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 12:53:22.310001 | 2025-09-09 12:53:24.207421 | 12105522 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-09-09 | M | AE | PT | 2630 | HACKBARTH | 00000294758 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_12105522_ddaab142-7ad4-4f27-b077-5ff45732cb0a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_12105522_ce88b135-462b-43d2-883f-d85fa771dab6.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | 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 | 5568081 | 2222 | N/A | 12344144 | N/A | 4212656 | 2025-09-09 12:53:24.207421 | 2025-08-12 21:09:57.607033 |
| 2025-09-09 12:53:20.008940 | 2025-09-09 12:53:25.423354 | 12105518 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-09 | F | AE | PT | 23322 | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_12105518_f0c63f1d-5e46-4572-9797-2ccaef68ef55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12105518_3df2b72f-4db1-4b6d-b1e6-0c85b21b18ce.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751244551 | N/A | N/A | 5568076 | 2222 | N/A | 12344145 | N/A | 4209480 | 2025-09-09 12:53:25.423354 | 2026-04-10 02:05:15.976484 |
| 2025-09-09 12:53:19.653378 | 2025-09-09 12:53:22.301857 | 12105517 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-09-09 | M | AE | PT | 2630 | HACKBARTH | 00000294758 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_12105517_6eab8fe8-6453-49d5-bb74-e9367446ab36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | 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 | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-09-09 12:53:22.301857 | 2025-08-12 21:09:57.607033 |
| 2025-09-09 12:52:18.017032 | 2025-09-09 12:52:25.610912 | 12105452 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-21 | 2025-09-09 | F | AE | PT | 3937 | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550850/check_12105452_19c34c14-d130-4930-a352-21747a2ddbc5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_12105452_bcc40205-06eb-445e-9354-bda3c2806b78.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751228455 | N/A | N/A | 5550850 | 2222 | N/A | 12344077 | N/A | 4215195 | 2025-09-09 12:52:25.610912 | 2025-05-14 09:08:40.751930 |
| 2025-09-09 12:52:14.063594 | 2025-09-09 12:52:17.807423 | 12105449 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-09 | M | AE | PT | 2630 | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550751/check_12105449_527caca0-1a6e-40e2-bf83-8a1cf36fb662.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_12105449_847c1bf6-42b4-4a22-8483-a443c36a5076.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | 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 | 8751227391 | N/A | N/A | 5550751 | 2222 | N/A | 12344069 | N/A | 4219640 | 2025-09-09 12:52:17.807423 | 2025-05-13 04:29:37.230682 |
| 2025-09-09 12:52:14.112307 | 2025-09-09 12:52:19.532162 | 12105448 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-23 | 2025-09-09 | F | AE | PT | 4709 | SOL | U9859952501 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549212/check_12105448_ad941770-3ef4-40fd-aeba-707b9892cdd8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_12105448_8a6262dc-5439-48e4-a475-e4d1e39a7b2a.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751227407 | N/A | N/A | 5549212 | 2222 | N/A | 12344072 | N/A | 4218926 | 2025-09-09 12:52:19.532162 | 2025-07-30 14:07:18.779456 |
| 2025-09-09 12:52:12.765806 | 2025-09-09 12:52:17.344317 | 12105447 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-26 | 2025-09-09 | M | AE | PT | 4497 | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549981/check_12105447_3a10a279-0726-4a99-b6e6-acbf07fec2d0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_12105447_c5740d80-cbfb-4567-9ef2-1cc588ada482.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751226926 | N/A | N/A | 5549981 | 2222 | N/A | 12344068 | N/A | 4219436 | 2025-09-09 12:52:17.344317 | 2025-05-13 04:29:37.230471 |
| 2025-09-09 12:52:12.570981 | 2025-09-09 12:52:15.872720 | 12105446 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-09 | F | AE | PT | 4497 | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550534/check_12105446_16e4baa7-ab53-4e96-bdc0-9a394c64cf70.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_12105446_39f79fa2-b543-4d85-9bd6-f281a16b735e.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | 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 | 8751226881 | N/A | N/A | 5550534 | 2222 | N/A | 12344067 | N/A | 4219556 | 2025-09-09 12:52:15.872720 | 2025-05-13 04:29:37.230592 |
| 2025-09-09 12:52:12.355465 | 2025-09-09 12:52:18.494501 | 12105445 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-09 | F | AE | PT | 3937 | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550743/check_12105445_59123092-d4ed-4aae-bc2a-5b0201665cda.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_12105445_27fd1967-75c6-4a59-ab38-2c0b0c36c6ea.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751226775 | N/A | N/A | 5550743 | 2222 | N/A | 12344070 | N/A | 4219643 | 2025-09-09 12:52:18.494501 | 2025-05-13 04:29:37.230685 |
| 2025-09-09 12:52:10.476061 | 2025-09-09 12:52:13.362588 | 12105444 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-09 | F | AE | PT | 23304 | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542611/check_12105444_a5b86a7e-2dc2-45c7-a6c2-8cd4457f9743.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_12105444_45ac5c45-aa7f-4be7-ac4e-f171e0346b89.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | 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 | 5542611 | 2222 | N/A | 12344063 | N/A | 4214490 | 2025-09-09 12:52:13.362588 | 2025-05-13 04:29:37.228806 |
| 2025-09-09 12:52:07.961057 | 2025-09-09 12:52:14.322626 | 12105440 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-07 | 2025-09-09 | M | PT | N/A | 4184 | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543360/check_12105440_dd272c62-99f0-4f9b-9b1c-8c53791de92c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_12105440_ccc64605-019b-4c01-95db-ac6091878b15.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751225744 | N/A | N/A | 5543360 | 2222 | N/A | 12344066 | N/A | 4215161 | 2025-09-09 12:52:14.322626 | 2025-05-13 04:29:37.229478 |
| 2025-09-09 12:52:07.573086 | 2025-09-09 12:52:13.754613 | 12105439 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-07-22 | 2025-09-09 | M | AE | PT | 4211 | AZIM | 627771249 | FAIYAZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543304/check_12105439_26d4e903-c2b6-4f51-82fb-bf7b8fdefcfd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_12105439_412b47ca-1c06-49fd-8bd3-d41098ca8289.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751225652 | N/A | N/A | 5543304 | 2222 | N/A | 12344065 | N/A | 4215118 | 2025-09-09 12:52:13.754613 | 2025-06-02 01:41:59.668874 |
| 2025-09-09 12:52:05.259434 | 2025-09-09 12:52:08.999709 | 12105438 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-06 | 2025-09-09 | M | AE | PT | 23322 | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543425/check_12105438_d60a245d-40ec-4865-9b7a-da0954778a87.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_12105438_570913d5-3ba2-4798-9f16-0922181fd40f.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751224986 | N/A | N/A | 5543425 | 2222 | N/A | 12344059 | N/A | 4215211 | 2025-09-09 12:52:08.999709 | 2026-04-02 22:30:20.020246 |
| 2025-09-09 12:52:04.533534 | 2025-09-09 12:52:09.046405 | 12105437 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-01-23 | 2025-09-09 | F | AE | PT | 4211 | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543335/check_12105437_81d2f1ce-4de2-4e0a-ab79-b90648b74a15.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_12105437_912d4945-a46a-4c43-9532-fcc15030769b.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751224947 | N/A | N/A | 5543335 | 2222 | N/A | 12344058 | N/A | 4215139 | 2025-09-09 12:52:09.046405 | 2025-05-13 21:20:11.455022 |
| 2025-09-09 12:52:04.151457 | 2025-09-09 12:52:08.870057 | 12105436 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-14 | 2025-09-09 | M | PT | N/A | 4185 | DESMET | MBL584M98446 | GRANT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542900/check_12105436_53f2e074-545f-4f72-8aa4-1d05af974359.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_12105436_9f071cb8-1e18-4ceb-b2ec-f9d07b1a2926.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751225053 | N/A | N/A | 5542900 | 2222 | N/A | 12344056 | N/A | 4214759 | 2025-09-09 12:52:08.870057 | 2025-05-13 04:29:37.229079 |
| 2025-09-09 12:52:03.792359 | 2025-09-09 12:52:27.729504 | 12105435 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-09-09 | F | AE | PT | 6237 | OSE | 40050866601 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_12105435_92253bde-00b5-4712-9740-e1bc765109f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_12105435_84c4cb80-7dac-443f-aeab-0a6881b99668.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537366 | 2222 | N/A | 12344080 | N/A | 4209945 | 2025-09-09 12:52:27.729504 | 2025-08-13 22:24:17.841096 |
| 2025-09-09 12:52:03.666126 | 2025-09-09 12:52:09.539586 | 12105434 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-27 | 2025-09-09 | F | PT | N/A | 4185 | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543161/check_12105434_40f31b43-d4f0-4ab3-a38a-af9dbd5428e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_12105434_cad80e8c-793e-4535-8009-70f1f0e8229a.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751224912 | N/A | N/A | 5543161 | 2222 | N/A | 12344060 | N/A | 4214989 | 2025-09-09 12:52:09.539586 | 2025-05-13 04:29:37.229310 |
| 2025-09-09 12:52:03.484125 | 2025-09-09 12:52:08.321500 | 12105433 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-09 | F | PT | N/A | 4184 | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543324/check_12105433_12840f09-23f3-4e23-b2ba-001dba2df8c0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_12105433_813694a5-cd39-41f3-b929-f9d12782d94e.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751224831 | N/A | N/A | 5543324 | 2222 | N/A | 12344055 | N/A | 4215131 | 2025-09-09 12:52:08.321500 | 2025-08-11 16:45:52.816842 |
| 2025-09-09 12:52:02.552996 | 2025-09-09 12:52:26.972600 | 12105432 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-02-23 | 2025-09-09 | F | AE | PT | 23326 | WENSEL | 40065419401 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539718/check_12105432_1393960b-af41-49ad-981d-4420f04354b8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_12105432_0f3bf3c1-5061-4e85-b9cf-426c38feb11d.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539718 | 2222 | N/A | 12344079 | N/A | 4211977 | 2025-09-09 12:52:26.972600 | 2025-05-13 04:29:37.226299 |
| 2025-09-09 12:52:02.240678 | 2025-09-09 12:52:07.177926 | 12105431 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-18 | 2025-09-09 | M | AE | PT | 4497 | STECHER | 4P42WA3QM82 | BRIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_12105431_228e29d0-86ae-4929-88d8-3e055ae090ea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_12105431_37b8956c-93b1-4243-bb0c-32d5c5dd7f4b.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MB | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751224410 | N/A | N/A | 5543052 | 2222 | N/A | 12344052 | N/A | 4214891 | 2025-09-09 12:52:07.177926 | 2025-05-13 04:29:37.229214 |
| 2025-09-09 12:52:01.783092 | 2025-09-09 12:52:07.775427 | 12105430 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-13 | 2025-09-09 | F | PT | N/A | 4185 | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543043/check_12105430_3bdf748c-fed6-455a-b290-0695f25ce4cc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_12105430_60a7df33-9302-4a9c-954c-8e590e5ee314.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751224308 | N/A | N/A | 5543043 | 2222 | N/A | 12344054 | N/A | 4214884 | 2025-09-09 12:52:07.775427 | 2025-11-12 00:46:10.301659 |
| 2025-09-09 12:52:01.608822 | 2025-09-09 12:52:07.470959 | 12105429 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-09-09 | F | AE | PT | 4709 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_12105429_2a0dde47-2cbe-4578-a163-4fd8c8e42dec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_12105429_bb2fc1f5-214a-4807-9a6b-42a36182b447.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751224263 | N/A | N/A | 5542850 | 2222 | N/A | 12344053 | N/A | 4214714 | 2025-09-09 12:52:07.470959 | 2025-05-13 04:29:37.229031 |
| 2025-09-09 12:52:01.138370 | 2025-09-09 12:52:10.291789 | 12105428 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-09 | F | AE | PT | 23304 | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542611/check_12105428_8d687ef6-cdcb-47f2-91da-6a1200f48b34.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | 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 | 5542611 | 2222 | N/A | N/A | N/A | 4214490 | 2025-09-09 12:52:10.291789 | 2025-05-13 04:29:37.228806 |
| 2025-09-09 12:52:00.863396 | 2025-09-09 12:52:03.836728 | 12105427 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-09 | F | PT | N/A | 4191 | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543211/check_12105427_aefff818-906c-448d-b913-213c9c1f470e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_12105427_66852504-61f7-4a0c-b0d3-77871e2d6b82.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751223999 | N/A | N/A | 5543211 | 2222 | N/A | 12344051 | N/A | 4215028 | 2025-09-09 12:52:03.836728 | 2025-05-13 04:29:37.229346 |
| 2025-09-09 12:51:59.776532 | 2025-09-09 12:52:04.144911 | 12105426 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-09 | M | AE | PT | 23304 | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541984/check_12105426_396fb1dd-0554-4a9b-8b6e-5e3a4d3e3cda.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_12105426_6b1f1f18-9af0-405d-acf5-bb9d5496f8ac.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | 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 | 5541984 | 2222 | N/A | 12344050 | N/A | 4213934 | 2025-09-09 12:52:04.144911 | 2026-01-27 23:36:44.802366 |
| 2025-09-09 12:51:58.947971 | 2025-09-09 12:52:02.017988 | 12105425 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-30 | 2025-09-09 | M | PT | N/A | 4191 | MATTHEWS | KTP903824736 | LARRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542899/check_12105425_5727cc8b-a6ba-4b43-b8d0-9410602145e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_12105425_826e3462-7466-4416-9e8a-057543b6e27f.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751223552 | N/A | N/A | 5542899 | 2222 | N/A | 12344047 | N/A | 4214758 | 2025-09-09 12:52:02.017988 | 2025-05-13 04:29:37.229078 |
| 2025-09-09 12:51:57.282895 | 2025-09-09 12:51:59.973633 | 12105424 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-01 | 2025-09-09 | M | AE | PT | 4497 | MIHALEV | 1NU2W44MF18 | ANGEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542783/check_12105424_caa2b008-2171-4fab-9103-c7bfbd6c8f64.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542783/check_12105424_62c7f44e-9c38-415d-80f9-845abbc0c2b8.json | N/A | N/A | N/A | N/A | N/A | 1NU2W44MF18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1962-08-01 | S4802 | N/A | N/A | MA | false | MIHALEV | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751222900 | N/A | N/A | 5542783 | 2222 | N/A | 12344045 | N/A | 4214658 | 2025-09-09 12:51:59.973633 | 2025-05-13 04:29:37.228977 |
| 2025-09-09 12:51:55.069406 | 2025-09-09 12:52:00.067316 | 12105423 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-09 | F | AE | PT | 23322 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_12105423_ffcaf0ad-988b-4309-ba7d-d28ba9e55251.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_12105423_e933d927-82ac-41ab-ba71-0cb637762cf4.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751222344 | N/A | N/A | 5542660 | 2222 | N/A | 12344044 | N/A | 4214542 | 2025-09-09 12:52:00.067316 | 2025-05-13 04:29:37.228868 |
| 2025-09-09 12:51:54.251986 | 2025-09-09 12:51:58.242536 | 12105422 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-09 | M | AE | PT | 4625 | MOSLEY | R02649763MM1 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542606/check_12105422_0f90c83d-ebec-4bdd-b814-b646f8c451ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_12105422_5ba3d0df-1d60-4017-8bea-0915032e51b9.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751222146 | N/A | N/A | 5542606 | 2222 | N/A | 12344041 | N/A | 4214496 | 2025-09-09 12:51:58.242536 | 2025-05-13 04:29:37.228812 |
| 2025-09-09 12:51:53.681070 | 2025-09-09 12:52:02.978580 | 12105421 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-09 | F | AE | PT | 5538 | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_12105421_3acc3939-d9e1-462f-a7e5-547736cfa956.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_12105421_6f606c27-7037-4e59-b414-61d713f99ca2.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751222041 | N/A | N/A | 5542513 | 2222 | N/A | 12344048 | N/A | 4214418 | 2025-09-09 12:52:02.978580 | 2025-07-03 18:12:11.075357 |
| 2025-09-09 12:51:53.398058 | 2025-09-09 12:51:56.441600 | 12105420 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-09 | M | AE | PT | 4497 | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_12105420_ebe825ee-a9ff-435c-9c70-db4a00d24de0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_12105420_4e67bce1-f6df-40d7-a6a9-afdd536b7898.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751221964 | N/A | N/A | 5542555 | 2222 | N/A | 12344038 | N/A | 4214447 | 2025-09-09 12:51:56.441600 | 2026-04-23 20:11:34.441054 |
| 2025-09-09 12:51:53.315789 | 2025-09-09 12:51:59.750997 | 12105419 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-09 | M | AE | PT | 23304 | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541984/check_12105419_686e1f6e-79a9-4b35-804a-bd9dc3d03e4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | 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 | 5541984 | 2222 | N/A | N/A | N/A | 4213934 | 2025-09-09 12:51:59.750997 | 2026-01-27 23:36:44.802366 |
| 2025-09-09 12:51:53.193049 | 2025-09-09 12:52:20.665401 | 12105418 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2025-09-09 | F | AE | PT | 6237 | PORTER | 400282215401 | SHERIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_12105418_055b2ddd-cb9c-403c-b60a-1eab146af13b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_12105418_0dc61883-83dd-4f39-ac6d-7067437f8089.json | N/A | N/A | N/A | N/A | N/A | 400282215401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-12-16 | N/A | N/A | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535434 | 2222 | N/A | 12344073 | N/A | 4208356 | 2025-09-09 12:52:20.665401 | 2025-08-25 14:49:27.724897 |
| 2025-09-09 12:51:50.052014 | 2025-09-09 12:51:57.048956 | 12105417 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-10-20 | 2025-09-09 | M | AE | PT | 3937 | SAMUELS | W289332071 | ZACHARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542467/check_12105417_209d0f99-82ea-470a-940e-8bf3dbd74d7a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_12105417_75150831-c41f-4e10-b703-b69be01f0d30.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751221070 | N/A | N/A | 5542467 | 2222 | N/A | 12344040 | N/A | 4214379 | 2025-09-09 12:51:57.048956 | 2025-05-13 04:29:37.228706 |
| 2025-09-09 12:51:50.002379 | 2025-09-09 12:51:59.633527 | 12105416 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-09 | F | AE | PT | 2630 | ZAMORA | 00000327568 | FLORYBETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541719/check_12105416_698f92fc-e35e-4e99-bb65-9bd938912f31.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_12105416_734e01c4-b174-4d25-a37f-9831820ec14b.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | 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 | 8751221219 | N/A | N/A | 5541719 | 2222 | N/A | 12344042 | N/A | 4213712 | 2025-09-09 12:51:59.633527 | 2025-08-19 01:13:52.150115 |
| 2025-09-09 12:51:49.962574 | 2025-09-09 12:51:55.028546 | 12105415 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-11-21 | 2025-09-09 | M | AD | N/A | 1534 | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541552/check_12105415_502963bf-f688-4ba0-9530-9086d7376875.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_12105415_e79dd64f-279c-4cea-b673-802e0736b110.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8751221259 | N/A | N/A | 5541552 | 2222 | N/A | 12344037 | N/A | 4213562 | 2025-09-09 12:51:55.028546 | 2025-05-13 04:29:37.227895 |
| 2025-09-09 12:51:49.695364 | 2025-09-09 12:51:52.801566 | 12105414 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-09-09 | M | AE | PT | 4497 | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542251/check_12105414_8c3b4575-c518-4636-9f03-cec61b132ba2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_12105414_6d142dc9-737c-471e-8214-1a451666d04d.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751221027 | N/A | N/A | 5542251 | 2222 | N/A | 12344035 | N/A | 4214191 | 2025-09-09 12:51:52.801566 | 2025-05-13 04:29:37.228525 |
| 2025-09-09 12:51:46.755382 | 2025-09-09 12:51:57.043404 | 12105413 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-10-24 | 2025-09-09 | F | PT | N/A | 4185 | ARTHUR | JQU013A76182 | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537835/check_12105413_7ddd9ec1-e1e4-4f51-b488-7fe6969baf7a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537835/check_12105413_d23fde62-e23a-4349-a0d2-421d487de8a7.json | N/A | N/A | N/A | N/A | N/A | JQU013A76182 | Preferred Provider Organization (PPO) | FOCUSRITE GROUP US INC | ANTHEM BLUE CROSS | N/A | 1985-10-24 | 040 | 478491 | N/A | PR | false | BLISS | N/A | HANNAH | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751220946 | N/A | N/A | 5537835 | 2222 | N/A | 12344039 | N/A | 4210344 | 2025-09-09 12:51:57.043404 | 2025-05-13 04:29:37.224750 |
| 2025-09-09 12:51:49.280976 | 2025-09-09 12:51:52.378718 | 12105412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-09 | F | PT | N/A | 4185 | ISTOK | MBL474M98437 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542207/check_12105412_9408cd58-ae14-4ada-89ab-46b3a6f324c1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_12105412_2db3c47d-f53f-4866-a302-3f8baca461d7.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751220914 | N/A | N/A | 5542207 | 2222 | N/A | 12344034 | N/A | 4214152 | 2025-09-09 12:51:52.378718 | 2025-05-13 04:29:37.228479 |
| 2025-09-09 12:51:48.817960 | 2025-09-09 12:51:51.741673 | 12105411 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-08 | 2025-09-09 | F | AE | PT | 4497 | GRINBERG | 6W60TM0KP36 | HANNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542161/check_12105411_9feb8dd6-b57b-466e-bf70-3dbc41ba8e87.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_12105411_5dfd6b8b-fb84-4e53-bce4-50925058a5a4.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751220794 | N/A | N/A | 5542161 | 2222 | N/A | 12344033 | N/A | 4214112 | 2025-09-09 12:51:51.741673 | 2025-05-13 04:29:37.228426 |
| 2025-09-09 12:51:46.559010 | 2025-09-09 12:51:48.588432 | 12105410 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-09-09 | F | PT | N/A | 23277 | GARCIA | NCF666A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_12105410_2550fe3e-2b0d-43a8-8c09-37b45ce3eb1e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_12105410_c574ea9e-6169-45b6-a902-65898fd8874f.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | 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 | 5541664 | 2222 | N/A | 12344031 | N/A | 4213662 | 2025-09-09 12:51:48.588432 | 2025-05-13 04:29:37.227982 |
| 2025-09-09 12:51:44.657522 | 2025-09-09 12:51:46.547559 | 12105409 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-09-09 | F | PT | N/A | 23277 | GARCIA | NCF666A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_12105409_603dba59-6647-435c-8305-c1bf743ab25a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | 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 | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-09-09 12:51:46.547559 | 2025-05-13 04:29:37.227982 |
| 2025-09-09 12:51:43.616278 | 2025-09-09 12:51:47.560152 | 12105408 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-09-18 | 2025-09-09 | F | PT | N/A | 4191 | SHAPIRO | XEA901579979 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541315/check_12105408_6172134f-8b4a-41ff-9adb-1a4c0df3cec0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_12105408_c94b9aea-00ef-43fd-addb-5e8ba5f9ed4b.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | 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 | 8751219168 | N/A | N/A | 5541315 | 2222 | N/A | 12344029 | N/A | 4213344 | 2025-09-09 12:51:47.560152 | 2025-05-13 04:29:37.227667 |
| 2025-09-09 12:51:42.591564 | 2025-09-09 12:51:45.727248 | 12105407 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-07 | 2025-09-09 | F | PT | N/A | 4191 | TRUJILLO | XED914492685 | ADRIENNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541269/check_12105407_a8d07df2-c330-43ae-818f-989d105f2e9f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541269/check_12105407_2e0dc3d7-7914-4241-8bc6-2ab8f807b440.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751218902 | N/A | N/A | 5541269 | 2222 | N/A | 12344024 | N/A | 4213302 | 2025-09-09 12:51:45.727248 | 2025-05-13 04:29:37.227624 |
| 2025-09-09 12:51:42.230600 | 2025-09-09 12:51:47.197505 | 12105406 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-09-09 | M | AE | PT | 23322 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_12105406_b722822f-b571-49fd-b97f-af0f9c187d72.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_12105406_7c814b4f-14b2-4192-8699-2d9eb8864a29.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751218867 | N/A | N/A | 5540113 | 2222 | N/A | 12344027 | N/A | 4212315 | 2025-09-09 12:51:47.197505 | 2025-12-29 21:20:15.158611 |
| 2025-09-09 12:51:41.700408 | 2025-09-09 12:51:43.663747 | 12105405 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-09 | F | AE | PT | 4497 | THOMSEN | 1M31KQ8DJ99 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537950/check_12105405_cfe1b353-e068-472b-bda3-f21793d445e5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537950/check_12105405_5b894a60-6ad9-46a8-a61b-2be3a01123b1.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537950 | 2222 | N/A | 12344022 | N/A | 4210450 | 2025-09-09 12:51:43.663747 | 2026-05-04 21:51:25.248197 |
| 2025-09-09 12:51:40.215613 | 2025-09-09 12:51:45.129633 | 12105404 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-09-09 | F | AE | PT | 4497 | STOPSKY | 1RY8AR3KR51 | LIDIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540229/check_12105404_ed8823f5-6071-47cf-99c3-941ec6f78109.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540229/check_12105404_ca256f46-12db-4301-baed-f7eccf69b44d.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-03-24 | S5601 | N/A | N/A | MA | false | STOPSKY | 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 | 8751218409 | N/A | N/A | 5540229 | 2222 | N/A | 12344023 | N/A | 4212423 | 2025-09-09 12:51:45.129633 | 2025-05-13 04:29:37.226755 |
| 2025-09-09 12:51:40.212807 | 2025-09-09 12:51:47.137929 | 12105403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-09 | M | PT | N/A | 4191 | SIMMONS | 906212178-000 | LAVAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541240/check_12105403_0e8ea33a-a2f1-4784-97a9-471f6ddfaff5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541240/check_12105403_731c9e97-7c29-4271-9540-beb6ce0eae92.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8751218341 | N/A | N/A | 5541240 | 2222 | N/A | 12344026 | N/A | 4213276 | 2025-09-09 12:51:47.137929 | 2025-05-13 04:29:37.227602 |
| 2025-09-09 12:51:38.703685 | 2025-09-09 12:51:42.705304 | 12105402 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-09-09 | M | AE | PT | 4497 | ROOFEH | 8QJ0UJ1EM45 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538287/check_12105402_14becd89-3820-4842-b66f-0cad9aa0d91b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538287/check_12105402_fd6df2a3-3377-41f0-a81f-b9610e2e55a9.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MB | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751218078 | N/A | N/A | 5538287 | 2222 | N/A | 12344020 | N/A | 4210725 | 2025-09-09 12:51:42.705304 | 2025-06-16 16:15:05.679018 |
| 2025-09-09 12:51:38.123780 | 2025-09-09 12:51:42.314751 | 12105401 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-25 | 2025-09-09 | F | AE | PT | 4497 | DRIMMER | 8E03WF9AM78 | NADIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537826/check_12105401_eabfe278-9774-435c-a289-c359a49be9f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537826/check_12105401_c84e9dd7-521b-4802-85b5-811d5725d1c3.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MA | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8751217975 | N/A | N/A | 5537826 | 2222 | N/A | 12344021 | N/A | 4210338 | 2025-09-09 12:51:42.314751 | 2025-05-13 04:29:37.224744 |