API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 17:03:39.618765 | 2025-09-10 15:00:44.183248 | 12139764 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12139764 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-09-11 | M | PT | Gast | JQV110W08240 | Eberhard | N/A | 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/2222/7258119/check_12139764_c72a99a4-e2a8-4734-98b2-ba75630adca3.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754732100 | N/A | N/A | 7258119 | 2222 | 4802 | 12422241 | 4184 | 6223297 | 2025-09-10 15:00:44.183248 | 2025-07-28 18:57:51.679781 |
| 2025-09-09 17:03:37.792438 | 2025-09-10 14:57:46.882172 | 12139712 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12139712 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-10 | F | PT | BURNS | JQW418W16911 | MARY BETH | N/A | 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/2222/6956492/check_12139712_25d692de-b691-404e-899a-cfa4a20a307a.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-23 | 040 | CAMCRWP0 | N/A | MP | false | BURNS | N/A | MARY | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754735950 | N/A | N/A | 6956492 | 2222 | 4801 | 12421361 | N/A | 4209247 | 2025-09-10 14:57:46.882172 | 2025-07-22 18:58:10.876206 |
| 2025-09-09 17:03:36.024308 | 2025-09-10 15:02:19.946279 | 12139659 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12139659 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-09-10 | F | PT | RAND | XED912141111 | ELLEN | N/A | 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/2222/7257479/check_12139659_25895ef2-492b-4ea0-b728-272ccf52f835.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754732091 | N/A | N/A | 7257479 | 2222 | 4802 | 12422801 | N/A | 4210270 | 2025-09-10 15:02:19.946279 | 2025-07-08 18:23:05.596578 |
| 2025-09-09 17:03:22.893526 | 2025-09-11 05:01:31.774300 | 12139230 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 12139230 | N/A | 1959-04-06 | 2025-09-12 | F | AE | TURKUS | 4102984792 | JODI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8111935/check_12139230_685e74b7-e03c-4b47-8f4b-10e1beab2bba.json | N/A | N/A | N/A | N/A | N/A | 4102984792 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-04-06 | N/A | N/A | N/A | N/A | false | TURKUS | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754534287 | N/A | N/A | 8111935 | 2222 | 4801 | 12449622 | N/A | 6889064 | 2025-09-11 05:01:31.774300 | 2025-09-02 22:23:13.939670 |
| 2025-09-09 17:03:22.142352 | 2025-09-09 17:03:22.358014 | 12139210 | N/A | N/A | 60054 | Aetna | 1114042165 | 12139210 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-11 | M | AE | KIRK | 1013638055000 | DANIEL | PT | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7556097 | 2222 | 4801 | N/A | N/A | 6476881 | 2025-09-09 17:03:22.358014 | 2025-07-29 22:42:05.499172 |
| 2025-09-09 17:03:13.985239 | 2025-09-10 19:37:22.900824 | 12138950 | N/A | N/A | 60054 | Aetna | 1114042165 | 12138950 | Athletic Physical Therapy Inc | 1982-06-28 | 2025-09-10 | M | AE | AGIUS | W293180945 | NEILD | PT | 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/2222/9087728/check_12138950_44522b4b-9b7e-40dc-b826-f9546acd5aa6.json | N/A | N/A | N/A | N/A | N/A | W293180945 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1982-06-28 | 0109286 | 010928602000001 | N/A | PS | false | AGIUS | N/A | NEILD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755018061 | N/A | N/A | 9087728 | 2222 | 4802 | 12432570 | N/A | 7605322 | 2025-09-10 19:37:22.900824 | 2025-09-04 23:39:17.241505 |
| 2025-09-09 17:03:08.225242 | 2025-09-10 19:48:43.989555 | 12138789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12138789 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-09-11 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205816775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_12138789_b9139cfd-3fd2-4e2a-8860-b98cabddfcdd.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755018057 | N/A | N/A | 9087505 | 2222 | 4793 | 12435300 | N/A | 7605100 | 2025-09-10 19:48:43.989555 | 2025-09-11 15:07:41.965017 |
| 2025-09-09 17:03:06.815155 | 2025-09-10 02:29:30.178654 | 12138741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12138741 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-11 | M | AE | CICCIARI | JQE123W23890 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_12138741_601aa978-34dd-4811-92a9-07f5fff1c722.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754573704 | N/A | N/A | 6752939 | 2222 | 4801 | 12396608 | N/A | 5065602 | 2025-09-10 02:29:30.178654 | 2025-07-01 17:25:13.681724 |
| 2025-09-09 17:03:01.338939 | 2025-09-09 17:03:01.650728 | 12138605 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12138605 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-09-10 | M | PT | BARKEY | JQS728M78455 | JOSEPH | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-10 | 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 | 7545690 | 2222 | 4801 | N/A | N/A | 4211589 | 2025-09-09 17:03:01.650728 | 2025-05-13 04:29:37.225916 |
| 2025-09-09 17:02:52.719351 | 2025-09-11 05:03:46.799732 | 12138354 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12138354 | Athletic Physical Therapy Inc | 1981-10-10 | 2025-09-12 | F | AE | FARAHAT | 101956430 | LAURA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8108868/check_12138354_ae0e9ad9-70f4-4c05-9f6f-29200fd050a3.json | N/A | N/A | N/A | N/A | N/A | 10195643000 | N/A | FINN PARTNERS, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1981-10-10 | N/A | 00610764 | N/A | N/A | false | FARAHAT | N/A | LAURA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754535425 | N/A | N/A | 8108868 | 2222 | 4802 | 12450695 | N/A | 4213812 | 2025-09-11 05:03:46.799732 | 2025-05-13 04:29:37.228133 |
| 2025-09-09 17:02:39.503883 | 2025-09-10 02:29:33.718144 | 12137942 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12137942 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-09-11 | M | AE | Walter | XDO472A63371 | Howard | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205233563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_12137942_e7728961-8927-4aec-af6d-a61eb2f3c4b1.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754573681 | N/A | N/A | 6751424 | 2222 | 4802 | 12396637 | N/A | 5557241 | 2025-09-10 02:29:33.718144 | 2025-07-22 17:08:51.810153 |
| 2025-09-09 17:02:28.181723 | 2025-09-10 14:59:11.501791 | 12137556 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12137556 | Athletic Physical Therapy Inc | 1956-06-24 | 2025-09-12 | M | AE | De Castro | 40043440501 | Teodolofo B | PT | 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/2222/7254540/check_12137556_748e1da3-aad9-42c3-8d70-1dabc1796fa7.json | N/A | N/A | N/A | N/A | N/A | 40043440501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-06-24 | 2025H5425006 | H5425M | N/A | N/A | false | DE CASTRO | N/A | TEODOLFO | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754732939 | N/A | N/A | 7254540 | 2222 | 4802 | 12421715 | N/A | 6021643 | 2025-09-10 14:59:11.501791 | 2025-07-21 16:19:33.638318 |
| 2025-09-09 17:02:26.727362 | 2025-09-10 05:13:00.067353 | 12137505 | N/A | N/A | 60054 | Aetna | 1114042165 | 12137505 | Athletic Physical Therapy Inc | 2001-09-30 | 2025-09-11 | M | AE | VOLOSHIN | 6567890013 | AMIR | PT | 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/2222/8229177/check_12137505_7d2ce9d7-ab2f-4116-b2f8-ff48acc5d863.json | N/A | N/A | N/A | N/A | N/A | 6567889013 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 2001-09-30 | 004 | 16404 | N/A | GP | false | VOLOSHIN | N/A | MOSHE | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754742350 | N/A | N/A | 8229177 | 2222 | 4802 | 12407077 | N/A | 6985402 | 2025-09-10 05:13:00.067353 | 2025-08-28 23:04:18.854159 |
| 2025-09-09 17:02:24.277749 | 2025-09-10 14:50:42.721746 | 12137420 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12137420 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-09-12 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | 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/2222/7253095/check_12137420_0c72062e-e5d3-4681-81e9-fc662e08bba4.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754732928 | N/A | N/A | 7253095 | 2222 | 4802 | 12419983 | N/A | 6219145 | 2025-09-10 14:50:42.721746 | 2025-07-21 16:40:35.276086 |
| 2025-09-09 17:02:18.017534 | 2025-09-10 15:02:18.199345 | 12137189 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12137189 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-09-10 | F | PT | NOSRAT | XEK904721388 | CAROLYN | N/A | 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/2222/7252533/check_12137189_3841ecc1-cb13-434c-b807-f0e3c4b6b29b.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754732909 | N/A | N/A | 7252533 | 2222 | 4802 | 12422794 | N/A | 4214065 | 2025-09-10 15:02:18.199345 | 2025-05-13 04:29:37.228379 |
| 2025-09-09 17:02:17.590851 | 2025-09-10 05:21:33.631281 | 12137174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12137174 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-09-11 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | 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/2222/6491817/check_12137174_6fb7df6d-b945-4fe8-a410-878d9134287f.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754569192 | N/A | N/A | 6491817 | 2222 | 4801 | 12411001 | N/A | 5120889 | 2025-09-10 05:21:33.631281 | 2025-06-23 18:24:54.219050 |
| 2025-09-09 17:02:11.303248 | 2025-09-11 02:16:58.216656 | 12136941 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12136941 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-11 | F | AE | FERNANDEZ | JQC95483183F | LISA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_12136941_fac837df-ced2-46f7-bb8e-02ab586557f8.json | N/A | N/A | N/A | N/A | N/A | JQC95483183F | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | FERNANDEZ | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754869173 | N/A | N/A | 5858692 | 2222 | 4793 | 12445473 | N/A | 4210649 | 2025-09-11 02:16:58.216656 | 2025-06-19 18:43:58.008751 |
| 2025-09-09 17:01:56.081193 | 2025-09-10 02:28:52.196448 | 12136431 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12136431 | Athletic Physical Therapy Inc | 1990-11-27 | 2025-09-12 | M | PT | HAN | XTS845M18428 | PENGCHENG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205219388.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7689149/check_12136431_707a88bd-3094-4327-8b01-8d9ef99d1e4d.json | N/A | N/A | N/A | N/A | N/A | XTS845M18428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-11-27 | N/A | N/A | N/A | N/A | false | HAN | N/A | PENGCHENG | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754532013 | N/A | N/A | 7689149 | 2222 | 4793 | 12396378 | N/A | 6560578 | 2025-09-10 02:28:52.196448 | 2025-08-15 01:36:36.509527 |
| 2025-09-09 17:01:48.087322 | 2025-09-10 05:48:26.213230 | 12136175 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12136175 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-10 | F | AE | SEGAL | 9XA2J80PT02 | JODI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.225028073.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_12136175_4e29ee23-59e3-4cd1-b578-a470c935e4bf.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-02-25 | N/A | DOL 03201995 | N/A | MB | false | SEGAL | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754968740 | N/A | N/A | 8493404 | 2222 | 4801 | 12415532 | N/A | 7159935 | 2025-09-10 05:48:26.213230 | 2025-09-09 21:26:40.265997 |
| 2025-09-09 17:01:48.230875 | 2025-09-10 02:25:03.690116 | 12136174 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12136174 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-12 | F | AE | GARRETT | 3EJ1R73ND18 | KATHLEEN | PT | 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/2222/6714932/check_12136174_e97600bf-4167-4ccb-a7b7-d6eaf6e87ccb.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754725552 | N/A | N/A | 6714932 | 2222 | 4793 | 12395107 | N/A | 5316176 | 2025-09-10 02:25:03.690116 | 2025-07-01 18:44:12.927482 |
| 2025-09-09 17:01:46.779304 | 2025-09-10 05:18:24.427988 | 12136128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12136128 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-09-10 | F | PT | SEITZ | SEY495A67668 | KORINNE | N/A | 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/2222/8225980/check_12136128_cc134cbc-a2d0-4d10-a1af-f359f9813f31.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754743140 | N/A | N/A | 8225980 | 2222 | 4801 | 12409836 | N/A | 6982786 | 2025-09-10 05:18:24.427988 | 2025-09-05 22:05:24.545118 |
| 2025-09-09 17:01:45.136353 | 2025-09-10 05:19:49.139447 | 12136080 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12136080 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-12 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.223519021.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_12136080_94db7c86-0d92-4617-9379-e9b137331e54.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754743138 | N/A | N/A | 8224045 | 2222 | 4802 | 12410381 | N/A | 6981160 | 2025-09-10 05:19:49.139447 | 2025-08-26 21:16:15.557856 |
| 2025-09-09 17:01:35.692211 | 2025-09-10 05:33:30.845438 | 12135819 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12135819 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-11 | F | AE | GRANT | XEM910029614 | ROBIN | PT | 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/2222/8493312/check_12135819_5703c389-cd81-4d9b-85b7-191d1817e603.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754968738 | N/A | N/A | 8493312 | 2222 | 4802 | 12413247 | N/A | 7159835 | 2025-09-10 05:33:30.845438 | 2025-08-25 22:38:59.735145 |
| 2025-09-09 17:01:35.393644 | 2025-09-11 05:01:10.042511 | 12135803 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 12135803 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-09-11 | F | AE | DURAN DE PANTOJA | 43649326 | ROSA | PT | 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/2222/8088383/check_12135803_41d6e815-1cd6-40e4-a753-b651b13ea6e5.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754535124 | N/A | N/A | 8088383 | 2222 | 4793 | 12449470 | N/A | 6871702 | 2025-09-11 05:01:10.042511 | 2025-08-14 21:08:52.019264 |
| 2025-09-09 17:01:25.023983 | 2025-09-11 02:25:10.211377 | 12135459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12135459 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-10 | M | AE | SCOTT | 2F27FV6KJ47 | GEORGE | PT | 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/2222/6105989/check_12135459_aa233122-f2a4-4158-bd43-e4ccb5121371.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755002987 | N/A | N/A | 6105989 | 2222 | 4802 | 12447896 | N/A | 4750274 | 2025-09-11 02:25:10.211377 | 2025-06-12 22:26:37.845238 |
| 2025-09-09 17:01:17.764018 | 2025-09-10 02:29:31.522893 | 12135216 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12135216 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-12 | F | AE | GARRETT | JQE702W20596 | KATHLEEN | PT | 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/2222/6714934/check_12135216_2ca914b5-9c80-40a0-9c05-aab2c88a6849.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754573248 | N/A | N/A | 6714934 | 2222 | 4793 | 12396624 | N/A | 5316176 | 2025-09-10 02:29:31.522893 | 2025-07-01 18:44:12.927482 |
| 2025-09-09 17:01:14.298617 | 2025-09-10 02:11:59.576499 | 12135102 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12135102 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-09-12 | F | AE | SALGUERO | 35955370 | DINA | PT | 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/2222/6711965/check_12135102_d9000b30-6bb1-45c6-b7f4-56165d77eefb.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754724826 | N/A | N/A | 6711965 | 2222 | 4793 | 12390480 | 6798 | 4210430 | 2025-09-10 02:11:59.576499 | 2025-05-13 04:29:37.224841 |
| 2025-09-09 17:01:09.704405 | 2025-09-10 02:29:22.679417 | 12134953 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12134953 | Athletic Physical Therapy Inc | 2008-11-20 | 2025-09-10 | M | PT | RAJAN | WLU550A72985 | HARSHITH | N/A | 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/2222/7853287/check_12134953_188d9700-3230-4ce9-b7ac-9fe0d5ebe600.json | N/A | N/A | N/A | N/A | N/A | WLU550A72985 | Preferred Provider Organization (PPO) | ANTHEM HSA PLUS FIDELITY | ANTHEM BLUE CROSS | N/A | 2008-11-20 | 130 | 1880KQ | N/A | PR | false | NARAYANAN | N/A | RAJAN | N/A | 9999-12-31 | 2025-01-01 | CDHP HSA PLUS PPO INDIANA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754749214 | N/A | N/A | 7853287 | 2222 | 4801 | 12396561 | N/A | 6687324 | 2025-09-10 02:29:22.679417 | 2025-09-10 03:05:54.378777 |
| 2025-09-09 17:01:07.223216 | 2025-09-11 02:20:33.385154 | 12134890 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12134890 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-10 | M | PT | DRISCOLL | XED912182768 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_12134890_846d81a0-d956-432f-80a0-d7280078e257.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8755002977 | N/A | N/A | 6104970 | 2222 | 4802 | 12446790 | N/A | 4749447 | 2025-09-11 02:20:33.385154 | 2025-06-06 23:16:09.869339 |
| 2025-09-09 17:01:06.006359 | 2025-09-10 05:43:22.334510 | 12134850 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12134850 | Athletic Physical Therapy Inc | 1950-03-25 | 2025-09-11 | F | AE | YEKTA | 93973471F | AZAM | PT | 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/2222/8491193/check_12134850_0033f7f9-2330-40ec-a897-c6dc63ac5a15.json | N/A | N/A | N/A | N/A | N/A | 93973471F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1950-03-25 | N/A | N/A | N/A | N/A | false | YEKTA | N/A | AZAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754968721 | N/A | N/A | 8491193 | 2222 | 4801 | 12414865 | N/A | 7158284 | 2025-09-10 05:43:22.334510 | 2025-08-25 22:00:30.718611 |
| 2025-09-09 17:01:01.536034 | 2025-09-10 15:14:52.513760 | 12134700 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12134700 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-10 | M | AE | GORMLEY | 4UH0QA1WF00 | MICHAEL | PT | 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/2222/7214829/check_12134700_5cabbbaf-2c84-4bc7-b0f6-8175cec1af8e.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MB | false | GORMLEY | 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 | 8754732793 | N/A | N/A | 7214829 | 2222 | 4802 | 12425636 | N/A | 4209498 | 2025-09-10 15:14:52.513760 | 2025-09-22 06:46:20.286658 |
| 2025-09-09 17:00:59.439843 | 2025-09-10 05:32:42.907924 | 12134635 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12134635 | Athletic Physical Therapy Inc | 1958-09-29 | 2025-09-11 | F | PT | BEST | LDU544A53961 | LAURA | N/A | 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/2222/8651292/check_12134635_dcb20865-d3be-4cf8-b269-7b84816438a6.json | N/A | N/A | N/A | N/A | N/A | LDU544A53961 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1958-09-29 | 040 | 1838NJ | N/A | EP | false | BEST | N/A | DOUGLAS | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754872838 | N/A | N/A | 8651292 | 2222 | 4793 | 12413126 | N/A | 7293056 | 2025-09-10 05:32:42.907924 | 2025-08-26 22:44:46.836392 |
| 2025-09-09 17:00:58.328590 | 2025-09-10 05:31:58.058547 | 12134606 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12134606 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-09-11 | F | AE | Ahadian | U5X795M98275 | Vida | PT | 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/2222/8479499/check_12134606_bd1f74b1-9018-4373-b523-48e89284c916.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754968715 | N/A | N/A | 8479499 | 2222 | 4802 | 12413033 | N/A | 7146980 | 2025-09-10 05:31:58.058547 | 2025-08-25 22:34:13.951153 |
| 2025-09-09 17:00:51.808359 | 2025-09-10 14:57:48.245625 | 12134419 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12134419 | Athletic Physical Therapy Inc | 1967-05-29 | 2025-09-11 | M | PT | FINN | JQU683A20101 | PATRICK | N/A | 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/2222/6938589/check_12134419_e111f9e3-8bed-490d-85df-c105534a25b0.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1967-05-29 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | 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 | 8754735906 | N/A | N/A | 6938589 | 2222 | 4793 | 12421367 | N/A | 5969280 | 2025-09-10 14:57:48.245625 | 2025-07-09 21:37:07.694893 |
| 2025-09-09 17:00:25.019674 | 2025-09-11 05:05:06.294159 | 12133511 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12133511 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-09-10 | M | PT | MAZZA | XDM860A72836 | JACK | N/A | 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/2222/8083036/check_12133511_524c2bd6-d4f5-43b3-8686-7cd0a05b3021.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754535953 | N/A | N/A | 8083036 | 2222 | 4801 | 12451396 | N/A | 6866179 | 2025-09-11 05:05:06.294159 | 2025-08-14 16:10:19.684218 |
| 2025-09-09 17:00:21.065959 | 2025-09-10 02:28:12.913065 | 12133375 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12133375 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-09-11 | M | AE | Weiss | R13448501MS1 | Mark | PT | 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/2222/7661660/check_12133375_9891cc44-0af0-4d09-a467-c0656b5613d6.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754531955 | N/A | N/A | 7661660 | 2222 | 4802 | 12396095 | N/A | 6543985 | 2025-09-10 02:28:12.913065 | 2025-08-01 18:30:37.244428 |
| 2025-09-09 17:00:09.797594 | 2025-09-10 05:57:29.283762 | 12133016 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12133016 | Athletic Physical Therapy Inc | 1979-02-28 | 2025-09-12 | F | AE | DIAZ | 9MR0M18DW19 | KAREN | PT | 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/2222/8650850/check_12133016_012cd7ca-4717-44fc-bacf-3bdf6a28fda3.json | N/A | N/A | N/A | N/A | N/A | 9MR0M18DW19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1979-02-28 | S4802 | N/A | N/A | MA | false | DIAZ | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754873541 | N/A | N/A | 8650850 | 2222 | 4801 | 12415987 | N/A | 4211301 | 2025-09-10 05:57:29.283762 | 2025-05-13 04:29:37.225660 |
| 2025-09-09 17:00:08.460197 | 2025-09-10 05:57:34.286369 | 12132976 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12132976 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-11 | F | AE | NANVAR | 9H60FA1UD17 | GUITY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650848/check_12132976_a8afac81-b4f3-45e8-927c-c4211969ff5a.json | N/A | N/A | N/A | N/A | N/A | 9H60FA1UD17 | N/A | N/A | CMS | N/A | 1957-07-28 | N/A | N/A | N/A | N/A | false | NANVAR | N/A | GUITY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754873540 | N/A | N/A | 8650848 | 2222 | 4802 | 12415989 | N/A | 7292786 | 2025-09-10 05:57:34.286369 | 2025-09-04 04:11:35.031790 |
| 2025-09-09 16:59:56.202004 | 2025-09-10 05:35:52.925481 | 12132609 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12132609 | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-10 | M | PT | GAMLOWSKI | XEH906942906 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205251293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650498/check_12132609_bdec48ed-0b40-4058-b7e6-1ef549bd32ae.json | N/A | N/A | N/A | N/A | N/A | XEH906942906 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1965-06-30 | 1478HMOX0001 | W0051411 | N/A | HM | false | GAMLOWSKI | N/A | JOHN | 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 | 8754873528 | N/A | N/A | 8650498 | 2222 | 4801 | 12413913 | N/A | 7292599 | 2025-09-10 05:35:52.925481 | 2025-08-26 22:09:31.664811 |
| 2025-09-09 16:59:17.780071 | 2025-09-10 15:14:51.914565 | 12131369 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12131369 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-10 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | 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/2222/7204595/check_12131369_06f3c471-c739-4171-b368-f6f549d71efd.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MB | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754731705 | N/A | N/A | 7204595 | 2222 | 4801 | 12425633 | N/A | 6175435 | 2025-09-10 15:14:51.914565 | 2025-08-05 19:05:08.506352 |
| 2025-09-09 16:59:02.436684 | 2025-09-11 02:18:39.433445 | 12130889 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12130889 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-11 | F | AE | ROBERTS | 00000402630 | DEBRA | PT | 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/2222/6085762/check_12130889_3f71b404-5f5b-43c3-aa61-346a5a90cbf8.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | 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 | 8755002683 | N/A | N/A | 6085762 | 2222 | 4793 | 12446108 | N/A | 4729138 | 2025-09-11 02:18:39.433445 | 2025-05-31 14:20:56.156252 |
| 2025-09-09 16:58:58.129818 | 2025-09-10 02:28:15.550468 | 12130750 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12130750 | Athletic Physical Therapy Inc | 1954-08-05 | 2025-09-10 | F | AE | HORLAND | 20663702 | IVEE | PT | 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/2222/7825428/check_12130750_e0b771fb-9d16-40ef-bd0e-ad3f30288bab.json | N/A | N/A | N/A | N/A | N/A | 20663702 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-08-05 | N/A | N/A | N/A | N/A | false | HORLAND | N/A | IVEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754749665 | N/A | N/A | 7825428 | 2222 | 4793 | 12396107 | N/A | 6663392 | 2025-09-10 02:28:15.550468 | 2025-08-06 23:29:48.431578 |
| 2025-09-09 16:58:41.665802 | 2025-09-10 05:12:21.459314 | 12130215 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12130215 | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-11 | F | PT | VALENCIA | 972A2070870 | NEVAEH | N/A | 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/2222/8639700/check_12130215_91d8ebe8-57c1-4baf-a308-9476b61a4d13.json | N/A | N/A | N/A | N/A | N/A | 972A2070870 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754873214 | N/A | N/A | 8639700 | 2222 | 4801 | 12406653 | N/A | 7100343 | 2025-09-10 05:12:21.459314 | 2025-08-26 17:30:26.978462 |
| 2025-09-09 16:58:39.362961 | 2025-09-11 05:02:05.520451 | 12130142 | N/A | N/A | 60054 | Aetna | 1114042165 | 12130142 | Athletic Physical Therapy Inc | 1961-03-09 | 2025-09-11 | F | AE | GRANT | M294377534 | LAUREN | PT | 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/2222/8058114/check_12130142_e330dff6-bb1c-4a57-9352-6b3d2707f279.json | N/A | N/A | N/A | N/A | N/A | W294377534 | Point of Service (POS) | GLOBALIZATION PARTNERS | AETNA | N/A | 1961-03-09 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | LAUREN | 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 | 8754535075 | N/A | N/A | 8058114 | 2222 | 4793 | 12449923 | N/A | 6851112 | 2025-09-11 05:02:05.520451 | 2025-08-20 20:34:53.713264 |
| 2025-09-09 16:58:21.391108 | 2025-09-10 02:42:32.903283 | 12129554 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12129554 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-12 | M | AE | WALLACH | 1PD0KF7JH37 | CHARLES | PT | 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/2222/7821426/check_12129554_f50a52fc-7cac-41b5-99f0-86b0fd7f375b.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754749442 | N/A | N/A | 7821426 | 2222 | 4801 | 12400977 | N/A | 6660003 | 2025-09-10 02:42:32.903283 | 2026-06-01 17:03:48.982724 |
| 2025-09-09 16:58:11.931796 | 2025-09-09 16:58:12.715135 | 12129275 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12129275 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-09-11 | F | PT | LUBOW | XEK906143943 | CAROLINE | N/A | 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 | 7516790 | 2222 | 4793 | N/A | N/A | 6452743 | 2025-09-09 16:58:12.715135 | 2025-08-06 21:04:56.768115 |
| 2025-09-09 16:58:09.040348 | 2025-09-10 05:32:03.217348 | 12129171 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12129171 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-09-10 | M | AE | RANDERIA | R58901143 | BHUPENDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.225028073.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_12129171_af3fad4d-d14a-4484-98c4-81e34f1647be.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754968508 | N/A | N/A | 8420255 | 2222 | 4802 | 12413045 | N/A | 7097664 | 2025-09-10 05:32:03.217348 | 2026-04-30 18:11:14.979451 |
| 2025-09-09 16:58:05.561663 | 2025-09-11 02:16:57.932986 | 12129047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12129047 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-11 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_12129047_584eeef1-64c9-4c9b-a033-7150fe1f89e1.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868304 | N/A | N/A | 5550535 | 2222 | 4801 | 12445470 | N/A | 4219556 | 2025-09-11 02:16:57.932986 | 2025-05-13 04:29:37.230592 |
| 2025-09-09 16:58:05.174373 | 2025-09-11 02:16:58.860600 | 12129038 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12129038 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-09-12 | F | AE | KUDLATOVA | JQE069W14577 | MARIE | PT | 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/2222/5549472/check_12129038_2a00a9bf-0ec5-4cae-82c5-bdac015567be.json | N/A | N/A | N/A | N/A | N/A | JQE069W14577 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-02-24 | 040 | CASUPWP0 | N/A | N/A | false | KUDLATOVA | N/A | MARIE | N/A | 9999-12-31 | 2023-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868303 | N/A | N/A | 5549472 | 2222 | 4801 | 12445479 | N/A | 4219128 | 2025-09-11 02:16:58.860600 | 2025-05-13 04:29:37.230146 |
| 2025-09-09 16:57:57.616268 | 2025-09-11 02:16:58.522181 | 12128841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12128841 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-09-12 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | 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/2222/5539665/check_12128841_41b1d3ef-7ba1-46d4-b15b-792ed9526a8d.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | MARIKO | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754868292 | N/A | N/A | 5539665 | 2222 | 4793 | 12445476 | N/A | 4211935 | 2025-09-11 02:16:58.522181 | 2025-05-13 04:29:37.226259 |