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 17:09:58.706012 | 2025-09-10 05:35:22.982574 | 12150101 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12150101 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-09-10 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | 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/2222/6553930/check_12150101_57dd78aa-7bde-4157-b9ef-e5133140049c.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754568930 | N/A | N/A | 6553930 | 2222 | 4801 | 12413830 | N/A | 5177091 | 2025-09-10 05:35:22.982574 | 2025-06-23 20:23:14.340232 |
| 2025-09-09 17:09:33.128661 | 2025-09-11 05:09:34.892878 | 12149372 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12149372 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-10 | F | AE | PT | LANEUVILLE | 3Y88QM6RK55 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8174596/check_12149372_daa227e6-8dc9-4ba5-8b8e-b9ca891c6953.json | N/A | N/A | N/A | N/A | N/A | 3Y88QM6RK55 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-20 | H4161 | N/A | N/A | MA | false | LANEUVILLE | 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 | 8754535287 | N/A | N/A | 8174596 | 2222 | 4801 | 12453555 | N/A | 6941976 | 2025-09-11 05:09:34.892878 | 2025-09-05 19:35:59.844269 |
| 2025-09-09 17:09:10.112727 | 2025-09-11 05:02:38.337416 | 12148693 | N/A | N/A | 60054 | Aetna | 1114042165 | 12148693 | Athletic Physical Therapy Inc | 1989-01-27 | 2025-09-11 | M | AE | PT | Nawrot | W245282837 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9025372/check_12148693_57df4cdf-4c29-4bd4-8138-478fed9891fa.json | N/A | N/A | N/A | N/A | N/A | W245282837 | N/A | N/A | AETNA INC | N/A | 1989-01-27 | N/A | N/A | N/A | N/A | false | NAWROT | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754871820 | N/A | N/A | 9025372 | 2222 | 4802 | 12450188 | N/A | 7548299 | 2025-09-11 05:02:38.337416 | 2025-09-02 21:45:20.203692 |
| 2025-09-09 17:09:04.112242 | 2025-09-11 02:11:50.880655 | 12148513 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12148513 | Athletic Physical Therapy Inc | 2005-06-10 | 2025-09-10 | F | PT | N/A | Kassi | 957A5554370 | Keira | 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/2222/6113467/check_12148513_b22f7a53-c23a-46e5-a0a7-26937875de0e.json | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755002650 | N/A | N/A | 6113467 | 2222 | 4801 | 12443636 | N/A | 4756194 | 2025-09-11 02:11:50.880655 | 2025-06-02 23:03:52.087356 |
| 2025-09-09 17:09:03.970763 | 2025-09-10 05:15:23.755300 | 12148503 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12148503 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-09-11 | M | AE | PT | Ke | N/A | Haozhe | 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/2222/8405192/check_12148503_0168ec77-898c-4d76-be64-e9e86d1e6931.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754743144 | N/A | N/A | 8405192 | 2222 | 4802 | 12408572 | N/A | 7083453 | 2025-09-10 05:15:23.755300 | 2025-08-26 19:33:12.586504 |
| 2025-09-09 17:09:02.010466 | 2025-09-09 17:09:03.031157 | 12148454 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12148454 | Athletic Physical Therapy Inc | 1940-08-20 | 2025-09-12 | F | PT | N/A | GRIFFITH | MBL120M95246 | JUDITH | N/A | WAYSTAR | N/A | BATCH | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7587363 | 2222 | 4793 | N/A | N/A | 6497042 | 2025-09-09 17:09:03.031157 | 2025-07-31 17:19:07.355008 |
| 2025-09-09 17:08:55.411227 | 2025-09-11 02:21:33.410649 | 12148296 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12148296 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-12 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | 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/2222/6068049/check_12148296_df912bcc-95a0-4cd5-b45a-3c1afd9f4191.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868446 | N/A | N/A | 6068049 | 2222 | 4793 | 12447088 | N/A | 4642852 | 2025-09-11 02:21:33.410649 | 2025-11-21 18:38:17.056437 |
| 2025-09-09 17:08:54.847776 | 2025-09-10 15:14:53.129971 | 12148281 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12148281 | Athletic Physical Therapy Inc | 1933-09-27 | 2025-09-11 | F | AE | PT | Lavian | 9D60QE9FV21 | Valantin | 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/2222/7300565/check_12148281_0d337011-498a-4af7-a342-fc094fd0b3d3.json | N/A | N/A | N/A | N/A | N/A | 9D60QE9FV21 | Medicare Part B | N/A | HARTFORD CASUALTY INSURANCE COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-09-27 | S4802 | DOL 09182015 | N/A | MB | false | LAVIAN | N/A | VALANTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754731382 | N/A | N/A | 7300565 | 2222 | 4802 | 12425638 | N/A | 6258477 | 2025-09-10 15:14:53.129971 | 2025-08-12 21:50:09.562340 |
| 2025-09-09 17:08:52.907239 | 2025-09-09 17:08:55.123637 | 12148236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12148236 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-09-11 | F | PT | N/A | Benet | CPT240W21227 | Lilian | N/A | WAYSTAR | N/A | BATCH | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7587004 | 2222 | 4802 | N/A | N/A | 6496624 | 2025-09-09 17:08:55.123637 | 2025-09-26 20:15:15.570978 |
| 2025-09-09 17:08:52.230282 | 2025-09-11 05:01:50.256903 | 12148223 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12148223 | Athletic Physical Therapy Inc | 1953-02-10 | 2025-09-11 | M | AE | PT | GARZA | 36183347 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024952/check_12148223_e19c7028-9247-4a9a-ab11-b4cc4da80a51.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754869833 | N/A | N/A | 9024952 | 2222 | 4793 | 12449789 | 6798 | 7547856 | 2025-09-11 05:01:50.256903 | 2025-09-02 20:57:54.962485 |
| 2025-09-09 17:08:24.953576 | 2025-09-10 14:50:44.492400 | 12147514 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12147514 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-09-11 | F | AE | PT | Odate | 96680377F | Keina | 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/2222/7295079/check_12147514_4df7c39a-f8d2-48be-a4f0-2673043fa3c5.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754730933 | N/A | N/A | 7295079 | 2222 | 4802 | 12419990 | N/A | 6254701 | 2025-09-10 14:50:44.492400 | 2026-05-21 14:19:15.159394 |
| 2025-09-09 17:08:20.503479 | 2025-09-10 15:02:17.385779 | 12147404 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12147404 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-09-12 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | 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/2222/7294742/check_12147404_7a04414a-60d9-4966-abf4-cc71d1c34925.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754730925 | N/A | N/A | 7294742 | 2222 | 4801 | 12422791 | N/A | 6254569 | 2025-09-10 15:02:17.385779 | 2025-08-12 09:24:43.956957 |
| 2025-09-09 17:08:13.890372 | 2025-09-10 02:18:56.441660 | 12147256 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12147256 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-09-10 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | 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/2222/6770593/check_12147256_085b5f1b-1b4a-4617-b88e-f39a831be661.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754724480 | N/A | N/A | 6770593 | 2222 | 4793 | 12393250 | N/A | 5788398 | 2025-09-10 02:18:56.441660 | 2025-07-31 22:52:15.686379 |
| 2025-09-09 17:08:04.161759 | 2025-09-10 05:35:54.896135 | 12147017 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12147017 | Athletic Physical Therapy Inc | 2006-05-31 | 2025-09-12 | F | PT | N/A | WARGNIER | XEA906576346 | CADENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8674643/check_12147017_73279877-cab6-4db3-871f-abde126603d6.json | N/A | N/A | N/A | N/A | N/A | XEA906576346 | Preferred Provider Organization (PPO) | NAIRMAC INC DBA PREMIER COACH | BLUE SHIELD CALIFORNIA | N/A | 2006-05-31 | 1000VX000102 | W0099736 | N/A | PR | false | WARGNIER | N/A | NEISHA | N/A | 2032-05-31 | 2025-07-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754873121 | N/A | N/A | 8674643 | 2222 | 4801 | 12413919 | N/A | 7309740 | 2025-09-10 05:35:54.896135 | 2025-09-12 11:13:33.919728 |
| 2025-09-09 17:07:59.350548 | 2025-09-11 05:02:05.811992 | 12146883 | N/A | N/A | 60054 | Aetna | 1114042165 | 12146883 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-09-10 | M | AE | PT | MCHALE | W27265070 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_12146883_da8d0d34-684d-4798-a95c-4bd6cc5d3726.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754535816 | N/A | N/A | 8173116 | 2222 | 4802 | 12449925 | N/A | 6939617 | 2025-09-11 05:02:05.811992 | 2025-09-16 00:28:24.457071 |
| 2025-09-09 17:07:57.674895 | 2025-09-11 05:01:48.314097 | 12146837 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12146837 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-09-10 | M | AE | PT | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_12146837_dd86cea6-9ea1-47db-8a49-0f01dc090598.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754535814 | N/A | N/A | 8173002 | 2222 | 4793 | 12449771 | N/A | 6939518 | 2025-09-11 05:01:48.314097 | 2025-08-18 21:40:08.349494 |
| 2025-09-09 17:07:53.783963 | 2025-09-10 02:18:41.258644 | 12146745 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12146745 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-09-12 | F | AE | PT | TORREY | 00000374205 | JOYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205047045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_12146745_84c39599-a96a-4580-a707-f1641b3f7ac7.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | 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 | 8754725969 | N/A | N/A | 6768717 | 2222 | 4801 | 12393177 | N/A | 5725966 | 2025-09-10 02:18:41.258644 | 2025-07-08 20:19:24.946360 |
| 2025-09-09 17:07:47.936497 | 2025-09-10 02:20:23.188062 | 12146594 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12146594 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-09-12 | F | PT | N/A | SHELLHORN | XEH903359049 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205047045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_12146594_eff315a2-5e7f-442b-8133-0304478c6f82.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754725959 | N/A | N/A | 6766432 | 2222 | 4801 | 12393690 | N/A | 5670727 | 2025-09-10 02:20:23.188062 | 2025-08-05 20:04:51.056029 |
| 2025-09-09 17:07:42.218695 | 2025-09-10 15:00:44.858710 | 12146426 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12146426 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-09-11 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | 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/2222/7283495/check_12146426_b326e3d0-b52a-4cf7-9621-4c3f610ba9a7.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754733075 | N/A | N/A | 7283495 | 2222 | 4801 | 12422246 | N/A | 6247001 | 2025-09-10 15:00:44.858710 | 2025-07-25 21:24:35.111542 |
| 2025-09-09 17:07:35.377792 | 2025-09-10 05:30:50.122155 | 12146218 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12146218 | Athletic Physical Therapy Inc | 1969-01-24 | 2025-09-12 | F | AE | PT | DEBENEDICTIS | R00538590FS1 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8673509/check_12146218_b08081ca-0e14-41f5-9c35-4840165fb6af.json | N/A | N/A | N/A | N/A | N/A | R00538590FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-24 | N/A | N/A | N/A | N/A | false | DEBENEDICTIS | N/A | JULIE | N/A | N/A | N/A | KWW PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754873605 | N/A | N/A | 8673509 | 2222 | 4793 | 12412915 | N/A | 7308743 | 2025-09-10 05:30:50.122155 | 2025-09-08 16:19:09.101702 |
| 2025-09-09 17:07:15.635757 | 2025-09-11 05:05:53.324550 | 12145692 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12145692 | Athletic Physical Therapy Inc | 1977-03-10 | 2025-09-11 | F | PT | N/A | TASH | JQU403W23415 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022764/check_12145692_c4d4496f-ca25-4e93-a1ca-d2b6422586aa.json | N/A | N/A | N/A | N/A | N/A | JQU403W23415 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1977-03-10 | 040 | 476522 | N/A | PR | false | TASH | N/A | ADAM | N/A | 9999-12-31 | 2025-04-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754871498 | N/A | N/A | 9022764 | 2222 | 4793 | 12451801 | N/A | 7545417 | 2025-09-11 05:05:53.324550 | 2025-09-09 15:35:25.385756 |
| 2025-09-09 17:07:07.953830 | 2025-09-10 02:25:02.957267 | 12145478 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12145478 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-11 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | 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/2222/6752936/check_12145478_f2419783-fa7d-4105-a53c-53252dcd8c6c.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754724898 | N/A | N/A | 6752936 | 2222 | 4801 | 12395103 | N/A | 5065602 | 2025-09-10 02:25:02.957267 | 2025-07-01 17:25:13.681724 |
| 2025-09-09 17:07:01.817619 | 2025-09-10 14:52:00.412134 | 12145315 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12145315 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-09-10 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | 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/2222/6967909/check_12145315_e534916f-ce09-4a74-b5c4-ba4eda535546.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754735271 | N/A | N/A | 6967909 | 2222 | 4793 | 12420200 | N/A | 5990447 | 2025-09-10 14:52:00.412134 | 2025-07-21 18:40:33.917911 |
| 2025-09-09 17:06:59.194467 | 2025-09-10 02:16:48.556636 | 12145242 | N/A | N/A | 60054 | Aetna | 1114042165 | 12145242 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-09-11 | M | AE | PT | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205219388.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_12145242_95f1776b-3b66-49d6-8f7b-989e02391e41.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754533045 | N/A | N/A | 7761496 | 2222 | 4802 | 12392351 | N/A | 6610810 | 2025-09-10 02:16:48.556636 | 2025-08-04 22:41:35.670334 |
| 2025-09-09 17:06:55.589957 | 2025-09-10 02:25:55.401879 | 12145149 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12145149 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-09-11 | F | AE | PT | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205219388.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_12145149_8c31aed2-51c0-4c1c-9261-3f05f83dd91d.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754531494 | N/A | N/A | 7761229 | 2222 | 4793 | 12395402 | N/A | 6610550 | 2025-09-10 02:25:55.401879 | 2025-08-29 21:18:14.924057 |
| 2025-09-09 17:06:28.825549 | 2025-09-10 05:14:49.881945 | 12144429 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12144429 | Athletic Physical Therapy Inc | 1996-04-21 | 2025-09-10 | M | AD | N/A | WEILBACHER | 109058590 | JONATHAN | 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/2222/8393876/check_12144429_83c285ad-226d-4c6f-9b64-ea5dccdaf2fc.json | N/A | N/A | N/A | N/A | N/A | 10905859000 | N/A | MESSNER REEVES LLP | CHLIC | COMPLETE CARE MANAGEMENT | 1996-04-21 | N/A | 00627597 | N/A | N/A | false | WEILBACHER | N/A | JONATHAN | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8754743938 | N/A | N/A | 8393876 | 2222 | 4793 | 12408241 | N/A | 7073419 | 2025-09-10 05:14:49.881945 | 2025-08-21 16:47:10.486560 |
| 2025-09-09 17:06:22.269134 | 2025-09-11 05:09:34.550259 | 12144240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12144240 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-10 | F | AE | PT | GUASTELLA | 5V49H98DH38 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_12144240_05ca13f4-5351-4bc2-b07a-0bfd07ea5d43.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | 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 | 8754535223 | N/A | N/A | 8167484 | 2222 | 4801 | 12453552 | N/A | 6407685 | 2025-09-11 05:09:34.550259 | 2025-08-12 18:01:47.141909 |
| 2025-09-09 17:06:19.872774 | 2025-09-10 05:12:59.535678 | 12144174 | N/A | N/A | 60054 | Aetna | 1114042165 | 12144174 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-09-10 | M | AE | PT | BAIRD | W295329957 | WILLIAM | 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/2222/8391594/check_12144174_45b32280-64eb-4577-b293-20be434ef1f0.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | 90962060803 BLUE SHIELD OF CAL | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754743925 | N/A | N/A | 8391594 | 2222 | 4793 | 12407073 | N/A | 4214747 | 2025-09-10 05:12:59.535678 | 2025-05-13 04:29:37.229066 |
| 2025-09-09 17:06:01.107055 | 2025-09-10 05:35:22.699003 | 12143658 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12143658 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-11 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | 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/2222/6522947/check_12143658_a2501879-a47f-42b7-ad8a-6951bd8c25ec.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754569242 | N/A | N/A | 6522947 | 2222 | 4802 | 12413828 | N/A | 5146127 | 2025-09-10 05:35:22.699003 | 2025-06-20 17:58:23.371130 |
| 2025-09-09 17:06:00.380709 | 2025-09-10 02:25:04.499405 | 12143642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12143642 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-09-11 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | 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/2222/6751304/check_12143642_635ef23e-9e27-412f-9d27-ff1552fafee0.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754725224 | N/A | N/A | 6751304 | 2222 | 4802 | 12395110 | N/A | 5557241 | 2025-09-10 02:25:04.499405 | 2025-07-22 17:08:51.810153 |
| 2025-09-09 17:05:35.540032 | 2025-09-10 02:32:24.074611 | 12142996 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12142996 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-09-11 | M | PT | N/A | Sariri | XDP632A69850 | Darius | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205219388.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_12142996_c631b3dd-df39-4b91-b999-ac792c9be452.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754533363 | N/A | N/A | 7754707 | 2222 | 4802 | 12397563 | N/A | 6605684 | 2025-09-10 02:32:24.074611 | 2025-08-05 01:08:16.312539 |
| 2025-09-09 17:05:26.406730 | 2025-09-10 05:33:31.658049 | 12142742 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12142742 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-11 | F | AE | PT | NANVAR | XEM905919639 | GUITY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.225028073.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650849/check_12142742_0ddb9c82-c9cf-40ed-a13f-8d28b125bb37.json | N/A | N/A | N/A | N/A | N/A | XEM905919639 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-07-28 | 2004SE000030 | X0001002 | N/A | OT | false | NAMVAR | N/A | DAVID | 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 | 8754969128 | N/A | N/A | 8650849 | 2222 | 4802 | 12413253 | N/A | 7292786 | 2025-09-10 05:33:31.658049 | 2025-09-04 04:11:35.031790 |
| 2025-09-09 17:05:21.608591 | 2025-09-10 02:20:07.588620 | 12142601 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12142601 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-09-10 | F | AE | PT | TOY | H77237018 | NELDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205219388.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_12142601_863ebd40-d1c6-40d0-ad9e-13c4e7dd534b.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 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 | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754533338 | N/A | N/A | 7754038 | 2222 | 4793 | 12393615 | N/A | 6605178 | 2025-09-10 02:20:07.588620 | 2025-08-12 21:10:43.412607 |
| 2025-09-09 17:05:21.081560 | 2025-09-11 05:02:36.766349 | 12142593 | N/A | N/A | 60054 | Aetna | 1114042165 | 12142593 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-09-10 | F | AE | PT | BELL | W29376563901 | FRANCESCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_12142593_a91f8d2e-a103-4f96-bf13-fc23c91233f7.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754870514 | N/A | N/A | 9020239 | 2222 | 4802 | 12450177 | N/A | 7543693 | 2025-09-11 05:02:36.766349 | 2025-10-06 20:52:39.651223 |
| 2025-09-09 17:05:06.670196 | 2025-09-10 02:29:18.491587 | 12142208 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12142208 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-09-10 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | 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/2222/7877415/check_12142208_c433961b-0ac2-4538-9f9a-6dc055131d8c.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754749261 | N/A | N/A | 7877415 | 2222 | 4793 | 12396525 | N/A | 6706226 | 2025-09-10 02:29:18.491587 | 2025-08-19 15:39:56.790206 |
| 2025-09-09 17:04:58.480292 | 2025-09-10 02:29:20.318347 | 12141993 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12141993 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-09-12 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205123535.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877206/check_12141993_b70a9b85-8abe-416e-a3f4-c20ad98ad4ac.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 2025-10-01 | 2025-05-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754749252 | N/A | N/A | 7877206 | 2222 | 4802 | 12396539 | N/A | 6706099 | 2025-09-10 02:29:20.318347 | 2025-11-21 22:00:12.073625 |
| 2025-09-09 17:04:56.687055 | 2025-09-10 02:28:51.302130 | 12141943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12141943 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-09-11 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205219388.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_12141943_85e2536f-f6f1-4286-9e4d-ac841f9b2faa.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754532345 | N/A | N/A | 7752768 | 2222 | 4802 | 12396373 | N/A | 6604326 | 2025-09-10 02:28:51.302130 | 2025-08-06 18:06:11.137864 |
| 2025-09-09 17:04:48.784755 | 2025-09-11 05:02:37.087300 | 12141736 | N/A | N/A | 60054 | Aetna | 1114042165 | 12141736 | Athletic Physical Therapy Inc | 1975-03-04 | 2025-09-12 | F | AE | PT | SCHAFFER | W25054420 | KRISTY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205021462.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9019325/check_12141736_18ae952c-7a27-4f19-adf6-3c98fde9a949.json | N/A | N/A | N/A | N/A | N/A | W265054420 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1975-03-04 | 0880791 | 088079102500011 | N/A | PS | false | SCHAFFER | N/A | PATRICK | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754870487 | N/A | N/A | 9019325 | 2222 | 4802 | 12450180 | N/A | 7542823 | 2025-09-11 05:02:37.087300 | 2025-09-19 19:36:59.422230 |
| 2025-09-09 17:04:46.191821 | 2025-09-10 14:50:20.420708 | 12141663 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12141663 | Athletic Physical Therapy Inc | 1953-11-17 | 2025-09-10 | F | AE | PT | Ramos | 43620299 | Federico | 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/2222/6960617/check_12141663_b846e371-1c1b-4628-9c4f-1f408bd55de0.json | N/A | N/A | N/A | N/A | N/A | 43620299 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-11-17 | 406-005-000 | N/A | N/A | N/A | false | RAMOS | N/A | FEDERICO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754735111 | N/A | N/A | 6960617 | 2222 | 4802 | 12419900 | 6798 | 5985329 | 2025-09-10 14:50:20.420708 | 2025-09-10 17:01:27.097640 |
| 2025-09-09 17:04:33.925290 | 2025-09-10 15:14:52.841726 | 12141322 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12141322 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-09-10 | M | AE | PT | KOGUT | 2MV0DM5CR18 | JAMIE | 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/2222/7264301/check_12141322_3bc42989-01cc-4e87-bd0e-09639120293e.json | N/A | N/A | N/A | N/A | N/A | 2MV0DM5CR18 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5921 | N/A | N/A | MA | false | KOGUT | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754733233 | N/A | N/A | 7264301 | 2222 | 4801 | 12425637 | N/A | 6228944 | 2025-09-10 15:14:52.841726 | 2025-08-09 18:39:08.251512 |
| 2025-09-09 17:04:13.005448 | 2025-09-10 14:57:30.975189 | 12140750 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12140750 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-09-10 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | 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/2222/6958289/check_12140750_b551b8cf-8aaa-4f88-94db-c94255300f1b.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 8754735082 | N/A | N/A | 6958289 | 2222 | 4793 | 12421277 | N/A | 5983606 | 2025-09-10 14:57:30.975189 | 2025-07-18 18:03:17.155924 |
| 2025-09-09 17:04:08.791803 | 2025-09-10 02:26:54.353250 | 12140636 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12140636 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-09-11 | M | AE | PT | TEDDER | 00000390480 | CHARLES | 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/2222/5676415/check_12140636_c7e35d19-833a-486a-9a54-bc9bd5991bcb.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754580173 | N/A | N/A | 5676415 | 2222 | 4801 | 12395696 | 2630 | 4343470 | 2025-09-10 02:26:54.353250 | 2025-05-13 04:29:37.230947 |
| 2025-09-09 17:04:07.666633 | 2025-09-10 02:26:53.550019 | 12140600 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12140600 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-10 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205222328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_12140600_e1cf5d0a-7a27-4e38-aba8-ce2fc20667c9.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8754580172 | N/A | N/A | 5676399 | 2222 | 4793 | 12395688 | 2630 | 4343454 | 2025-09-10 02:26:53.550019 | 2025-05-13 04:29:37.230932 |
| 2025-09-09 17:04:06.366609 | 2025-09-10 02:39:38.854953 | 12140559 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12140559 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-09-11 | F | AE | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | 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/2222/5676388/check_12140559_ce60fad0-d502-4f80-87fe-561de6d87f01.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MB | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754580171 | N/A | N/A | 5676388 | 2222 | 4793 | 12399937 | N/A | 4343445 | 2025-09-10 02:39:38.854953 | 2025-05-14 09:06:09.407736 |
| 2025-09-09 17:04:05.271013 | 2025-09-10 02:15:21.571742 | 12140527 | N/A | N/A | 60054 | Aetna | 1114042165 | 12140527 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-11 | M | AE | PT | ARROW | 101393152200 | PAUL | 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/2222/5676385/check_12140527_77bcc3e5-c38a-4674-8d2a-87a15f0501c2.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754580170 | N/A | N/A | 5676385 | 2222 | 4802 | 12391684 | N/A | 4343439 | 2025-09-10 02:15:21.571742 | 2025-05-13 04:29:37.230918 |
| 2025-09-09 17:04:03.790479 | 2025-09-10 02:39:37.836139 | 12140486 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12140486 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-09-11 | M | AE | PT | LANE | 4CA5FX1PJ56 | STEVEN | 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/2222/5676372/check_12140486_9376970b-7c2c-4003-a2ba-c7b07b0ca00f.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754580169 | N/A | N/A | 5676372 | 2222 | 4802 | 12399932 | N/A | 4219832 | 2025-09-10 02:39:37.836139 | 2025-05-13 04:29:37.230877 |
| 2025-09-09 17:04:02.548587 | 2025-09-10 02:27:48.753041 | 12140448 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12140448 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-09-10 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205222328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_12140448_c656b850-36c7-474c-8afb-f7fa3da37483.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754580168 | N/A | N/A | 5676340 | 2222 | 4793 | 12395910 | 4184 | 4210531 | 2025-09-10 02:27:48.753041 | 2025-12-09 17:09:13.960610 |
| 2025-09-09 17:04:00.055327 | 2025-09-10 05:18:21.992197 | 12140376 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12140376 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-09-11 | F | AE | PT | GARCIA | LDU736A55056 | SADIE | 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/2222/8387470/check_12140376_1ab2a181-a135-4cc8-aaea-104dceb2c03e.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754743544 | N/A | N/A | 8387470 | 2222 | 4801 | 12409822 | N/A | 5132739 | 2025-09-10 05:18:21.992197 | 2025-07-14 21:32:03.363712 |
| 2025-09-09 17:03:54.264271 | 2025-09-11 05:06:02.869707 | 12140215 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12140215 | Athletic Physical Therapy Inc | 1965-05-27 | 2025-09-11 | F | PT | N/A | SIMMONS | JXN429M92474 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8118854/check_12140215_62277c15-9cb2-4c65-9d05-665df0aa53cf.json | N/A | N/A | N/A | N/A | N/A | JXN429M92474 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-27 | 040 | 174222M9A1 | N/A | PR | false | SIMMONS | N/A | CYNTHIA | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754534874 | N/A | N/A | 8118854 | 2222 | 4801 | 12451883 | N/A | 6896967 | 2025-09-11 05:06:02.869707 | 2025-09-03 19:44:25.952611 |
| 2025-09-09 17:03:53.853746 | 2025-09-10 15:00:43.514551 | 12140199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12140199 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-09-10 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | 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/2222/7258746/check_12140199_f94b5255-04e6-482d-bd17-41debd6c15b9.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754732121 | N/A | N/A | 7258746 | 2222 | 4802 | 12422237 | N/A | 6224482 | 2025-09-10 15:00:43.514551 | 2025-08-07 00:03:18.267969 |