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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-08 11:01:40.696477 | 2025-09-08 11:01:45.234216 | 12078422 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-08 | M | AE | PT | 5538 | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_12078422_1f3ed616-21b9-4180-bcbd-5e6536d9ed2c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_12078422_e01a0f6b-17f6-4347-8f51-2480bfaee828.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740685689 | N/A | N/A | 8960010 | 2222 | N/A | 12315531 | N/A | 7476978 | 2025-09-08 11:01:45.234216 | 2026-01-07 18:27:22.752552 |
| 2025-09-08 11:01:19.755106 | 2025-09-08 11:01:23.707433 | 12078399 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-07 | 2025-09-08 | M | AD | N/A | 3948 | VIDAL | W28518662101 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/8959871/check_12078399_33d4cf46-e253-4309-99d3-4c9aaf035a63.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12078399_2bf5f08f-8db5-464b-8ae8-1778dd140107.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8740682659 | N/A | N/A | 8959871 | 2222 | N/A | 12315509 | N/A | 4210349 | 2025-09-08 11:01:23.707433 | 2025-05-13 04:29:37.224755 |
| 2025-09-08 10:58:18.523082 | 2025-09-08 10:58:21.772335 | 12078182 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-24 | 2025-09-08 | F | AE | PT | 4625 | DE BENEDICTIS | R00538590FS1 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8673509/check_12078182_1beff9c7-59a7-40c0-ab7f-5b09cefbca66.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8673509/check_12078182_19b0086b-5263-4776-af4f-c6806794fbc1.json | N/A | N/A | N/A | N/A | N/A | R00538590FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-24 | N/A | N/A | N/A | N/A | false | DEBENEDICTIS | N/A | JULIE | N/A | N/A | N/A | KWW PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740669246 | N/A | N/A | 8673509 | 2222 | N/A | 12315278 | N/A | 7308743 | 2025-09-08 10:58:21.772335 | 2025-09-08 16:19:09.101702 |
| 2025-09-08 10:56:41.160939 | 2025-09-08 10:56:44.756590 | 12078058 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-08 | F | PT | N/A | 23277 | VALENCIA | 972A20708-70 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12078058_39e20562-8dcf-4041-8205-b3c7d458f54d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8639700/check_12078058_6511478d-5783-4006-9ce8-010064422d33.json | N/A | N/A | N/A | N/A | N/A | 972A20708-70 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8639700 | 2222 | N/A | 12315149 | N/A | 7100343 | 2025-09-08 10:56:44.756590 | 2025-08-26 17:30:26.978462 |
| 2025-09-08 10:56:36.884845 | 2025-09-08 10:56:41.044341 | 12078052 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-08 | F | PT | N/A | 23277 | VALENCIA | 972A20708-70 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12078052_4f1f8230-d32d-47fe-bd65-e45b8c4cd124.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | 972A20708-70 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8639700 | 2222 | N/A | N/A | N/A | 7100343 | 2025-09-08 10:56:41.044341 | 2025-08-26 17:30:26.978462 |
| 2025-09-08 10:54:07.793581 | 2025-09-08 10:54:11.757699 | 12077881 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-18 | 2025-09-08 | M | AE | PT | 23298 | CARINO | 1660670-01 | RODOLFO | https://storage.googleapis.com/normandy-eligibility-checks/2222/8472317/check_12077881_222b8277-2fe0-4a98-8647-844698fd7b08.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_12077881_4b785cc4-6eca-42da-962d-04fdbdd3b621.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740656951 | N/A | N/A | 8472317 | 2222 | N/A | 12314968 | N/A | 6543380 | 2025-09-08 10:54:11.757699 | 2025-08-01 17:39:00.802055 |
| 2025-09-08 10:54:01.543848 | 2025-09-08 10:54:45.670292 | 12077877 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1986-05-15 | 2025-09-08 | M | PT | N/A | 4197 | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471737/check_12077877_d9449a63-a14c-440f-bcd9-e17cc692cc54.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_12077877_29c4108a-6dcd-45d5-ac60-8b7097448b09.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740656757 | N/A | N/A | 8471737 | 2222 | N/A | 12315013 | N/A | 7142683 | 2025-09-08 10:54:45.670292 | 2026-01-12 20:01:37.957097 |
| 2025-09-08 10:53:58.257481 | 2025-09-08 10:54:02.502532 | 12077870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-09-04 | 2025-09-08 | M | PT | N/A | 4184 | ROSS | JQU305M78698 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471592/check_12077870_430c146e-97b5-406c-baf0-61e54f918a81.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471592/check_12077870_3b976584-412c-4591-b54d-e80f952b9f22.json | N/A | N/A | N/A | N/A | N/A | JQU305M78698 | Preferred Provider Organization (PPO) | MCMORGAN AND COMPANY LLC | ANTHEM BLUE CROSS | N/A | 1981-09-04 | 040 | K07161 | N/A | PR | false | ROSS | N/A | RYAN | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740656658 | N/A | N/A | 8471592 | 2222 | N/A | 12314956 | N/A | 7142505 | 2025-09-08 10:54:02.502532 | 2025-09-05 16:41:44.622776 |
| 2025-09-08 10:53:35.871445 | 2025-09-08 10:53:38.914515 | 12077844 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-12-03 | 2025-09-08 | M | PT | N/A | 4184 | WONG | MBL700W07323 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8469090/check_12077844_352ad38a-58c6-4cca-ab00-e0af587935b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_12077844_eb872d3d-84cc-4e40-b05a-61f05e17066d.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740655761 | N/A | N/A | 8469090 | 2222 | N/A | 12314928 | N/A | 7140615 | 2025-09-08 10:53:38.914515 | 2025-09-05 16:51:17.488032 |
| 2025-09-08 10:47:27.157766 | 2025-09-08 10:48:16.718974 | 12077403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-08 | F | PT | N/A | 4191 | MENDELSON | XEK913483846 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/2222/8224045/check_12077403_944c3184-5097-40c9-833d-57481bd68f0b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_12077403_8408455d-508c-4ee6-a302-876b9516e4ae.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740636181 | N/A | N/A | 8224045 | 2222 | N/A | 12314523 | N/A | 6981160 | 2025-09-08 10:48:16.718974 | 2025-08-26 21:16:15.557856 |
| 2025-09-08 10:45:22.967539 | 2025-09-08 10:45:28.716992 | 12077267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-03-10 | 2025-09-08 | M | PT | N/A | 4184 | WEBBER | NEI801068106 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/8204846/check_12077267_1abd0d26-41f4-49e2-9152-be58287d2c77.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_12077267_ed7f6bb1-24b5-4261-b0f1-1df6d78b11db.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 9999-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740627692 | N/A | N/A | 8204846 | 2222 | N/A | 12314325 | N/A | 6966879 | 2025-09-08 10:45:28.716992 | 2025-08-19 23:20:37.306121 |
| 2025-09-08 10:45:12.146303 | 2025-09-08 10:45:25.056502 | 12077254 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-12-02 | 2025-09-08 | M | PT | N/A | 4191 | GODINEZ | XEK907039926 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/8202901/check_12077254_b9d2ec99-72e5-47b9-9386-5b5265691acb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_12077254_1273f1e0-898a-4389-b6dd-94cef6e9d641.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740627077 | N/A | N/A | 8202901 | 2222 | N/A | 12314319 | N/A | 6965521 | 2025-09-08 10:45:25.056502 | 2025-09-10 21:42:23.177790 |
| 2025-09-08 10:43:22.907991 | 2025-09-08 10:43:28.674722 | 12077131 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-09-08 | M | AE | PT | 4211 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_12077131_1f4676d7-ba93-4da0-bf4f-ff0bebe57702.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_12077131_5efae41b-3fd2-4f9d-938e-47e0ee1277db.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740621557 | N/A | N/A | 8173002 | 2222 | N/A | 12314188 | N/A | 6939518 | 2025-09-08 10:43:28.674722 | 2025-08-18 21:40:08.349494 |
| 2025-09-08 10:43:21.342033 | 2025-09-08 10:43:27.302978 | 12077128 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-30 | 2025-09-08 | M | AE | PT | 3937 | MCHALE | W27265070 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173116/check_12077128_d4a7c046-d6b9-4b2c-809a-301a5c19e864.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_12077128_483d2d1f-c78b-4baa-92ca-9cbd6982f8e0.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740621488 | N/A | N/A | 8173116 | 2222 | N/A | 12314184 | N/A | 6939617 | 2025-09-08 10:43:27.302978 | 2025-09-16 00:28:24.457071 |
| 2025-09-08 10:41:35.245166 | 2025-09-08 10:42:02.295661 | 12076997 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-27 | 2025-09-08 | F | PT | N/A | 4191 | SIMMONS | JXN429M92474 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8118854/check_12076997_43382012-ce82-4e5c-bfce-037f86e7057d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8118854/check_12076997_993d1220-ca5c-4536-9c49-bc5cbefb7f52.json | N/A | N/A | N/A | N/A | N/A | JXN429M92474 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-27 | 040 | 174222M9A1 | N/A | PR | false | SIMMONS | N/A | CYNTHIA | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740615429 | N/A | N/A | 8118854 | 2222 | N/A | 12314076 | N/A | 6896967 | 2025-09-08 10:42:02.295661 | 2025-09-03 19:44:25.952611 |
| 2025-09-08 10:41:18.561440 | 2025-09-08 10:41:21.179094 | 12076975 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-04 | 2025-09-08 | M | PT | N/A | 23277 | MALATY | MLN507W09347-10 | FADY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8113030/check_12076975_ee93e587-0e2f-4939-aaf3-e27b434ff337.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8113030/check_12076975_7ad0427e-d0d6-4113-9656-1ec64967d243.json | N/A | N/A | N/A | N/A | N/A | MLN507W09347-10 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-07-04 | N/A | N/A | N/A | N/A | false | MALATY | N/A | FADY | 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 | 8113030 | 2222 | N/A | 12314025 | N/A | 6890159 | 2025-09-08 10:41:21.179094 | 2025-08-25 15:54:41.055320 |
| 2025-09-08 10:41:14.935487 | 2025-09-08 10:41:18.484863 | 12076970 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-04 | 2025-09-08 | M | PT | N/A | 23277 | MALATY | MLN507W09347-10 | FADY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8113030/check_12076970_13030714-df82-47f0-97ee-1e6f4be58253.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | MLN507W09347-10 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-07-04 | N/A | N/A | N/A | N/A | false | MALATY | N/A | FADY | 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 | 8113030 | 2222 | N/A | N/A | N/A | 6890159 | 2025-09-08 10:41:18.484863 | 2025-08-25 15:54:41.055320 |
| 2025-09-08 10:38:09.242640 | 2025-09-08 10:38:12.764713 | 12076716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-02-15 | 2025-09-08 | F | PT | N/A | 4185 | Schwarz | LDU982A72978 | Linda | https://storage.googleapis.com/normandy-eligibility-checks/2222/8048304/check_12076716_76f74eb0-eb4f-4c31-9860-05f2ffec89e8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048304/check_12076716_3fd0e9da-8912-4738-b526-fbd0ebbb43aa.json | N/A | N/A | N/A | N/A | N/A | LDU982A72978 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1950-02-15 | 040 | 1838NJ | N/A | EP | false | SCHWARZ | N/A | LINDA | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740602608 | N/A | N/A | 8048304 | 2222 | N/A | 12313758 | N/A | 6470898 | 2025-09-08 10:38:12.764713 | 2025-07-29 20:29:16.916703 |
| 2025-09-08 10:37:24.354991 | 2025-09-08 10:37:32.924248 | 12076654 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-05-21 | 2025-09-08 | F | PT | N/A | 4191 | MARTINEZ | HFD100011199462 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/8026951/check_12076654_27e0ba57-c930-4e1c-9418-95222e3f0123.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_12076654_01dcad9f-4048-47b8-aa9d-8f079e57b876.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740599908 | N/A | N/A | 8026951 | 2222 | N/A | 12313696 | N/A | 6828511 | 2025-09-08 10:37:32.924248 | 2025-08-14 00:23:35.929152 |
| 2025-09-08 10:37:24.284376 | 2025-09-08 10:37:28.709221 | 12076653 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-08 | M | PT | N/A | 4184 | CHYNOWETH | JQU148M89680 | DAMIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8027485/check_12076653_f0bb94cc-a9f8-4c74-8f42-2ef5f1e03fed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_12076653_75fd7721-1fc1-4528-90a2-d2391141b591.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740599942 | N/A | N/A | 8027485 | 2222 | N/A | 12313690 | N/A | 6828971 | 2025-09-08 10:37:28.709221 | 2025-09-02 17:27:57.794692 |
| 2025-09-08 10:37:22.397970 | 2025-09-08 10:37:24.807735 | 12076649 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-05 | 2025-09-08 | M | AE | PT | 3948 | LEE | W46967828 | MICAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8025873/check_12076649_425a94d4-c116-476c-b704-6ad9fb085fc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025873/check_12076649_a3ea6e2c-3ec5-4ca5-8ee9-6966a7b557d7.json | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8025873 | 2222 | N/A | 12313684 | N/A | 6827370 | 2025-09-08 10:37:24.807735 | 2025-08-19 17:52:17.507801 |
| 2025-09-08 10:37:17.019955 | 2025-09-08 10:37:22.283810 | 12076642 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-05 | 2025-09-08 | M | AE | PT | 3948 | LEE | W46967828 | MICAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8025873/check_12076642_7ab340ef-6adf-4db3-879f-2d53371c0de3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8025873 | 2222 | N/A | N/A | N/A | 6827370 | 2025-09-08 10:37:22.283810 | 2025-08-19 17:52:17.507801 |
| 2025-09-08 10:35:50.988799 | 2025-09-08 10:35:56.106504 | 12076532 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-25 | 2025-09-08 | F | AE | PT | 6237 | POLLOCK | 40002008301 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7992096/check_12076532_c330144f-1a8a-4cf3-a929-91142a4159c6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_12076532_3f81856e-721a-4165-91b1-ed22aa2cd158.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740593947 | N/A | N/A | 7992096 | 2222 | N/A | 12313567 | N/A | 4212687 | 2025-09-08 10:35:56.106504 | 2025-08-27 18:05:06.350903 |
| 2025-09-08 10:35:47.737643 | 2025-09-08 10:35:51.036758 | 12076526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-08 | F | PT | N/A | 4185 | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_12076526_dfcbfae8-a6cf-4c57-b4c8-b936fe0e14b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_12076526_1aa1b8e9-2c0b-4296-87f0-3826e074f8a9.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | 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 | 7988722 | 2222 | N/A | 12313556 | N/A | 6798209 | 2025-09-08 10:35:51.036758 | 2025-10-29 15:15:17.952230 |
| 2025-09-08 10:35:45.155069 | 2025-09-08 10:35:47.727978 | 12076520 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-08 | F | PT | N/A | 4185 | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_12076520_6d912ddf-9415-4ba4-ab5b-cf1d161da1c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | 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 | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-09-08 10:35:47.727978 | 2025-10-29 15:15:17.952230 |
| 2025-09-08 10:34:56.673151 | 2025-09-08 10:35:00.906337 | 12076453 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-03-01 | 2025-09-08 | F | PT | N/A | 4185 | GUTIERREZ | NCF513W15087 | ALBA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7972178/check_12076453_b7c4619b-d097-4375-8aca-2340d2a2728d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7972178/check_12076453_fec24918-cfeb-44eb-8d53-ff5d92d81075.json | N/A | N/A | N/A | N/A | N/A | NCF513W15087 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1994-03-01 | 040 | 57AJCA | N/A | HM | false | GUTIERREZ POLANC | N/A | ALBA | N/A | 9999-12-31 | 2023-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740590204 | N/A | N/A | 7972178 | 2222 | N/A | 12313487 | N/A | 6787192 | 2025-09-08 10:35:00.906337 | 2026-03-20 03:02:52.647595 |
| 2025-09-08 10:33:01.730155 | 2025-09-08 10:33:08.383454 | 12076316 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1956-10-21 | 2025-09-08 | M | PT | N/A | 4197 | TOROS | SAD103594467 | HALIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7896723/check_12076316_9aa834e0-ce86-4413-ae83-ddb927bb3bc4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_12076316_7f6dc716-0b75-43ff-8224-d1dfe57e5a1d.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2199-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740582285 | N/A | N/A | 7896723 | 2222 | N/A | 12313342 | N/A | 6723602 | 2025-09-08 10:33:08.383454 | 2025-08-12 18:22:41.461515 |
| 2025-09-08 10:31:55.453082 | 2025-09-08 10:32:06.986326 | 12076231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-06-26 | 2025-09-08 | F | PT | N/A | 4184 | LORELLI | FDP190001823 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/2222/7877415/check_12076231_a5868ebc-0ac4-4223-8476-1b2db15e4035.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_12076231_f095adec-6e90-4fff-b8f2-58233a40780d.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740577628 | N/A | N/A | 7877415 | 2222 | N/A | 12313265 | N/A | 6706226 | 2025-09-08 10:32:06.986326 | 2025-08-19 15:39:56.790206 |
| 2025-09-08 10:30:34.533773 | 2025-09-08 10:30:37.845872 | 12076129 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-08-05 | 2025-09-08 | F | AE | PT | 5505 | HORLAND | 20663702 | IVEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7825428/check_12076129_6428844c-dc59-4688-8714-967987b9a1ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7825428/check_12076129_e45e1724-b221-4cbd-b9c9-0488f02e738e.json | N/A | N/A | N/A | N/A | N/A | 20663702 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-08-05 | N/A | N/A | N/A | N/A | false | HORLAND | N/A | IVEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7825428 | 2222 | N/A | 12313147 | N/A | 6663392 | 2025-09-08 10:30:37.845872 | 2025-08-06 23:29:48.431578 |
| 2025-09-08 10:30:30.030724 | 2025-09-08 10:30:34.285511 | 12076121 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-08-05 | 2025-09-08 | F | AE | PT | 5505 | HORLAND | 20663702 | IVEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7825428/check_12076121_96e6fa6f-31ed-4701-ac43-ae195a8327c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | 20663702 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-08-05 | N/A | N/A | N/A | N/A | false | HORLAND | N/A | IVEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7825428 | 2222 | N/A | N/A | N/A | 6663392 | 2025-09-08 10:30:34.285511 | 2025-08-06 23:29:48.431578 |
| 2025-09-08 10:28:48.508607 | 2025-09-08 10:28:54.032667 | 12075991 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-01-18 | 2025-09-08 | F | AE | PT | 5349 | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7796425/check_12075991_101e8ff7-a2c4-4b07-b91e-9a7286e4075d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_12075991_5e0d08fd-cd5a-4c6f-9f01-36bebc3c0ca1.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740562507 | N/A | N/A | 7796425 | 2222 | N/A | 12313006 | N/A | 6638534 | 2025-09-08 10:28:54.032667 | 2025-08-05 23:10:54.464587 |
| 2025-09-08 10:28:37.602275 | 2025-09-08 10:28:40.338998 | 12075972 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-25 | 2025-09-08 | F | PT | N/A | 4191 | LEE | XEK914494143 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7791429/check_12075972_a91e85d3-6380-462a-91c5-a0f9f77a4991.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_12075972_91dcdd75-c219-433e-b525-9ecfddf7a1ef.json | N/A | N/A | N/A | N/A | N/A | XEK914494143 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-25 | 2001ZK002189 | X0001000 | N/A | PR | false | LEE | N/A | BARBARA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740561384 | N/A | N/A | 7791429 | 2222 | N/A | 12312982 | N/A | 6634957 | 2025-09-08 10:28:40.338998 | 2025-08-18 18:53:04.814231 |
| 2025-09-08 10:28:25.055043 | 2025-09-08 10:28:28.771489 | 12075959 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-05-23 | 2025-09-08 | F | AE | PT | 5504 | RODRIGUEZ | 000015228691 | FRANCES | https://storage.googleapis.com/normandy-eligibility-checks/2222/7787949/check_12075959_4e57e38a-6e29-42b1-80be-f4b745ed71f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787949/check_12075959_5ddb0a31-1985-417e-89a0-ed6dc3775423.json | N/A | N/A | N/A | N/A | N/A | 000015228691 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1945-05-23 | 4295421 | 1650095002 | N/A | N/A | false | RODRIGUEZ | N/A | FRANCES | N/A | N/A | N/A | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740560937 | N/A | N/A | 7787949 | 2222 | N/A | 12312965 | N/A | 6631750 | 2025-09-08 10:28:28.771489 | 2025-08-05 18:41:08.443351 |
| 2025-09-08 10:27:01.675430 | 2025-09-08 10:27:08.286948 | 12075841 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-07 | 2025-09-08 | M | PT | N/A | 4191 | Sariri | XDP632A69850 | Darius | https://storage.googleapis.com/normandy-eligibility-checks/2222/7754707/check_12075841_4e3357af-0a3e-4d75-9042-f74a01a30de8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_12075841_9ea700ed-d668-4e3a-a209-981a0d16c81d.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740557519 | N/A | N/A | 7754707 | 2222 | N/A | 12312851 | N/A | 6605684 | 2025-09-08 10:27:08.286948 | 2025-08-05 01:08:16.312539 |
| 2025-09-08 10:26:56.462446 | 2025-09-08 10:27:01.925990 | 12075834 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-20 | 2025-09-08 | F | AE | PT | 5349 | TOY | H77237018 | NELDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7754038/check_12075834_c90763f2-e4d3-4f24-94b9-536154e028f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_12075834_f8568003-7883-48f9-8628-deb5e9f0dece.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740557280 | N/A | N/A | 7754038 | 2222 | N/A | 12312841 | N/A | 6605178 | 2025-09-08 10:27:01.925990 | 2025-08-12 21:10:43.412607 |
| 2025-09-08 10:26:54.193979 | 2025-09-08 10:26:58.448534 | 12075833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-12-24 | 2025-09-08 | F | PT | N/A | 4185 | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/2222/7752768/check_12075833_7fd23653-290a-499c-ade0-f4bbd34e5e05.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_12075833_88b3debd-0ce8-45b7-a2c8-797bc8964599.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740557174 | N/A | N/A | 7752768 | 2222 | N/A | 12312839 | N/A | 6604326 | 2025-09-08 10:26:58.448534 | 2025-08-06 18:06:11.137864 |
| 2025-09-08 10:24:25.500826 | 2025-09-08 10:24:35.224174 | 12075628 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-25 | 2025-09-08 | M | AE | PT | 4625 | Weiss | R13448501MS1 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/2222/7661660/check_12075628_2a9d7aa2-c6fc-4d36-ac3a-e4657484f96f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_12075628_f00b56a1-64e4-4a07-aebc-f0e4545ed492.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740550051 | N/A | N/A | 7661660 | 2222 | N/A | 12312631 | N/A | 6543985 | 2025-09-08 10:24:35.224174 | 2025-08-01 18:30:37.244428 |
| 2025-09-08 10:22:25.261581 | 2025-09-08 10:22:28.301240 | 12075462 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-28 | 2025-09-08 | F | AE | PT | 23304 | Moss | 97177129F | Jasmine | https://storage.googleapis.com/normandy-eligibility-checks/2222/7623656/check_12075462_bb63e9cc-034c-494b-a616-34b5fef610bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7623656/check_12075462_906e599c-1f27-40d6-84ec-dbab09deb4d7.json | N/A | N/A | N/A | N/A | N/A | 97177129F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1992-09-28 | N/A | N/A | N/A | N/A | false | MOSS | N/A | JASMINE | 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 | 7623656 | 2222 | N/A | 12312453 | N/A | 6522888 | 2025-09-08 10:22:28.301240 | 2025-08-01 20:32:35.996430 |
| 2025-09-08 10:22:17.547327 | 2025-09-08 10:22:24.811932 | 12075454 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-28 | 2025-09-08 | F | AE | PT | 23304 | Moss | 97177129F | Jasmine | https://storage.googleapis.com/normandy-eligibility-checks/2222/7623656/check_12075454_e14c9374-5558-4737-8f1e-9fe259baad7c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | 97177129F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1992-09-28 | N/A | N/A | N/A | N/A | false | MOSS | N/A | JASMINE | 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 | 7623656 | 2222 | N/A | N/A | N/A | 6522888 | 2025-09-08 10:22:24.811932 | 2025-08-01 20:32:35.996430 |
| 2025-09-08 10:22:15.475201 | 2025-09-08 10:22:17.715792 | 12075449 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-22 | 2025-09-08 | M | PT | N/A | 23320 | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7626895/check_12075449_d2471ed4-1cbb-4f0e-9726-28c9fa1fee97.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_12075449_fee45318-0a6e-4d2a-b376-f755e758e508.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740545214 | N/A | N/A | 7626895 | 2222 | N/A | 12312439 | N/A | 6525917 | 2025-09-08 10:22:17.715792 | 2026-05-08 22:53:13.232007 |
| 2025-09-08 10:19:33.773830 | 2025-09-08 10:19:36.010912 | 12075224 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-26 | 2025-09-08 | M | PT | N/A | 23277 | BARKEY | JQS728M78455 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/7545690/check_12075224_51b722ca-5af4-41c0-81f6-f290eed798dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7545690/check_12075224_974f617a-0df7-4aaa-ac0d-cd2addbeead9.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-04-26 | N/A | N/A | N/A | N/A | false | BARKEY | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7545690 | 2222 | N/A | 12312207 | N/A | 4211589 | 2025-09-08 10:19:36.010912 | 2025-05-13 04:29:37.225916 |
| 2025-09-08 10:19:31.420285 | 2025-09-08 10:19:33.767576 | 12075217 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-26 | 2025-09-08 | M | PT | N/A | 23277 | BARKEY | JQS728M78455 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/7545690/check_12075217_9748aae5-03b7-48b1-9aab-968a736a8a02.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-04-26 | N/A | N/A | N/A | N/A | false | BARKEY | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7545690 | 2222 | N/A | N/A | N/A | 4211589 | 2025-09-08 10:19:33.767576 | 2025-05-13 04:29:37.225916 |
| 2025-09-08 10:17:59.553031 | 2025-09-08 10:18:02.354728 | 12075102 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-03-24 | 2025-09-08 | F | PT | N/A | 4191 | LUBOW | XEK906143943 | CAROLINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7516790/check_12075102_31cc1750-fcf8-40a9-a091-8887a846740a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_12075102_3f0bf974-3010-4200-87a9-e0be48a1639d.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740535264 | N/A | N/A | 7516790 | 2222 | N/A | 12312084 | N/A | 6452743 | 2025-09-08 10:18:02.354728 | 2025-08-06 21:04:56.768115 |
| 2025-09-08 10:17:55.993183 | 2025-09-08 10:18:01.510310 | 12075095 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-09-12 | 2025-09-08 | M | PT | N/A | 4191 | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/2222/7513987/check_12075095_f3f09a6a-367e-4bc8-8d92-9855ab401f7e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_12075095_efa9fffe-adba-4949-be36-8a93d0a4bd26.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740535150 | N/A | N/A | 7513987 | 2222 | N/A | 12312081 | N/A | 6451061 | 2025-09-08 10:18:01.510310 | 2025-07-28 22:43:26.605856 |
| 2025-09-08 10:16:25.075354 | 2025-09-08 10:16:30.324136 | 12074950 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-11-24 | 2025-09-08 | M | AE | PT | 5505 | CALL | 000022665066 | BRENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7458401/check_12074950_db3ecdb8-14af-4256-9db1-9bad057b4f4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458401/check_12074950_899b9a6d-86e4-4cb6-bd6c-b59eacade20a.json | N/A | N/A | N/A | N/A | N/A | 000022665066 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1970-11-24 | 4369231 | 230283 | N/A | N/A | false | CALL | N/A | BRENT | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740528073 | N/A | N/A | 7458401 | 2222 | N/A | 12311936 | N/A | 6407346 | 2025-09-08 10:16:30.324136 | 2025-07-25 20:38:21.233558 |
| 2025-09-08 10:16:13.616195 | 2025-09-08 10:16:16.925333 | 12074931 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-08 | 2025-09-08 | F | PT | N/A | 4185 | CHALFIN | WAR121A52220 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456267/check_12074931_1fa4e72c-15b8-4af4-932a-da214e1f17c0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_12074931_ae255c29-f0f1-4835-9e38-f1b147fc75aa.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740527441 | N/A | N/A | 7456267 | 2222 | N/A | 12311909 | N/A | 6405582 | 2025-09-08 10:16:16.925333 | 2025-08-04 21:58:38.426681 |
| 2025-09-08 10:16:03.393579 | 2025-09-08 10:16:23.780902 | 12074918 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-31 | 2025-09-08 | F | AE | PT | 4211 | Dickenson | 91000390H | Linda | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449889/check_12074918_e57f3b0e-149a-4f6b-bdc0-43e1e0e077cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_12074918_a8ab7fec-debb-42a3-8f3e-53853e84e973.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740526841 | N/A | N/A | 7449889 | 2222 | N/A | 12311924 | N/A | 6399696 | 2025-09-08 10:16:23.780902 | 2025-07-24 23:24:56.744520 |
| 2025-09-08 10:15:28.029640 | 2025-09-08 10:15:30.936218 | 12074853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-14 | 2025-09-08 | F | PT | N/A | 4185 | MOORE | W2A952W18561 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7447590/check_12074853_3470df66-70ef-4a4e-b16b-2cde111defe6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_12074853_1cb63603-ef7d-4ddd-93f3-391d93b3c4db.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 | 1962-09-14 | 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 | 8740524814 | N/A | N/A | 7447590 | 2222 | N/A | 12311830 | N/A | 6397797 | 2025-09-08 10:15:30.936218 | 2025-08-12 19:16:58.418300 |
| 2025-09-08 10:13:54.573717 | 2025-09-08 10:13:57.955633 | 12074713 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-07-12 | 2025-09-08 | M | AE | PT | 23322 | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/2222/7315101/check_12074713_cf70be06-9a42-48c2-a7c9-9269185fe314.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_12074713_6e5f49b3-8119-42a9-976d-4ae881b7e81a.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740520502 | N/A | N/A | 7315101 | 2222 | N/A | 12311688 | N/A | 6152454 | 2025-09-08 10:13:57.955633 | 2025-07-17 21:44:04.596080 |
| 2025-09-08 10:12:59.841440 | 2025-09-08 10:13:11.519338 | 12074629 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-19 | 2025-09-08 | M | PT | N/A | 4185 | SENKUS | XDM878M77372 | TONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7283495/check_12074629_281fa70d-4404-4d8f-9fb0-70021ebbe027.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7283495/check_12074629_763179b5-c2b9-4dfd-b89e-79df648d066b.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740518496 | N/A | N/A | 7283495 | 2222 | N/A | 12311613 | N/A | 6247001 | 2025-09-08 10:13:11.519338 | 2025-07-25 21:24:35.111542 |