API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 16:57:56.009404 | 2025-09-11 02:16:59.254319 | 12128788 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12128788 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-09-11 | F | AE | PT | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | N/A | 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/2222/5539052/check_12128788_2536f91a-723f-4d39-84d0-77a0d03e6dcc.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868291 | N/A | N/A | 5539052 | 2222 | 4801 | 12445481 | N/A | 4211368 | 2025-09-11 02:16:59.254319 | 2025-05-13 04:29:37.225728 |
| 2025-09-09 16:57:54.998335 | 2025-09-11 02:17:43.301839 | 12128757 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12128757 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-09-10 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_12128757_cd667dbe-c975-4837-9006-71ae91b99a60.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | 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 | 8754868290 | N/A | N/A | 5538999 | 2222 | 4802 | 12445755 | N/A | 4211316 | 2025-09-11 02:17:43.301839 | 2025-05-13 04:29:37.225679 |
| 2025-09-09 16:57:52.924258 | 2025-09-11 02:16:31.054096 | 12128707 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12128707 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-12 | F | AE | PT | THOMSEN | R12604487 | JANET | 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/2222/5537953/check_12128707_abe86142-dd04-4bac-9a28-21d11576198a.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868289 | N/A | N/A | 5537953 | 2222 | 4801 | 12445293 | N/A | 4210450 | 2025-09-11 02:16:31.054096 | 2026-05-04 21:51:25.248197 |
| 2025-09-09 16:57:50.232686 | 2025-09-11 02:11:44.309829 | 12128634 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12128634 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-10 | M | AE | PT | ULLMAN | 557489000 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_12128634_07c4b417-fcba-4b63-a922-a1ef75f3cce8.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868288 | N/A | N/A | 5535842 | 2222 | 4801 | 12443601 | N/A | 4208696 | 2025-09-11 02:11:44.309829 | 2025-06-07 16:16:45.844566 |
| 2025-09-09 16:57:47.340409 | 2025-09-11 02:17:43.019041 | 12128553 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12128553 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-10 | M | AE | PT | MELVILLE | XEMJ06188527 | LANNING | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205235328.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_12128553_d0cc1314-71ea-49de-bc77-4426b63a1b40.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754868287 | N/A | N/A | 5535731 | 2222 | 4802 | 12445753 | N/A | 4208598 | 2025-09-11 02:17:43.019041 | 2025-09-11 00:56:25.554348 |
| 2025-09-09 16:57:39.706914 | 2025-09-10 02:42:32.600672 | 12128321 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12128321 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-09-10 | M | AE | PT | LEYDERMAN | 8C40J87HK31 | BORIS | 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/2222/7817911/check_12128321_d77ed879-d797-4ec1-b913-679190c0188d.json | N/A | N/A | N/A | N/A | N/A | 8C40J87HK31 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-21 | N/A | N/A | N/A | MA | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754749122 | N/A | N/A | 7817911 | 2222 | 4793 | 12400973 | N/A | 6656900 | 2025-09-10 02:42:32.600672 | 2025-08-17 17:40:08.050078 |
| 2025-09-09 16:57:30.322754 | 2025-09-09 16:57:30.745812 | 12128039 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12128039 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-09-12 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | N/A | 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 | 7513987 | 2222 | 4802 | N/A | N/A | 6451061 | 2025-09-09 16:57:30.745812 | 2025-07-28 22:43:26.605856 |
| 2025-09-09 16:57:25.492845 | 2025-09-10 05:21:29.762496 | 12127896 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12127896 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-09-11 | F | PT | N/A | HAZARD | NCF794W22253 | PAULA | 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/2222/6472283/check_12127896_01156916-d9ac-4420-ba7a-b91f355981a4.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754568738 | N/A | N/A | 6472283 | 2222 | 4801 | 12410979 | N/A | 5105323 | 2025-09-10 05:21:29.762496 | 2025-07-02 18:01:41.077949 |
| 2025-09-09 16:57:21.582805 | 2025-09-10 14:59:58.717386 | 12127780 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12127780 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-09-11 | M | PT | N/A | Shachory | XEK906003800 | Rafael | 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/2222/6919729/check_12127780_2a8b9bea-ad7e-4072-8af5-5e3442afa3c1.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754735389 | N/A | N/A | 6919729 | 2222 | 4793 | 12422016 | N/A | 5950744 | 2025-09-10 14:59:58.717386 | 2025-07-10 00:33:25.010317 |
| 2025-09-09 16:57:21.109644 | 2025-09-10 14:57:49.225542 | 12127769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12127769 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-09-10 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | 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/2222/6917703/check_12127769_bb84de0a-0674-436b-9fef-ddf026a57adf.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754735388 | N/A | N/A | 6917703 | 2222 | 4793 | 12421371 | N/A | 5949095 | 2025-09-10 14:57:49.225542 | 2025-07-28 22:15:30.266976 |
| 2025-09-09 16:57:20.716620 | 2025-09-10 14:57:32.233117 | 12127756 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12127756 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-09-11 | M | AE | PT | KIM | 96135332F | JOSEPH | 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/2222/6917652/check_12127756_5713057c-0082-4722-98cb-4c54aca2a408.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754735387 | N/A | N/A | 6917652 | 2222 | 4802 | 12421284 | N/A | 5949044 | 2025-09-10 14:57:32.233117 | 2025-07-08 23:15:13.625855 |
| 2025-09-09 16:57:19.335272 | 2025-09-10 02:28:13.604580 | 12127716 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12127716 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-11 | M | AE | PT | CORAY | 00003138358 | KLAUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205123535.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_12127716_1e61330d-3486-40d1-922e-333ce469898a.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754749082 | N/A | N/A | 7815883 | 2222 | 4793 | 12396098 | N/A | 6655655 | 2025-09-10 02:28:13.604580 | 2025-09-09 21:32:56.328170 |
| 2025-09-09 16:57:13.489402 | 2025-09-09 16:57:15.782005 | 12127547 | N/A | N/A | 84146 | CHAMPVA/VA-HAC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-09 | F | PT | N/A | CHAMBERLIN | 551414043 | JULIE | 6708 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9140714/check_12127547_bdfff57f-1b14-4c72-ba01-34a6deaec8cb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9140714/check_12127547_596193be-a342-4c37-9168-97275ff2f112.json | N/A | N/A | N/A | N/A | N/A | 551414043 | N/A | N/A | VA HAC | N/A | 1960-09-02 | N/A | N/A | N/A | N/A | false | CHAMBERLIN | N/A | JULIE | 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 | 9140714 | 2222 | N/A | 12360345 | N/A | 6499323 | 2025-09-09 16:57:15.782005 | 2025-07-30 18:54:36.603528 |
| 2025-09-09 16:57:07.183095 | 2025-09-09 16:57:13.294434 | 12127356 | N/A | N/A | 84146 | CHAMPVA/VA-HAC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-09 | F | PT | N/A | CHAMBERLIN | 551414043 | JULIE | 6708 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9140714/check_12127356_0fb5e142-a17e-4e16-8028-98cd92ce9cd0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 551414043 | N/A | N/A | VA HAC | N/A | 1960-09-02 | N/A | N/A | N/A | N/A | false | CHAMBERLIN | N/A | JULIE | 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 | 9140714 | 2222 | N/A | N/A | N/A | 6499323 | 2025-09-09 16:57:13.294434 | 2025-07-30 18:54:36.603528 |
| 2025-09-09 16:56:57.851423 | 2025-09-11 05:04:25.618826 | 12127030 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12127030 | N/A | 1960-02-19 | 2025-09-11 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | N/A | 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/2222/8048674/check_12127030_292bc8d2-79fd-41d5-a64c-f908716334e9.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754535403 | N/A | N/A | 8048674 | 2222 | 4801 | 12451020 | N/A | 6844466 | 2025-09-11 05:04:25.618826 | 2025-08-13 17:29:27.130257 |
| 2025-09-09 16:56:51.624366 | 2025-09-10 02:14:36.757468 | 12126816 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12126816 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-09-11 | F | AE | PT | BASS | 101139629800 | NADINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205123535.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_12126816_9e688542-abdd-4545-9f65-f8956bc2dfd8.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754748052 | N/A | N/A | 7813006 | 2222 | 4802 | 12391380 | N/A | 6653186 | 2025-09-10 02:14:36.757468 | 2025-08-06 14:30:41.257679 |
| 2025-09-09 16:56:48.091755 | 2025-09-11 05:04:46.805513 | 12126699 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12126699 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-09-12 | M | AE | PT | HILTSER | 208616901 | LORNE | N/A | 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/2222/8048052/check_12126699_a0a26f55-dc59-488e-9aac-d98fc386b376.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754535384 | N/A | N/A | 8048052 | 2222 | 4802 | 12451212 | N/A | 6844134 | 2025-09-11 05:04:46.805513 | 2025-08-29 16:18:21.978739 |
| 2025-09-09 16:56:47.566647 | 2025-09-10 05:27:09.568465 | 12126682 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12126682 | N/A | 1947-05-27 | 2025-09-10 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | 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/2222/8634171/check_12126682_69b9d728-57af-42d8-955b-231022721427.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1947-05-27 | N/A | N/A | N/A | N/A | false | OJEDA DE VALERIO | N/A | MARCELINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754873071 | N/A | N/A | 8634171 | 2222 | 4801 | 12412371 | N/A | 7279268 | 2025-09-10 05:27:09.568465 | 2025-09-01 17:13:14.403136 |
| 2025-09-09 16:56:43.622611 | 2025-09-10 05:32:45.733528 | 12126562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12126562 | Athletic Physical Therapy Inc | 1962-07-16 | 2025-09-12 | M | PT | N/A | FORSTER | D7X929848912 | JOHN | N/A | 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/2222/8633336/check_12126562_fe6b5107-da30-433f-a3b8-138f682b66dc.json | N/A | N/A | N/A | N/A | N/A | D7X929848912 | Preferred Provider Organization (PPO) | CACI INTERNATIONAL | ANTHEM BLUE CROSS | N/A | 1962-07-16 | N/A | 67203000 | N/A | PR | false | FORSTER | N/A | JOHN | N/A | 9999-12-31 | 2025-07-01 | BLUECHOICE ADVANTAGE CDH | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754873064 | N/A | N/A | 8633336 | 2222 | 4801 | 12413131 | N/A | 4209604 | 2025-09-10 05:32:45.733528 | 2025-05-13 04:29:37.224032 |
| 2025-09-09 16:56:33.793957 | 2025-09-10 05:19:48.633787 | 12126260 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12126260 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-09-12 | F | PT | N/A | DIAZ | XEA902904791 | MCKINLEY | 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/2222/8202983/check_12126260_287663d1-925a-4a33-a010-5562395f24cd.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 2014-01-08 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2033-01-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742847 | N/A | N/A | 8202983 | 2222 | 4793 | 12410378 | N/A | 6965635 | 2025-09-10 05:19:48.633787 | 2025-09-05 19:59:40.463785 |
| 2025-09-09 16:56:32.386877 | 2025-09-10 05:19:48.148337 | 12126216 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12126216 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-09-10 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | 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/2222/8202901/check_12126216_23d84aee-941f-45ae-8b81-805b38ac60b3.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | 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 | 8754742844 | N/A | N/A | 8202901 | 2222 | 4793 | 12410372 | N/A | 6965521 | 2025-09-10 05:19:48.148337 | 2025-09-10 21:42:23.177790 |
| 2025-09-09 16:56:26.246664 | 2025-09-10 05:20:18.023341 | 12126026 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12126026 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-09-10 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | 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/2222/8202094/check_12126026_3c09b324-c3e0-4a87-972f-1974978a02c6.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754742715 | N/A | N/A | 8202094 | 2222 | 4793 | 12410556 | N/A | 6964828 | 2025-09-10 05:20:18.023341 | 2025-08-21 15:20:41.432970 |
| 2025-09-09 16:55:40.286465 | 2025-09-11 05:01:28.605479 | 12124392 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12124392 | Athletic Physical Therapy Inc | 2010-11-22 | 2025-09-10 | M | PT | N/A | SHRUBB | 844A5145451 | DANIEL | N/A | 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/2222/8979901/check_12124392_90f1b426-ca13-4198-a6c8-b188eae1b8ce.json | N/A | N/A | N/A | N/A | N/A | 844A5145451 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2010-11-22 | N/A | N/A | N/A | N/A | false | SHRUBB | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754870273 | N/A | N/A | 8979901 | 2222 | 4793 | 12449594 | N/A | 7503496 | 2025-09-11 05:01:28.605479 | 2025-09-10 14:00:19.022192 |
| 2025-09-09 16:55:29.958823 | 2025-09-10 02:42:32.572413 | 12124037 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12124037 | Athletic Physical Therapy Inc | 1953-11-05 | 2025-09-10 | F | AE | PT | RODAS DE GARCIA | 3ND1Q97UR14 | LIDIA | N/A | 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/2222/7627263/check_12124037_c147999e-4cf2-4fba-bdb0-8319d327d395.json | N/A | N/A | N/A | N/A | N/A | 3ND1Q97UR14 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-05 | S4802 | N/A | N/A | MB | false | RODAS DE GARCIA | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754532185 | N/A | N/A | 7627263 | 2222 | 4801 | 12400972 | N/A | 6526264 | 2025-09-10 02:42:32.572413 | 2025-08-20 16:52:47.865565 |
| 2025-09-09 16:55:28.193560 | 2025-09-10 15:00:45.160142 | 12123976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12123976 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-11 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | 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/2222/7173793/check_12123976_e80c5193-cd47-4a2e-b906-9c731cfe6634.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754730561 | N/A | N/A | 7173793 | 2222 | 4793 | 12422248 | N/A | 6149539 | 2025-09-10 15:00:45.160142 | 2025-07-17 20:34:26.073953 |
| 2025-09-09 16:55:28.189728 | 2025-09-10 02:12:46.391411 | 12123975 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12123975 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-09-11 | F | PT | N/A | HERCEG | JQQ193M82762 | ANDJELKA | N/A | 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/2222/7627183/check_12123975_8d7f8de0-2e55-4d09-8de6-7e794c921e09.json | N/A | N/A | N/A | N/A | N/A | JQQ193M82762 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-04-03 | N/A | N/A | N/A | N/A | false | HERCEG | N/A | ANDJELKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754532180 | N/A | N/A | 7627183 | 2222 | 4793 | 12390643 | N/A | 6526151 | 2025-09-10 02:12:46.391411 | 2025-07-31 16:27:01.412304 |
| 2025-09-09 16:55:22.729215 | 2025-09-09 16:55:23.132104 | 12123786 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12123786 | N/A | 2001-03-26 | 2025-09-12 | F | PT | N/A | GRIFFIN | 604389070 | ALISA | N/A | 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 | 7496180 | 2222 | 4801 | N/A | N/A | 6442600 | 2025-09-09 16:55:23.132104 | 2025-09-03 23:37:28.319879 |
| 2025-09-09 16:55:18.220238 | 2025-09-10 02:16:39.612389 | 12123625 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12123625 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-09-10 | M | PT | N/A | HUTH | XEH910929228 | KENT | N/A | 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/2222/7626895/check_12123625_c3743100-3b36-4253-ad58-e313ac2d4274.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | 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 | 8754532155 | N/A | N/A | 7626895 | 2222 | 4793 | 12392301 | N/A | 6525917 | 2025-09-10 02:16:39.612389 | 2026-05-08 22:53:13.232007 |
| 2025-09-09 16:55:03.166072 | 2025-09-11 05:05:05.949373 | 12123047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12123047 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-11 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | N/A | 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/2222/8027485/check_12123047_5c553027-6fc8-467b-80c2-272ab7b5e198.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754534542 | N/A | N/A | 8027485 | 2222 | 4793 | 12451392 | N/A | 6828971 | 2025-09-11 05:05:05.949373 | 2025-09-02 17:27:57.794692 |
| 2025-09-09 16:55:02.248178 | 2025-09-11 02:18:38.328563 | 12123017 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12123017 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-09-12 | M | AE | PT | BECKLEY | 00000375188 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_12123017_2856a9d0-a972-4498-9278-057361bdf7d2.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 8755002266 | N/A | N/A | 6077164 | 2222 | 4801 | 12446101 | 2630 | 4720748 | 2025-09-11 02:18:38.328563 | 2025-06-11 15:34:07.942696 |
| 2025-09-09 16:55:00.663487 | 2025-09-10 02:28:24.880515 | 12122957 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12122957 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-09-12 | F | AE | PT | Mullen | 97749132H | Melissa | N/A | 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/2222/7799930/check_12122957_e1031230-4ea8-4a5c-9aac-6107498b8d9c.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754748558 | N/A | N/A | 7799930 | 2222 | 4802 | 12396180 | N/A | 6641123 | 2025-09-10 02:28:24.880515 | 2025-08-06 00:00:36.528464 |
| 2025-09-09 16:54:57.945906 | 2025-09-11 05:06:02.532381 | 12122859 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12122859 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-09-11 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | 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/2222/8026951/check_12122859_7a2df203-4c7e-4aa6-a45a-fda02c356ccc.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754534419 | N/A | N/A | 8026951 | 2222 | 4801 | 12451880 | N/A | 6828511 | 2025-09-11 05:06:02.532381 | 2025-08-14 00:23:35.929152 |
| 2025-09-09 16:54:56.115445 | 2025-09-11 05:05:06.618750 | 12122789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12122789 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-09-11 | F | PT | N/A | SCHRODT | XDP041W16673 | CLARE | N/A | 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/2222/8026784/check_12122789_cde27b5a-a270-4d02-a621-55d7b42b73f0.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754534414 | N/A | N/A | 8026784 | 2222 | 4802 | 12451399 | N/A | 6828383 | 2025-09-11 05:05:06.618750 | 2025-08-12 22:27:19.278771 |
| 2025-09-09 16:54:44.183497 | 2025-09-11 05:02:06.115713 | 12122277 | N/A | N/A | 60054 | Aetna | 1114042165 | 12122277 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-09-12 | M | AE | PT | LEE | W46967828 | MICAH | N/A | 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/2222/8025873/check_12122277_d11278dd-3551-4bd4-8134-3d73208ffbbf.json | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754534378 | N/A | N/A | 8025873 | 2222 | 4802 | 12449928 | N/A | 6827370 | 2025-09-11 05:02:06.115713 | 2025-08-19 17:52:17.507801 |
| 2025-09-09 16:54:43.105315 | 2025-09-11 05:02:02.557487 | 12122238 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12122238 | N/A | 1960-06-14 | 2025-09-11 | F | PT | N/A | VERWEY | R61817302 | CAREN | N/A | 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/2222/8025542/check_12122238_886a49db-6edd-4a02-8346-6ce0a1e9921f.json | N/A | N/A | N/A | N/A | N/A | R61817302 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1960-06-14 | N/A | N/A | N/A | N/A | false | VERWEY | N/A | CAREN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754534375 | N/A | N/A | 8025542 | 2222 | 4801 | 12449896 | N/A | 6826965 | 2025-09-11 05:02:02.557487 | 2025-08-13 02:28:19.717631 |
| 2025-09-09 16:54:23.177192 | 2025-09-10 05:16:25.300526 | 12121509 | N/A | N/A | 60054 | Aetna | 1114042165 | 12121509 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-10 | F | AE | PT | SEGAL | W248584098 | JODI | 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/2222/8493403/check_12121509_953647d1-5df1-489e-b425-c941522dc968.json | N/A | N/A | N/A | N/A | N/A | W248584098 | Point of Service (POS) | FARMERS INSURANCE EXCHANGE | AETNA | N/A | 1968-02-25 | 0109198 | 010919803500001 | N/A | PS | false | SEGAL | N/A | WILLIAM | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754872418 | N/A | N/A | 8493403 | 2222 | 4801 | 12409027 | N/A | 7159935 | 2025-09-10 05:16:25.300526 | 2025-09-09 21:26:40.265997 |
| 2025-09-09 16:54:14.652375 | 2025-09-11 02:17:18.735674 | 12121237 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12121237 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-09-12 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250909.205348977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_12121237_9546b08c-d326-43f2-97ce-314a5d56ca2d.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8755002230 | N/A | N/A | 6074035 | 2222 | 4801 | 12445595 | N/A | 4718592 | 2025-09-11 02:17:18.735674 | 2025-05-29 20:00:22.627186 |
| 2025-09-09 16:53:24.749887 | 2025-09-09 16:53:29.993038 | 12121037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-09 | F | AE | PT | GOEL | JQE690A74746 | VEENA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969545/check_12121037_8a1bac86-79bc-4b0a-ada4-b814dd8e17e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12121037_dd735bf6-dbfa-4916-8cd4-11ce81ee6494.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754334480 | N/A | N/A | 8969545 | 2222 | N/A | 12359953 | N/A | 7485064 | 2025-09-09 16:53:29.993038 | 2025-12-29 22:41:16.623495 |
| 2025-09-09 16:52:48.145416 | 2025-09-09 16:53:37.775707 | 12120960 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-09 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493312/check_12120960_491d91ef-91d9-431d-ab1a-be58717a5f5b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_12120960_4ec2841d-05a0-42ad-9334-b86314920381.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 | 8754325749 | N/A | N/A | 8493312 | 2222 | N/A | 12359973 | N/A | 7159835 | 2025-09-09 16:53:37.775707 | 2025-08-25 22:38:59.735145 |
| 2025-09-09 16:52:03.499197 | 2025-09-09 16:52:07.686143 | 12120862 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-09 | F | AE | PT | STERINA | 31470398711 | ELIZABETH | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8632770/check_12120862_ebfb44e0-1581-4a15-8513-62a1e5e35717.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632770/check_12120862_a37209c8-acd3-4e68-aeff-f9c7810a887b.json | N/A | N/A | N/A | N/A | N/A | 31470398711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-07-08 | N/A | N/A | N/A | SP | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754316132 | N/A | N/A | 8632770 | 2222 | N/A | 12359782 | N/A | 7278220 | 2025-09-09 16:52:07.686143 | 2025-08-26 15:52:58.453727 |
| 2025-09-09 16:51:43.619814 | 2025-09-09 16:52:48.051594 | 12120817 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-09 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493312/check_12120817_90ffb62f-a456-4d4e-8473-e8979c9d4b57.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | XEM910029614 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1955-11-13 | N/A | N/A | N/A | N/A | false | GRANT | N/A | ROBIN | 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 | 8493312 | 2222 | N/A | N/A | N/A | 7159835 | 2025-09-09 16:52:48.051594 | 2025-08-25 22:38:59.735145 |
| 2025-09-09 16:51:37.348443 | 2025-09-09 16:51:40.508154 | 12120795 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-10-12 | 2025-09-09 | F | AE | PT | Ahadian | U5X795M98275 | Vida | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8479499/check_12120795_77dc9004-00f0-422c-8089-9c783a0a1cdb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_12120795_95f6807b-2a9a-455e-969b-fefabbd73ec1.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 | 8754310819 | N/A | N/A | 8479499 | 2222 | N/A | 12359717 | N/A | 7146980 | 2025-09-09 16:51:40.508154 | 2025-08-25 22:34:13.951153 |
| 2025-09-09 16:50:39.911349 | 2025-09-09 16:50:43.621081 | 12120661 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-09-09 | F | AE | PT | STOPSKY | 98440536C | LIDIA | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8226227/check_12120661_34e12a67-c4fa-46b5-8813-95c164d1e418.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8226227/check_12120661_327fe623-9663-4742-9f5f-6e98d2e73b3a.json | N/A | N/A | N/A | N/A | N/A | 98440536C | N/A | N/A | HEALTH NET, LLC | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754300389 | N/A | N/A | 8226227 | 2222 | N/A | 12359579 | N/A | 4212423 | 2025-09-09 16:50:43.621081 | 2025-05-13 04:29:37.226755 |
| 2025-09-09 16:49:42.501349 | 2025-09-09 16:49:46.460592 | 12120537 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-15 | 2025-09-09 | F | AE | PT | KIRK | 101297147800 | JAN | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8167057/check_12120537_49770df6-3eea-403e-be79-0e312eee8ce9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_12120537_d137529a-1686-48f4-8fe6-57d8e84cb51a.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754289712 | N/A | N/A | 8167057 | 2222 | N/A | 12359456 | N/A | 6933707 | 2025-09-09 16:49:46.460592 | 2026-05-21 16:32:55.382229 |
| 2025-09-09 16:48:49.739108 | 2025-09-09 16:48:52.676464 | 12120409 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-09 | F | PT | N/A | Moore | 8V70PQ9EF39 | Jeana | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8044093/check_12120409_2b961f1c-bd2a-4981-9b80-ebae80666373.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8044093/check_12120409_c58d78eb-14dd-4e12-96cb-668ec7e0238a.json | N/A | N/A | N/A | N/A | N/A | 8V70PQ9EF39 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-21 | H4471 | N/A | N/A | MB | false | MOORE | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8754278833 | N/A | N/A | 8044093 | 2222 | N/A | 12359324 | N/A | 6725117 | 2025-09-09 16:48:52.676464 | 2026-02-18 22:27:04.950292 |
| 2025-09-09 16:47:15.859541 | 2025-09-09 16:47:19.220117 | 12120154 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-09-09 | F | AE | PT | Bhavnani | CPT263A59907 | Hoor | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_12120154_855bf62e-f653-4cef-bc7a-00f149cb8d14.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7786159/check_12120154_ac8b8837-1f9e-4d15-a51c-407416b61105.json | N/A | N/A | N/A | N/A | N/A | CPT263A59907 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | MEDICARE A | N/A | 1956-11-25 | 040 | C20001M1A2 | N/A | PR | false | SIKRI | N/A | APRAJITA | N/A | 9999-12-31 | 2019-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8754256260 | N/A | N/A | 7786159 | 2222 | N/A | 12359071 | N/A | 6630174 | 2025-09-09 16:47:19.220117 | 2025-08-11 13:59:52.049710 |
| 2025-09-09 16:45:31.285751 | 2025-09-09 16:45:33.719505 | 12119857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-25 | 2025-09-09 | F | AE | PT | CARRANZA | 94113505C | KISELL | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7508301/check_12119857_2c287979-422a-4fd4-9a17-cc8c5f8e7db1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_12119857_c83d3354-b05d-494f-ac2a-eee66d303bfe.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7508301 | 2222 | N/A | 12358767 | N/A | 4214064 | 2025-09-09 16:45:33.719505 | 2025-07-15 17:36:25.711810 |
| 2025-09-09 16:45:28.198489 | 2025-09-09 16:45:31.277421 | 12119843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-25 | 2025-09-09 | F | AE | PT | CARRANZA | 94113505C | KISELL | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7508301/check_12119843_e7364147-b51f-4e0e-a171-2e6c6a0e351c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7508301 | 2222 | N/A | N/A | N/A | 4214064 | 2025-09-09 16:45:31.277421 | 2025-07-15 17:36:25.711810 |
| 2025-09-09 16:44:44.733890 | 2025-09-09 16:44:47.757241 | 12119709 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1933-09-27 | 2025-09-09 | F | AE | PT | Lavian | 97177630D07325 | Valantin | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7312836/check_12119709_ab8c417c-f90b-4aa4-989e-ef53f49ba9a3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7312836/check_12119709_dd06c330-1b33-423c-bea0-65c916e72a0f.json | N/A | N/A | N/A | N/A | N/A | 97177630D07325 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1933-09-27 | N/A | N/A | N/A | N/A | 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 | N/A | N/A | N/A | 7312836 | 2222 | N/A | 12358620 | N/A | 6258477 | 2025-09-09 16:44:47.757241 | 2025-08-12 21:50:09.562340 |
| 2025-09-09 16:44:42.750690 | 2025-09-09 16:44:44.711956 | 12119700 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1933-09-27 | 2025-09-09 | F | AE | PT | Lavian | 97177630D07325 | Valantin | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7312836/check_12119700_6d571428-b931-4e75-afb3-386e6476ab53.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 97177630D07325 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1933-09-27 | N/A | N/A | N/A | N/A | 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 | N/A | N/A | N/A | 7312836 | 2222 | N/A | N/A | N/A | 6258477 | 2025-09-09 16:44:44.711956 | 2025-08-12 21:50:09.562340 |