API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 17:30:30.369042 | 2025-09-10 14:58:56.523210 | 12168436 | N/A | N/A | 60054 | Aetna | 1114042165 | 12168436 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-11 | F | AE | PT | SANTITORO | W267422430 | SARAH | N/A | 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/2222/5550743/check_12168436_c3f0e3b4-953d-414b-b841-a68ac640ffb2.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824857 | N/A | N/A | 5550743 | 2222 | 4801 | 12421654 | N/A | 4219643 | 2025-09-10 14:58:56.523210 | 2025-05-13 04:29:37.230685 |
| 2025-09-09 17:30:27.875201 | 2025-09-10 15:22:04.258609 | 12168419 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12168419 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-11 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | 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/2222/5550534/check_12168419_da7e61b5-6894-47d6-b117-fa3f839fa47b.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824856 | N/A | N/A | 5550534 | 2222 | 4801 | 12426826 | N/A | 4219556 | 2025-09-10 15:22:04.258609 | 2025-05-13 04:29:37.230592 |
| 2025-09-09 17:30:22.538069 | 2025-09-10 15:06:07.446744 | 12168373 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12168373 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-09-10 | F | AE | PT | SIMONS | 94378141G | DESIREE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_12168373_ee847f4d-8470-454c-9d4f-036cec29323e.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824855 | N/A | N/A | 5550102 | 2222 | 4802 | 12423790 | N/A | 4212176 | 2025-09-10 15:06:07.446744 | 2025-05-13 04:29:37.226514 |
| 2025-09-09 17:30:20.681138 | 2025-09-10 15:22:05.711137 | 12168362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12168362 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-09-11 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | N/A | 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/2222/5549981/check_12168362_f96850c3-2d51-4504-8f06-1d6b1fd206ac.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824854 | N/A | N/A | 5549981 | 2222 | 4802 | 12426831 | N/A | 4219436 | 2025-09-10 15:22:05.711137 | 2025-05-13 04:29:37.230471 |
| 2025-09-09 17:30:17.641589 | 2025-09-10 15:07:04.103608 | 12168338 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12168338 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-09-11 | F | PT | N/A | SAUCERMAN | XDM288A55735 | ALEXIS | N/A | 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/2222/5549817/check_12168338_840be282-7327-4e03-b59a-05ad29e6e760.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824853 | N/A | N/A | 5549817 | 2222 | 4793 | 12424060 | 4184 | 4211143 | 2025-09-10 15:07:04.103608 | 2025-05-31 20:12:37.092503 |
| 2025-09-09 17:30:16.738801 | 2025-09-10 02:28:34.733538 | 12168329 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12168329 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-09-10 | M | AE | PT | LEYDERMAN | IH2417651 | BORIS | N/A | 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/2222/7817928/check_12168329_38cfd46d-1f40-4b6b-ab41-d98b2e30abbd.json | N/A | N/A | N/A | N/A | N/A | IH2417651 | N/A | PASC-SEIU BENEFIT PLAN | LA CARE HEALTH PLAN | N/A | 1954-12-21 | PASC | PASC | N/A | N/A | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | PASC-SEIU PLAN (PASC) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755013506 | N/A | N/A | 7817928 | 2222 | 4793 | 12396250 | N/A | 6656900 | 2025-09-10 02:28:34.733538 | 2025-08-17 17:40:08.050078 |
| 2025-09-09 17:30:15.203343 | 2025-09-10 15:22:06.449224 | 12168317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12168317 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-09-12 | F | AE | PT | KUDLATOVA | 9Q04X31JA99 | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549471/check_12168317_402bc91f-d2ce-455d-92d1-aa433284d34b.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-24 | N/A | N/A | N/A | MB | false | KUDLATOVA | N/A | MARIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824852 | N/A | N/A | 5549471 | 2222 | 4801 | 12426834 | N/A | 4219128 | 2025-09-10 15:22:06.449224 | 2025-05-13 04:29:37.230146 |
| 2025-09-09 17:30:13.006771 | 2025-09-10 15:06:58.410257 | 12168299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12168299 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-09-12 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_12168299_a1b6800b-947b-4f7b-8144-4ed57237aa55.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | 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 U.S.P.S.T.F. 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 | 8754824851 | N/A | N/A | 5549317 | 2222 | 4801 | 12424030 | N/A | 4219010 | 2025-09-10 15:06:58.410257 | 2026-01-09 18:32:07.618867 |
| 2025-09-09 17:30:09.882446 | 2025-09-10 15:04:24.221359 | 12168279 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12168279 | N/A | 1967-12-23 | 2025-09-12 | F | AE | PT | SOL | U9859952501 | ISABEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_12168279_ab451681-9417-4faa-9c46-6eaf0dec0b4a.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824850 | N/A | N/A | 5549212 | 2222 | 4793 | 12423356 | N/A | 4218926 | 2025-09-10 15:04:24.221359 | 2025-07-30 14:07:18.779456 |
| 2025-09-09 17:29:45.952627 | 2025-09-09 17:30:07.097909 | 12168098 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-09 | 2025-09-09 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | 23306 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993958/check_12168098_eeb07cfd-67e7-4324-a7d4-8dfa19aa98e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_12168098_6a38170f-f51f-40e5-85e6-0c25e906a2f2.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754688872 | N/A | N/A | 5993958 | 2222 | N/A | 12363053 | N/A | 4642892 | 2025-09-09 17:30:07.097909 | 2025-05-29 23:29:01.820749 |
| 2025-09-09 17:29:15.310972 | 2025-09-10 15:04:26.870745 | 12167904 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12167904 | N/A | 1962-06-19 | 2025-09-10 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12167904_4b794d9f-172e-416b-8f6a-aca558879a8a.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824835 | N/A | N/A | 5543555 | 2222 | 4802 | 12423369 | N/A | 4215332 | 2025-09-10 15:04:26.870745 | 2025-08-06 16:15:15.716322 |
| 2025-09-09 17:29:13.074850 | 2025-09-10 15:03:29.153461 | 12167881 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12167881 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-12 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_12167881_aac2c0ce-589b-4ce4-b24f-4fe67fb71acd.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824834 | N/A | N/A | 5543493 | 2222 | 4793 | 12423079 | N/A | 4215273 | 2025-09-10 15:03:29.153461 | 2025-05-13 04:29:37.229594 |
| 2025-09-09 17:29:11.275871 | 2025-09-10 15:03:11.897212 | 12167868 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12167868 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-09-11 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | N/A | 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/2222/5543425/check_12167868_4648ec45-4a05-4bfa-ae25-fb7f7ff77691.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824833 | N/A | N/A | 5543425 | 2222 | 4801 | 12423031 | N/A | 4215211 | 2025-09-10 15:03:11.897212 | 2026-04-02 22:30:20.020246 |
| 2025-09-09 17:29:09.218814 | 2025-09-10 15:07:00.405691 | 12167849 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12167849 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-09-11 | M | PT | N/A | MEINERT | XEH912496752 | TIM | N/A | 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/2222/5543360/check_12167849_a51ab31d-9d4f-4e9a-93ec-ec69385c645d.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824832 | N/A | N/A | 5543360 | 2222 | 4793 | 12424042 | 4184 | 4215161 | 2025-09-10 15:07:00.405691 | 2025-05-13 04:29:37.229478 |
| 2025-09-09 17:29:07.021997 | 2025-09-10 15:02:49.825469 | 12167827 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12167827 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-12 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_12167827_a76a05b4-5e0b-4c17-a368-61c429cd8555.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1968-01-29 | N/A | N/A | N/A | N/A | false | DAKE | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824831 | N/A | N/A | 5543355 | 2222 | 4793 | 12422957 | N/A | 4215158 | 2025-09-10 15:02:49.825469 | 2025-05-13 04:29:37.229475 |
| 2025-09-09 17:29:04.882415 | 2025-09-10 15:09:09.454686 | 12167808 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167808 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-09-12 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_12167808_90ae192a-1ff0-488b-b0fc-439cf273ab15.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824830 | N/A | N/A | 5543343 | 2222 | 4793 | 12424676 | N/A | 4215143 | 2025-09-10 15:09:09.454686 | 2025-05-13 04:29:37.229456 |
| 2025-09-09 17:29:02.759394 | 2025-09-10 14:58:08.296714 | 12167794 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12167794 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-09-10 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_12167794_31034590-ab4d-475a-97c6-6d45cd9de153.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824829 | N/A | N/A | 5543335 | 2222 | 4802 | 12421449 | N/A | 4215139 | 2025-09-10 14:58:08.296714 | 2025-05-13 21:20:11.455022 |
| 2025-09-09 17:29:00.526901 | 2025-09-10 15:06:24.067380 | 12167777 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12167777 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-11 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | 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/2222/5543324/check_12167777_ecc20027-891f-41d8-b472-cd075bea699b.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824828 | N/A | N/A | 5543324 | 2222 | 4801 | 12423865 | 4184 | 4215131 | 2025-09-10 15:06:24.067380 | 2025-08-11 16:45:52.816842 |
| 2025-09-09 17:28:58.596930 | 2025-09-10 14:58:05.539000 | 12167764 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12167764 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-09-12 | M | AE | PT | AZIM | 627771249 | FAIYAZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_12167764_74933351-75c3-463d-895b-3bafb451183b.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824827 | N/A | N/A | 5543304 | 2222 | 4802 | 12421438 | N/A | 4215118 | 2025-09-10 14:58:05.539000 | 2025-06-02 01:41:59.668874 |
| 2025-09-09 17:28:56.367888 | 2025-09-10 14:58:06.834813 | 12167744 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12167744 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-10 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_12167744_f7ebe271-ff4e-44fd-aca9-510e3a02abc9.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824826 | N/A | N/A | 5543270 | 2222 | 4793 | 12421444 | N/A | 4215086 | 2025-09-10 14:58:06.834813 | 2025-05-13 04:29:37.229401 |
| 2025-09-09 17:28:54.577027 | 2025-09-10 15:02:02.509821 | 12167732 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12167732 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-09-10 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_12167732_99341db3-86be-4f67-8b8d-dd59fc7fcaff.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8754824825 | N/A | N/A | 5543268 | 2222 | 4802 | 12422737 | N/A | 4215085 | 2025-09-10 15:02:02.509821 | 2025-05-23 17:53:24.114484 |
| 2025-09-09 17:28:52.062714 | 2025-09-10 15:09:18.821882 | 12167705 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167705 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-11 | F | PT | N/A | PAUL | XEK914147727 | SARA | N/A | 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/2222/5543211/check_12167705_52666b48-43be-48f0-95b1-e43009cbbd90.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824824 | N/A | N/A | 5543211 | 2222 | 4801 | 12424698 | N/A | 4215028 | 2025-09-10 15:09:18.821882 | 2025-05-13 04:29:37.229346 |
| 2025-09-09 17:28:49.704034 | 2025-09-10 15:02:00.865611 | 12167683 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12167683 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-11 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | N/A | 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/2222/5543171/check_12167683_49dd2eab-a43a-4fbf-8213-9978b3d18df2.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8754824823 | N/A | N/A | 5543171 | 2222 | 4793 | 12422729 | N/A | 4214998 | 2025-09-10 15:02:00.865611 | 2025-05-13 04:29:37.229318 |
| 2025-09-09 17:28:47.322390 | 2025-09-10 15:06:54.749314 | 12167666 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167666 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-09-11 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | N/A | 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/2222/5543167/check_12167666_4ff33ac1-74e5-4912-93de-02c3fc8aafec.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824822 | N/A | N/A | 5543167 | 2222 | 4793 | 12424016 | N/A | 4214995 | 2025-09-10 15:06:54.749314 | 2025-05-13 04:29:37.229315 |
| 2025-09-09 17:28:44.625947 | 2025-09-10 15:06:26.435133 | 12167642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167642 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-09-11 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | N/A | 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/2222/5543161/check_12167642_b7a3bc0f-701f-41ad-a649-b52abbc5499b.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824821 | N/A | N/A | 5543161 | 2222 | 4793 | 12423882 | N/A | 4214989 | 2025-09-10 15:06:26.435133 | 2025-05-13 04:29:37.229310 |
| 2025-09-09 17:28:42.488011 | 2025-09-10 15:05:29.087600 | 12167625 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12167625 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-10 | F | AE | PT | PORTILLO | 00000315343 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_12167625_a5e77989-c0dd-4888-9066-367acf88a989.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | 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 | 8754824820 | N/A | N/A | 5543084 | 2222 | 4801 | 12423636 | N/A | 4214920 | 2025-09-10 15:05:29.087600 | 2025-05-13 04:29:37.229242 |
| 2025-09-09 17:28:40.340856 | 2025-09-10 15:03:35.863397 | 12167613 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12167613 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-09-11 | M | AE | PT | SHADDY | 40064865601 | STEVE | N/A | 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/2222/5543011/check_12167613_05635699-158c-4605-98b8-5a2ee4e6243c.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824819 | N/A | N/A | 5543011 | 2222 | 4801 | 12423110 | N/A | 4214861 | 2025-09-10 15:03:35.863397 | 2026-02-04 19:10:58.526441 |
| 2025-09-09 17:28:38.095538 | 2025-09-10 15:06:29.878883 | 12167594 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167594 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-09-11 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | N/A | 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/2222/5542900/check_12167594_41c64d6d-4cf8-417b-82f5-9011d3305ab6.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824818 | N/A | N/A | 5542900 | 2222 | 4801 | 12423903 | N/A | 4214759 | 2025-09-10 15:06:29.878883 | 2025-05-13 04:29:37.229079 |
| 2025-09-09 17:28:37.543442 | 2025-09-09 17:28:43.687954 | 12167591 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-09 | M | AE | PT | AKHTARI | 400454213-01 | SHAHROKH | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_12167591_832854a1-eaea-4ef9-92a5-dec78ecb8d4f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_12167591_6e395776-1095-4e62-9eaa-5ae27e295505.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754678239 | N/A | N/A | 5543493 | 2222 | N/A | 12362967 | N/A | 4215273 | 2025-09-09 17:28:43.687954 | 2025-05-13 04:29:37.229594 |
| 2025-09-09 17:28:35.453727 | 2025-09-10 14:58:54.362065 | 12167574 | N/A | N/A | 60054 | Aetna | 1114042165 | 12167574 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-09-10 | M | AE | PT | DIAZ | W290801952 | SHAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542855/check_12167574_ea4ae1fa-9ac5-4fa4-92b1-72d5a2ccfc3a.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824817 | N/A | N/A | 5542855 | 2222 | 4802 | 12421644 | N/A | 4214719 | 2025-09-10 14:58:54.362065 | 2025-05-13 04:29:37.229037 |
| 2025-09-09 17:28:34.490466 | 2025-09-09 17:28:38.157024 | 12167572 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-09 | M | PT | N/A | UPSON | XEA909162969 | RYAN | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541318/check_12167572_28210a60-a4b1-4ad8-a26f-7efef0c31664.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_12167572_2457d023-43a8-4a8a-96df-2bbd82b5e23a.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754677685 | N/A | N/A | 5541318 | 2222 | N/A | 12362962 | N/A | 4213349 | 2025-09-09 17:28:38.157024 | 2025-05-13 04:29:37.227671 |
| 2025-09-09 17:28:32.414413 | 2025-09-10 15:04:28.812606 | 12167551 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12167551 | N/A | 2007-12-08 | 2025-09-11 | F | AE | PT | LARSEN | R06053944FD1 | LANA | N/A | 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/2222/5542850/check_12167551_f9b7dde2-1d3b-4d50-956b-843d4e530c5e.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824816 | N/A | N/A | 5542850 | 2222 | 4793 | 12423380 | N/A | 4214714 | 2025-09-10 15:04:28.812606 | 2025-05-13 04:29:37.229031 |
| 2025-09-09 17:28:31.006028 | 2025-09-09 17:28:36.666358 | 12167545 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-09-09 | F | AE | PT | OSE | 40050866601 | KAREN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_12167545_24e19b3f-0547-4b54-8819-25f54f10045e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_12167545_3c54f6f2-cdaa-4d5b-b513-ef48266e1ce8.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754677244 | N/A | N/A | 5537366 | 2222 | N/A | 12362960 | N/A | 4209945 | 2025-09-09 17:28:36.666358 | 2025-08-13 22:24:17.841096 |
| 2025-09-09 17:28:28.812802 | 2025-09-10 15:22:09.374271 | 12167528 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12167528 | Athletic Physical Therapy Inc | 1962-08-01 | 2025-09-11 | M | AE | PT | MIHALEV | 1NU2W44MF18 | ANGEL | N/A | 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/2222/5542783/check_12167528_253e2645-361b-4882-92b6-979754e21ef5.json | N/A | N/A | N/A | N/A | N/A | 1NU2W44MF18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1962-08-01 | S4802 | N/A | N/A | MA | false | MIHALEV | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824815 | N/A | N/A | 5542783 | 2222 | 4801 | 12426841 | N/A | 4214658 | 2025-09-10 15:22:09.374271 | 2025-05-13 04:29:37.228977 |
| 2025-09-09 17:28:27.976731 | 2025-09-10 05:34:45.674133 | 12167520 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12167520 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-09-11 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | N/A | 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/2222/8477425/check_12167520_2901c621-4f59-4166-99b4-5fba5d1afb7b.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754743809 | N/A | N/A | 8477425 | 2222 | 4802 | 12413618 | N/A | 7146980 | 2025-09-10 05:34:45.674133 | 2025-08-25 22:34:13.951153 |
| 2025-09-09 17:28:25.518058 | 2025-09-10 15:09:16.697436 | 12167499 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167499 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-09-12 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_12167499_e664e8e7-b88b-46a0-8363-3d07b2c17219.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824814 | N/A | N/A | 5542770 | 2222 | 4802 | 12424693 | N/A | 4214643 | 2025-09-10 15:09:16.697436 | 2025-05-13 04:29:37.228964 |
| 2025-09-09 17:28:22.516410 | 2025-09-10 15:06:28.528884 | 12167476 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167476 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-10 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12167476_b2b7fb8a-8567-46c0-9e22-647b34f62c8d.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824813 | N/A | N/A | 5542750 | 2222 | 4802 | 12423895 | N/A | 4214623 | 2025-09-10 15:06:28.528884 | 2025-08-28 22:11:32.536994 |
| 2025-09-09 17:28:19.361358 | 2025-09-10 15:03:09.145141 | 12167455 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12167455 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-11 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | 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/2222/5542660/check_12167455_79429d5d-2274-4ec1-a896-8e5c1d50cfbf.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824812 | N/A | N/A | 5542660 | 2222 | 4802 | 12423027 | N/A | 4214542 | 2025-09-10 15:03:09.145141 | 2025-05-13 04:29:37.228868 |
| 2025-09-09 17:28:16.566262 | 2025-09-10 14:58:55.719324 | 12167435 | N/A | N/A | 60054 | Aetna | 1114042165 | 12167435 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-10 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_12167435_4745298b-6c8d-44bb-921a-acf24e2e0423.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824811 | N/A | N/A | 5542634 | 2222 | 4801 | 12421649 | N/A | 4214520 | 2025-09-10 14:58:55.719324 | 2025-07-28 19:32:04.879318 |
| 2025-09-09 17:28:13.281295 | 2025-09-10 15:06:04.668710 | 12167410 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12167410 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-11 | F | AE | PT | HAMI | 92932800G | FARIBA | N/A | 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/2222/5542611/check_12167410_cbeb055a-46e2-44fb-b347-010a39d6ca4d.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824810 | N/A | N/A | 5542611 | 2222 | 4802 | 12423781 | N/A | 4214490 | 2025-09-10 15:06:04.668710 | 2025-05-13 04:29:37.228806 |
| 2025-09-09 17:28:10.504568 | 2025-09-10 15:22:03.406204 | 12167386 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12167386 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-12 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_12167386_b613caf6-1dae-4934-8a32-0ad61ea1e973.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824809 | N/A | N/A | 5542555 | 2222 | 4793 | 12426824 | N/A | 4214447 | 2025-09-10 15:22:03.406204 | 2026-04-23 20:11:34.441054 |
| 2025-09-09 17:28:09.003151 | 2025-09-10 15:05:58.287601 | 12167371 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12167371 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-10 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_12167371_5cc163c6-2c16-4fcf-b294-3ef8854797b5.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824808 | N/A | N/A | 5542513 | 2222 | 4793 | 12423763 | N/A | 4214418 | 2025-09-10 15:05:58.287601 | 2025-07-03 18:12:11.075357 |
| 2025-09-09 17:28:07.070330 | 2025-09-10 15:07:08.009543 | 12167355 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167355 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-11 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | N/A | 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/2222/5542387/check_12167355_98d012fa-31f0-43f0-8a28-7dfc137c1e82.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824807 | N/A | N/A | 5542387 | 2222 | 4801 | 12424081 | N/A | 4214300 | 2025-09-10 15:07:08.009543 | 2025-06-17 13:03:57.252701 |
| 2025-09-09 17:28:05.168867 | 2025-09-10 15:09:12.124832 | 12167338 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167338 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-09-10 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_12167338_f5fa8918-0e10-4c70-9371-d511206d10d6.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824806 | N/A | N/A | 5542222 | 2222 | 4793 | 12424683 | N/A | 4214148 | 2025-09-10 15:09:12.124832 | 2025-05-13 04:29:37.228475 |
| 2025-09-09 17:28:03.439702 | 2025-09-10 15:06:50.837582 | 12167321 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167321 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-11 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | N/A | 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/2222/5542207/check_12167321_4e9c7ee7-8a8e-4db6-ab79-532854ec92d9.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824805 | N/A | N/A | 5542207 | 2222 | 4802 | 12424002 | N/A | 4214152 | 2025-09-10 15:06:50.837582 | 2025-05-13 04:29:37.228479 |
| 2025-09-09 17:28:01.411908 | 2025-09-10 15:05:28.195227 | 12167304 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12167304 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-09-11 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | N/A | 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/2222/5542046/check_12167304_74cc486d-4122-4b64-99fa-9c55be4fdfdb.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824804 | N/A | N/A | 5542046 | 2222 | 4801 | 12423632 | 2630 | 4214001 | 2025-09-10 15:05:28.195227 | 2025-05-13 04:29:37.228323 |
| 2025-09-09 17:27:58.291686 | 2025-09-10 15:07:06.545387 | 12167275 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167275 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-10 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_12167275_8ad519ae-f15a-4f82-b570-0a3d1440a48a.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824803 | N/A | N/A | 5542014 | 2222 | 4793 | 12424073 | N/A | 4213977 | 2025-09-10 15:07:06.545387 | 2025-05-13 04:29:37.228294 |
| 2025-09-09 17:27:56.225320 | 2025-09-10 15:06:05.837856 | 12167260 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12167260 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-12 | M | AE | PT | SHRIVER | 90771207E | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_12167260_5517a47a-aa5f-409a-9322-ade17e827ae4.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824802 | N/A | N/A | 5541984 | 2222 | 4802 | 12423784 | N/A | 4213934 | 2025-09-10 15:06:05.837856 | 2026-01-27 23:36:44.802366 |
| 2025-09-09 17:27:52.838158 | 2025-09-10 15:04:20.564580 | 12167240 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12167240 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-10 | M | AE | PT | YEE | 412922301 | HARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12167240_f5b9abc3-3e62-4f11-bff3-02f25bf50c28.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824801 | N/A | N/A | 5541972 | 2222 | 4793 | 12423333 | N/A | 4213941 | 2025-09-10 15:04:20.564580 | 2025-05-13 04:29:37.228259 |
| 2025-09-09 17:27:49.929351 | 2025-09-10 15:09:13.363930 | 12167222 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167222 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-09-12 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.224639715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_12167222_9f0d861c-e225-4180-9f97-7b6ea9624aeb.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824800 | N/A | N/A | 5541956 | 2222 | 4802 | 12424685 | N/A | 4213923 | 2025-09-10 15:09:13.363930 | 2025-05-13 04:29:37.228244 |