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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 17:27:46.652610 | 2025-09-10 15:06:22.310179 | 12167203 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12167203 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-10 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_12167203_5c6625cb-8295-41f5-8402-3c1014837902.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824799 | N/A | N/A | 5541944 | 2222 | 4801 | 12423856 | 4184 | 4213907 | 2025-09-10 15:06:22.310179 | 2025-05-13 04:29:37.228228 |
| 2025-09-09 17:27:43.456295 | 2025-09-10 15:22:07.245099 | 12167182 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12167182 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-12 | F | AE | MAYER | 5J41QM7YN93 | MARY | PT | 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/2222/5541938/check_12167182_c2d33621-dcb9-4d3f-82ed-4c177764e118.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824798 | N/A | N/A | 5541938 | 2222 | 4801 | 12426836 | N/A | 4213917 | 2025-09-10 15:22:07.245099 | 2025-06-25 01:53:37.609327 |
| 2025-09-09 17:27:39.607357 | 2025-09-10 15:07:05.133316 | 12167154 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12167154 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-10 | M | PT | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_12167154_8276f0d3-1620-4c8d-b92e-4c93b6583deb.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 8754824797 | N/A | N/A | 5541917 | 2222 | 4793 | 12424066 | N/A | 4213891 | 2025-09-10 15:07:05.133316 | 2025-05-13 04:29:37.228207 |
| 2025-09-09 17:27:35.507292 | 2025-09-10 15:09:14.666084 | 12167119 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167119 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-12 | F | PT | HILLIGER | XEA902904791 | JENNIE | 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/2222/5541730/check_12167119_fa85efac-0bbc-4eff-bcf5-77a6955079e9.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824796 | N/A | N/A | 5541730 | 2222 | 4793 | 12424687 | N/A | 4213725 | 2025-09-10 15:09:14.666084 | 2025-05-13 04:29:37.228045 |
| 2025-09-09 17:27:32.386258 | 2025-09-10 15:05:30.234080 | 12167092 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12167092 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-12 | F | AE | ZAMORA | 00000327568 | FLORYBETH | PT | 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/2222/5541719/check_12167092_a41115b2-9555-4736-bcfa-3e832afeced9.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | 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 | 8754824795 | N/A | N/A | 5541719 | 2222 | 4801 | 12423642 | N/A | 4213712 | 2025-09-10 15:05:30.234080 | 2025-08-19 01:13:52.150115 |
| 2025-09-09 17:27:30.158131 | 2025-09-10 15:09:24.492976 | 12167075 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12167075 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-10 | M | PT | ZARIN | XEK905647080 | ELLA | 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/2222/5541582/check_12167075_510c1b32-fec3-4475-aefd-b538da171838.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824794 | N/A | N/A | 5541582 | 2222 | 4793 | 12424710 | N/A | 4213586 | 2025-09-10 15:09:24.492976 | 2025-05-28 20:44:53.527917 |
| 2025-09-09 17:27:27.261717 | 2025-09-10 15:02:01.700860 | 12167049 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12167049 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-09-12 | M | AD | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_12167049_2d4c0594-9dbb-4cdf-9e27-7531f223b9e9.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8754824793 | N/A | N/A | 5541552 | 2222 | 4802 | 12422732 | N/A | 4213562 | 2025-09-10 15:02:01.700860 | 2025-05-13 04:29:37.227895 |
| 2025-09-09 17:27:15.424536 | 2025-09-10 15:06:56.995450 | 12166973 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12166973 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-09-10 | F | PT | LORD | JQK822A53740 | ALYSSA | 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/2222/5541409/check_12166973_8e503526-59de-4145-a421-ebf7ebf48abc.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824792 | N/A | N/A | 5541409 | 2222 | 4793 | 12424022 | 4184 | 4213435 | 2025-09-10 15:06:56.995450 | 2025-05-13 04:29:37.227756 |
| 2025-09-09 17:27:13.776611 | 2025-09-10 15:09:15.915716 | 12166956 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166956 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-09-10 | F | PT | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_12166956_37cd9942-cf29-4e60-97eb-aef5e967c2a2.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824791 | N/A | N/A | 5541378 | 2222 | 4793 | 12424690 | N/A | 4213405 | 2025-09-10 15:09:15.915716 | 2025-05-13 04:29:37.227726 |
| 2025-09-09 17:27:12.121029 | 2025-09-10 15:19:56.089578 | 12166943 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12166943 | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-10 | M | AE | REGAN | 948131328E28295 | DANIEL | PT | 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/2222/5541349/check_12166943_43675afb-5568-4c74-ba7f-ddd976361b8c.json | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | 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 | 8754824790 | N/A | N/A | 5541349 | 2222 | 4793 | 12426551 | N/A | 4213376 | 2025-09-10 15:19:56.089578 | 2025-09-22 23:59:39.068790 |
| 2025-09-09 17:27:10.239882 | 2025-09-10 15:09:23.103717 | 12166921 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166921 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-11 | M | PT | UPSON | XEA909162969 | RYAN | 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/2222/5541318/check_12166921_2805d307-11be-4763-9bc6-d65fa6315e9d.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 | 8754824789 | N/A | N/A | 5541318 | 2222 | 4801 | 12424707 | N/A | 4213349 | 2025-09-10 15:09:23.103717 | 2025-05-13 04:29:37.227671 |
| 2025-09-09 17:27:09.002940 | 2025-09-10 15:09:11.147041 | 12166914 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166914 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-10 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_12166914_67175ed5-4eb8-4851-b3f3-08e27ad45ee5.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824788 | N/A | N/A | 5541314 | 2222 | 4793 | 12424679 | N/A | 4213343 | 2025-09-10 15:09:11.147041 | 2025-06-06 02:21:37.603701 |
| 2025-09-09 17:27:07.309032 | 2025-09-10 15:09:21.294857 | 12166899 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166899 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-12 | M | PT | SIMMONS | 906212178000 | LAVAR | 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/2222/5541240/check_12166899_f9c744fa-c9e8-4965-a545-3be308046bca.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824787 | N/A | N/A | 5541240 | 2222 | 4801 | 12424703 | N/A | 4213276 | 2025-09-10 15:09:21.294857 | 2025-05-13 04:29:37.227602 |
| 2025-09-09 17:27:05.518276 | 2025-09-10 15:09:08.220226 | 12166885 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166885 | Athletic Physical Therapy Inc | 1993-03-02 | 2025-09-12 | M | PT | CHORLIAN | XED914382344 | BERJ | 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/2222/5541177/check_12166885_75a779b1-1a63-406f-a529-c8c0097722e8.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | 2001ZK002187 | X0001004 | N/A | PR | false | CHORLIAN | N/A | BERJ | 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 | 8754824786 | N/A | N/A | 5541177 | 2222 | 4793 | 12424671 | N/A | 4213223 | 2025-09-10 15:09:08.220226 | 2025-06-03 20:59:34.856515 |
| 2025-09-09 17:27:03.662852 | 2025-09-10 15:03:10.460932 | 12166869 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12166869 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-09-11 | M | AE | FARAHMAND | 91957675E | ALEX | PT | 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/2222/5541163/check_12166869_63b40303-317a-4523-8650-2c1e3bb85501.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824785 | N/A | N/A | 5541163 | 2222 | 4802 | 12423029 | N/A | 4213207 | 2025-09-10 15:03:10.460932 | 2025-05-13 04:29:37.227536 |
| 2025-09-09 17:27:01.687837 | 2025-09-10 15:01:05.398733 | 12166853 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12166853 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-09-10 | F | AE | BARON | H7986555300 | AIDA | PT | 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/2222/5541086/check_12166853_9c5f40b1-12ec-440c-a768-22f76da7b7e8.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 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 | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824784 | N/A | N/A | 5541086 | 2222 | 4793 | 12422392 | N/A | 4213141 | 2025-09-10 15:01:05.398733 | 2025-05-13 04:29:37.227470 |
| 2025-09-09 17:26:59.164862 | 2025-09-10 15:06:32.132266 | 12166830 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12166830 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-11 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | 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/2222/5541035/check_12166830_0e8accc5-fac7-4e52-86d2-7514a56ef26f.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824783 | N/A | N/A | 5541035 | 2222 | 4801 | 12423917 | 4184 | 4213091 | 2025-09-10 15:06:32.132266 | 2025-05-13 04:29:37.227417 |
| 2025-09-09 17:26:57.234184 | 2025-09-10 15:07:02.917853 | 12166814 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166814 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-09-11 | F | PT | POWELL | YWP80258506903 | WHITNEY | 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/2222/5540983/check_12166814_3fe31ca7-a66d-43e9-866b-3a4eefd5c3ae.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824782 | N/A | N/A | 5540983 | 2222 | 4793 | 12424054 | N/A | 4213053 | 2025-09-10 15:07:02.917853 | 2025-08-05 22:50:43.277345 |
| 2025-09-09 17:26:55.307305 | 2025-09-10 14:58:52.875960 | 12166794 | N/A | N/A | 60054 | Aetna | 1114042165 | 12166794 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-09-12 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | 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/2222/5540723/check_12166794_90cacd5e-f1ab-458b-a6ae-d12b3573e4f4.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824781 | N/A | N/A | 5540723 | 2222 | 4793 | 12421639 | N/A | 4212833 | 2025-09-10 14:58:52.875960 | 2025-05-28 20:46:35.079848 |
| 2025-09-09 17:26:53.149712 | 2025-09-10 15:03:32.771552 | 12166776 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12166776 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-09-11 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | 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/2222/5540591/check_12166776_e9bcaff8-cc2a-4b41-b34a-c4b86280c60a.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754824780 | N/A | N/A | 5540591 | 2222 | 4801 | 12423095 | N/A | 4212724 | 2025-09-10 15:03:32.771552 | 2025-07-26 22:27:37.781276 |
| 2025-09-09 17:26:51.294872 | 2025-09-10 15:09:20.275198 | 12166760 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166760 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-10 | M | PT | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_12166760_2b5be0cd-759e-47dd-bc6b-64242e833bfd.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754824779 | N/A | N/A | 5540558 | 2222 | 4801 | 12424700 | N/A | 4212698 | 2025-09-10 15:09:20.275198 | 2025-05-13 04:29:37.227042 |
| 2025-09-09 17:26:49.093711 | 2025-09-10 15:22:10.959829 | 12166738 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12166738 | Athletic Physical Therapy Inc | 1937-03-24 | 2025-09-11 | F | AE | STOPSKY | 1RY8AR3KR51 | LIDIA | PT | 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/2222/5540229/check_12166738_6312e75f-2410-4233-8d56-0d6ea7f303e0.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-03-24 | S5601 | N/A | N/A | MA | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825170 | N/A | N/A | 5540229 | 2222 | 4802 | 12426844 | N/A | 4212423 | 2025-09-10 15:22:10.959829 | 2025-05-13 04:29:37.226755 |
| 2025-09-09 17:26:47.247809 | 2025-09-10 15:02:00.002031 | 12166716 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12166716 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-09-10 | M | AE | MIDDLETON | U3369221802 | BLAKE | PT | 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/2222/5540185/check_12166716_140d68e2-c4cb-4d9f-9e20-c9763f2cf3a7.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825169 | N/A | N/A | 5540185 | 2222 | 4802 | 12422724 | N/A | 4212381 | 2025-09-10 15:02:00.002031 | 2025-12-17 20:12:42.035054 |
| 2025-09-09 17:26:45.216492 | 2025-09-10 14:58:57.574904 | 12166700 | N/A | N/A | 60054 | Aetna | 1114042165 | 12166700 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-09-11 | F | AE | TUCKER | 101632234800 | EILEEN | PT | 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/2222/5540116/check_12166700_7a40d529-617f-4d50-87f5-b9707eea6d1b.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825168 | N/A | N/A | 5540116 | 2222 | 4801 | 12421658 | N/A | 4212312 | 2025-09-10 14:58:57.574904 | 2025-05-13 04:29:37.226651 |
| 2025-09-09 17:26:43.195570 | 2025-09-10 15:03:13.351549 | 12166686 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12166686 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-09-11 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_12166686_45835865-0d8d-481d-931e-20864e203eb4.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825167 | N/A | N/A | 5540113 | 2222 | 4801 | 12423033 | N/A | 4212315 | 2025-09-10 15:03:13.351549 | 2025-12-29 21:20:15.158611 |
| 2025-09-09 17:26:41.337910 | 2025-09-10 15:06:27.254318 | 12166673 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166673 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-09-11 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_12166673_dfaaa75e-7b94-49d0-a290-c6fa1a92c37e.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 8754825166 | N/A | N/A | 5540074 | 2222 | 4802 | 12423888 | N/A | 4212282 | 2025-09-10 15:06:27.254318 | 2025-05-13 04:29:37.226623 |
| 2025-09-09 17:26:39.118051 | 2025-09-10 15:10:36.547459 | 12166653 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166653 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-10 | M | PT | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_12166653_3dc96379-e147-4ffc-8075-bd4a9e1c5b0f.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825165 | N/A | N/A | 5539901 | 2222 | 4793 | 12424910 | N/A | 4212134 | 2025-09-10 15:10:36.547459 | 2025-08-05 02:56:55.384378 |
| 2025-09-09 17:26:37.302912 | 2025-09-10 15:03:36.915927 | 12166641 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12166641 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-09-11 | F | AE | WENSEL | 40065419401 | KAREN | PT | 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/2222/5539718/check_12166641_b01b9979-1831-4782-8688-5afd3431708f.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-02-23 | 2025H5425001 | H5425M | N/A | N/A | false | WENSEL | 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 | 8754825164 | N/A | N/A | 5539718 | 2222 | 4793 | 12423117 | N/A | 4211977 | 2025-09-10 15:03:36.915927 | 2025-05-13 04:29:37.226299 |
| 2025-09-09 17:26:34.801243 | 2025-09-10 15:06:30.798217 | 12166622 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166622 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-09-12 | M | PT | FINNLEY | NGO832M81089 | ZEV | 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/2222/5539664/check_12166622_50e918d3-4626-41e8-908b-37a3fe754a42.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825163 | N/A | N/A | 5539664 | 2222 | 4793 | 12423910 | N/A | 4211935 | 2025-09-10 15:06:30.798217 | 2025-05-13 04:29:37.226259 |
| 2025-09-09 17:26:32.789528 | 2025-09-10 15:06:45.713120 | 12166601 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166601 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-09-11 | F | PT | GINSBERG | JQU469A62630 | LISA | 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/2222/5539612/check_12166601_420391ef-7b40-4b2e-9e65-ebb1f90de399.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825162 | N/A | N/A | 5539612 | 2222 | 4793 | 12423923 | N/A | 4211892 | 2025-09-10 15:06:45.713120 | 2025-11-02 22:03:21.557202 |
| 2025-09-09 17:26:31.185380 | 2025-09-10 15:06:59.327651 | 12166580 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166580 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-09-12 | F | PT | MAGEE | SRYHC0157512 | JENNIFER | 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/2222/5539606/check_12166580_16575061-435c-4446-a00c-929092836721.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825161 | N/A | N/A | 5539606 | 2222 | 4793 | 12424036 | N/A | 4211886 | 2025-09-10 15:06:59.327651 | 2026-02-06 19:09:03.082684 |
| 2025-09-09 17:26:29.146703 | 2025-09-10 15:03:31.490082 | 12166563 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12166563 | Athletic Physical Therapy Inc | 1944-11-21 | 2025-09-10 | M | AE | KEARNS | 31193293201 | TIM | PT | 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/2222/5539406/check_12166563_59304847-5fb3-4d1e-9718-21ef65f75592.json | N/A | N/A | N/A | N/A | N/A | 31193293201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-11-21 | 2025H5425001 | H5425M | N/A | N/A | false | KEARNS | N/A | TIMOTHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825160 | N/A | N/A | 5539406 | 2222 | 4793 | 12423089 | N/A | 4211716 | 2025-09-10 15:03:31.490082 | 2025-12-05 19:31:54.715013 |
| 2025-09-09 17:26:27.316368 | 2025-09-10 05:14:44.824210 | 12166547 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 12166547 | Athletic Physical Therapy Inc | 1996-05-03 | 2025-09-11 | F | AE | Salant | Z6D461W08418 | Isabella | PT | 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/2222/8765709/check_12166547_46fe8c9f-8e30-42b4-8d76-07e39f16109f.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | N/A | N/A | ACI | N/A | 1996-05-03 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754874046 | N/A | N/A | 8765709 | 2222 | 4802 | 12408177 | N/A | 7377649 | 2025-09-10 05:14:44.824210 | 2025-09-03 13:57:51.555585 |
| 2025-09-09 17:26:27.219900 | 2025-09-10 15:03:37.863348 | 12166546 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12166546 | N/A | 1958-02-11 | 2025-09-12 | F | AE | LEVESQUE | 097A2439020 | JACQUELINE | PT | 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/2222/5539382/check_12166546_a9658edc-164f-443d-8018-88948bea89cf.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825159 | N/A | N/A | 5539382 | 2222 | 4793 | 12423122 | N/A | 4211704 | 2025-09-10 15:03:37.863348 | 2025-06-06 23:08:42.876895 |
| 2025-09-09 17:26:25.226203 | 2025-09-10 15:07:10.168710 | 12166526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166526 | Athletic Physical Therapy Inc | 1958-10-02 | 2025-09-10 | M | PT | WILSON | KZU16731610E | DOUG | 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/2222/5539155/check_12166526_96202329-686f-4a4f-b91a-87420972ab36.json | N/A | N/A | N/A | N/A | N/A | KZU16731610E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1958-10-02 | 040 | 277825M001 | N/A | PR | false | WILSON | N/A | DOUGLAS | N/A | 9999-12-31 | 2020-12-14 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825158 | N/A | N/A | 5539155 | 2222 | 4801 | 12424093 | N/A | 4211492 | 2025-09-10 15:07:10.168710 | 2025-05-13 04:29:37.225826 |
| 2025-09-09 17:26:23.203699 | 2025-09-10 15:22:10.147525 | 12166508 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12166508 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-09-11 | F | AE | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | PT | 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/2222/5539049/check_12166508_aa0a3049-ee75-4818-92fb-f293f72ee182.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MB | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825157 | N/A | N/A | 5539049 | 2222 | 4801 | 12426842 | N/A | 4211368 | 2025-09-10 15:22:10.147525 | 2025-05-13 04:29:37.225728 |
| 2025-09-09 17:26:19.077990 | 2025-09-10 15:10:39.130067 | 12166478 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166478 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-09-11 | M | PT | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_12166478_fd819aa2-85c8-43e9-ad73-3b8a4f217a3d.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825155 | N/A | N/A | 5538874 | 2222 | 4801 | 12424924 | N/A | 4211227 | 2025-09-10 15:10:39.130067 | 2025-05-13 04:29:37.225625 |
| 2025-09-09 17:26:17.133988 | 2025-09-10 15:06:47.254951 | 12166460 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166460 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-09-12 | M | PT | GINSBERG | JQU469A62630 | STEVEN | 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/2222/5538693/check_12166460_108a8056-81f9-4f8f-b763-a4b999b12136.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825154 | N/A | N/A | 5538693 | 2222 | 4793 | 12423986 | N/A | 4211081 | 2025-09-10 15:06:47.254951 | 2025-05-13 04:29:37.225492 |
| 2025-09-09 17:26:15.251093 | 2025-09-10 15:03:30.359554 | 12166441 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12166441 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-09-11 | M | AE | CHADIDA | 40060913601 | DAVID | PT | 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/2222/5538674/check_12166441_f3caae22-056f-483f-b46f-f92fe381bd03.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825153 | N/A | N/A | 5538674 | 2222 | 4793 | 12423084 | N/A | 4211039 | 2025-09-10 15:03:30.359554 | 2025-05-13 04:29:37.225444 |
| 2025-09-09 17:26:12.973648 | 2025-09-10 15:06:48.374373 | 12166422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166422 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-09-10 | M | PT | HAMILTON | KZU14135950E | JAMES | 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/2222/5538409/check_12166422_690b8f69-5cc9-4877-aec1-21e48ca7b780.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825152 | N/A | N/A | 5538409 | 2222 | 4801 | 12423993 | N/A | 4210828 | 2025-09-10 15:06:48.374373 | 2025-05-13 04:29:37.225234 |
| 2025-09-09 17:26:10.285059 | 2025-09-10 15:22:04.850298 | 12166398 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12166398 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-11 | F | AE | FERNANDEZ | 7XX5TU4CF61 | LISA | PT | 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/2222/5538194/check_12166398_da8bc339-4f5a-410f-a7b4-9045921eb64d.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825151 | N/A | N/A | 5538194 | 2222 | 4793 | 12426828 | N/A | 4210649 | 2025-09-10 15:22:04.850298 | 2025-06-19 18:43:58.008751 |
| 2025-09-09 17:26:08.103406 | 2025-09-10 15:22:11.809984 | 12166376 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12166376 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-12 | F | AE | THOMSEN | 1M31KQ8DJ99 | JANET | PT | 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/2222/5537950/check_12166376_7f4bd32b-fa34-43fa-a832-42e8de60fa22.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825150 | N/A | N/A | 5537950 | 2222 | 4801 | 12426845 | N/A | 4210450 | 2025-09-10 15:22:11.809984 | 2026-05-04 21:51:25.248197 |
| 2025-09-09 17:26:05.560229 | 2025-09-10 15:09:22.071092 | 12166354 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12166354 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-09-11 | F | PT | SOHRAB | XED914080628 | VIDA | 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/2222/5537456/check_12166354_155dca31-e7db-4d49-b82a-15eb15f97779.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | 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 | 8754825149 | N/A | N/A | 5537456 | 2222 | 4793 | 12424704 | N/A | 4210007 | 2025-09-10 15:09:22.071092 | 2025-05-13 04:29:37.224426 |
| 2025-09-09 17:26:03.777520 | 2025-09-10 14:58:27.365545 | 12166339 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12166339 | N/A | 2008-04-07 | 2025-09-11 | M | PT | HERRERA | LCB831759896 | JAIRO | 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/2222/5537418/check_12166339_b8ce094b-e026-45cd-b314-6fda7ec00ba9.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2008-04-07 | N/A | N/A | N/A | N/A | false | HERRERA | N/A | JAIRO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825148 | N/A | N/A | 5537418 | 2222 | 4801 | 12421550 | N/A | 4209986 | 2025-09-10 14:58:27.365545 | 2025-05-13 04:29:37.224406 |
| 2025-09-09 17:26:01.363749 | 2025-09-10 15:03:33.833067 | 12166322 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12166322 | N/A | 1957-02-16 | 2025-09-11 | F | AE | OSE | 40050866601 | KAREN | PT | 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/2222/5537366/check_12166322_05212130-2d02-4dd5-b457-080aea41397a.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 | 8754825147 | N/A | N/A | 5537366 | 2222 | 4793 | 12423101 | N/A | 4209945 | 2025-09-10 15:03:33.833067 | 2025-08-13 22:24:17.841096 |
| 2025-09-09 17:25:59.508828 | 2025-09-10 15:06:53.371401 | 12166305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166305 | Athletic Physical Therapy Inc | 1979-07-09 | 2025-09-12 | M | PT | KUMAR | S6A828382017 | ARVIND | 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/2222/5537228/check_12166305_0e7789b1-314f-412f-bc16-66a1aae72675.json | N/A | N/A | N/A | N/A | N/A | EVD828382017 | Preferred Provider Organization (PPO) | ATOS SYNTEL | CUSTOMER SERVICE | N/A | 1979-07-09 | N/A | 375074 | N/A | PR | false | KUMAR | N/A | ARVIND | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825146 | N/A | N/A | 5537228 | 2222 | 4793 | 12424012 | N/A | 4209833 | 2025-09-10 15:06:53.371401 | 2025-05-13 04:29:37.224254 |
| 2025-09-09 17:25:57.625151 | 2025-09-10 15:07:01.455591 | 12166287 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166287 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-09-11 | M | PT | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_12166287_b86acff8-6a29-49d5-9173-633687773135.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 8754825145 | N/A | N/A | 5536896 | 2222 | 4793 | 12424047 | N/A | 4209567 | 2025-09-10 15:07:01.455591 | 2025-05-13 04:29:37.223990 |
| 2025-09-09 17:25:55.614389 | 2025-09-10 15:06:52.292992 | 12166276 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166276 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-09-10 | M | PT | KOSTER | DGA11321380J | 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/2222/5536722/check_12166276_cc297b58-9751-477f-97ca-863805b1502d.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825144 | N/A | N/A | 5536722 | 2222 | 4802 | 12424007 | N/A | 4209420 | 2025-09-10 15:06:52.292992 | 2025-05-13 04:29:37.223843 |
| 2025-09-09 17:25:53.473581 | 2025-09-10 14:57:29.401848 | 12166261 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12166261 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-09-11 | M | PT | CHRISTIAN | NCF767A52319 | SETH | 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/2222/5536162/check_12166261_2299543e-f4d4-4a41-ad08-3065c705fab1.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825143 | N/A | N/A | 5536162 | 2222 | 4793 | 12421269 | N/A | 4208960 | 2025-09-10 14:57:29.401848 | 2025-07-11 19:38:20.011022 |
| 2025-09-09 17:25:51.393054 | 2025-09-10 15:06:25.152344 | 12166249 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12166249 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-10 | F | PT | BELL | MNL880M78427 | JACQUELYN | 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/2222/5536041/check_12166249_a2f16388-3d0a-478f-96ae-c5367dfc3cca.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754825142 | N/A | N/A | 5536041 | 2222 | 4802 | 12423874 | 4184 | 4208856 | 2025-09-10 15:06:25.152344 | 2025-05-13 04:29:37.223284 |