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 09:42:10.762747 | 2025-09-08 09:42:14.345567 | 12071792 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-08 | F | AE | PT | 2630 | ROBERTS | 00000402630 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085762/check_12071792_35bced9d-c551-4f44-a45c-1f23d2ee3963.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_12071792_01bdbd13-7961-49d3-a685-2019e0effb59.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740378667 | N/A | N/A | 6085762 | 2222 | N/A | 12308676 | N/A | 4729138 | 2025-09-08 09:42:14.345567 | 2025-05-31 14:20:56.156252 |
| 2025-09-08 09:41:22.695114 | 2025-09-08 09:41:26.233756 | 12071715 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-13 | 2025-09-08 | F | AE | PT | 4497 | DAVIS | 3M07R08AX76 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068062/check_12071715_13557fb3-98ee-4a88-bc59-be38f2016630.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_12071715_a29d783c-b796-40eb-955a-532c0044f5ac.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740375352 | N/A | N/A | 6068062 | 2222 | N/A | 12308595 | N/A | 4713002 | 2025-09-08 09:41:26.233756 | 2025-06-03 01:39:13.971712 |
| 2025-09-08 09:40:27.057950 | 2025-09-08 09:40:31.350096 | 12071632 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-08 | F | AE | PT | 23322 | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_12071632_0b061dc5-e3db-4fce-963a-5e6a4f339d6e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12071632_f54a2235-bdd3-48e1-87d3-e3e99bcbefef.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740372604 | N/A | N/A | 5993940 | 2222 | N/A | 12308510 | N/A | 4642877 | 2025-09-08 09:40:31.350096 | 2025-12-23 23:49:16.627667 |
| 2025-09-08 09:40:08.092796 | 2025-09-08 09:40:11.781278 | 12071596 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-08 | M | AE | PT | 4625 | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993907/check_12071596_a048aabb-3a5a-42ab-8868-21793eea197d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12071596_671d02ca-614c-444e-aa02-49373874c00d.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740371668 | N/A | N/A | 5993907 | 2222 | N/A | 12308470 | N/A | 4534544 | 2025-09-08 09:40:11.781278 | 2025-05-28 20:51:40.104091 |
| 2025-09-08 09:40:07.557113 | 2025-09-08 09:40:27.035483 | 12071594 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-08 | F | AE | PT | 23322 | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_12071594_bbdbbffc-9852-45cb-9c27-04e9e52fc610.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | 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 | 5993940 | 2222 | N/A | N/A | N/A | 4642877 | 2025-09-08 09:40:27.035483 | 2025-12-23 23:49:16.627667 |
| 2025-09-08 09:40:06.755698 | 2025-09-08 09:40:10.825081 | 12071593 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-08 | F | PT | N/A | 4185 | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993479/check_12071593_d61a2fd6-3537-4794-91a8-36576620085c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_12071593_49e8f6af-ce79-4c49-9403-ef2a25f47d7b.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740371607 | N/A | N/A | 5993479 | 2222 | N/A | 12308469 | N/A | 4219476 | 2025-09-08 09:40:10.825081 | 2025-05-28 20:18:04.039855 |
| 2025-09-08 09:38:12.583709 | 2025-09-08 09:38:16.686900 | 12071399 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-08 | M | AE | PT | 4497 | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874420/check_12071399_686c5814-62d7-494f-bac9-02e1cbc8147a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_12071399_d048ec98-06df-448c-a11d-33f4d60986c3.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | 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 | 5874420 | 2222 | N/A | 12308264 | N/A | 4534550 | 2025-09-08 09:38:16.686900 | 2025-10-15 18:36:58.255255 |
| 2025-09-08 09:38:08.825003 | 2025-09-08 09:38:12.569309 | 12071388 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-08 | M | AE | PT | 4497 | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874420/check_12071388_18e53d8d-78d4-49a0-b400-d33385470785.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | 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 | 5874420 | 2222 | N/A | N/A | N/A | 4534550 | 2025-09-08 09:38:12.569309 | 2025-10-15 18:36:58.255255 |
| 2025-09-08 09:38:06.740689 | 2025-09-08 09:38:09.539323 | 12071385 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-15 | 2025-09-08 | F | AE | PT | 23322 | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874423/check_12071385_653030fc-6cbd-4598-8eff-3add36b3870e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_12071385_628165fa-4b89-41d1-af71-795cae6e69ce.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740364000 | N/A | N/A | 5874423 | 2222 | N/A | 12308250 | N/A | 4534552 | 2025-09-08 09:38:09.539323 | 2025-05-30 18:01:03.324126 |
| 2025-09-08 09:38:06.317684 | 2025-09-08 09:38:09.608385 | 12071384 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-27 | 2025-09-08 | F | AE | PT | 2630 | FINE | 00000272194 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858742/check_12071384_510d230e-c522-495d-b0ae-528fceec1b76.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_12071384_96fdda48-c710-4081-abb0-38813dcf4280.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | 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 | 8740363959 | N/A | N/A | 5858742 | 2222 | N/A | 12308249 | N/A | 4219630 | 2025-09-08 09:38:09.608385 | 2025-05-13 04:29:37.230672 |
| 2025-09-08 09:36:46.314855 | 2025-09-08 09:36:51.041746 | 12071247 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-30 | 2025-09-08 | F | AE | PT | 4497 | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676388/check_12071247_79c6e6b1-8bd8-4d88-9943-6c8e741f91f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_12071247_c97c84cc-ddb7-474d-9ca0-f9937848c01d.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MB | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740358973 | N/A | N/A | 5676388 | 2222 | N/A | 12308115 | N/A | 4343445 | 2025-09-08 09:36:51.041746 | 2025-05-14 09:06:09.407736 |
| 2025-09-08 09:36:40.707884 | 2025-09-08 09:36:43.774357 | 12071237 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-08 | M | AE | PT | 2630 | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676399/check_12071237_035017fc-1b41-4016-b25a-2577f1d4ec6f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_12071237_fb873796-981a-4a0b-89f7-e2873adc10a2.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8740358574 | N/A | N/A | 5676399 | 2222 | N/A | 12308103 | N/A | 4343454 | 2025-09-08 09:36:43.774357 | 2025-05-13 04:29:37.230932 |
| 2025-09-08 09:36:38.862397 | 2025-09-08 09:36:41.533124 | 12071236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-18 | 2025-09-08 | F | PT | N/A | 4185 | SHARMA | QUC527W09031 | SUMITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676371/check_12071236_5cbcc598-c2b0-413b-8e75-281e8d130c0c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676371/check_12071236_c3da4d9c-6c5e-4689-872f-2f31a3432838.json | N/A | N/A | N/A | N/A | N/A | QUC527W09031 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1990-07-18 | 040 | 280509A240 | N/A | PR | false | SHARMA | N/A | SUMITA | N/A | 9999-12-31 | 2024-01-08 | UC HEALTH SAVINGS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740358419 | N/A | N/A | 5676371 | 2222 | N/A | 12308101 | N/A | 4219828 | 2025-09-08 09:36:41.533124 | 2026-05-14 20:22:48.706745 |
| 2025-09-08 09:35:32.249965 | 2025-09-08 09:35:36.008078 | 12071103 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-08 | F | AE | PT | 23322 | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_12071103_3b66c829-2b88-4fba-be03-4307aea25371.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12071103_a867f807-f9dc-4b4d-ab41-12b556d1924d.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 | 8740354080 | N/A | N/A | 5568076 | 2222 | N/A | 12307965 | N/A | 4209480 | 2025-09-08 09:35:36.008078 | 2026-04-10 02:05:15.976484 |
| 2025-09-08 09:35:08.303986 | 2025-09-08 09:35:10.876562 | 12071050 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-09-08 | F | PT | N/A | 4185 | GALLO LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_12071050_f0025a84-3942-4bee-9933-cd6f638ed032.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_12071050_70941fb7-956e-4963-8833-0eaee4575f5f.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | 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 | 5550838 | 2222 | N/A | 12307912 | N/A | 4219709 | 2025-09-08 09:35:10.876562 | 2025-05-13 04:29:37.230752 |
| 2025-09-08 09:35:07.236286 | 2025-09-08 09:35:10.380731 | 12071048 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-08 | F | PT | N/A | 4185 | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550953/check_12071048_a60dcaf2-497e-4088-beb6-dada4887c311.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_12071048_4567a3fd-1b52-4fb7-ad81-24e09e4da611.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740352315 | N/A | N/A | 5550953 | 2222 | N/A | 12307911 | N/A | 4219788 | 2025-09-08 09:35:10.380731 | 2025-06-06 22:01:46.271450 |
| 2025-09-08 09:35:06.226324 | 2025-09-08 09:35:08.380847 | 12071046 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-09-08 | M | AE | PT | 23295 | SOLHJOU | U7549246801 | BAHRAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549949/check_12071046_d4d603c9-34b9-4f5c-b206-3f3651cf29f8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_12071046_3b508eda-5b6d-4428-b345-60ac268cfa81.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | 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 | 5549949 | 2222 | N/A | 12307904 | N/A | 4219432 | 2025-09-08 09:35:08.380847 | 2025-05-13 04:29:37.230466 |
| 2025-09-08 09:35:06.034690 | 2025-09-08 09:35:08.825220 | 12071045 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2016-10-15 | 2025-09-08 | F | PT | N/A | 4185 | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550923/check_12071045_6ed706b1-a51a-4678-90a1-74010c673407.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_12071045_8ef84961-f253-4788-90f0-7c0ff58cd5d9.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740352212 | N/A | N/A | 5550923 | 2222 | N/A | 12307906 | N/A | 4219763 | 2025-09-08 09:35:08.825220 | 2025-05-13 04:29:37.230804 |
| 2025-09-08 09:35:06.004283 | 2025-09-08 09:35:08.281736 | 12071044 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-09-08 | F | PT | N/A | 4185 | GALLO LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_12071044_b0cd150a-e013-49ce-a980-3884cfd3d5ea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | 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 | 5550838 | 2222 | N/A | N/A | N/A | 4219709 | 2025-09-08 09:35:08.281736 | 2025-05-13 04:29:37.230752 |
| 2025-09-08 09:35:05.982634 | 2025-09-08 09:35:09.593670 | 12071043 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-01-14 | 2025-09-08 | F | AE | PT | 4497 | STELLINI | 9PU3FY2MU09 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550849/check_12071043_402b2cb1-3bcd-467a-9a64-ba04a75310bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_12071043_28b1dc79-8dc7-4822-a084-eb3407d6b815.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MA | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740352227 | N/A | N/A | 5550849 | 2222 | N/A | 12307907 | N/A | 4215221 | 2025-09-08 09:35:09.593670 | 2025-05-13 04:29:37.229536 |
| 2025-09-08 09:35:05.729898 | 2025-09-08 09:35:09.807654 | 12071042 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-21 | 2025-09-08 | F | AE | PT | 3937 | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550850/check_12071042_35c6fae8-8c1f-493a-b2f2-82891a49c914.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_12071042_74061682-5e8b-495a-bf87-4917c7b0f264.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 | 8740352203 | N/A | N/A | 5550850 | 2222 | N/A | 12307909 | N/A | 4215195 | 2025-09-08 09:35:09.807654 | 2025-05-14 09:08:40.751930 |
| 2025-09-08 09:35:05.190459 | 2025-09-08 09:35:09.077514 | 12071041 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-05-08 | 2025-09-08 | F | PT | N/A | 4191 | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550827/check_12071041_b82c4bd7-987c-492a-b1d3-8c8c7966b2ea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_12071041_0a0d988f-d7d7-403a-a428-f8d5af7ad76f.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740352186 | N/A | N/A | 5550827 | 2222 | N/A | 12307905 | N/A | 4219700 | 2025-09-08 09:35:09.077514 | 2025-05-13 04:29:37.230745 |
| 2025-09-08 09:35:05.081386 | 2025-09-08 09:35:07.822958 | 12071040 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-17 | 2025-09-08 | F | PT | N/A | 4191 | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550845/check_12071040_c05b3820-997f-4771-9808-6c0ceb3e4cae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_12071040_255af82f-836a-4fd1-a32d-cfae0e9cfdef.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740352113 | N/A | N/A | 5550845 | 2222 | N/A | 12307902 | N/A | 4219713 | 2025-09-08 09:35:07.822958 | 2025-08-13 22:46:55.732965 |
| 2025-09-08 09:35:04.350989 | 2025-09-08 09:35:06.221232 | 12071039 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-09-08 | M | AE | PT | 23295 | SOLHJOU | U7549246801 | BAHRAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549949/check_12071039_2733add3-6463-4646-ab31-da53d42c598a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | 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 | 5549949 | 2222 | N/A | N/A | N/A | 4219432 | 2025-09-08 09:35:06.221232 | 2025-05-13 04:29:37.230466 |
| 2025-09-08 09:35:00.544861 | 2025-09-08 09:35:03.204008 | 12071033 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-08 | F | PT | N/A | 1534 | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543355/check_12071033_5fcfc129-7485-4b14-a8f2-0948274e67fd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_12071033_af9beedb-64d9-4d2c-848e-312406c3ef5c.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1968-01-29 | N/A | N/A | N/A | N/A | false | DAKE | N/A | RENEE | 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 | 5543355 | 2222 | N/A | 12307889 | N/A | 4215158 | 2025-09-08 09:35:03.204008 | 2025-05-13 04:29:37.229475 |
| 2025-09-08 09:34:59.794035 | 2025-09-08 09:35:06.047474 | 12071030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-07 | 2025-09-08 | M | PT | N/A | 4184 | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543360/check_12071030_7d5667c9-cf38-4957-85ad-708b616d03ef.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_12071030_3e0bbe13-7342-42a3-9c50-0e3873ace2ec.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 | 8740351742 | N/A | N/A | 5543360 | 2222 | N/A | 12307896 | N/A | 4215161 | 2025-09-08 09:35:06.047474 | 2025-05-13 04:29:37.229478 |
| 2025-09-08 09:34:59.769661 | 2025-09-08 09:35:03.725097 | 12071029 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-08 | F | AE | PT | 2630 | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543084/check_12071029_aa445ac6-44b0-4a53-929c-48068d6dc275.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_12071029_89a671ab-2b0e-46ac-ab15-fb14e27d6a21.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | 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 | 8740351762 | N/A | N/A | 5543084 | 2222 | N/A | 12307888 | N/A | 4214920 | 2025-09-08 09:35:03.725097 | 2025-05-13 04:29:37.229242 |
| 2025-09-08 09:34:58.987276 | 2025-09-08 09:35:00.542413 | 12071028 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-08 | F | PT | N/A | 1534 | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543355/check_12071028_428e72d5-1d6b-40b3-b1b7-3fcb90d7ded9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1968-01-29 | N/A | N/A | N/A | N/A | false | DAKE | N/A | RENEE | 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 | 5543355 | 2222 | N/A | N/A | N/A | 4215158 | 2025-09-08 09:35:00.542413 | 2025-05-13 04:29:37.229475 |
| 2025-09-08 09:34:58.585902 | 2025-09-08 09:35:01.930135 | 12071027 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-24 | 2025-09-08 | M | AD | N/A | 1534 | SJUKUR | U0030031901 | HANSEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543268/check_12071027_54abe0f0-3e2e-4032-abde-8c63aae4d61f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_12071027_b177adec-b1ce-448b-86e6-19e57d9fdae4.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8740351666 | N/A | N/A | 5543268 | 2222 | N/A | 12307885 | N/A | 4215085 | 2025-09-08 09:35:01.930135 | 2025-05-23 17:53:24.114484 |
| 2025-09-08 09:34:58.507008 | 2025-09-08 09:35:00.620262 | 12071026 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-03-23 | 2025-09-08 | M | PT | N/A | 4191 | FISHMAN | XEA913817626 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543343/check_12071026_620b47b7-6e07-43d9-bf24-9f5e2cb1ebf4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_12071026_6846f9d7-1a8c-46f4-92d0-765ccbb8fbbf.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351663 | N/A | N/A | 5543343 | 2222 | N/A | 12307881 | N/A | 4215143 | 2025-09-08 09:35:00.620262 | 2025-05-13 04:29:37.229456 |
| 2025-09-08 09:34:58.230963 | 2025-09-08 09:35:01.701115 | 12071025 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-08 | F | AD | N/A | 1534 | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543171/check_12071025_75288869-18ac-4bc5-88d0-25ca02a42043.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_12071025_c3edbcd1-9100-42ee-95da-4099e776a070.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8740351654 | N/A | N/A | 5543171 | 2222 | N/A | 12307884 | N/A | 4214998 | 2025-09-08 09:35:01.701115 | 2025-05-13 04:29:37.229318 |
| 2025-09-08 09:34:58.260893 | 2025-09-08 09:35:00.529930 | 12071024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-08 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12071024_5ebae577-05c0-4b8e-ae29-e37cd1b14cdc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12071024_27194ef8-62f8-449c-82fe-3f2541fba745.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 5542750 | 2222 | N/A | 12307880 | N/A | 4214623 | 2025-09-08 09:35:00.529930 | 2025-08-28 22:11:32.536994 |
| 2025-09-08 09:34:58.195858 | 2025-09-08 09:35:04.919538 | 12071023 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-03-25 | 2025-09-08 | M | AE | PT | 3937 | MOLAVI | W290733985 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542759/check_12071023_e63a0681-d49b-4f97-9213-951a0c117833.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_12071023_7dbef124-b170-42be-b3ca-d77aaed9d721.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740351675 | N/A | N/A | 5542759 | 2222 | N/A | 12307893 | N/A | 4214620 | 2025-09-08 09:35:04.919538 | 2025-08-05 22:41:29.756445 |
| 2025-09-08 09:34:57.867483 | 2025-09-08 09:35:03.665602 | 12071022 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-06-02 | 2025-09-08 | M | PT | N/A | 4191 | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543237/check_12071022_66f5370e-6989-4b62-b49c-6fe9fc0b4865.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_12071022_6a0e3d68-ee23-4acc-9904-341d014d9149.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ENHANCED DENTAL PPO 25 500 JAN21 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351596 | N/A | N/A | 5543237 | 2222 | N/A | 12307890 | N/A | 4215054 | 2025-09-08 09:35:03.665602 | 2025-05-13 04:29:37.229375 |
| 2025-09-08 09:34:57.605876 | 2025-09-08 09:35:00.918369 | 12071021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-11-11 | 2025-09-08 | M | AE | PT | 4497 | GOLDBERG | 9EE6XY2TM41 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542970/check_12071021_caef3b28-d474-4b53-9467-038cd4ca7578.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_12071021_e909283b-1066-4c0c-a5c1-d52e045f31be.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740351588 | N/A | N/A | 5542970 | 2222 | N/A | 12307882 | N/A | 4214820 | 2025-09-08 09:35:00.918369 | 2025-06-30 02:56:23.324592 |
| 2025-09-08 09:34:56.686377 | 2025-09-08 09:35:02.354557 | 12071020 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-08 | M | AE | PT | 3948 | MEADOWS | 101352892200 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542634/check_12071020_8bd4d10e-93a2-4060-9bbb-b7fbbe06bc16.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_12071020_cda2d98f-9ebc-49b3-a3dc-63eb0c7d4c98.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740351563 | N/A | N/A | 5542634 | 2222 | N/A | 12307887 | N/A | 4214520 | 2025-09-08 09:35:02.354557 | 2025-07-28 19:32:04.879318 |
| 2025-09-08 09:34:55.810112 | 2025-09-08 09:34:58.248440 | 12071019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-08 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12071019_30bd409f-3b52-444d-a0dd-010a7d037605.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-08 09:34:58.248440 | 2025-08-28 22:11:32.536994 |
| 2025-09-08 09:34:54.728082 | 2025-09-08 09:34:57.796562 | 12071018 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-08 | M | AE | PT | 4625 | MOSLEY | R02649763MM1 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542606/check_12071018_a1d6bc63-3f2f-4d42-9e20-58c781fcda45.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_12071018_5120fdb5-117b-4874-9b4d-3f67bd53be58.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 | 8740351430 | N/A | N/A | 5542606 | 2222 | N/A | 12307878 | N/A | 4214496 | 2025-09-08 09:34:57.796562 | 2025-05-13 04:29:37.228812 |
| 2025-09-08 09:34:54.619873 | 2025-09-08 09:35:03.890354 | 12071017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-08 | F | PT | N/A | 4185 | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542387/check_12071017_f97271bd-9bfa-4a69-a76e-cd9ccc5a8956.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_12071017_6aab24a8-01f9-46b0-937d-0a397dfd6bfc.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351435 | N/A | N/A | 5542387 | 2222 | N/A | 12307891 | N/A | 4214300 | 2025-09-08 09:35:03.890354 | 2025-06-17 13:03:57.252701 |
| 2025-09-08 09:34:54.158602 | 2025-09-08 09:34:57.188769 | 12071016 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-21 | 2025-09-08 | F | PT | N/A | 4191 | BAER | XEK905554072 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542259/check_12071016_ae636277-26da-41ff-968a-a8a7914cb9d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_12071016_bcca9cc6-7d2c-450b-a68e-269cda3cc117.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351409 | N/A | N/A | 5542259 | 2222 | N/A | 12307877 | N/A | 4214195 | 2025-09-08 09:34:57.188769 | 2025-05-13 04:29:37.228529 |
| 2025-09-08 09:34:53.762717 | 2025-09-08 09:34:57.168461 | 12071015 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-08 | M | AE | PT | 23298 | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541972/check_12071015_1e050ca7-d5d6-4119-9cd7-b64064732c38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12071015_b039f69b-5419-463d-90e7-3e15c1ca19f7.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | 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 | 8740351400 | N/A | N/A | 5541972 | 2222 | N/A | 12307876 | N/A | 4213941 | 2025-09-08 09:34:57.168461 | 2025-05-13 04:29:37.228259 |
| 2025-09-08 09:34:53.486111 | 2025-09-08 09:34:56.212199 | 12071014 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-08 | F | PT | N/A | 4185 | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542014/check_12071014_6e78dbce-cae1-4ad0-9ef0-f359ca72fbb3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_12071014_1faf8418-ce82-4d26-9777-7b03b1977628.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 8740351365 | N/A | N/A | 5542014 | 2222 | N/A | 12307875 | N/A | 4213977 | 2025-09-08 09:34:56.212199 | 2025-05-13 04:29:37.228294 |
| 2025-09-08 09:34:52.325272 | 2025-09-08 09:34:55.719552 | 12071013 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-08 | F | AE | PT | 4497 | MAYER | 5J41QM7YN93 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541938/check_12071013_5615b6d5-aaf9-4d85-91a2-2a36d2177c51.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_12071013_17331b85-6e39-4315-9773-4fb3cdd0d51b.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740351320 | N/A | N/A | 5541938 | 2222 | N/A | 12307874 | N/A | 4213917 | 2025-09-08 09:34:55.719552 | 2025-06-25 01:53:37.609327 |
| 2025-09-08 09:34:52.212882 | 2025-09-08 09:34:55.005154 | 12071012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-08 | F | PT | N/A | 4184 | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541944/check_12071012_a46aa8eb-779a-450f-8557-45f5c22dea1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_12071012_595ff75d-7ed9-4ff7-8654-025620f605d1.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351301 | N/A | N/A | 5541944 | 2222 | N/A | 12307872 | N/A | 4213907 | 2025-09-08 09:34:55.005154 | 2025-05-13 04:29:37.228228 |
| 2025-09-08 09:34:51.386694 | 2025-09-08 09:34:54.542636 | 12071011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-08 | M | PT | N/A | 4185 | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541917/check_12071011_cc5dc106-3f59-4b48-81b4-f717e9846aff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_12071011_8945d1d8-c00b-41a0-9af1-b81c900490e7.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 8740351251 | N/A | N/A | 5541917 | 2222 | N/A | 12307867 | N/A | 4213891 | 2025-09-08 09:34:54.542636 | 2025-05-13 04:29:37.228207 |
| 2025-09-08 09:34:51.325231 | 2025-09-08 09:34:55.525805 | 12071010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-08 | F | PT | N/A | 4184 | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541035/check_12071010_d7da27bc-5908-44be-b211-90a0a65c72c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_12071010_17f8485b-6957-4ce8-921d-1190a753e74e.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351275 | N/A | N/A | 5541035 | 2222 | N/A | 12307871 | N/A | 4213091 | 2025-09-08 09:34:55.525805 | 2025-05-13 04:29:37.227417 |
| 2025-09-08 09:34:51.253484 | 2025-09-08 09:34:54.936912 | 12071009 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-08 | F | PT | N/A | 4191 | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541730/check_12071009_a70cac46-0829-4ea1-adcb-ee79fa6b67dc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_12071009_5c5f73fb-e73e-45a4-984a-7279035ed8fb.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2025-08-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351252 | N/A | N/A | 5541730 | 2222 | N/A | 12307868 | N/A | 4213725 | 2025-09-08 09:34:54.936912 | 2025-05-13 04:29:37.228045 |
| 2025-09-08 09:34:50.039473 | 2025-09-08 09:34:53.430849 | 12071008 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-30 | 2025-09-08 | M | AE | PT | 23322 | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541163/check_12071008_0b69d055-4361-4a2a-9d2e-e79c7a7d55b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_12071008_d2782141-6e0f-48b0-b90a-93432cc9fbda.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740351136 | N/A | N/A | 5541163 | 2222 | N/A | 12307864 | N/A | 4213207 | 2025-09-08 09:34:53.430849 | 2025-05-13 04:29:37.227536 |
| 2025-09-08 09:34:49.874882 | 2025-09-08 09:34:54.178254 | 12071007 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-29 | 2025-09-08 | F | AE | PT | 23307 | MARTINEZ | 40032670501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540591/check_12071007_79150ecb-5338-4cb2-9620-92b60fd8fe46.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_12071007_3441aa7f-e8b3-48d1-a89e-0ce405645917.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8740351115 | N/A | N/A | 5540591 | 2222 | N/A | 12307866 | N/A | 4212724 | 2025-09-08 09:34:54.178254 | 2025-07-26 22:27:37.781276 |
| 2025-09-08 09:34:49.829379 | 2025-09-08 09:34:53.215097 | 12071006 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-21 | 2025-09-08 | F | PT | N/A | 4184 | FRCEK | XDP605A62818 | LORENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540910/check_12071006_45ba8fe4-be36-4e1d-a622-c0069b833853.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540910/check_12071006_a11aedc8-39bf-4472-82f0-149970234955.json | N/A | N/A | N/A | N/A | N/A | XDP605A62818 | Preferred Provider Organization (PPO) | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1963-09-21 | 040 | 1264LC | N/A | PR | false | FRCEK | N/A | LORENA | N/A | 9999-12-31 | 2025-05-01 | PPO PBP INCENTIVE HOSPITAL / PBP PLUS PROFESSIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8740351112 | N/A | N/A | 5540910 | 2222 | N/A | 12307863 | N/A | 4212992 | 2025-09-08 09:34:53.215097 | 2025-05-13 04:29:37.227320 |