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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 14:20:40.334561 | 2025-09-09 14:20:53.043911 | 12111296 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-08-11 | 2025-09-09 | M | AE | PT | 3948 | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7761496/check_12111296_eaf3e4a7-d130-4260-a946-69c4fef6f159.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_12111296_fff4d7f1-a994-4961-a914-dde4dfa0deb9.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8752418909 | N/A | N/A | 7761496 | 2222 | N/A | 12350094 | N/A | 6610810 | 2025-09-09 14:20:53.043911 | 2025-08-04 22:41:35.670334 |
| 2025-09-09 14:20:36.293793 | 2025-09-09 14:20:46.515584 | 12111291 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-04-01 | 2025-09-09 | F | AE | PT | 23326 | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/7761229/check_12111291_870d39a1-120b-47f7-a7f8-8a83c0aeb5fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_12111291_275bdcdd-bd70-472d-afd1-90d4e49f38c7.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8752418283 | N/A | N/A | 7761229 | 2222 | N/A | 12350083 | N/A | 6610550 | 2025-09-09 14:20:46.515584 | 2025-08-29 21:18:14.924057 |
| 2025-09-09 14:13:11.258168 | 2025-09-09 14:13:15.170158 | 12110826 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-03 | 2025-09-09 | F | PT | N/A | 23277 | HERCEG | JQQ193M82762 | ANDJELKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7627183/check_12110826_f78d9db8-ac68-43db-9961-0cca8892cfe6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7627183/check_12110826_3d92af8c-fb52-4b06-a224-9f2f120900af.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 | N/A | N/A | N/A | 7627183 | 2222 | N/A | 12349615 | N/A | 6526151 | 2025-09-09 14:13:15.170158 | 2025-07-31 16:27:01.412304 |
| 2025-09-09 14:13:08.731815 | 2025-09-09 14:13:11.237472 | 12110823 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-03 | 2025-09-09 | F | PT | N/A | 23277 | HERCEG | JQQ193M82762 | ANDJELKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7627183/check_12110823_ae84d575-a7d8-4115-9bf5-0616ffab72d7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | 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 | N/A | N/A | N/A | 7627183 | 2222 | N/A | N/A | N/A | 6526151 | 2025-09-09 14:13:11.237472 | 2025-07-31 16:27:01.412304 |
| 2025-09-09 14:11:11.834811 | 2025-09-09 14:11:24.626565 | 12110694 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-20 | 2025-09-09 | F | PT | N/A | 4185 | GRIFFITH | MBL120M95246 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/7587363/check_12110694_edd20908-dbf5-44d5-a8f1-c44a181cb9f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587363/check_12110694_0e8dc62e-0168-465c-9807-7b0b80a8258f.json | N/A | N/A | N/A | N/A | N/A | MBL120M95246 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1940-08-20 | 040 | CAEGR002 | N/A | N/A | false | GRIFFITH | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8752283216 | N/A | N/A | 7587363 | 2222 | N/A | 12349495 | N/A | 6497042 | 2025-09-09 14:11:24.626565 | 2025-07-31 17:19:07.355008 |
| 2025-09-09 14:10:42.885560 | 2025-09-09 14:10:46.544070 | 12110665 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-27 | 2025-09-09 | M | AE | PT | N/A | SHEMIAN | 975315828 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9041184/check_12110665_d9380a19-8a97-4d4e-852e-db8fbb67bbd0.json | UHC | N/A | INSIGHTS | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9041184/check_12110665_436be818-c156-4b83-a29e-d82999a50bfb.json | N/A | N/A | N/A | N/A | N/A | 975315828 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-11-27 | N/A | 184514 | N/A | N/A | false | SHEMIAN | 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 | N/A | N/A | N/A | 9041184 | 2222 | N/A | 12349454 | N/A | 7559423 | 2025-09-09 14:10:46.544070 | 2025-09-03 00:01:07.192254 |
| 2025-09-09 14:10:09.566138 | 2025-09-09 14:10:16.655228 | 12110607 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-09 | M | AE | PT | 3939 | KIRK | 1013638055000 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7556097/check_12110607_64db7a7e-a594-4a1d-adbb-efaf52793f21.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7556097/check_12110607_d39f9a9b-13d5-488e-806e-2dd2a22be85d.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8752265610 | N/A | N/A | 7556097 | 2222 | N/A | 12349409 | N/A | 6476881 | 2025-09-09 14:10:16.655228 | 2025-07-29 22:42:05.499172 |
| 2025-09-09 14:07:00.455721 | 2025-09-09 14:07:02.414023 | 12110367 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2001-03-26 | 2025-09-09 | F | PT | N/A | 4197 | GRIFFIN | 604389070 | ALISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7496180/check_12110367_e603966b-5c34-4c84-a818-466d5d17dfa5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496180/check_12110367_fe9f13ca-8216-4bc4-a83e-9e8cae114825.json | N/A | N/A | N/A | N/A | N/A | 604389070 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2001-03-26 | N/A | N/A | N/A | N/A | false | GRIFFIN | N/A | ALISA | 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 | N/A | 12349153 | N/A | 6442600 | 2025-09-09 14:07:02.414023 | 2025-09-03 23:37:28.319879 |
| 2025-09-09 14:06:40.416707 | 2025-09-09 14:07:00.445337 | 12110345 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2001-03-26 | 2025-09-09 | F | PT | N/A | 4197 | GRIFFIN | 604389070 | ALISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7496180/check_12110345_1fdc3c4a-dda8-4e98-9284-c872ddb33d71.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 604389070 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2001-03-26 | N/A | N/A | N/A | N/A | false | GRIFFIN | N/A | ALISA | 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 | N/A | N/A | N/A | 6442600 | 2025-09-09 14:07:00.445337 | 2025-09-03 23:37:28.319879 |
| 2025-09-09 14:05:08.897013 | 2025-09-09 14:05:14.961650 | 12110255 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-09-07 | 2025-09-09 | F | AE | PT | 3948 | TRUONG | W285894295 | TARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7458419/check_12110255_6f9f0001-a9d7-4fa6-8f5a-0ca62095422d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_12110255_84d6cb63-29a2-473c-87a6-220a4198c0dd.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8752187801 | N/A | N/A | 7458419 | 2222 | N/A | 12349046 | N/A | 6407374 | 2025-09-09 14:05:14.961650 | 2025-07-25 20:45:12.336863 |
| 2025-09-09 14:04:23.182841 | 2025-09-09 14:04:28.430111 | 12110204 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2025-09-09 | M | AE | PT | 4211 | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_12110204_90ebca4b-f369-4bb1-92ee-8888e2cc0834.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_12110204_671a1980-0aef-4da8-be18-dd4929183ec9.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8752178115 | N/A | N/A | 7449843 | 2222 | N/A | 12348994 | N/A | 6399635 | 2025-09-09 14:04:28.430111 | 2025-07-29 18:42:47.970149 |
| 2025-09-09 13:59:44.822534 | 2025-09-09 13:59:48.237792 | 12109925 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1933-09-27 | 2025-09-09 | F | AE | PT | 4497 | Lavian | 9D60QE9FV21 | Valantin | https://storage.googleapis.com/normandy-eligibility-checks/2222/7300565/check_12109925_e2bf8590-e43a-4f6c-8c11-63578a60daa3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7300565/check_12109925_a693be2f-89f1-46e2-ac86-e59c0669a48a.json | N/A | N/A | N/A | N/A | N/A | 9D60QE9FV21 | Medicare Part B | N/A | HARTFORD CASUALTY INSURANCE COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-09-27 | S4802 | DOL 09182015 | N/A | MB | false | LAVIAN | N/A | VALANTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8752110306 | N/A | N/A | 7300565 | 2222 | N/A | 12348701 | N/A | 6258477 | 2025-09-09 13:59:48.237792 | 2025-08-12 21:50:09.562340 |
| 2025-09-09 13:57:22.395076 | 2025-09-09 13:57:31.135524 | 12109769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-01-17 | 2025-09-09 | M | PT | N/A | 4184 | Gast | JQV110W08240 | Eberhard | https://storage.googleapis.com/normandy-eligibility-checks/2222/7258119/check_12109769_5e4aebb9-8d7f-4de0-853d-234d2f3d1674.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_12109769_d4ce9c26-1c0c-451d-9753-5457fa3ff69a.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 | 8752076422 | N/A | N/A | 7258119 | 2222 | N/A | 12348546 | N/A | 6223297 | 2025-09-09 13:57:31.135524 | 2025-07-28 18:57:51.679781 |
| 2025-09-09 13:51:09.184084 | 2025-09-09 13:51:14.712096 | 12109395 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-09 | F | AE | PT | 4497 | BALLETTA | 4JJ4X54RC07 | LYNDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7035993/check_12109395_e5aa9984-f7ab-404f-84e0-7672903bc069.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035993/check_12109395_b76398a6-d082-4dc8-b9a5-e6992f87fecf.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MA | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751993499 | N/A | N/A | 7035993 | 2222 | N/A | 12348160 | N/A | 6048781 | 2025-09-09 13:51:14.712096 | 2025-07-22 23:03:15.103027 |
| 2025-09-09 13:50:36.674709 | 2025-09-09 13:50:41.975474 | 12109358 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-09 | F | AE | PT | 4497 | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7024101/check_12109358_c53b1bcb-385d-4de4-9bdc-bb8e756f3625.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_12109358_be1088e7-7114-4227-9055-74b8b0648aa8.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MB | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751987229 | N/A | N/A | 7024101 | 2222 | N/A | 12348124 | N/A | 6038562 | 2025-09-09 13:50:41.975474 | 2025-07-30 21:46:09.369299 |
| 2025-09-09 13:50:05.401248 | 2025-09-09 13:50:12.729658 | 12109329 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-25 | 2025-09-09 | F | AE | PT | 2630 | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019836/check_12109329_c3e7486e-8d20-4224-a398-8c8cfe46f29b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_12109329_36fe124a-3e81-4e74-87f3-cc33208360f8.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751979977 | N/A | N/A | 7019836 | 2222 | N/A | 12348095 | N/A | 4214064 | 2025-09-09 13:50:12.729658 | 2025-07-15 17:36:25.711810 |
| 2025-09-09 13:41:13.560680 | 2025-09-09 13:41:19.815628 | 12108764 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-11-23 | 2025-09-09 | F | PT | N/A | 4185 | THATTE | JQU615W06820 | MADHAVI | https://storage.googleapis.com/normandy-eligibility-checks/2222/6861355/check_12108764_4b35a05c-2c3d-428d-b6de-f5fbc9032f24.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6861355/check_12108764_eac72c1c-d3a9-4815-8eed-d81b09853e00.json | N/A | N/A | N/A | N/A | N/A | JQU615W06820 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1975-11-23 | 040 | K92872 | N/A | PR | false | THATTE | N/A | MADHAVI | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751868620 | N/A | N/A | 6861355 | 2222 | N/A | 12347518 | N/A | 5899637 | 2025-09-09 13:41:19.815628 | 2025-07-23 05:11:18.843091 |
| 2025-09-09 13:39:30.440778 | 2025-09-09 13:39:36.468442 | 12108641 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-23 | 2025-09-09 | F | AE | PT | 23307 | DONAHUE | 31019908301 | JOANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814715/check_12108641_19b20b52-a78c-4336-b96b-502794617342.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814715/check_12108641_1ed44aeb-1511-4833-bb1c-25202f52fcad.json | N/A | N/A | N/A | N/A | N/A | 31019908301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-23 | 2025H5425001 | H5425M | N/A | N/A | false | DONAHUE | N/A | JOANNE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751848126 | N/A | N/A | 6814715 | 2222 | N/A | 12347386 | N/A | 5857041 | 2025-09-09 13:39:36.468442 | 2025-07-07 18:59:46.175391 |
| 2025-09-09 13:39:26.248199 | 2025-09-09 13:39:34.406368 | 12108637 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-27 | 2025-09-09 | M | AE | PT | 3948 | RAFIQI | W291629581 | ROMAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6813848/check_12108637_d0ebea57-eabd-4c72-b5fc-2f3f54e18457.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_12108637_ff46173f-0741-473b-bff8-7d3569d75ff5.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751847451 | N/A | N/A | 6813848 | 2222 | N/A | 12347384 | N/A | 5856139 | 2025-09-09 13:39:34.406368 | 2025-07-22 03:39:47.404623 |
| 2025-09-09 13:36:19.428569 | 2025-09-09 13:36:22.391806 | 12108433 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-06-25 | 2025-09-09 | F | AE | PT | 2630 | TORREY | 00000374205 | JOYCE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6768717/check_12108433_1dc2af44-67bc-4d58-b4a2-3a89f7c14aec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_12108433_51f3b2c3-6ace-4580-9cbe-0cd1a86789e0.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751808780 | N/A | N/A | 6768717 | 2222 | N/A | 12347167 | N/A | 5725966 | 2025-09-09 13:36:22.391806 | 2025-07-08 20:19:24.946360 |
| 2025-09-09 13:36:10.692738 | 2025-09-09 13:36:14.301170 | 12108423 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-27 | 2025-09-09 | F | PT | N/A | 4191 | SHELLHORN | XEH903359049 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6766432/check_12108423_8d2dac51-de04-4f36-99a3-5b221d7ea7b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_12108423_0a03c58f-8e9b-48f9-b81c-ec7a096ab08f.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751807229 | N/A | N/A | 6766432 | 2222 | N/A | 12347152 | N/A | 5670727 | 2025-09-09 13:36:14.301170 | 2025-08-05 20:04:51.056029 |
| 2025-09-09 13:33:58.353590 | 2025-09-09 13:34:01.907297 | 12108242 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-09 | F | AE | PT | 4497 | GARRETT | 3EJ1R73ND18 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714932/check_12108242_47478f5f-357b-498d-9633-a8c3b3bf202c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_12108242_311da785-e263-42dc-9383-aa437af17f1c.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 | 8751777162 | N/A | N/A | 6714932 | 2222 | N/A | 12346975 | N/A | 5316176 | 2025-09-09 13:34:01.907297 | 2025-07-01 18:44:12.927482 |
| 2025-09-09 13:33:39.870047 | 2025-09-09 13:33:44.518094 | 12108216 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-02-20 | 2025-09-09 | F | AE | PT | 6798 | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6711965/check_12108216_8de8477d-71bb-4a8e-903e-45b38982312c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_12108216_2e6ab4bd-d633-4215-bcb2-dc2ed92003c2.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 | 8751773691 | N/A | N/A | 6711965 | 2222 | N/A | 12346944 | N/A | 4210430 | 2025-09-09 13:33:44.518094 | 2025-05-13 04:29:37.224841 |
| 2025-09-09 13:32:07.977088 | 2025-09-09 13:32:16.541454 | 12108094 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-28 | 2025-09-09 | M | AE | PT | 23307 | SIMMONS | 400557228-01 | J | https://storage.googleapis.com/normandy-eligibility-checks/2222/6685251/check_12108094_63f63bef-b83b-4b9e-81e5-a603250be1f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_12108094_b3f6bfe7-44d5-447c-aeda-e79075a7075f.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751755360 | N/A | N/A | 6685251 | 2222 | N/A | 12346829 | N/A | 4209868 | 2025-09-09 13:32:16.541454 | 2025-08-15 22:13:56.514261 |
| 2025-09-09 13:30:41.106123 | 2025-09-09 13:30:44.116963 | 12107957 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-03-12 | 2025-09-09 | F | PT | N/A | 4191 | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6668755/check_12107957_a481771e-c4a6-4da1-9bd9-f5cbf0f8af17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_12107957_b152cbb8-051d-4cb6-9dd9-845f280e0216.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751734294 | N/A | N/A | 6668755 | 2222 | N/A | 12346677 | N/A | 5282877 | 2025-09-09 13:30:44.116963 | 2025-07-01 15:56:36.473431 |
| 2025-09-09 13:30:05.533512 | 2025-09-09 13:30:09.692259 | 12107904 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-07-19 | 2025-09-09 | F | PT | N/A | 4185 | MOORE | WZA952W18561 | FAITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6644228/check_12107904_7ac043a6-b027-4548-86ed-eff6cf341aa7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6644228/check_12107904_c72175c6-901e-43b3-b90c-3f5414f01f71.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 2005-07-19 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751725321 | N/A | N/A | 6644228 | 2222 | N/A | 12346628 | N/A | 5251545 | 2025-09-09 13:30:09.692259 | 2025-07-16 15:52:27.392778 |
| 2025-09-09 13:25:43.446321 | 2025-09-09 13:25:46.635743 | 12107567 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-01-31 | 2025-09-09 | F | PT | N/A | 4191 | MAJD | XED911263594 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6555034/check_12107567_91f5c364-f79a-45e5-aa1b-37f2d49c23c0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_12107567_c5b67d41-8de1-4a55-b69d-0349c40201d1.json | N/A | N/A | N/A | N/A | N/A | XED911263594 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-01-31 | 2001ZK002185 | X0001004 | N/A | PR | false | MAJD | N/A | SYDNEY | N/A | 9999-12-31 | 2022-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751667107 | N/A | N/A | 6555034 | 2222 | N/A | 12346281 | N/A | 5178259 | 2025-09-09 13:25:46.635743 | 2025-07-08 22:15:02.277880 |
| 2025-09-09 13:25:34.607803 | 2025-09-09 13:25:39.101129 | 12107552 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2025-09-09 | F | AE | PT | 4211 | Ballatore | 90665617F | Chloe | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_12107552_bf695d95-15b7-493b-8120-8d3b5eb6ac8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_12107552_33a735b9-eac0-49be-8bd8-c4807df1867c.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751664960 | N/A | N/A | 6553125 | 2222 | N/A | 12346269 | N/A | 5176363 | 2025-09-09 13:25:39.101129 | 2025-06-23 23:46:22.182955 |
| 2025-09-09 13:21:31.672387 | 2025-09-09 13:21:41.569308 | 12107301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-28 | 2025-09-09 | F | PT | N/A | 4185 | HAZARD | NCF794W22253 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472283/check_12107301_dabfe7a5-8df4-4f67-975a-8d755752c397.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_12107301_ca32be25-9341-4ebc-8a7f-f82585f10f64.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 | 8751614772 | N/A | N/A | 6472283 | 2222 | N/A | 12346013 | N/A | 5105323 | 2025-09-09 13:21:41.569308 | 2025-07-02 18:01:41.077949 |
| 2025-09-09 13:19:32.004829 | 2025-09-09 13:19:44.455262 | 12107161 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-01-04 | 2025-09-09 | F | AE | PT | 6237 | MARTINEZ | 40031653001 | CONSUELO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6442609/check_12107161_7739d1bd-85f5-46f0-a534-c030511206f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_12107161_8b71c9ce-a2a9-4fd7-acf5-5962103ab4a1.json | N/A | N/A | N/A | N/A | N/A | 40031653001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-01-04 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | CONSUELO | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751588909 | N/A | N/A | 6442609 | 2222 | N/A | 12345866 | N/A | 5083714 | 2025-09-09 13:19:44.455262 | 2025-07-18 18:00:26.722024 |
| 2025-09-09 13:16:26.425511 | 2025-09-09 13:16:30.490879 | 12106960 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-08-29 | 2025-09-09 | M | PT | N/A | 4184 | HARDING | XDP157A51099 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398773/check_12106960_e367fc49-2e0c-4ea9-85d1-d523809f351d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_12106960_1686ff60-6c6d-4456-916c-4e978e9106a1.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1967-08-29 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751550585 | N/A | N/A | 6398773 | 2222 | N/A | 12345651 | N/A | 5046326 | 2025-09-09 13:16:30.490879 | 2025-06-30 17:04:21.721546 |
| 2025-09-09 13:16:24.887956 | 2025-09-09 13:16:34.644860 | 12106958 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-10 | 2025-09-09 | F | AE | PT | 3939 | HASSHAW | W257198312 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398687/check_12106958_649cc2aa-8134-453c-8fbc-292498b98c1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398687/check_12106958_10e20c26-8919-4a81-a8d9-a3c803a8f789.json | N/A | N/A | N/A | N/A | N/A | W257198312 | Point of Service (POS) | EXL SERVICE.COM, LLC | AETNA | N/A | 1963-03-10 | 0847788 | 084778801000201 | N/A | PS | false | HASSHAW | N/A | LAURA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751550249 | N/A | N/A | 6398687 | 2222 | N/A | 12345655 | N/A | 5046244 | 2025-09-09 13:16:34.644860 | 2025-06-20 22:35:45.756703 |
| 2025-09-09 13:16:24.670848 | 2025-09-09 13:16:28.738243 | 12106956 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-06-14 | 2025-09-09 | F | AE | PT | 2630 | MIESSNER | 00000302558 | CHERYLL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398725/check_12106956_eaad1dae-f205-40f6-95d5-f4b71bb47011.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_12106956_26495926-a4a1-4a0b-8363-5916392ed31d.json | N/A | N/A | N/A | N/A | N/A | 00000302558 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-06-14 | H3815028 | N/A | N/A | HM | false | MIESSNER | N/A | CHERYLL | 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 | 8751550104 | N/A | N/A | 6398725 | 2222 | N/A | 12345647 | N/A | 5046278 | 2025-09-09 13:16:28.738243 | 2025-06-15 19:17:04.043327 |
| 2025-09-09 13:16:07.753855 | 2025-09-09 13:16:11.528757 | 12106932 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-09-09 | M | AE | PT | 4497 | SAMOFF | 9WK1PA8GW14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_12106932_468ba5ef-49ab-450e-a652-1d0baf9ee87a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_12106932_2fb1497e-5bbc-4a0f-89cd-440a50adbbf1.json | N/A | N/A | N/A | N/A | N/A | 9WK1PA8GW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-15 | H3815 | N/A | N/A | MA | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751546141 | N/A | N/A | 6236212 | 2222 | N/A | 12345617 | N/A | 4884170 | 2025-09-09 13:16:11.528757 | 2025-07-09 21:20:43.604452 |
| 2025-09-09 13:13:38.116105 | 2025-09-09 13:13:43.112449 | 12106787 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-11 | 2025-09-09 | M | PT | N/A | 23306 | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210099/check_12106787_a09e3cc8-a027-44cd-b450-6df9281cef38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_12106787_29a8367f-bc88-43c6-86d2-8c97d3fa5864.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751509778 | N/A | N/A | 6210099 | 2222 | N/A | 12345469 | N/A | 4852857 | 2025-09-09 13:13:43.112449 | 2025-06-17 16:28:13.795457 |
| 2025-09-09 13:11:39.581413 | 2025-09-09 13:11:46.028298 | 12106669 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-09-09 | F | AE | PT | 4497 | JACOBY | 5VX4HE8NC98 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_12106669_7a677142-26c1-48ed-9840-de1fa5179726.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_12106669_c563e5ad-bcb0-4639-b2f9-1fad45cc20bb.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MA | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751484020 | N/A | N/A | 6145941 | 2222 | N/A | 12345348 | N/A | 4786785 | 2025-09-09 13:11:46.028298 | 2025-06-13 00:55:48.629734 |
| 2025-09-09 13:10:17.547156 | 2025-09-09 13:10:22.796864 | 12106583 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-09 | M | PT | N/A | 23277 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_12106583_30f5d703-49b1-4b1e-a65e-a24757994040.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_12106583_cccbaf60-892d-40d5-9f59-c623f193ae83.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124845 | 2222 | N/A | 12345256 | N/A | 4767293 | 2025-09-09 13:10:22.796864 | 2025-06-06 15:11:48.015692 |
| 2025-09-09 13:10:12.786795 | 2025-09-09 13:10:17.464329 | 12106572 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-09 | M | PT | N/A | 23277 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_12106572_ea45d79f-df0b-4989-ac0e-f08210b59148.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-09-09 13:10:17.464329 | 2025-06-06 15:11:48.015692 |
| 2025-09-09 13:10:01.800249 | 2025-09-09 13:10:13.285809 | 12106561 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-02 | 2025-09-09 | F | AE | PT | 3948 | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124049/check_12106561_b66cb3d5-9899-4336-b8ca-f876ca46d01c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_12106561_05ab2e02-e25b-4066-9879-791b8f38be46.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | 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 | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751460891 | N/A | N/A | 6124049 | 2222 | N/A | 12345237 | N/A | 4766759 | 2025-09-09 13:10:13.285809 | 2025-06-04 21:51:50.184092 |
| 2025-09-09 13:09:53.846835 | 2025-09-09 13:09:57.338691 | 12106552 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-09 | F | PT | N/A | 4191 | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6121701/check_12106552_a8fdf0b6-3674-4e45-a6e4-205ff4ad1870.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_12106552_ee3f6e81-4194-4088-a3cb-e7aee3c853ed.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751459236 | N/A | N/A | 6121701 | 2222 | N/A | 12345225 | N/A | 4764460 | 2025-09-09 13:09:57.338691 | 2025-06-04 04:30:06.494155 |
| 2025-09-09 13:06:19.895067 | 2025-09-09 13:06:24.836534 | 12106335 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-09-06 | 2025-09-09 | M | AE | PT | 2630 | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077164/check_12106335_8d28f8b6-ecc0-491a-87b4-2cc1f5e2fca8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_12106335_8730ae2f-f2f1-4bf1-93dc-caa7c5316298.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 | 8751408842 | N/A | N/A | 6077164 | 2222 | N/A | 12344997 | N/A | 4720748 | 2025-09-09 13:06:24.836534 | 2025-06-11 15:34:07.942696 |
| 2025-09-09 13:06:03.118953 | 2025-09-09 13:06:08.692110 | 12106309 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-03-27 | 2025-09-09 | F | AE | PT | 23322 | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074035/check_12106309_50cbb3cc-9e44-4be4-b6fb-c30dc08a74a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_12106309_85b29007-33ae-4384-9284-450d20fffe25.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 | 8751404814 | N/A | N/A | 6074035 | 2222 | N/A | 12344973 | N/A | 4718592 | 2025-09-09 13:06:08.692110 | 2025-05-29 20:00:22.627186 |
| 2025-09-09 13:02:32.632399 | 2025-09-09 13:02:40.462110 | 12106081 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-14 | 2025-09-09 | M | PT | N/A | 4185 | SPENCE | SGEFW1503472 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993917/check_12106081_74d223e3-4ca0-493f-8b47-c4fc0f24d890.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_12106081_4a29e909-9273-4944-907e-29bbff3adb39.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751365259 | N/A | N/A | 5993917 | 2222 | N/A | 12344732 | N/A | 4642854 | 2025-09-09 13:02:40.462110 | 2025-05-28 20:57:05.075130 |
| 2025-09-09 13:02:28.700020 | 2025-09-09 13:02:41.698609 | 12106078 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-01-20 | 2025-09-09 | F | AE | PT | 3948 | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993951/check_12106078_4ec3d4c4-f0d3-4bb1-8470-461537bf503a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_12106078_412c136a-9a97-47d4-ad55-772362af112e.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751364001 | N/A | N/A | 5993951 | 2222 | N/A | 12344733 | N/A | 4642884 | 2025-09-09 13:02:41.698609 | 2025-12-02 20:19:19.910444 |
| 2025-09-09 13:02:26.757014 | 2025-09-09 13:02:32.222420 | 12106076 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-31 | 2025-09-09 | F | AE | PT | 6237 | CARRILLO | 40025807501 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993946/check_12106076_855fe5fd-c2a4-49ed-9910-be31830d233e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993946/check_12106076_04ebad38-5415-494e-985d-ab33606046b0.json | N/A | N/A | N/A | N/A | N/A | 40025807501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-08-31 | 2025H5425001 | H5425M | N/A | N/A | false | CARRILLO | N/A | LAURA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751363624 | N/A | N/A | 5993946 | 2222 | N/A | 12344726 | N/A | 4642883 | 2025-09-09 13:02:32.222420 | 2025-05-30 18:05:44.781764 |
| 2025-09-09 13:00:28.460887 | 2025-09-09 13:00:32.702567 | 12105945 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-09 | F | PT | N/A | 4191 | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_12105945_bbf0aac8-e589-4d90-ad33-8a74d4cd3562.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12105945_0fe3a800-f6be-4565-a0e6-57d2a29c27fa.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751336457 | N/A | N/A | 5928752 | 2222 | N/A | 12344591 | N/A | 4583701 | 2025-09-09 13:00:32.702567 | 2025-07-24 17:50:11.805587 |
| 2025-09-09 12:58:27.824341 | 2025-09-09 12:58:43.495086 | 12105837 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-09-09 | F | AE | PT | 5505 | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_12105837_b6c7f3d0-28c2-42e9-94ec-1d7a9ce13b8e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_12105837_13e9a234-cc59-4107-b3e2-2d7d3e73b0ae.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751312241 | N/A | N/A | 5874461 | 2222 | N/A | 12344485 | N/A | 4534583 | 2025-09-09 12:58:43.495086 | 2025-05-27 21:59:00.919365 |
| 2025-09-09 12:58:25.708418 | 2025-09-09 12:58:29.905362 | 12105833 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-16 | 2025-09-09 | F | AE | PT | 4497 | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874437/check_12105833_94f51073-2813-4ba8-9eac-6c970f4ad949.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_12105833_e179ca89-4b43-49f0-b9e6-1255b98dbceb.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MA | false | SCHILLER | N/A | JUDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751311825 | N/A | N/A | 5874437 | 2222 | N/A | 12344472 | N/A | 4534564 | 2025-09-09 12:58:29.905362 | 2025-05-22 18:42:12.452816 |
| 2025-09-09 12:55:25.289113 | 2025-09-09 12:55:29.599388 | 12105659 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-09 | 2025-09-09 | F | PT | N/A | 4191 | SELTER | XEA906445770 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676380/check_12105659_cc5753f9-af64-4dac-b954-b13ff9057b00.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_12105659_bade5149-814c-4343-a97f-f46483ece9ba.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751274141 | N/A | N/A | 5676380 | 2222 | N/A | 12344288 | N/A | 4343435 | 2025-09-09 12:55:29.599388 | 2025-05-13 04:29:37.230915 |
| 2025-09-09 12:55:23.072950 | 2025-09-09 12:55:29.324098 | 12105656 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-09 | M | AE | PT | 3948 | ARROW | 101393152200 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676385/check_12105656_f7caba5c-1f75-42ed-8fda-ddbd6818b8ee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_12105656_b3cacc95-ac75-4af7-a74e-0ea069255138.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751273401 | N/A | N/A | 5676385 | 2222 | N/A | 12344287 | N/A | 4343439 | 2025-09-09 12:55:29.324098 | 2025-05-13 04:29:37.230918 |