | 9274785 | 2222 | N/A | 12493484 | N/A | 6451061 | 2025-09-12 07:55:09.672954 | 2025-07-28 22:43:26.605856 |
| 2025-09-12 07:54:50.384044 | 2025-09-12 07:54:54.421075 | 12252336 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-10-23 | 2025-09-05 | N/A | PT | AE | SMIT DUYZENTKUNST | 94370227G | JAMES | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7489363/check_12252336_dbefc712-283c-40cb-8ec4-1a0c63240568.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7489363/check_12252336_3ba158ab-e264-470c-bc75-73c8666b6cf1.json | N/A | N/A | N/A | N/A | N/A | 94370227G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8776821131 | 1275 | N/A | 7489363 | 2222 | N/A | 12493464 | N/A | 6038528 | 2025-09-12 07:54:54.421075 | 2025-07-24 19:34:35.056005 |