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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-30 20:31:07.928322 | 2025-05-31 09:07:22.667993 | 8421818 | N/A | N/A | 60054 | Aetna | 1114042165 | 8421818 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-06-05 | F | PT | AE | BOWMAN | W260258759 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8421818_0ef49a43-8a5c-4304-8683-26f44ce6b21e.json | N/A | N/A | N/A | N/A | N/A | W260258759 | N/A | N/A | AETNA | N/A | 1953-04-10 | 0141473 | 014147301500001 | N/A | N/A | false | BOWMAN | N/A | GEORGE | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551029 | 2222 | 4801 | 8132374 | N/A | 4219852 | 2025-05-31 09:07:22.667993 | 2025-05-13 04:29:37.230898 |
| 2025-05-30 20:31:07.770377 | 2025-05-31 09:04:46.195654 | 8421813 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8421813 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-06-03 | F | PT | N/A | PALACIOS | JMV542W2270020 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_8421813_a4199f13-ef40-45e2-b798-db6f60a05368.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | 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 | 5551010 | 2222 | 4802 | 8132181 | N/A | 4219831 | 2025-05-31 09:04:46.195654 | 2025-05-13 04:29:37.230876 |
| 2025-05-30 20:31:07.625555 | 2025-05-31 09:07:28.181434 | 8421809 | N/A | N/A | 60054 | Aetna | 1114042165 | 8421809 | Athletic Physical Therapy Inc | 1983-11-15 | 2025-06-06 | M | PT | AE | TODOROV | W254693067 | LYUBOMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551001/check_8421809_7ad87b3e-283f-4e9d-a517-f0529f728858.json | N/A | N/A | N/A | N/A | N/A | W254693067 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 1983-11-15 | 0868403 | 086840303200001 | N/A | PS | false | TODOROV | N/A | LYUBOMIR | N/A | N/A | N/A | AHF CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551001 | 2222 | 4802 | 8132381 | N/A | 4219821 | 2025-05-31 09:07:28.181434 | 2025-05-13 04:29:37.230867 |
| 2025-05-30 20:31:07.381543 | 2025-05-31 09:27:31.121176 | 8421801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421801 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-02 | M | PT | N/A | VELASQUEZ | 7RA2UD6VM18 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550994/check_8421801_a476d389-b51d-46d4-b656-d9e28e3f5ad1.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | N/A | N/A | CMS | N/A | 1943-08-11 | N/A | N/A | N/A | N/A | false | VELASQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550994 | 2222 | 4801 | 8133632 | N/A | 4219819 | 2025-05-31 09:27:31.121176 | 2026-04-16 20:37:54.612915 |
| 2025-05-30 20:31:07.070515 | 2025-05-31 09:20:11.752702 | 8421790 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421790 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-06-02 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8421790_4d454518-e430-4253-9003-e1978fc1b923.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 8133176 | N/A | 4219817 | 2025-05-31 09:20:11.752702 | 2025-05-13 04:29:37.230864 |
| 2025-05-30 20:31:06.798345 | 2025-05-31 09:20:13.251383 | 8421781 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421781 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-03 | M | PT | N/A | VARON | MPI101422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8421781_efcd407f-c470-4f75-a05b-6aa1b4aad2d6.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | 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 | 5550992 | 2222 | 4793 | 8133179 | N/A | 4219816 | 2025-05-31 09:20:13.251383 | 2025-05-13 04:29:37.230863 |
| 2025-05-30 20:31:06.402867 | 2025-05-31 09:20:08.140120 | 8421769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421769 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-02 | M | PT | N/A | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8421769_5123abe2-f836-401b-88c9-4996c8e20db8.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 8133169 | N/A | 4219813 | 2025-05-31 09:20:08.140120 | 2025-05-13 04:29:37.230860 |
| 2025-05-30 20:31:06.020796 | 2025-05-31 09:21:30.716010 | 8421757 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8421757 | Athletic Physical Therapy Inc | 1974-03-02 | 2025-06-05 | F | PT | N/A | TRAGESSER | XED913992617 | HOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550985/check_8421757_9754eb40-f4c1-4457-892c-456897067403.json | N/A | N/A | N/A | N/A | N/A | XED913992617 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-03-02 | 2001ZK002186 | X0001004 | N/A | PR | false | TRAGESSER | N/A | DENNIS | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550985 | 2222 | 4801 | 8133267 | N/A | 4219807 | 2025-05-31 09:21:30.716010 | 2025-05-13 04:29:37.230853 |
| 2025-05-30 20:31:05.659173 | 2025-05-31 09:07:27.516870 | 8421747 | N/A | N/A | 60054 | Aetna | 1114042165 | 8421747 | Athletic Physical Therapy Inc | 1988-03-26 | 2025-06-05 | F | PT | AE | STEINSAPIR | W283758452 | NEGAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550984/check_8421747_fdfff212-1070-4fe7-b1e2-80732d1fcf7f.json | N/A | N/A | N/A | N/A | N/A | W283758452 | Point of Service (POS) | MAD ENGINE GLOBAL, LLC. | AETNA | N/A | 1988-03-26 | 0237681 | 023768101100001 | N/A | PS | false | STEINSAPIR | N/A | NOAH | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550984 | 2222 | 4793 | 8132380 | N/A | 4219810 | 2025-05-31 09:07:27.516870 | 2026-05-31 23:30:11.309806 |
| 2025-05-30 20:31:05.326137 | 2025-05-31 09:07:30.067925 | 8421736 | N/A | N/A | 60054 | Aetna | 1114042165 | 8421736 | Athletic Physical Therapy Inc | 1962-02-18 | 2025-06-06 | M | PT | AE | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8421736_71948a5a-a518-4b3b-92f1-795c9b6636f5.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550983 | 2222 | 4801 | 8132383 | N/A | 4219811 | 2025-05-31 09:07:30.067925 | 2025-05-13 04:29:37.230858 |
| 2025-05-30 20:31:04.917738 | 2025-05-31 09:20:03.205464 | 8421725 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421725 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-06-03 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_8421725_95a1fb11-e7ae-416a-88a4-4c6eb9d3b752.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550973 | 2222 | 4793 | 8133159 | N/A | 4219803 | 2025-05-31 09:20:03.205464 | 2025-05-13 04:29:37.230842 |
| 2025-05-30 20:31:04.612973 | 2025-05-31 09:27:28.320188 | 8421718 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421718 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-04 | F | PT | AE | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_8421718_b8bceb60-50ab-4952-84e3-f50018584b75.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MB | false | SCHLEIKORN | N/A | MARIETTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550958 | 2222 | 4793 | 8133628 | N/A | 4219792 | 2025-05-31 09:27:28.320188 | 2025-05-13 04:29:37.230832 |
| 2025-05-30 20:31:04.407276 | 2025-05-31 09:20:04.278063 | 8421713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421713 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-06-06 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8421713_238e10c7-77f2-41a7-983a-3109e5989b98.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550953 | 2222 | 4801 | 8133162 | N/A | 4219788 | 2025-05-31 09:20:04.278063 | 2025-06-06 22:01:46.271450 |
| 2025-05-30 20:31:04.008382 | 2025-05-31 09:34:39.512580 | 8421700 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421700 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-06-05 | F | PT | AE | LINDSEY | 5NMOND0FT32 | CHRISTIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550951/check_8421700_59a89541-70d4-42fb-91b6-389676e7330c.json | N/A | N/A | N/A | N/A | N/A | 5NMOND0FT32 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-05-24 | N/A | N/A | N/A | N/A | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550951 | 2222 | 4801 | 8133982 | N/A | 4219787 | 2025-05-31 09:34:39.512580 | 2025-05-13 04:29:37.230828 |
| 2025-05-30 20:31:03.681133 | 2025-05-31 09:15:17.312834 | 8421694 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8421694 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-06-05 | F | PT | AE | GUEVARA | G45053839 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_8421694_30db0a55-9348-4d00-b0b2-45c33a202f4e.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550940 | 2222 | 4793 | 8132821 | N/A | 4219779 | 2025-05-31 09:15:17.312834 | 2025-05-13 04:29:37.230820 |
| 2025-05-30 20:31:03.322974 | 2025-05-31 09:20:08.561789 | 8421687 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421687 | Athletic Physical Therapy Inc | 1966-03-05 | 2025-06-04 | M | PT | N/A | MICHIELSEN | XDP726A24389 | PIETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550926/check_8421687_94e48ddb-3001-41ab-820d-158b9ddcffa1.json | N/A | N/A | N/A | N/A | N/A | XDP726A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1966-03-05 | 040 | 275928M001 | N/A | PR | false | MICHIELSEN | N/A | PIETER | N/A | 9999-12-31 | 2022-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550926 | 2222 | 4801 | 8133170 | N/A | 4219768 | 2025-05-31 09:20:08.561789 | 2025-05-13 04:29:37.230809 |
| 2025-05-30 20:31:03.001204 | 2025-05-31 09:20:13.876182 | 8421679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421679 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-06-04 | F | PT | N/A | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_8421679_77fd5600-4a74-4167-91f2-b74ec810d2e9.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550923 | 2222 | 4801 | 8133180 | N/A | 4219763 | 2025-05-31 09:20:13.876182 | 2025-05-13 04:29:37.230804 |
| 2025-05-30 20:31:02.620641 | 2025-05-31 09:21:56.578011 | 8421672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8421672 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-04 | F | PT | N/A | MERKER | FFB813483004 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8421672_5cdfd864-6a5a-4b3e-a244-86ccf67a97ef.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | Preferred Provider Organization (PPO) | 48FORTY INTERMEDIATE HOLDINGS | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | 396562 | N/A | PR | false | MERKER | N/A | AMANDA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550917 | 2222 | 4802 | 8133297 | N/A | 4219762 | 2025-05-31 09:21:56.578011 | 2025-05-13 04:29:37.230803 |
| 2025-05-30 20:31:02.307387 | 2025-05-31 09:27:11.622400 | 8421667 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421667 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-05 | U | PT | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8421667_ca97293c-373e-43ec-8957-4d9ce9cad99a.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550896 | 2222 | 4793 | 8133610 | N/A | 4219750 | 2025-05-31 09:27:11.622400 | 2025-06-06 02:15:39.377685 |
| 2025-05-30 20:31:02.058577 | 2025-05-31 09:07:23.224269 | 8421662 | N/A | N/A | 60054 | Aetna | 1114042165 | 8421662 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-06-04 | F | PT | AE | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_8421662_cb1a7dfb-3e73-4e3f-9ba8-6190a49e84ee.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550850 | 2222 | 4802 | 8132375 | N/A | 4215195 | 2025-05-31 09:07:23.224269 | 2025-05-14 09:08:40.751930 |
| 2025-05-30 20:31:01.847755 | 2025-05-31 09:21:24.264551 | 8421657 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8421657 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-06-05 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8421657_5e8aacbc-9813-4a65-b8d9-833784a6fc36.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550845 | 2222 | 4801 | 8133258 | N/A | 4219713 | 2025-05-31 09:21:24.264551 | 2025-08-13 22:46:55.732965 |
| 2025-05-30 20:31:01.577457 | 2025-05-31 09:21:25.408845 | 8421651 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8421651 | Athletic Physical Therapy Inc | 2005-05-27 | 2025-06-06 | F | PT | N/A | PARVIZI | XED914141701 | SIMONE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_8421651_59acecae-dbd4-4368-becf-811deb1cf304.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZK002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550844 | 2222 | 4802 | 8133259 | N/A | 4215184 | 2025-05-31 09:21:25.408845 | 2025-05-13 04:29:37.229500 |
| 2025-05-30 20:31:01.215470 | 2025-05-31 09:03:46.079278 | 8421641 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8421641 | Athletic Physical Therapy Inc | 1964-09-23 | 2025-06-03 | F | PT | AE | FLORES | R04366782FS1 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550814/check_8421641_50bfabee-d714-46e8-b5a6-8375c46a22d4.json | N/A | N/A | N/A | N/A | N/A | R04366782FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-09-23 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550814 | 2222 | 4801 | 8132097 | N/A | 4219692 | 2025-05-31 09:03:46.079278 | 2025-05-13 04:29:37.230737 |
| 2025-05-30 20:31:00.776489 | 2025-05-31 09:07:18.227935 | 8421628 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8421628 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-06 | M | PT | AE | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8421628_ff4e3cc0-2a19-44b3-b849-bf4edf969031.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550812 | 2222 | 4801 | 8132368 | N/A | 4219691 | 2025-05-31 09:07:18.227935 | 2025-05-13 04:29:37.230736 |
| 2025-05-30 20:31:00.065414 | 2025-05-31 09:27:17.132252 | 8421610 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421610 | Athletic Physical Therapy Inc | 1950-09-13 | 2025-06-02 | M | PT | AE | GU | 4AN1F55YR02 | WINSTON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550800/check_8421610_6e434c12-624b-405b-b23a-b2969c448e0f.json | N/A | N/A | N/A | N/A | N/A | 4AN1F55YR02 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-13 | S5884 | N/A | N/A | MB | false | GU | N/A | WINSTON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550800 | 2222 | 4801 | 8133618 | N/A | 4219679 | 2025-05-31 09:27:17.132252 | 2025-05-13 04:29:37.230723 |
| 2025-05-30 20:30:59.574644 | 2025-05-31 09:27:25.307038 | 8421595 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421595 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-05 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_8421595_cb29997e-83fd-4e60-ad88-ee259969f46a.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550797 | 2222 | 4793 | 8133624 | N/A | 4219681 | 2025-05-31 09:27:25.307038 | 2026-01-14 20:54:02.193776 |
| 2025-05-30 20:30:59.294051 | 2025-05-31 09:15:54.469706 | 8421587 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8421587 | Athletic Physical Therapy Inc | 1951-10-15 | 2025-06-05 | F | PT | AE | WHITAKER | 929479394 | GAYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550740/check_8421587_f7365988-f37a-431a-b12b-ae38ec04bdc6.json | N/A | N/A | N/A | N/A | N/A | 929479394 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1951-10-15 | N/A | 15743 | N/A | PR | false | WHITAKER | N/A | GAYLE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550740 | 2222 | 4801 | 8132853 | N/A | 4219644 | 2025-05-31 09:15:54.469706 | 2025-05-13 04:29:37.230686 |
| 2025-05-30 20:30:58.831011 | 2025-05-31 09:03:45.439739 | 8421571 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8421571 | Athletic Physical Therapy Inc | 1952-02-26 | 2025-06-04 | F | PT | AE | BROOKS | 40066780101 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550678/check_8421571_ec5585af-a479-4f87-9d49-887c264ebfa6.json | N/A | N/A | N/A | N/A | N/A | 40066780101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-02-26 | N/A | N/A | N/A | N/A | false | BROOKS | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550678 | 2222 | 4801 | 8132096 | N/A | 4219602 | 2025-05-31 09:03:45.439739 | 2026-03-09 20:06:47.654386 |
| 2025-05-30 20:30:58.607903 | 2025-05-31 09:27:19.076014 | 8421565 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421565 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-05 | F | PT | AE | JOEL | 9TY9VF4DK26 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_8421565_f773729a-89b9-41c4-ba45-a20c47009ef2.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MB | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550243 | 2222 | 4801 | 8133620 | N/A | 4212766 | 2025-05-31 09:27:19.076014 | 2025-05-13 04:29:37.227101 |
| 2025-05-30 20:30:58.247235 | 2025-05-31 09:03:48.187103 | 8421552 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8421552 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-06-02 | M | PT | AE | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8421552_922049a3-e3ae-431d-afa0-51098bc1e55f.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549707 | 2222 | 4801 | 8132100 | N/A | 4219317 | 2025-05-31 09:03:48.187103 | 2025-05-13 04:29:37.230340 |
| 2025-05-30 20:30:57.984049 | 2025-05-31 09:20:06.950811 | 8421543 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421543 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-04 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8421543_31692445-7e1d-4536-8dc2-773a3338e6a0.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549317 | 2222 | 4801 | 8133167 | N/A | 4219010 | 2025-05-31 09:20:06.950811 | 2026-01-09 18:32:07.618867 |
| 2025-05-30 20:30:57.712018 | 2025-05-31 09:04:41.401121 | 8421533 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8421533 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-06-05 | F | PT | AE | CEJA | XEH903796659 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549284/check_8421533_b2957291-7a08-4d4a-8369-4122c2651ba4.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549284 | 2222 | 4801 | 8132171 | N/A | 4218983 | 2025-05-31 09:04:41.401121 | 2025-05-13 04:29:37.230000 |
| 2025-05-30 20:30:57.375959 | 2025-05-31 09:04:45.122194 | 8421525 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8421525 | Athletic Physical Therapy Inc | 1942-03-17 | 2025-06-03 | F | PT | AE | LAMB | 27934511 | JEANNETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549180/check_8421525_72d98483-d314-485f-9a06-f7e69f755a6f.json | N/A | N/A | N/A | N/A | N/A | 27934511 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1942-03-17 | N/A | N/A | N/A | N/A | false | LAMB | N/A | JEANNETTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549180 | 2222 | 4801 | 8132178 | N/A | 4218894 | 2025-05-31 09:04:45.122194 | 2025-05-13 04:29:37.229906 |
| 2025-05-30 20:30:57.110971 | 2025-05-31 09:27:12.183942 | 8421516 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421516 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-06-06 | M | PT | AE | CALDERON | 4DH3VT4QR98 | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_8421516_ca20d2a7-419e-4901-a587-628f913c324c.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MB | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549153 | 2222 | 4801 | 8133611 | N/A | 4218873 | 2025-05-31 09:27:12.183942 | 2025-05-13 04:29:37.229886 |
| 2025-05-30 20:30:56.848171 | 2025-05-31 09:27:18.109006 | 8421509 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421509 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-06-05 | M | PT | AE | HELLER | 4WQ0H64HT25 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549009/check_8421509_dc0912e3-2364-470e-9581-4263f4086f4c.json | N/A | N/A | N/A | N/A | N/A | 4WQ0H64HT25 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-10-09 | S5596 | N/A | N/A | MB | false | HELLER | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549009 | 2222 | 4802 | 8133619 | N/A | 4208819 | 2025-05-31 09:27:18.109006 | 2025-05-13 04:29:37.223245 |
| 2025-05-30 20:30:56.551335 | 2025-05-31 09:03:44.697713 | 8421498 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8421498 | Athletic Physical Therapy Inc | 1948-01-29 | 2025-06-02 | F | PT | AE | BOWLDS | 31193263001 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549002/check_8421498_fc57847f-8cb2-4846-9e13-075b5b54473d.json | N/A | N/A | N/A | N/A | N/A | 31193263001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-29 | N/A | N/A | N/A | N/A | false | BOWLDS | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549002 | 2222 | 4801 | 8132095 | N/A | 4218753 | 2025-05-31 09:03:44.697713 | 2025-05-13 04:29:37.229745 |
| 2025-05-30 20:30:56.155788 | 2025-05-31 09:27:12.580547 | 8421486 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8421486 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-06-05 | F | PT | AE | DOUGLAS | 6RW0R23KU11 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_8421486_a18e0a1b-5411-44d4-b7f4-5859f1b85879.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5596 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5548965 | 2222 | 4802 | 8133612 | N/A | 4218725 | 2025-05-31 09:27:12.580547 | 2025-05-13 04:29:37.229715 |
| 2025-05-30 20:30:38.426075 | 2025-05-31 09:20:02.866746 | 8421000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421000 | Athletic Physical Therapy Inc | 1951-05-22 | 2025-06-02 | M | PT | N/A | KAGON | VUC099A54201 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543391/check_8421000_679da007-ca3a-478f-9f7f-d3184501989b.json | N/A | N/A | N/A | N/A | N/A | 6WH3YV9JC06 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-05-22 | 040 | 280509A400 | N/A | PR | false | N/A | N/A | N/A | 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 | N/A | N/A | N/A | 5543391 | 2222 | 4793 | 8133158 | N/A | 4215182 | 2025-05-31 09:20:02.866746 | 2025-05-13 04:29:37.229498 |
| 2025-05-30 20:30:37.796885 | 2025-05-31 09:13:41.861124 | 8420984 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8420984 | Athletic Physical Therapy Inc | 2006-07-18 | 2025-06-06 | U | PT | AE | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543386/check_8420984_46ce561b-d9f3-4554-ae1f-c3dd42133dab.json | N/A | N/A | N/A | N/A | N/A | U4896088401 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2006-07-18 | N/A | N/A | N/A | N/A | false | RAMAFWAMY KAFI VASU | N/A | VAIBHAV | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543386 | 2222 | 4802 | 8132729 | N/A | 4215176 | 2025-05-31 09:13:41.861124 | 2025-06-09 20:47:50.067306 |
| 2025-05-30 20:30:37.493631 | 2025-05-31 09:20:10.543235 | 8420973 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8420973 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-05 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8420973_87b3f544-94ec-486f-8b91-72a01dea1959.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MJ61 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 2025-06-01 | 2024-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543362 | 2222 | 4793 | 8133174 | N/A | 4215155 | 2025-05-31 09:20:10.543235 | 2025-05-13 04:29:37.229472 |
| 2025-05-30 20:30:37.234777 | 2025-05-31 09:15:47.674708 | 8420965 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8420965 | Athletic Physical Therapy Inc | 2007-11-30 | 2025-06-05 | F | PT | AE | BIERNER | 941921536 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_8420965_8f420989-fb56-4b17-bb6d-77f54384a903.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2007-11-30 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543359 | 2222 | 4802 | 8132846 | N/A | 4215160 | 2025-05-31 09:15:47.674708 | 2025-05-13 04:29:37.229477 |
| 2025-05-30 20:30:36.846628 | 2025-05-31 09:05:58.101871 | 8420955 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8420955 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-06-03 | U | PT | AE | AZIM | 627771249 | FAIYAZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_8420955_38c1100d-95fc-466c-b2b9-606def0a4bea.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA HEALTHCARE OF CALIFORNIA | N/A | 1991-07-22 | N/A | N/A | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543304 | 2222 | 4802 | 8132286 | N/A | 4215118 | 2025-05-31 09:05:58.101871 | 2025-06-02 01:41:59.668874 |
| 2025-05-30 20:30:36.516238 | 2025-05-31 09:27:20.235696 | 8420947 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8420947 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-06 | F | PT | AE | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8420947_68b142dc-3cf0-48ad-8db1-a1eabb3b3dc6.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MB | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543302 | 2222 | 4793 | 8133622 | N/A | 4215107 | 2025-05-31 09:27:20.235696 | 2025-05-13 04:29:37.229419 |
| 2025-05-30 20:30:36.105880 | 2025-05-31 09:27:30.001934 | 8420939 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8420939 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-02 | M | PT | AE | TEAGUE | 1T39QJ8JV30 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_8420939_1adee7e9-3aef-4c43-a09a-92072e7b0840.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MA | false | TEAGUE | N/A | LEWIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543292 | 2222 | 4802 | 8133630 | N/A | 4215104 | 2025-05-31 09:27:30.001934 | 2025-05-13 04:29:37.229416 |
| 2025-05-30 20:30:35.524549 | 2025-05-31 09:15:50.493191 | 8420924 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8420924 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-06-05 | M | PT | AE | MYER | 992215076 | REMSEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543288/check_8420924_e21c10a6-4051-4d18-98b3-db60692eb36d.json | N/A | N/A | N/A | N/A | N/A | 992215076 | Commercial | TRINET B | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2009-05-06 | 0999 0999 | 911528 | N/A | C1 | false | MYER | N/A | JARRET | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543288 | 2222 | 4802 | 8132850 | N/A | 4215102 | 2025-05-31 09:15:50.493191 | 2025-06-02 22:31:17.941501 |
| 2025-05-30 20:30:35.077935 | 2025-05-31 09:12:07.156604 | 8420911 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8420911 | Athletic Physical Therapy Inc | 1995-03-21 | 2025-06-05 | F | AD | N/A | PATEL | U8560212501 | RONAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_8420911_c59a8ad0-f41e-46d6-a9e6-c872830acecd.json | N/A | N/A | N/A | N/A | N/A | U8560212501 | N/A | SOCIAL FINANCE, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-03-21 | N/A | 3342825 | N/A | N/A | false | PATEL | N/A | RONAK | N/A | N/A | N/A | OPEN ACCESS PLUS HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543267 | 2222 | 4793 | 8132640 | N/A | 4215084 | 2025-05-31 09:12:07.156604 | 2025-05-13 04:29:37.229400 |
| 2025-05-30 20:30:34.521364 | 2025-05-31 09:03:43.433252 | 8420895 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8420895 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8420895_c472f71b-bfe8-481a-8555-c16822e14ec9.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543265 | 2222 | 4802 | 8132093 | N/A | 4215082 | 2025-05-31 09:03:43.433252 | 2025-05-13 04:29:37.229397 |
| 2025-05-30 20:30:33.990680 | 2025-05-31 09:27:14.109142 | 8420880 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8420880 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-02 | M | PT | AE | GEVURTZ | 3UF3GW6KC04 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_8420880_c56d9b5c-3cb7-4ace-b5c2-8b7312fce3dc.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MB | false | GEVURTZ | N/A | IRWIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543260 | 2222 | 4802 | 8133614 | N/A | 4215069 | 2025-05-31 09:27:14.109142 | 2025-05-13 04:29:37.229385 |
| 2025-05-30 20:30:33.536089 | 2025-05-31 09:20:06.072623 | 8420870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8420870 | Athletic Physical Therapy Inc | 2009-04-17 | 2025-06-04 | M | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8420870_ae2bb4cf-724a-43f6-a1c2-df335da450a1.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | 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 | 5543250 | 2222 | 4793 | 8133165 | N/A | 4215068 | 2025-05-31 09:20:06.072623 | 2025-07-22 17:55:02.066796 |
| 2025-05-30 20:30:33.175621 | 2025-05-31 09:27:29.422980 | 8420861 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8420861 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-06 | F | PT | AE | SINGER | 8XN3QF1XM78 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_8420861_cf11611c-adb2-4957-9326-1f9379b4cdef.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MA | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543247 | 2222 | 4793 | 8133629 | N/A | 4215066 | 2025-05-31 09:27:29.422980 | 2025-05-13 04:29:37.229384 |