API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 18:27:36.128481 | 2025-09-09 18:27:44.147247 | 12181284 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-08-29 | M | PT | AE | 4191 | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/2222/9129353/check_12181284_2b8bf548-3522-4995-9750-f0f547866118.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9129353/check_12181284_72f207da-0323-48fc-9b2e-3f56c45122a0.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8755216965 | 5687 | N/A | 9129353 | 2222 | N/A | 12366678 | N/A | 7142683 | 2025-09-09 18:27:44.147247 | 2026-01-12 20:01:37.957097 |
| 2025-09-09 18:10:33.397640 | 2025-09-09 18:10:35.144131 | 12179903 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-09 | F | AE | PT | 4191 | GRANT | XEM910029614 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493312/check_12179903_c65b1157-c1de-4b11-83d8-76b4dc8964a8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_12179903_ca5a5be3-9e5b-4f4c-96d0-4adde230b333.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 | 8755045299 | N/A | N/A | 8493312 | 2222 | N/A | 12365276 | N/A | 7159835 | 2025-09-09 18:10:35.144131 | 2025-08-25 22:38:59.735145 |
| 2025-09-09 18:10:15.041843 | 2025-09-09 18:10:16.830707 | 12179883 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-09 | M | AE | PT | 4497 | MELVILLE | 5K84YN1FD09 | LANNING | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535728/check_12179883_fa825db5-49ec-429c-9acb-e6775e5cf178.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535728/check_12179883_fea02cc1-d3c1-480e-ad89-d53b24853665.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MA | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755042329 | N/A | N/A | 5535728 | 2222 | N/A | 12365256 | N/A | 4208598 | 2025-09-09 18:10:16.830707 | 2025-09-11 00:56:25.554348 |
| 2025-09-09 18:05:27.534351 | 2025-09-10 02:26:59.493396 | 12179446 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12179446 | N/A | 1937-03-24 | 2025-09-11 | F | AE | PT | N/A | STOPSKY | 98440536C | LIDIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205315640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8226227/check_12179446_1ce48eac-be8f-4d1c-a135-aa7fc6608781.json | N/A | N/A | N/A | N/A | N/A | 98440536C | N/A | N/A | HEALTH NET, LLC | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755014133 | N/A | N/A | 8226227 | 2222 | 4802 | 12395734 | N/A | 4212423 | 2025-09-10 02:26:59.493396 | 2025-05-13 04:29:37.226755 |
| 2025-09-09 18:04:42.181204 | 2025-09-09 18:04:45.717291 | 12179199 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-09 | M | AE | PT | 3939 | ELZAYN | AH2912772 | ANDREW | https://storage.googleapis.com/normandy-eligibility-checks/2222/8767675/check_12179199_6526417b-e29f-4604-8002-3b0921ea4924.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12179199_97256912-60ad-4309-90fd-0b7ab868649f.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | 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 | 8767675 | 2222 | N/A | 12364901 | N/A | 7383774 | 2025-09-09 18:04:45.717291 | 2025-08-28 18:43:11.156565 |
| 2025-09-09 18:04:36.869969 | 2025-09-09 18:04:42.019522 | 12179163 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-09 | M | AE | PT | 3939 | ELZAYN | AH2912772 | ANDREW | https://storage.googleapis.com/normandy-eligibility-checks/2222/8767675/check_12179163_3766b4ea-41ac-4ede-bab6-b6d59f05360b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | 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 | 8767675 | 2222 | N/A | N/A | N/A | 7383774 | 2025-09-09 18:04:42.019522 | 2025-08-28 18:43:11.156565 |
| 2025-09-09 18:00:58.411810 | 2025-09-09 18:01:03.294300 | 12178118 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-26 | 2025-09-09 | F | PT | N/A | 4191 | TAKAHATA | XEE980555379 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471583/check_12178118_ccef4031-2f16-420b-af4b-e6ab5d578a54.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471583/check_12178118_d1b37e12-4050-4212-a047-e0a767b126fa.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 9999-12-31 | 2022-11-01 | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754959455 | N/A | N/A | 8471583 | 2222 | N/A | 12364650 | N/A | 7142489 | 2025-09-09 18:01:03.294300 | 2025-08-25 17:38:35.061335 |
| 2025-09-09 18:00:42.367588 | 2025-09-10 05:32:01.794599 | 12178028 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12178028 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-09-12 | F | AE | PT | N/A | KUDLATOVA | JQE069W14577 | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.225028073.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_12178028_6c379749-52a0-4bcd-acd8-a50f6e6ce0fe.json | N/A | N/A | N/A | N/A | N/A | JQE069W14577 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-02-24 | 040 | CASUPWP0 | N/A | N/A | false | KUDLATOVA | N/A | MARIE | N/A | 9999-12-31 | 2023-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754968964 | N/A | N/A | 5549472 | 2222 | 4801 | 12413041 | N/A | 4219128 | 2025-09-10 05:32:01.794599 | 2025-05-13 04:29:37.230146 |
| 2025-09-09 17:58:18.882891 | 2025-09-11 02:25:09.266512 | 12177435 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12177435 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-09-11 | F | AE | PT | N/A | BARRE | 4WR8HF0MV28 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_12177435_ab611f56-a8e7-40cd-98dd-854bfe2f78a2.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part A | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MA | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003092 | N/A | N/A | 6418037 | 2222 | 4802 | 12447893 | N/A | 5065797 | 2025-09-11 02:25:09.266512 | 2025-07-28 17:08:00.544400 |
| 2025-09-09 17:56:01.964761 | 2025-09-10 02:40:36.855986 | 12176707 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12176707 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-12 | F | PT | N/A | N/A | Moore | 8V70PQ9EF39 | Jeana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205315640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8044093/check_12176707_10ba58b8-d0a1-47b4-aace-1baf845c7775.json | N/A | N/A | N/A | N/A | N/A | 8V70PQ9EF39 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-21 | H4471 | N/A | N/A | MA | false | MOORE | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755014607 | N/A | N/A | 8044093 | 2222 | 4802 | 12400255 | N/A | 6725117 | 2025-09-10 02:40:36.855986 | 2026-02-18 22:27:04.950292 |
| 2025-09-09 17:55:24.989766 | 2025-09-09 17:55:44.581551 | 12176520 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-15 | 2025-09-09 | F | AE | PT | 4497 | KIRK | 5FT7Y02EM72 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8167056/check_12176520_79b32d7b-9295-4d3c-bd98-1ab2a5263b9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_12176520_0239dfc5-7597-447c-beef-c6927c571131.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MB | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754918658 | N/A | N/A | 8167056 | 2222 | N/A | 12364328 | N/A | 6933707 | 2025-09-09 17:55:44.581551 | 2026-05-21 16:32:55.382229 |
| 2025-09-09 17:55:02.237691 | 2025-09-11 02:18:47.333856 | 12176341 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12176341 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-09-11 | M | PT | N/A | N/A | HARDING | XDP157A51099 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_12176341_1b16b8dd-ec8b-4355-a985-d7a294fe6244.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 | 1967-08-29 | 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 | 8755002506 | N/A | N/A | 6398773 | 2222 | 4801 | 12446165 | N/A | 5046326 | 2025-09-11 02:18:47.333856 | 2025-06-30 17:04:21.721546 |
| 2025-09-09 17:54:57.709737 | 2025-09-11 02:18:39.133239 | 12176321 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12176321 | Athletic Physical Therapy Inc | 1950-06-14 | 2025-09-11 | F | AE | PT | N/A | MIESSNER | 00000302558 | CHERYLL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_12176321_1b9d0b08-5713-4e61-8642-79411cd88d29.json | N/A | N/A | N/A | N/A | N/A | 00000302558 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-06-14 | H3815028 | N/A | N/A | HM | false | MIESSNER | N/A | CHERYLL | 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 | 8755002503 | N/A | N/A | 6398725 | 2222 | 4801 | 12446106 | N/A | 5046278 | 2025-09-11 02:18:39.133239 | 2025-06-15 19:17:04.043327 |
| 2025-09-09 17:53:12.101897 | 2025-09-11 02:25:09.906775 | 12175871 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12175871 | Athletic Physical Therapy Inc | 1948-03-15 | 2025-09-11 | M | AE | PT | N/A | SAMOFF | 9WK1PA8GW14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_12175871_6ea46ae7-203b-47c4-8ce1-3f306e351bc9.json | N/A | N/A | N/A | N/A | N/A | 9WK1PA8GW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-15 | H3815 | N/A | N/A | MA | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003950 | N/A | N/A | 6236212 | 2222 | 4793 | 12447895 | N/A | 4884170 | 2025-09-11 02:25:09.906775 | 2025-07-09 21:20:43.604452 |
| 2025-09-09 17:53:03.699806 | 2025-09-11 02:13:26.983542 | 12175841 | N/A | N/A | 60054 | Aetna | 1114042165 | 12175841 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-09-10 | M | AE | PT | N/A | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_12175841_6a89ae95-4e75-4354-a7f9-89d8d9cc5e0c.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003945 | N/A | N/A | 6235883 | 2222 | 4802 | 12444167 | N/A | 4883697 | 2025-09-11 02:13:26.983542 | 2025-07-08 14:55:53.397662 |
| 2025-09-09 17:52:31.427374 | 2025-09-10 02:40:36.067494 | 12175710 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12175710 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-09-12 | M | PT | N/A | N/A | Aliabadi | 4H63HH1UD97 | Hossein | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205315640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_12175710_1c4cd70d-df4e-4ebf-828d-12717a325497.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MA | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755013559 | N/A | N/A | 7983538 | 2222 | 4802 | 12400251 | N/A | 6706099 | 2025-09-10 02:40:36.067494 | 2025-11-21 22:00:12.073625 |
| 2025-09-09 17:51:59.050544 | 2025-09-10 02:14:02.833074 | 12175598 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12175598 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-09-10 | M | AE | PT | N/A | KOGUT | 32822509811 | JAMIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205315640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7975132/check_12175598_a73acb38-a9ef-45a9-92bd-505cf7e83b7d.json | N/A | N/A | N/A | N/A | N/A | 32822509811 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-04 | N/A | N/A | N/A | SP | false | KOGUT | N/A | JAMIE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755013542 | N/A | N/A | 7975132 | 2222 | 4801 | 12391080 | N/A | 6228944 | 2025-09-10 02:14:02.833074 | 2025-08-09 18:39:08.251512 |
| 2025-09-09 17:49:56.634869 | 2025-09-09 17:50:02.025934 | 12174982 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-09 | M | AE | PT | 5505 | CORAY | 00003138358 | KLAUS | https://storage.googleapis.com/normandy-eligibility-checks/2222/7815883/check_12174982_bc7d98b4-ead5-4d61-8a69-5efdd44e4367.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_12174982_894f8d35-be09-41c1-9d40-22f0fe3066e0.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7815883 | 2222 | N/A | 12363948 | N/A | 6655655 | 2025-09-09 17:50:02.025934 | 2025-09-09 21:32:56.328170 |
| 2025-09-09 17:49:50.103896 | 2025-09-09 17:49:56.619076 | 12174952 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-09 | M | AE | PT | 5505 | CORAY | 00003138358 | KLAUS | https://storage.googleapis.com/normandy-eligibility-checks/2222/7815883/check_12174952_2b3b7b7e-5aa1-4a21-9899-715ed1225c25.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7815883 | 2222 | N/A | N/A | N/A | 6655655 | 2025-09-09 17:49:56.619076 | 2025-09-09 21:32:56.328170 |
| 2025-09-09 17:49:17.040695 | 2025-09-11 02:25:08.918566 | 12174840 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12174840 | Athletic Physical Therapy Inc | 1970-03-23 | 2025-09-10 | F | AE | PT | N/A | ADAMSKY | 5AR2R76UH88 | ARLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222571/check_12174840_11145979-65b5-4f35-b9ad-b8936340167f.json | N/A | N/A | N/A | N/A | N/A | 5AR2R76UH88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-23 | S4802 | N/A | N/A | MB | false | ADAMSKY | N/A | ARLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003650 | N/A | N/A | 6222571 | 2222 | 4801 | 12447892 | N/A | 4219835 | 2025-09-11 02:25:08.918566 | 2025-06-11 17:06:07.512166 |
| 2025-09-09 17:48:51.541649 | 2025-09-11 02:15:07.962475 | 12174719 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12174719 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-09-10 | F | AE | PT | N/A | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_12174719_c1d40e48-b443-487f-88aa-7039c4e14f12.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003642 | N/A | N/A | 6221805 | 2222 | 4801 | 12444741 | N/A | 4865742 | 2025-09-11 02:15:07.962475 | 2025-06-11 15:46:59.098537 |
| 2025-09-09 17:48:32.420152 | 2025-09-10 05:32:47.540815 | 12174502 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12174502 | Athletic Physical Therapy Inc | 2009-05-28 | 2025-09-11 | F | PT | N/A | N/A | GALLE | JXN432W14490 | MADELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8970914/check_12174502_3dfce449-0ad8-4b7c-bdbc-b0c7200041d6.json | N/A | N/A | N/A | N/A | N/A | JXN432W14490 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2009-05-28 | 040 | 174222M8A1 | N/A | PR | false | FRYE | N/A | BRADLEY | N/A | 9999-12-31 | 2024-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754872398 | N/A | N/A | 8970914 | 2222 | 4793 | 12413133 | N/A | 7486302 | 2025-09-10 05:32:47.540815 | 2025-09-30 03:58:19.839826 |
| 2025-09-09 17:47:13.421290 | 2025-09-10 05:57:32.509447 | 12173830 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12173830 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-12 | F | AE | PT | N/A | GOEL | 5RR4M63DR65 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_12173830_cf456aaf-f9c2-4e74-8d12-5dc90d9b6164.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754872363 | N/A | N/A | 8969533 | 2222 | 4802 | 12415988 | N/A | 7485064 | 2025-09-10 05:57:32.509447 | 2025-12-29 22:41:16.623495 |
| 2025-09-09 17:46:56.921064 | 2025-09-10 05:35:54.031642 | 12173690 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12173690 | Athletic Physical Therapy Inc | 1983-01-26 | 2025-09-11 | M | PT | N/A | N/A | Shin | XED914140051 | Edward | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969164/check_12173690_acb62ee7-6f55-48d5-8e41-98297295ad81.json | N/A | N/A | N/A | N/A | N/A | XED914140051 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-01-26 | 2001ZK002185 | X0001004 | N/A | PR | false | SHIN | N/A | EDWARD | 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 | 8754872345 | N/A | N/A | 8969164 | 2222 | 4802 | 12413916 | N/A | 7484713 | 2025-09-10 05:35:54.031642 | 2025-08-29 16:08:54.990493 |
| 2025-09-09 17:45:57.542304 | 2025-09-09 17:46:01.418145 | 12173385 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-02-07 | 2025-09-09 | F | AE | PT | 4211 | MALTSEVA | 94237973H65017 | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7253095/check_12173385_5d321816-9984-4344-a051-c9676b66ad0f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_12173385_6eed712c-6d46-4549-bfc0-df44322a6f97.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | 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 | 7253095 | 2222 | N/A | 12363709 | N/A | 6219145 | 2025-09-09 17:46:01.418145 | 2025-07-21 16:40:35.276086 |
| 2025-09-09 17:45:54.354888 | 2025-09-09 17:46:03.495702 | 12173370 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-09-09 | F | PT | N/A | 4191 | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_12173370_effc4a93-709e-4fa8-8ab5-a12f0eccb4f8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_12173370_6d408907-6532-4215-80a8-be6ab1f9ac3e.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754834543 | N/A | N/A | 7294742 | 2222 | N/A | 12363712 | N/A | 6254569 | 2025-09-09 17:46:03.495702 | 2025-08-12 09:24:43.956957 |
| 2025-09-09 17:45:34.732957 | 2025-09-09 17:45:57.457817 | 12173268 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-02-07 | 2025-09-09 | F | AE | PT | 4211 | MALTSEVA | 94237973H65017 | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7253095/check_12173268_2a763e58-bef5-49d7-a355-3fb859fa1a0b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | 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 | 7253095 | 2222 | N/A | N/A | N/A | 6219145 | 2025-09-09 17:45:57.457817 | 2025-07-21 16:40:35.276086 |
| 2025-09-09 17:40:10.534002 | 2025-09-11 02:11:01.528799 | 12171722 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12171722 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-12 | M | AE | PT | N/A | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_12171722_e2fcc2bc-c52a-475d-8860-635fe2031a9c.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 | 8754867842 | N/A | N/A | 6528155 | 2222 | 4793 | 12443412 | N/A | 4214447 | 2025-09-11 02:11:01.528799 | 2026-04-23 20:11:34.441054 |
| 2025-09-09 17:39:54.412479 | 2025-09-11 05:04:02.485396 | 12171639 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12171639 | Athletic Physical Therapy Inc | 1952-07-05 | 2025-09-10 | F | AE | PT | N/A | HUYNH | 9100461101 | KIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063890/check_12171639_eddce299-ea94-405b-b97c-2fd35cf7b690.json | N/A | N/A | N/A | N/A | N/A | 9100461101 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | HUYNH | N/A | KIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754870889 | N/A | N/A | 9063890 | 2222 | 4793 | 12450825 | N/A | 7579259 | 2025-09-11 05:04:02.485396 | 2025-09-04 15:42:09.086707 |
| 2025-09-09 17:39:38.230788 | 2025-09-11 02:18:39.846076 | 12171562 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12171562 | Athletic Physical Therapy Inc | 1953-09-16 | 2025-09-10 | F | AE | PT | N/A | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_12171562_3c8e0bd0-333c-444a-8d0b-1cd4c192670d.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003897 | N/A | N/A | 6210775 | 2222 | 4793 | 12446109 | 2630 | 4215193 | 2025-09-11 02:18:39.846076 | 2026-01-16 04:38:12.725481 |
| 2025-09-09 17:39:25.287312 | 2025-09-11 02:20:32.519399 | 12171491 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12171491 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-09-11 | M | PT | N/A | N/A | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_12171491_4de077de-d97c-4c21-9851-5b3573acb6f0.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755003893 | N/A | N/A | 6210099 | 2222 | 4793 | 12446783 | N/A | 4852857 | 2025-09-11 02:20:32.519399 | 2025-06-17 16:28:13.795457 |
| 2025-09-09 17:39:20.766986 | 2025-09-11 05:02:37.784315 | 12171462 | N/A | N/A | 60054 | Aetna | 1114042165 | 12171462 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-09-11 | M | PT | N/A | N/A | CRONIN | NSA00368979H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_12171462_9c68eb3a-d347-4e95-827e-a5ec695bdfeb.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | N/A | N/A | AETNA INC | N/A | 1951-10-06 | N/A | N/A | N/A | N/A | false | CRONIN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754870867 | N/A | N/A | 9063293 | 2222 | 4793 | 12450185 | N/A | 7578088 | 2025-09-11 05:02:37.784315 | 2025-09-03 18:45:56.904111 |
| 2025-09-09 17:38:16.299277 | 2025-09-10 19:48:42.169333 | 12171243 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12171243 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-09-10 | M | PT | N/A | N/A | BAZARGAN | M9Z898859038 | AFSHIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205816775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134247/check_12171243_00526eda-ef2e-4c16-a63f-de409021b104.json | N/A | N/A | N/A | N/A | N/A | M9Z898859038 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-15 | N/A | 55060 | N/A | PR | false | BAZARGAN | N/A | AFSHIN | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755018301 | N/A | N/A | 9134247 | 2222 | 4793 | 12435292 | N/A | 7655437 | 2025-09-10 19:48:42.169333 | 2025-09-09 21:12:34.622876 |
| 2025-09-09 17:36:43.036294 | 2025-09-10 05:32:15.437624 | 12170835 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12170835 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-11 | M | AE | PT | N/A | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_12170835_3479b943-c67e-4b44-b641-295a4a4cce4c.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754872272 | N/A | N/A | 8960010 | 2222 | 4802 | 12413071 | N/A | 7476978 | 2025-09-10 05:32:15.437624 | 2026-01-07 18:27:22.752552 |
| 2025-09-09 17:36:30.027820 | 2025-09-10 05:16:26.692909 | 12170771 | N/A | N/A | 60054 | Aetna | 1114042165 | 12170771 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-09-12 | M | AE | PT | N/A | VIDAL | W28518662101 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12170771_b05a87c9-8e17-4829-a882-b83355c2897c.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754872590 | N/A | N/A | 8959871 | 2222 | 4802 | 12409033 | N/A | 4210349 | 2025-09-10 05:16:26.692909 | 2025-05-13 04:29:37.224755 |
| 2025-09-09 17:35:16.752664 | 2025-09-11 02:25:09.598927 | 12170412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12170412 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-12 | F | AE | PT | N/A | CAVELLA | 3QD6Q97VV77 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_12170412_ec4cdef4-fcf9-4ead-90f6-d065cfa00569.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755004057 | N/A | N/A | 6203310 | 2222 | 4801 | 12447894 | N/A | 4846213 | 2025-09-11 02:25:09.598927 | 2025-06-10 21:58:09.734801 |
| 2025-09-09 17:33:56.557891 | 2025-09-11 02:18:46.900571 | 12169958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12169958 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-09-11 | F | PT | N/A | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_12169958_f23f0692-41a5-495d-8f5f-af56f95d6830.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755004037 | N/A | N/A | 6193751 | 2222 | 4801 | 12446162 | N/A | 4837995 | 2025-09-11 02:18:46.900571 | 2025-06-13 00:15:18.726975 |
| 2025-09-09 17:33:48.024359 | 2025-09-10 05:34:46.157397 | 12169893 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12169893 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-11 | F | AE | PT | N/A | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519021.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_12169893_9dfe6164-ee63-4377-acc1-fe8d8cc0f432.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754743349 | N/A | N/A | 8493311 | 2222 | 4802 | 12413620 | N/A | 7159835 | 2025-09-10 05:34:46.157397 | 2025-08-25 22:38:59.735145 |
| 2025-09-09 17:33:47.766293 | 2025-09-10 05:12:19.588177 | 12169892 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12169892 | Athletic Physical Therapy Inc | 1968-08-30 | 2025-09-11 | M | PT | N/A | N/A | ASHLEY | 123A5075630 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958011/check_12169892_617933ec-da8f-49ab-9fca-c051ef14c1d0.json | N/A | N/A | N/A | N/A | N/A | 123A5075630 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1968-08-30 | N/A | N/A | N/A | N/A | false | ASHLEY | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754873847 | N/A | N/A | 8958011 | 2222 | 4801 | 12406637 | N/A | 7475081 | 2025-09-10 05:12:19.588177 | 2025-09-11 04:52:37.545129 |
| 2025-09-09 17:32:53.691035 | 2025-09-10 14:52:43.106643 | 12169525 | N/A | N/A | 60054 | Aetna | 1114042165 | 12169525 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-09-11 | F | AE | PT | N/A | TRUONG | W285894295 | TARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_12169525_c84236ec-d632-464c-afd4-3f223315218e.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754733374 | N/A | N/A | 7458419 | 2222 | 4801 | 12420380 | N/A | 6407374 | 2025-09-10 14:52:43.106643 | 2025-07-25 20:45:12.336863 |
| 2025-09-09 17:32:51.595121 | 2025-09-10 15:00:04.311368 | 12169510 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12169510 | Athletic Physical Therapy Inc | 1970-11-24 | 2025-09-10 | M | AE | PT | N/A | CALL | 000022665066 | BRENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458401/check_12169510_230869ce-3fa7-47fa-bc50-f69a0dbbf78a.json | N/A | N/A | N/A | N/A | N/A | 000022665066 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1970-11-24 | 4369231 | 230283 | N/A | N/A | false | CALL | N/A | BRENT | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754733373 | N/A | N/A | 7458401 | 2222 | 4801 | 12422052 | N/A | 6407346 | 2025-09-10 15:00:04.311368 | 2025-07-25 20:38:21.233558 |
| 2025-09-09 17:31:54.002622 | 2025-09-10 05:16:24.424135 | 12169031 | N/A | N/A | 60054 | Aetna | 1114042165 | 12169031 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-12 | M | AE | PT | N/A | ELZAYN | AH2912772 | ANDREW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12169031_028ca95e-9380-41e7-aade-12eaa8b087d1.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754872987 | N/A | N/A | 8767675 | 2222 | 4802 | 12409020 | N/A | 7383774 | 2025-09-10 05:16:24.424135 | 2025-08-28 18:43:11.156565 |
| 2025-09-09 17:31:10.316816 | 2025-09-10 15:14:52.202885 | 12168740 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12168740 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-09-10 | M | AE | PT | N/A | GONZALES JR | 1E61CX0GK13 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_12168740_3508141b-79fc-4b30-8d77-3b513d255e18.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754732389 | N/A | N/A | 7456457 | 2222 | 4793 | 12425635 | N/A | 6405774 | 2025-09-10 15:14:52.202885 | 2026-03-16 21:02:08.525887 |
| 2025-09-09 17:31:09.730188 | 2025-09-11 02:18:38.742433 | 12168735 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12168735 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-09-10 | M | AE | PT | N/A | MATHEU | 00000270336 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_12168735_37213e3e-4454-4711-aaef-7577fa07d966.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 8755002432 | N/A | N/A | 6189737 | 2222 | 4801 | 12446103 | N/A | 4209126 | 2025-09-11 02:18:38.742433 | 2025-05-13 04:29:37.223551 |
| 2025-09-09 17:31:04.866914 | 2025-09-10 05:34:47.470460 | 12168697 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12168697 | Athletic Physical Therapy Inc | 1950-03-25 | 2025-09-11 | F | AE | PT | N/A | YEKTA | 4YG0TU5XH49 | AZAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519021.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8491192/check_12168697_27de351c-d170-4515-ad89-39ea966822f2.json | N/A | N/A | N/A | N/A | N/A | 4YG0TU5XH49 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-25 | S4802 | N/A | N/A | MA | 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 | 8754742638 | N/A | N/A | 8491192 | 2222 | 4801 | 12413624 | N/A | 7158284 | 2025-09-10 05:34:47.470460 | 2025-08-25 22:00:30.718611 |
| 2025-09-09 17:31:01.332125 | 2025-09-10 05:19:47.500325 | 12168670 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12168670 | Athletic Physical Therapy Inc | 1961-06-04 | 2025-09-11 | M | PT | N/A | N/A | Burrington | 905889385 | William | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519021.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8491189/check_12168670_e9fc255c-57c2-491a-baec-dc287dc3800f.json | N/A | N/A | N/A | N/A | N/A | XED905889385 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-06-04 | 2001ZK002169 | X0001004 | N/A | PR | false | BURRINGTON | N/A | WILLIAM | N/A | 9999-12-31 | 2017-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742637 | N/A | N/A | 8491189 | 2222 | 4802 | 12410368 | N/A | 7158278 | 2025-09-10 05:19:47.500325 | 2025-08-25 21:59:46.607796 |
| 2025-09-09 17:30:42.706506 | 2025-09-10 15:06:49.510188 | 12168526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12168526 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-11 | F | PT | N/A | N/A | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_12168526_4e74a651-dd1a-4b76-a632-af662c5f7490.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 | 8754824861 | N/A | N/A | 5550953 | 2222 | 4801 | 12423997 | N/A | 4219788 | 2025-09-10 15:06:49.510188 | 2025-06-06 22:01:46.271450 |
| 2025-09-09 17:30:39.409026 | 2025-09-10 15:07:09.198695 | 12168500 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12168500 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-09-11 | F | PT | N/A | N/A | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_12168500_8130e9a6-78c1-4a9a-a410-80eb05551640.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 | 8754824860 | N/A | N/A | 5550923 | 2222 | 4801 | 12424087 | N/A | 4219763 | 2025-09-10 15:07:09.198695 | 2025-05-13 04:29:37.230804 |
| 2025-09-09 17:30:35.586064 | 2025-09-10 15:09:17.825271 | 12168477 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12168477 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-09-11 | F | PT | N/A | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_12168477_e9491fc3-6b4c-4856-9c83-593ad06031b9.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 | 8754824859 | N/A | N/A | 5550845 | 2222 | 4801 | 12424695 | N/A | 4219713 | 2025-09-10 15:09:17.825271 | 2025-08-13 22:46:55.732965 |
| 2025-09-09 17:30:33.048815 | 2025-09-10 15:05:26.693595 | 12168455 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12168455 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-11 | M | AE | PT | N/A | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_12168455_a480aa88-2996-4982-b6d5-60bffbea5948.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | 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 | 8754824858 | N/A | N/A | 5550751 | 2222 | 4801 | 12423626 | 2630 | 4219640 | 2025-09-10 15:05:26.693595 | 2025-05-13 04:29:37.230682 |