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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-13 09:09:04.841780 | 2025-07-14 05:11:56.738034 | 9794121 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9794121 | Athletic Physical Therapy Inc | 2006-11-22 | 2025-07-16 | F | PT | MICHAEL | XEA913728701 | KRISTY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123875/check_9794121_643a7c61-0a23-4638-b58f-4b62e19a9856.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2006-11-22 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249453119 | N/A | N/A | 6123875 | 2222 | 4801 | 9534361 | N/A | 4766599 | 2025-07-14 05:11:56.738034 | 2025-06-04 14:54:47.230310 |
| 2025-07-13 09:08:51.548117 | 2025-07-14 05:10:50.300136 | 9793858 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9793858 | Athletic Physical Therapy Inc | 1944-03-21 | 2025-07-16 | F | PT | WEBB | JQS041M77883 | ALICE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522470/check_9793858_e1b7c369-b8c2-466d-95a2-a9e995cc0135.json | N/A | N/A | N/A | N/A | N/A | JQS041M77883 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-03-21 | N/A | N/A | N/A | N/A | false | WEBB | N/A | ALICE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249440537 | N/A | N/A | 6522470 | 2222 | 4801 | 9533785 | N/A | 4214765 | 2025-07-14 05:10:50.300136 | 2025-05-13 04:29:37.229089 |
| 2025-07-13 09:08:37.859898 | 2025-07-14 05:15:33.407740 | 9793655 | N/A | N/A | 60054 | Aetna | 1114042165 | 9793655 | Athletic Physical Therapy Inc | 1983-08-11 | 2025-07-16 | F | AE | LAU | W291238873 | LEEDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751438/check_9793655_f0939274-57b5-4202-b336-d8bab02700a7.json | N/A | N/A | N/A | N/A | N/A | W291818430 | Point of Service (POS) | CONTRACEPTIVE SERVICES PAYMENT PROG | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | 1983-08-11 | 0865224 | 086522405000004 | N/A | PS | false | LAU | N/A | LEEDA | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249446773 | N/A | N/A | 6751438 | 2222 | 4801 | 9535949 | N/A | 4213429 | 2025-07-14 05:15:33.407740 | 2025-07-01 02:18:15.540744 |
| 2025-07-13 09:08:37.060862 | 2025-07-14 05:36:57.422964 | 9793642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9793642 | Athletic Physical Therapy Inc | 1929-07-02 | 2025-07-16 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_9793642_c84a745a-0532-41ec-bd26-3b22bcf7caf1.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | N/A | N/A | CMS | N/A | 1929-07-02 | N/A | N/A | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249446769 | N/A | N/A | 6751304 | 2222 | 4802 | 9543750 | N/A | 5557241 | 2025-07-14 05:36:57.422964 | 2025-07-22 17:08:51.810153 |
| 2025-07-13 09:08:17.819271 | 2025-07-14 05:10:45.101010 | 9793387 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9793387 | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-16 | F | AE | CROSS | H7061645100 | VICTORIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9793387_016010f5-a621-4c29-8c6e-131845458556.json | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249438775 | N/A | N/A | 6497469 | 2222 | 4793 | 9533730 | N/A | 4211178 | 2025-07-14 05:10:45.101010 | 2025-05-13 04:29:37.225579 |
| 2025-07-13 09:08:11.720815 | 2025-07-14 05:03:04.953369 | 9793299 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9793299 | Athletic Physical Therapy Inc | 2005-06-10 | 2025-07-16 | F | PT | Kassi | 957A5554370 | Keira | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113467/check_9793299_1814008a-4cb0-4d04-9562-ddcf4b9cfb7b.json | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249453987 | N/A | N/A | 6113467 | 2222 | 4801 | 9530698 | N/A | 4756194 | 2025-07-14 05:03:04.953369 | 2025-06-02 23:03:52.087356 |
| 2025-07-13 09:08:10.428264 | 2025-07-14 05:37:35.385421 | 9793284 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9793284 | Athletic Physical Therapy Inc | 1957-12-13 | 2025-07-16 | F | AE | WALLEN | 8Q55EE9RC74 | ELLYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9793284_4c9c0f6d-1c3f-46d0-b22c-9b83d7fefc8b.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249439361 | N/A | N/A | 6492809 | 2222 | 4793 | 9543968 | N/A | 5121955 | 2025-07-14 05:37:35.385421 | 2025-06-19 17:23:34.410819 |
| 2025-07-13 09:07:39.205473 | 2025-07-14 05:22:33.367515 | 9792722 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9792722 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-16 | M | AE | SCOTT | 2F27FV6KJ47 | GEORGE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9792722_4f0908b3-f7b5-41b3-bbf0-d8ac5012e705.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MB | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249452773 | N/A | N/A | 6105989 | 2222 | 4802 | 9538434 | N/A | 4750274 | 2025-07-14 05:22:33.367515 | 2025-06-12 22:26:37.845238 |
| 2025-07-13 09:07:34.381630 | 2025-07-14 05:11:55.783405 | 9792632 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9792632 | Athletic Physical Therapy Inc | 1971-11-13 | 2025-07-16 | F | PT | APPEL | XEK911129380 | DEBORAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104720/check_9792632_944cb2eb-78f4-4abd-936f-08745be50ddb.json | N/A | N/A | N/A | N/A | N/A | XEK911129380 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-11-13 | 2001ZJ002648 | X0001000 | N/A | PR | false | APPEL | N/A | DEBORAH | N/A | 9999-12-31 | 2022-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249452758 | N/A | N/A | 6104720 | 2222 | 4793 | 9534354 | N/A | 4749103 | 2025-07-14 05:11:55.783405 | 2025-06-06 17:07:03.972074 |
| 2025-07-13 09:07:27.012109 | 2025-07-14 02:08:37.700621 | 9792471 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9792471 | Athletic Physical Therapy Inc | 1946-03-20 | 2025-07-16 | M | AE | ZAVAD | JQE410A75283 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400573/check_9792471_53e4156b-37f6-4fc1-bf7a-cc2d75caf68a.json | N/A | N/A | N/A | N/A | N/A | JQE410A75283 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-20 | 040 | CASUPWP0 | N/A | N/A | false | ZAVAD | N/A | MARK | N/A | 9999-12-31 | 2019-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249432816 | N/A | N/A | 6400573 | 2222 | 4801 | 9525043 | N/A | 5046284 | 2025-07-14 02:08:37.700621 | 2025-06-15 19:17:13.943381 |
| 2025-07-13 09:07:20.145680 | 2025-07-14 02:13:33.577845 | 9792188 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9792188 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-16 | F | PT | AZUCENA | 1YT9RR4MX51 | ESPERANZA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_9792188_e1d7f1dd-ad53-4407-86a9-15a099df6caf.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249432791 | N/A | N/A | 6235090 | 2222 | 4801 | 9526430 | N/A | 4213743 | 2025-07-14 02:13:33.577845 | 2025-05-13 04:29:37.228064 |
| 2025-07-13 09:07:09.544725 | 2025-07-14 02:09:34.137802 | 9791674 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9791674 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-16 | M | AE | GRANT | xem914408420 | ROBERT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9791674_e2d65945-4dbf-4a23-9bfd-41bdc713bd6c.json | N/A | N/A | N/A | N/A | N/A | XEM914408420 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-04-20 | 2002SEW00028 | X0001002 | N/A | OT | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249431785 | N/A | N/A | 6211380 | 2222 | 4793 | 9525333 | N/A | 4214087 | 2025-07-14 02:09:34.137802 | 2025-05-13 04:29:37.228402 |
| 2025-07-13 09:07:05.877912 | 2025-07-14 02:06:14.863716 | 9791516 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9791516 | Athletic Physical Therapy Inc | 1958-06-23 | 2025-07-16 | F | PT | USEVITCH | 00000387757 | KAREN | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_9791516_2b4dcb18-7b37-4eac-831b-5a8386a7f1ae.json | N/A | N/A | N/A | N/A | N/A | 00000387757 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-06-23 | H3815028 | N/A | N/A | HM | false | USEVITCH | N/A | KAREN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8249516065 | N/A | N/A | 5874444 | 2222 | 4801 | 9524258 | 2630 | 4534570 | 2025-07-14 02:06:14.863716 | 2025-06-09 21:54:54.217413 |
| 2025-07-13 09:07:05.764301 | 2025-07-14 02:01:36.330456 | 9791509 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9791509 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-07-16 | F | AE | PORCELLINI | 623363623 | KYLA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_9791509_ca9703c1-4008-4c55-8c26-bb9e244d85a8.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249516064 | N/A | N/A | 5874433 | 2222 | 4802 | 9522762 | N/A | 4534562 | 2025-07-14 02:01:36.330456 | 2025-06-03 16:07:02.060667 |
| 2025-07-13 09:07:05.640906 | 2025-07-14 02:11:07.668993 | 9791506 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9791506 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-07-16 | M | AE | DERR | 4GK3GN5DV73 | DENNIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9791506_2ab62ba7-906a-4aeb-b903-cc1a7488041d.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 | 8249516063 | N/A | N/A | 5874420 | 2222 | 4793 | 9525818 | N/A | 4534550 | 2025-07-14 02:11:07.668993 | 2025-10-15 18:36:58.255255 |
| 2025-07-13 09:07:02.883950 | 2025-07-14 02:06:13.491157 | 9791383 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9791383 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-07-16 | F | AE | FINE | 00000272194 | MICHELLE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_9791383_25b3500a-4a56-4444-82e8-e1abb8b57f18.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 | 8249517420 | N/A | N/A | 5858742 | 2222 | 4801 | 9524252 | 2630 | 4219630 | 2025-07-14 02:06:13.491157 | 2025-05-13 04:29:37.230672 |
| 2025-07-13 09:07:01.953154 | 2025-07-14 02:09:33.426467 | 9791339 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9791339 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-07-16 | F | AE | CAVELLA | XEA913628752 | EMIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_9791339_0dcf48b0-5b2a-49b4-8baf-d7e4481386f0.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249431354 | N/A | N/A | 6203312 | 2222 | 4801 | 9525329 | N/A | 4846213 | 2025-07-14 02:09:33.426467 | 2025-06-10 21:58:09.734801 |
| 2025-07-13 09:06:59.600212 | 2025-07-14 05:28:16.576997 | 9791226 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9791226 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-07-16 | F | PT | HAZARD | NCF794W22253 | PAULA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9791226_39ffe1ab-328a-4acd-a818-827d9d2f82b9.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249439282 | N/A | N/A | 6472283 | 2222 | 4801 | 9540986 | N/A | 5105323 | 2025-07-14 05:28:16.576997 | 2025-07-02 18:01:41.077949 |
| 2025-07-13 09:06:56.940600 | 2025-07-14 02:13:33.966066 | 9791107 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9791107 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-07-16 | F | PT | VALDIVIA | 5YW9MP7AV42 | CRISTINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189393/check_9791107_1fd07f17-b554-4a2c-a8b9-e7a46087cbcd.json | N/A | N/A | N/A | N/A | N/A | 5YW9MP7AV42 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-19 | H4471 | N/A | N/A | MA | false | VALDIVIA | N/A | CRISTINA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249431333 | N/A | N/A | 6189393 | 2222 | 4801 | 9526432 | N/A | 4219064 | 2025-07-14 02:13:33.966066 | 2025-06-06 15:26:44.406275 |
| 2025-07-13 09:06:48.369065 | 2025-07-14 05:07:13.537915 | 9790691 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9790691 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-07-16 | F | AE | HOWE | U9192068101 | LOCHRYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_9790691_6b85fd86-e006-4300-a868-584a36366ff3.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249453028 | N/A | N/A | 6079410 | 2222 | 4802 | 9532403 | N/A | 4723300 | 2025-07-14 05:07:13.537915 | 2025-06-04 00:42:43.684276 |
| 2025-07-13 09:06:45.437420 | 2025-07-14 02:08:37.282820 | 9790554 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9790554 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-07-16 | F | AE | PARLIER | MBL624W07406 | MERILEE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_9790554_830d0956-c988-4125-9b98-eb681f513e19.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1955-12-01 | 040 | CAEGR002 | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249432319 | N/A | N/A | 6143804 | 2222 | 4801 | 9525042 | N/A | 4642861 | 2025-07-14 02:08:37.282820 | 2025-11-25 19:25:55.074534 |
| 2025-07-13 09:06:45.321666 | 2025-07-14 05:04:48.040970 | 9790548 | N/A | N/A | 60054 | Aetna | 1114042165 | 9790548 | Athletic Physical Therapy Inc | 1999-04-14 | 2025-07-16 | M | AE | FAGAN | W275345811 | ARIEH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9790548_70b1e88a-5de2-4438-936d-72cbff946bfb.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249453015 | N/A | N/A | 6078250 | 2222 | 4802 | 9531521 | N/A | 4722504 | 2025-07-14 05:04:48.040970 | 2025-06-19 03:19:24.165458 |
| 2025-07-13 09:06:39.383697 | 2025-07-14 05:27:50.535314 | 9790243 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9790243 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-07-16 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9790243_ee173aa2-ef7c-4123-b785-8bb1ec4ab060.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249445261 | N/A | N/A | 6721942 | 2222 | 4793 | 9540857 | N/A | 5322280 | 2025-07-14 05:27:50.535314 | 2025-07-01 21:45:15.878047 |
| 2025-07-13 09:06:36.770005 | 2025-07-14 02:06:14.335600 | 9790103 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9790103 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-07-16 | M | AE | TEDDER | 00000390480 | CHARLES | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_9790103_992e6dad-7eea-4191-bd6a-01383bfcbf71.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249515918 | N/A | N/A | 5676415 | 2222 | 4801 | 9524256 | 2630 | 4343470 | 2025-07-14 02:06:14.335600 | 2025-05-13 04:29:37.230947 |
| 2025-07-13 09:06:30.786349 | 2025-07-13 09:07:05.495795 | 9789811 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-07-14 | F | AE | YUNG | 00854676304 | MAYA | PT | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9789811_5754ea11-3ca6-4856-bd45-0edcd98a8bc4.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-13 09:07:05.495795 | 2025-05-13 04:29:37.229495 |
| 2025-07-13 09:06:16.002166 | 2025-07-14 05:22:31.883571 | 9789425 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9789425 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-07-16 | F | AE | DAVIS | 3M07R08AX76 | HOLLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_9789425_06dd01da-d104-4ae2-8984-91532f88a781.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 | 8249453917 | N/A | N/A | 6068062 | 2222 | 4802 | 9538421 | N/A | 4713002 | 2025-07-14 05:22:31.883571 | 2025-06-03 01:39:13.971712 |
| 2025-07-13 09:06:10.206897 | 2025-07-14 02:08:36.848066 | 9789230 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9789230 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-07-16 | F | AE | DAVIS | JQE893M95444 | HOLLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104723/check_9789230_0c90e794-1f0f-4c1f-88b7-2a136d3119ac.json | N/A | N/A | N/A | N/A | N/A | JQE893M95444 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-02-13 | 040 | CASUPWP0 | N/A | N/A | false | DAVIS | N/A | HOLLY | N/A | 9999-12-31 | 2018-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249432271 | N/A | N/A | 6104723 | 2222 | 4802 | 9525040 | N/A | 4713002 | 2025-07-14 02:08:36.848066 | 2025-06-03 01:39:13.971712 |
| 2025-07-13 09:06:03.076518 | 2025-07-14 02:01:35.642369 | 9788928 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9788928 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-07-16 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_9788928_3cdc9c1b-cef1-488d-8d78-e27a78d29cff.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249516783 | N/A | N/A | 5568076 | 2222 | 4802 | 9522760 | N/A | 4209480 | 2025-07-14 02:01:35.642369 | 2026-04-10 02:05:15.976484 |
| 2025-07-13 09:05:46.737008 | 2025-07-14 02:06:30.396350 | 9788486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9788486 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-07-16 | M | PT | DATO | NGO555A50496 | BRETT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9788486_e81dc9e8-6c79-422a-9de9-489f3863bb90.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517259 | N/A | N/A | 5551045 | 2222 | 4793 | 9524343 | N/A | 4219851 | 2025-07-14 02:06:30.396350 | 2025-05-13 04:29:37.230897 |
| 2025-07-13 09:05:46.610374 | 2025-07-14 02:06:36.558572 | 9788481 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9788481 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-07-16 | M | PT | VARON | MPI101422173Q | BRETT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_9788481_b875b645-8148-4c29-b118-99867fa3c2fc.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517258 | N/A | N/A | 5550992 | 2222 | 4793 | 9524376 | N/A | 4219816 | 2025-07-14 02:06:36.558572 | 2025-05-13 04:29:37.230863 |
| 2025-07-13 09:05:46.522982 | 2025-07-14 02:11:08.741914 | 9788477 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9788477 | Athletic Physical Therapy Inc | 1978-11-15 | 2025-07-16 | F | AE | LEVIN | 8UF4J49FH09 | SHANNON | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_9788477_2f0c5d66-6ec3-4bc9-b7c3-4a0fe730c3da.json | N/A | N/A | N/A | N/A | N/A | 8UF4J49FH09 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1978-11-15 | S4802 | N/A | N/A | MA | false | LEVIN | N/A | SHANNON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517257 | N/A | N/A | 5550976 | 2222 | 4801 | 9525824 | N/A | 4219800 | 2025-07-14 02:11:08.741914 | 2025-05-13 04:29:37.230840 |
| 2025-07-13 09:05:46.338150 | 2025-07-14 02:06:32.125956 | 9788472 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9788472 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-07-16 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_9788472_d9372f55-dc7a-46a1-9933-191a6aa3279d.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 | 8249517256 | N/A | N/A | 5550953 | 2222 | 4801 | 9524352 | N/A | 4219788 | 2025-07-14 02:06:32.125956 | 2025-06-06 22:01:46.271450 |
| 2025-07-13 09:05:46.202991 | 2025-07-14 02:03:02.690226 | 9788467 | N/A | N/A | 60054 | Aetna | 1114042165 | 9788467 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-07-16 | F | AE | CARDINALI | W286606913 | NICOLE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9788467_03c6e1a5-aa70-4b92-91e0-e34d420271a5.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 | 088748701000001 | 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 | 8249517255 | N/A | N/A | 5550850 | 2222 | 4802 | 9523203 | N/A | 4215195 | 2025-07-14 02:03:02.690226 | 2025-05-14 09:08:40.751930 |
| 2025-07-13 09:05:46.067861 | 2025-07-14 02:07:10.908324 | 9788463 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9788463 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-07-16 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9788463_1d9aa870-5fb9-421e-9855-64fbdf55c282.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 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517254 | N/A | N/A | 5550845 | 2222 | 4801 | 9524573 | N/A | 4219713 | 2025-07-14 02:07:10.908324 | 2025-08-13 22:46:55.732965 |
| 2025-07-13 09:05:45.962675 | 2025-07-14 02:01:39.774849 | 9788460 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9788460 | Athletic Physical Therapy Inc | 1982-11-09 | 2025-07-16 | M | PT | JOHNSON | XEH907100980 | DANIEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550815/check_9788460_68fdbffd-1f5e-47eb-a5a9-2a4c7a5634bf.json | N/A | N/A | N/A | N/A | N/A | XEH907100980 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-11-09 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517253 | N/A | N/A | 5550815 | 2222 | 4801 | 9522768 | N/A | 4219693 | 2025-07-14 02:01:39.774849 | 2025-05-13 04:29:37.230738 |
| 2025-07-13 09:05:45.752578 | 2025-07-14 02:11:09.109325 | 9788455 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9788455 | Athletic Physical Therapy Inc | 1947-03-15 | 2025-07-16 | M | AE | RASHMAN | 9FN0XY7RR02 | RICHARD | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550657/check_9788455_471ce620-0e63-47a4-b75e-17e239e863a5.json | N/A | N/A | N/A | N/A | N/A | 9FN0XY7RR02 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-03-15 | S4802 | N/A | N/A | MA | false | RASHMAN | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517252 | N/A | N/A | 5550657 | 2222 | 4802 | 9525826 | N/A | 4219593 | 2025-07-14 02:11:09.109325 | 2025-05-13 04:29:37.230634 |
| 2025-07-13 09:05:45.584735 | 2025-07-14 02:11:08.399922 | 9788450 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9788450 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-07-16 | F | AE | JALLAD | 7AY7QW7EK46 | IKRAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9788450_aa69cd43-516f-4103-9364-95fdcc2eb5e4.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517251 | N/A | N/A | 5549454 | 2222 | 4801 | 9525822 | N/A | 4219116 | 2025-07-14 02:11:08.399922 | 2025-05-16 16:43:35.854220 |
| 2025-07-13 09:05:45.445325 | 2025-07-14 02:06:36.151978 | 9788447 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9788447 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-07-16 | F | PT | VALDIVIA | JQW088W14517 | CRISTINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_9788447_5d844bca-f62f-4aba-af85-f6c3747b5b8e.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517250 | N/A | N/A | 5549398 | 2222 | 4801 | 9524374 | N/A | 4219064 | 2025-07-14 02:06:36.151978 | 2025-06-06 15:26:44.406275 |
| 2025-07-13 09:05:45.333478 | 2025-07-14 02:06:34.026200 | 9788442 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9788442 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-07-16 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9788442_4e010ddf-549e-45b6-b818-a2e2f8ca26df.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517249 | N/A | N/A | 5549317 | 2222 | 4801 | 9524363 | N/A | 4219010 | 2025-07-14 02:06:34.026200 | 2026-01-09 18:32:07.618867 |
| 2025-07-13 09:05:45.183799 | 2025-07-14 02:11:08.028456 | 9788439 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9788439 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-07-16 | F | AE | DOUGLAS | 6RW0R23KU11 | HEATHER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_9788439_96325c5c-24e7-4b81-a75c-9101c14f7a74.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5596 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517248 | N/A | N/A | 5548965 | 2222 | 4802 | 9525820 | N/A | 4218725 | 2025-07-14 02:11:08.028456 | 2025-05-13 04:29:37.229715 |
| 2025-07-13 09:05:39.972612 | 2025-07-14 02:11:09.549886 | 9788332 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9788332 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-07-16 | M | AE | SLAUGHTER | 6V77P87YA36 | KAY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9788332_97f608f3-1954-4409-806f-f83ddc7d3bbe.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MB | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517230 | N/A | N/A | 5543377 | 2222 | 4802 | 9525828 | N/A | 4215177 | 2025-07-14 02:11:09.549886 | 2025-05-13 04:29:37.229493 |
| 2025-07-13 09:05:39.858141 | 2025-07-14 02:02:25.412313 | 9788327 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 9788327 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-07-16 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_9788327_b6c6cd80-4a29-49b0-a946-7858b333e348.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517229 | N/A | N/A | 5543335 | 2222 | 4802 | 9522986 | N/A | 4215139 | 2025-07-14 02:02:25.412313 | 2025-05-13 21:20:11.455022 |
| 2025-07-13 09:05:39.701180 | 2025-07-14 02:06:29.587256 | 9788324 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9788324 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-07-16 | F | PT | BARAJAS | NCF425A56241 | EMMA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_9788324_a5e12aca-2c04-43a0-abb3-aafe880dd112.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517228 | N/A | N/A | 5543324 | 2222 | 4801 | 9524338 | 4184 | 4215131 | 2025-07-14 02:06:29.587256 | 2025-08-11 16:45:52.816842 |
| 2025-07-13 09:05:39.418397 | 2025-07-14 02:01:35.974767 | 9788316 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9788316 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-07-16 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9788316_b90ccfcc-becc-4044-ba48-70ce6ed03271.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517227 | N/A | N/A | 5543270 | 2222 | 4793 | 9522761 | N/A | 4215086 | 2025-07-14 02:01:35.974767 | 2025-05-13 04:29:37.229401 |
| 2025-07-13 09:05:39.011637 | 2025-07-14 02:01:34.931290 | 9788307 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9788307 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-07-16 | F | AE | ADHAMI | 95671183F | SOHAILA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_9788307_5ac0dbb3-2ab9-42bf-b5a5-6311f2e50cea.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517226 | N/A | N/A | 5543265 | 2222 | 4802 | 9522758 | N/A | 4215082 | 2025-07-14 02:01:34.931290 | 2025-05-13 04:29:37.229397 |
| 2025-07-13 09:05:38.506123 | 2025-07-14 02:07:12.448625 | 9788298 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9788298 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-07-16 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9788298_5c33c41d-a110-45a5-9676-6d6f77217157.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 | 9999-12-31 | 2021-07-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517225 | N/A | N/A | 5543237 | 2222 | 4802 | 9524582 | N/A | 4215054 | 2025-07-14 02:07:12.448625 | 2025-05-13 04:29:37.229375 |
| 2025-07-13 09:05:38.352223 | 2025-07-14 02:06:33.672023 | 9788292 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9788292 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-07-16 | M | PT | LEO | NCF949A57364 | SEAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9788292_ee98fe70-104d-4834-99f3-553c57aa74ad.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517224 | N/A | N/A | 5543220 | 2222 | 4793 | 9524360 | 4184 | 4215036 | 2025-07-14 02:06:33.672023 | 2025-05-13 04:29:37.229353 |
| 2025-07-13 09:05:38.276211 | 2025-07-14 02:06:34.614393 | 9788290 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9788290 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-07-16 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9788290_3604101d-6bb4-450c-9a3a-289c9ca8780d.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517223 | N/A | N/A | 5543178 | 2222 | 4802 | 9524364 | N/A | 4215006 | 2025-07-14 02:06:34.614393 | 2025-05-13 04:29:37.229325 |
| 2025-07-13 09:05:38.174472 | 2025-07-14 02:07:09.840818 | 9788287 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9788287 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-07-16 | M | PT | FEY | XED912890874 | JOSEPH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_9788287_398110bf-87d8-40b9-996e-ab09f04048c8.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8249517222 | N/A | N/A | 5543173 | 2222 | 4793 | 9524567 | N/A | 4215000 | 2025-07-14 02:07:09.840818 | 2025-05-13 04:29:37.229320 |
| 2025-07-13 09:05:38.019989 | 2025-07-14 02:11:09.915885 | 9788281 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9788281 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-07-16 | M | AE | STECHER | 4P42WA3QM82 | BRIAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9788281_d89f6bca-1b89-44ad-a70f-975fc4d2360f.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MA | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8249517221 | N/A | N/A | 5543052 | 2222 | 4802 | 9525830 | N/A | 4214891 | 2025-07-14 02:11:09.915885 | 2025-05-13 04:29:37.229214 |