API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 17:25:49.764107 | 2025-09-10 15:05:27.350700 | 12166239 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12166239 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-09-10 | M | AE | PT | CHISARI | 00000386684 | THOMAS | 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/2222/5536007/check_12166239_50bb2a1f-b7f9-4795-87b0-a3f51eb04ead.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 8754825141 | N/A | N/A | 5536007 | 2222 | 4793 | 12423629 | N/A | 4208829 | 2025-09-10 15:05:27.350700 | 2025-06-03 01:05:45.663969 |
| 2025-09-09 17:25:47.903254 | 2025-09-10 15:22:12.919038 | 12166219 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12166219 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-10 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | 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/2222/5535838/check_12166219_7e7f43a5-c490-4990-985b-51de8e5ddebf.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825140 | N/A | N/A | 5535838 | 2222 | 4801 | 12426846 | N/A | 4208696 | 2025-09-10 15:22:12.919038 | 2025-06-07 16:16:45.844566 |
| 2025-09-09 17:25:46.083187 | 2025-09-10 15:22:08.207123 | 12166205 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12166205 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-10 | M | AE | PT | MELVILLE | 5K84YN1FD09 | LANNING | 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/2222/5535728/check_12166205_7a374a34-958f-4c05-a490-2c209492fce3.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MA | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825139 | N/A | N/A | 5535728 | 2222 | 4802 | 12426838 | N/A | 4208598 | 2025-09-10 15:22:08.207123 | 2025-09-11 00:56:25.554348 |
| 2025-09-09 17:25:43.969104 | 2025-09-10 15:03:34.507478 | 12166187 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12166187 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-09-11 | F | AE | PT | RYAN | 31026142401 | CAROL | 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/2222/5535455/check_12166187_9f495f87-5cea-4a44-acb6-541e0b7795ff.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825138 | N/A | N/A | 5535455 | 2222 | 4793 | 12423105 | N/A | 4208375 | 2025-09-10 15:03:34.507478 | 2025-08-08 21:08:12.459471 |
| 2025-09-09 17:25:41.950293 | 2025-09-10 15:03:38.794087 | 12166168 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12166168 | N/A | 1952-12-16 | 2025-09-12 | F | AE | PT | PORTER | 400282215401 | SHERIL | 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/2222/5535434/check_12166168_a7a946b1-61f0-4a4d-b12e-3b0b912e1d35.json | N/A | N/A | N/A | N/A | N/A | 400282215401 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1952-12-16 | N/A | N/A | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754825137 | N/A | N/A | 5535434 | 2222 | 4793 | 12423126 | N/A | 4208356 | 2025-09-10 15:03:38.794087 | 2025-08-25 14:49:27.724897 |
| 2025-09-09 17:25:29.138561 | 2025-09-10 02:28:43.028631 | 12166040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12166040 | Athletic Physical Therapy Inc | 1956-11-25 | 2025-09-11 | F | AE | PT | Bhavnani | CPT263A59907 | Hoor | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205315640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7786159/check_12166040_7ce21860-6cc0-4491-a77b-053d3069a225.json | N/A | N/A | N/A | N/A | N/A | CPT263A59907 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | MEDICARE A | N/A | 1956-11-25 | 040 | C20001M1A2 | N/A | PR | false | SIKRI | N/A | APRAJITA | N/A | 9999-12-31 | 2019-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755013958 | N/A | N/A | 7786159 | 2222 | 4802 | 12396310 | N/A | 6630174 | 2025-09-10 02:28:43.028631 | 2025-08-11 13:59:52.049710 |
| 2025-09-09 17:25:05.363047 | 2025-09-10 05:17:18.634731 | 12165842 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12165842 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-09-11 | M | AE | PT | CARINO | 166067001 | RODOLFO | 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/2222/8472317/check_12165842_138046da-3eb9-410d-a66e-ff2302eb4305.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | 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 | 8754742124 | N/A | N/A | 8472317 | 2222 | 4802 | 12409382 | N/A | 6543380 | 2025-09-10 05:17:18.634731 | 2025-08-01 17:39:00.802055 |
| 2025-09-09 17:24:53.135059 | 2025-09-10 15:14:51.620648 | 12165724 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12165724 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-09-12 | F | AE | PT | COMBS | 9RM0WC3QW15 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450031/check_12165724_2035dbc0-cde5-4e59-b130-3b5ade825c3e.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-13 | N/A | N/A | N/A | MA | false | COMBS | N/A | ROBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754731900 | N/A | N/A | 7450031 | 2222 | 4801 | 12425632 | N/A | 6399759 | 2025-09-10 15:14:51.620648 | 2025-07-24 23:45:59.561511 |
| 2025-09-09 17:24:51.041792 | 2025-09-10 15:02:19.117228 | 12165706 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12165706 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-09-12 | M | PT | N/A | Prichard | XED910420685 | Riley | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_12165706_a5f005d2-bfc7-4781-af8b-4d8cce1fc468.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754731899 | N/A | N/A | 7449872 | 2222 | 4802 | 12422799 | N/A | 6399679 | 2025-09-10 15:02:19.117228 | 2025-07-24 23:16:22.582609 |
| 2025-09-09 17:24:45.079624 | 2025-09-10 02:13:21.306953 | 12165648 | N/A | N/A | 60054 | Aetna | 1114042165 | 12165648 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-09-10 | M | AE | PT | RAMIREZ | 9537353099 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205047045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_12165648_07f1fc05-4cb3-4db8-80da-40cd1e319faa.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754725798 | N/A | N/A | 6865171 | 2222 | 4801 | 12390788 | N/A | 5902840 | 2025-09-10 02:13:21.306953 | 2025-07-28 18:58:27.354873 |
| 2025-09-09 17:24:45.048848 | 2025-09-10 05:12:20.471203 | 12165647 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12165647 | Athletic Physical Therapy Inc | 1983-07-06 | 2025-09-11 | M | PT | N/A | VALENCIA | 972A2070810 | ERIC | 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/2222/8764059/check_12165647_864a392c-69c1-4812-87d4-97a1b0add564.json | N/A | N/A | N/A | N/A | N/A | 972A2070810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-07-06 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | ERIC | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754873666 | N/A | N/A | 8764059 | 2222 | 4801 | 12406646 | N/A | 7374543 | 2025-09-10 05:12:20.471203 | 2025-09-11 17:23:18.917967 |
| 2025-09-09 17:24:45.041098 | 2025-09-10 02:28:44.472520 | 12165646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12165646 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-12 | M | AE | PT | STAGNITTA | MBL690W21411 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205315640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784381/check_12165646_0700ef02-9c0a-423a-9b6b-41dcb1c09a46.json | N/A | N/A | N/A | N/A | N/A | MBL690W21411 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1955-06-14 | 040 | CA039GRS | N/A | N/A | false | STAGNITTA | N/A | ROBERT | N/A | 9999-12-31 | 2024-10-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755013943 | N/A | N/A | 7784381 | 2222 | 4793 | 12396322 | N/A | 4212542 | 2025-09-10 02:28:44.472520 | 2025-08-05 17:22:00.318869 |
| 2025-09-09 17:24:44.182203 | 2025-09-10 05:12:55.033659 | 12165640 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12165640 | N/A | 1986-05-15 | 2025-09-11 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | 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/2222/8471737/check_12165640_d83b28b5-6c26-4373-bdab-499002a375e9.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | CHIZEVER | N/A | GEOFFREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742112 | N/A | N/A | 8471737 | 2222 | 4802 | 12407025 | N/A | 7142683 | 2025-09-10 05:12:55.033659 | 2026-01-12 20:01:37.957097 |
| 2025-09-09 17:24:27.789162 | 2025-09-10 05:18:23.214735 | 12165482 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12165482 | Athletic Physical Therapy Inc | 1981-09-04 | 2025-09-10 | M | PT | N/A | ROSS | JQU305M78698 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519021.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471592/check_12165482_e4f6faad-454d-4fc9-8213-b6ab84d2c1a1.json | N/A | N/A | N/A | N/A | N/A | JQU305M78698 | Preferred Provider Organization (PPO) | MCMORGAN AND COMPANY LLC | ANTHEM BLUE CROSS | N/A | 1981-09-04 | 040 | K07161 | N/A | PR | false | ROSS | N/A | RYAN | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742103 | N/A | N/A | 8471592 | 2222 | 4793 | 12409828 | N/A | 7142505 | 2025-09-10 05:18:23.214735 | 2025-09-05 16:41:44.622776 |
| 2025-09-09 17:24:23.301421 | 2025-09-10 05:19:50.226835 | 12165444 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12165444 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-09-11 | F | PT | N/A | TAKAHATA | XEE980555379 | NANCY | 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/2222/8471583/check_12165444_856322f7-8671-4c8c-a687-2bfad6703f28.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD INSPIRE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742599 | N/A | N/A | 8471583 | 2222 | 4802 | 12410388 | N/A | 7142489 | 2025-09-10 05:19:50.226835 | 2025-08-25 17:38:35.061335 |
| 2025-09-09 17:24:21.076375 | 2025-09-10 05:11:31.141348 | 12165422 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12165422 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-09-11 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | 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/2222/8471577/check_12165422_f73f0533-c988-436c-8b63-706cbbc6ec59.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1971-12-09 | N/A | N/A | N/A | N/A | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754742598 | N/A | N/A | 8471577 | 2222 | 4801 | 12406219 | N/A | 7142472 | 2025-09-10 05:11:31.141348 | 2025-09-06 16:19:59.701160 |
| 2025-09-09 17:24:03.363509 | 2025-09-10 15:05:34.890791 | 12165276 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12165276 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-11 | F | AE | PT | BALLETTA | 4JJ4X54RC07 | LYNDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205220446.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035993/check_12165276_21962bc3-d5af-4235-a7e8-32b5099170a7.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MA | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754736211 | N/A | N/A | 7035993 | 2222 | 4793 | 12423668 | N/A | 6048781 | 2025-09-10 15:05:34.890791 | 2025-07-22 23:03:15.103027 |
| 2025-09-09 17:23:47.863329 | 2025-09-11 02:25:10.555944 | 12165154 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12165154 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-09-10 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_12165154_4cfab112-b051-4452-b6da-8a11e50435d1.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MA | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755003834 | N/A | N/A | 6145897 | 2222 | 4801 | 12447897 | N/A | 4786709 | 2025-09-11 02:25:10.555944 | 2025-06-20 18:28:02.399027 |
| 2025-09-09 17:22:07.613438 | 2025-09-10 15:00:04.776058 | 12164288 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12164288 | Athletic Physical Therapy Inc | 1974-04-18 | 2025-09-10 | M | AE | PT | HENDERSON | 000009200856 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447610/check_12164288_99f23278-6085-4464-8158-658e27c5a20a.json | N/A | N/A | N/A | N/A | N/A | 000009200856 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-04-18 | 4299566 | 105705 | N/A | N/A | false | HENDERSON | N/A | CHAD | N/A | N/A | N/A | ASCIP - SIMI VALLEY UNIFIED SCHOOL DISTRICT SVUSD- | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754731803 | N/A | N/A | 7447610 | 2222 | 4801 | 12422056 | N/A | 6397817 | 2025-09-10 15:00:04.776058 | 2025-07-24 21:00:46.278199 |
| 2025-09-09 17:22:02.852906 | 2025-09-10 15:00:44.545175 | 12164252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12164252 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-09-11 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_12164252_cf604b6b-8656-4720-a4e0-b062166568c3.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754731800 | N/A | N/A | 7447590 | 2222 | 4801 | 12422244 | N/A | 6397797 | 2025-09-10 15:00:44.545175 | 2025-08-12 19:16:58.418300 |
| 2025-09-09 17:21:50.893139 | 2025-09-10 02:25:52.885433 | 12164144 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12164144 | N/A | 1950-08-25 | 2025-09-10 | F | AE | PT | POLLOCK | 40002008301 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205123535.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_12164144_ea05d322-320b-46c4-9175-b643419621d2.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1950-08-25 | N/A | N/A | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754750473 | N/A | N/A | 7992096 | 2222 | 4801 | 12395382 | N/A | 4212687 | 2025-09-10 02:25:52.885433 | 2025-08-27 18:05:06.350903 |
| 2025-09-09 17:21:34.253797 | 2025-09-10 05:18:25.692984 | 12163993 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12163993 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-09-11 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | 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/2222/8469090/check_12163993_70403667-1429-43f7-9ab9-6d91536a7f02.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742812 | N/A | N/A | 8469090 | 2222 | 4802 | 12409844 | N/A | 7140615 | 2025-09-10 05:18:25.692984 | 2025-09-05 16:51:17.488032 |
| 2025-09-09 17:20:45.183859 | 2025-09-11 02:18:30.033302 | 12163630 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12163630 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-09-10 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_12163630_964f669e-0f5e-463d-9290-98b998edb992.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755002841 | N/A | N/A | 6140436 | 2222 | 4801 | 12446042 | N/A | 4781417 | 2025-09-11 02:18:30.033302 | 2025-06-06 17:03:19.078153 |
| 2025-09-09 17:20:34.371983 | 2025-09-11 02:13:26.582426 | 12163525 | N/A | N/A | 60054 | Aetna | 1114042165 | 12163525 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-09-11 | M | AE | PT | HUANG | W278191924 | DANNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_12163525_ff945845-f21b-4dc3-8f19-d086d14d8979.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755002838 | N/A | N/A | 6140246 | 2222 | 4802 | 12444165 | N/A | 4781166 | 2025-09-11 02:13:26.582426 | 2025-06-11 17:29:46.826705 |
| 2025-09-09 17:20:26.165271 | 2025-09-10 15:00:43.842061 | 12163448 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12163448 | Athletic Physical Therapy Inc | 1977-07-01 | 2025-09-10 | M | PT | N/A | FENERTY | XDMOE0145837 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444452/check_12163448_bacab61a-3aa9-408f-9cbe-90184bf4805e.json | N/A | N/A | N/A | N/A | N/A | XDMOE0145837 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1977-07-01 | 040 | 278671H001 | N/A | HM | false | FENERTY | N/A | STEPHEN | N/A | 9999-12-31 | 2015-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754733141 | N/A | N/A | 7444452 | 2222 | 4801 | 12422239 | N/A | 6395187 | 2025-09-10 15:00:43.842061 | 2025-07-25 17:43:45.394385 |
| 2025-09-09 17:20:08.339114 | 2025-09-10 02:29:19.259149 | 12163274 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12163274 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-10 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205123535.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_12163274_fdf34156-3ee4-44e6-af60-1b076a4c94b7.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754749383 | N/A | N/A | 7988722 | 2222 | 4793 | 12396531 | N/A | 6798209 | 2025-09-10 02:29:19.259149 | 2025-10-29 15:15:17.952230 |
| 2025-09-09 17:19:57.842149 | 2025-09-11 02:17:42.252806 | 12163172 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12163172 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-12 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_12163172_a408aed7-1d33-4d35-8e40-6d75195b9d80.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868140 | N/A | N/A | 6203312 | 2222 | 4801 | 12445748 | N/A | 4846213 | 2025-09-11 02:17:42.252806 | 2025-06-10 21:58:09.734801 |
| 2025-09-09 17:19:39.541988 | 2025-09-10 05:31:59.803568 | 12162979 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12162979 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-12 | F | AE | PT | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.225028073.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12162979_9eb52ec5-c087-46ab-8a89-c1816fa188e4.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754969178 | N/A | N/A | 8969545 | 2222 | 4802 | 12413037 | N/A | 7485064 | 2025-09-10 05:31:59.803568 | 2025-12-29 22:41:16.623495 |
| 2025-09-09 17:19:03.047255 | 2025-09-10 15:02:16.455648 | 12162540 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12162540 | Athletic Physical Therapy Inc | 1971-01-26 | 2025-09-11 | F | PT | N/A | Crandell | XED910548319 | Shelby | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442378/check_12162540_473650c8-2d6a-41dd-abbd-685360bd4df3.json | N/A | N/A | N/A | N/A | N/A | XED910548319 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-01-26 | 2001ZK002187 | X0001004 | N/A | PR | false | CRANDELL | N/A | SHELBY | N/A | 9999-12-31 | 2021-05-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754730450 | N/A | N/A | 7442378 | 2222 | 4801 | 12422787 | N/A | 6393427 | 2025-09-10 15:02:16.455648 | 2025-08-09 23:20:00.870450 |
| 2025-09-09 17:18:50.833682 | 2025-09-10 15:05:35.540334 | 12162409 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12162409 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-11 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205220446.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_12162409_70069129-4404-44b1-8fa8-dc1aea2b2998.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | 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 | 8754736289 | N/A | N/A | 7024101 | 2222 | 4801 | 12423671 | N/A | 6038562 | 2025-09-10 15:05:35.540334 | 2025-07-30 21:46:09.369299 |
| 2025-09-09 17:18:34.777210 | 2025-09-11 02:17:42.679955 | 12162236 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12162236 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-12 | F | AE | PT | MAYER | XEM912219422 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175091/check_12162236_35c4a6f2-7b8e-434a-939a-f2bf2ad813c3.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868104 | N/A | N/A | 6175091 | 2222 | 4801 | 12445751 | N/A | 4213917 | 2025-09-11 02:17:42.679955 | 2025-06-25 01:53:37.609327 |
| 2025-09-09 17:18:20.608917 | 2025-09-10 14:57:34.045978 | 12162062 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12162062 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-10 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205220446.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_12162062_dfac47aa-1393-4719-888c-215b83769089.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754736271 | N/A | N/A | 7022680 | 2222 | 4793 | 12421290 | N/A | 6037802 | 2025-09-10 14:57:34.045978 | 2025-07-22 17:48:16.997014 |
| 2025-09-09 17:17:47.127308 | 2025-09-11 02:17:43.589122 | 12161707 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12161707 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-09-10 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_12161707_396dd7c8-6e2b-4e0c-8592-041678e7a773.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754869153 | N/A | N/A | 6145898 | 2222 | 4801 | 12445757 | N/A | 4786709 | 2025-09-11 02:17:43.589122 | 2025-06-20 18:28:02.399027 |
| 2025-09-09 17:17:26.469710 | 2025-09-10 14:57:30.694329 | 12161471 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12161471 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-09-12 | F | AE | PT | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205220446.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_12161471_1aeb8ac2-08be-4bfc-8035-b7a75fbbac57.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754734819 | N/A | N/A | 7019836 | 2222 | 4802 | 12421276 | 2630 | 4214064 | 2025-09-10 14:57:30.694329 | 2025-07-15 17:36:25.711810 |
| 2025-09-09 17:17:25.142694 | 2025-09-10 14:57:33.014937 | 12161454 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 12161454 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-09-12 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205220446.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_12161454_b09dc0a3-6905-44d0-975b-601a2b5600e4.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-12-06 | N/A | N/A | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754734818 | N/A | N/A | 7019712 | 2222 | 4793 | 12421287 | N/A | 6034714 | 2025-09-10 14:57:33.014937 | 2025-07-15 18:02:59.670156 |
| 2025-09-09 17:16:41.845967 | 2025-09-10 02:39:36.639765 | 12160772 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12160772 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-09-11 | F | AE | PT | DAVIS | 3M07R08AX76 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205222328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_12160772_87720abf-52cf-4982-87a9-cdbded3c9dab.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754581692 | N/A | N/A | 6068062 | 2222 | 4802 | 12399921 | N/A | 4713002 | 2025-09-10 02:39:36.639765 | 2025-06-03 01:39:13.971712 |
| 2025-09-09 17:16:36.865988 | 2025-09-10 14:50:43.679063 | 12160686 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12160686 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-09-11 | F | AE | PT | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7438823/check_12160686_152dd2c6-ca54-4d75-8a04-cb74b9fd025d.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1984-03-13 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754731055 | N/A | N/A | 7438823 | 2222 | 4802 | 12419986 | N/A | 5813326 | 2025-09-10 14:50:43.679063 | 2025-07-21 17:21:46.553298 |
| 2025-09-09 17:15:25.875912 | 2025-09-10 05:23:38.420220 | 12159417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12159417 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-09-11 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205145271.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_12159417_5c9fc43a-f313-4863-8b65-0bdf741254d0.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | 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 | 8754568704 | N/A | N/A | 6668755 | 2222 | 4801 | 12411616 | N/A | 5282877 | 2025-09-10 05:23:38.420220 | 2025-07-01 15:56:36.473431 |
| 2025-09-09 17:14:58.311823 | 2025-09-10 02:29:29.534609 | 12158989 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12158989 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-09-12 | F | AE | PT | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_12158989_284114eb-db05-49f4-a1db-e32a795e37b6.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754572539 | N/A | N/A | 7508301 | 2222 | 4802 | 12396601 | N/A | 4214064 | 2025-09-10 02:29:29.534609 | 2025-07-15 17:36:25.711810 |
| 2025-09-09 17:14:49.207159 | 2025-09-11 02:11:51.408879 | 12158777 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12158777 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-11 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_12158777_9216ec08-7c07-4c32-859a-03b22405b009.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755002779 | N/A | N/A | 6124845 | 2222 | 4793 | 12443639 | N/A | 4767293 | 2025-09-11 02:11:51.408879 | 2025-06-06 15:11:48.015692 |
| 2025-09-09 17:14:45.316580 | 2025-09-10 02:20:24.310940 | 12158687 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12158687 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-10 | M | PT | N/A | Lane | XEK904721388 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205047045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_12158687_f5a83bca-0dad-4a82-8568-7b23e78ce138.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754724116 | N/A | N/A | 6814774 | 2222 | 4802 | 12393694 | N/A | 5857104 | 2025-09-10 02:20:24.310940 | 2025-07-08 17:08:11.593095 |
| 2025-09-09 17:14:40.825967 | 2025-09-10 02:20:25.163457 | 12158581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12158581 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-09-10 | F | PT | N/A | PERLOV | XEA905216171 | MERA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205047045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_12158581_62ef6306-9603-48f4-a014-98037933fca3.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754724112 | N/A | N/A | 6814311 | 2222 | 4793 | 12393697 | N/A | 5856694 | 2025-09-10 02:20:25.163457 | 2025-07-07 18:45:06.287504 |
| 2025-09-09 17:14:35.803463 | 2025-09-10 02:20:22.433136 | 12158463 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12158463 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-09-11 | M | PT | N/A | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205047045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_12158463_2465db35-76d0-4d9c-a446-8f4ecb875ed8.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754724108 | N/A | N/A | 6814151 | 2222 | 4793 | 12393686 | N/A | 5856522 | 2025-09-10 02:20:22.433136 | 2025-07-10 02:16:48.328344 |
| 2025-09-09 17:14:29.130023 | 2025-09-10 02:29:32.593479 | 12158264 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12158264 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-10 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_12158264_7f8df58a-d893-4435-89f5-d8cc6da34bf7.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754573440 | N/A | N/A | 7458753 | 2222 | 4801 | 12396628 | N/A | 6407685 | 2025-09-10 02:29:32.593479 | 2025-08-12 18:01:47.141909 |
| 2025-09-09 17:14:25.595755 | 2025-09-10 02:36:17.515853 | 12158172 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12158172 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-10 | F | PT | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_12158172_d72dcbe0-c761-40f7-8ca8-e5c8256443a8.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754573429 | N/A | N/A | 7456429 | 2222 | 4802 | 12398836 | N/A | 4208856 | 2025-09-10 02:36:17.515853 | 2025-05-13 04:29:37.223284 |
| 2025-09-09 17:14:24.594528 | 2025-09-10 05:21:32.647103 | 12158147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12158147 | Athletic Physical Therapy Inc | 2005-07-19 | 2025-09-11 | F | PT | N/A | MOORE | WZA952W18561 | FAITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205145271.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6644228/check_12158147_7b8d63fb-aa08-48d9-afe6-2a0a7c2ed247.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 2005-07-19 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754568621 | N/A | N/A | 6644228 | 2222 | 4801 | 12410993 | N/A | 5251545 | 2025-09-10 05:21:32.647103 | 2025-07-16 15:52:27.392778 |
| 2025-09-09 17:14:23.116013 | 2025-09-10 19:47:57.405455 | 12158109 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12158109 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-09-10 | F | AE | PT | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205816775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_12158109_2e620e2f-1f70-421c-b91d-a4664777ec7b.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755018188 | N/A | N/A | 9104487 | 2222 | 4802 | 12435086 | N/A | 6709145 | 2025-09-10 19:47:57.405455 | 2025-08-07 23:35:55.091438 |
| 2025-09-09 17:14:15.770617 | 2025-09-10 05:19:27.974524 | 12157933 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12157933 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-09-10 | M | AE | PT | MEJIA | 40055012201 | RUBEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205145271.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_12157933_9fdfcbdb-fe67-4262-af6a-35458754ac23.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1937-09-14 | 2025H5425001 | H5425M | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754569834 | N/A | N/A | 6642365 | 2222 | 4801 | 12410234 | N/A | 5249029 | 2025-09-10 05:19:27.974524 | 2025-07-14 01:52:51.387918 |
| 2025-09-09 17:14:11.154958 | 2025-09-10 02:29:30.745152 | 12157843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12157843 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-09-12 | F | AE | PT | COMBS | XDD261A55173 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450034/check_12157843_1e8a8ed7-f49a-4867-8628-ba98db7ac140.json | N/A | N/A | N/A | N/A | N/A | XDD261A55173 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1954-10-13 | 040 | 1264MD | N/A | SP | false | COMBS | N/A | LOUIS | N/A | 9999-12-31 | 2019-11-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754572443 | N/A | N/A | 7450034 | 2222 | 4801 | 12396612 | N/A | 6399759 | 2025-09-10 02:29:30.745152 | 2025-07-24 23:45:59.561511 |
| 2025-09-09 17:14:02.902359 | 2025-09-10 05:32:48.851431 | 12157644 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12157644 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-09-11 | M | AE | PT | WARREN | MBS521W24301 | WILLIAM | 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/2222/8681972/check_12157644_3441d345-e338-4aad-ad1d-9394acd3a821.json | N/A | N/A | N/A | N/A | N/A | MBS521W24301 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1960-08-19 | N/A | N/A | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754873853 | N/A | N/A | 8681972 | 2222 | 4801 | 12413135 | N/A | 7315557 | 2025-09-10 05:32:48.851431 | 2025-09-08 19:23:27.353339 |