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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-04 08:24:22.519348 | 2025-09-05 02:25:15.219787 | 12003885 | N/A | N/A | 60054 | Aetna | 1114042165 | 12003885 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-09-05 | M | AE | PT | HUANG | W278191924 | DANNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_12003885_565a5bbe-5d67-4ec5-b8d9-874d531aafd5.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714769604 | N/A | N/A | 6140246 | 2222 | 4802 | 12162818 | N/A | 4781166 | 2025-09-05 02:25:15.219787 | 2025-06-11 17:29:46.826705 |
| 2025-09-04 08:24:21.898699 | 2025-09-05 02:51:42.109253 | 12003845 | N/A | N/A | 60054 | Aetna | 1114042165 | 12003845 | Athletic Physical Therapy Inc | 2006-09-03 | 2025-09-05 | M | AE | PT | WARD | W264086653 | LEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.114129138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996539/check_12003845_7ddd5d44-3459-4115-b110-1bc513bb8be1.json | N/A | N/A | N/A | N/A | N/A | W264086653 | Point of Service (POS) | HASA, INC. | AETNA | N/A | 2006-09-03 | 0170664 | 017066401300008 | N/A | PS | false | WARD | N/A | KENNETH | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714774034 | N/A | N/A | 6996539 | 2222 | 4801 | 12201417 | N/A | 6016721 | 2025-09-05 02:51:42.109253 | 2025-07-23 14:06:47.503419 |
| 2025-09-04 08:24:05.801279 | 2025-09-05 03:26:13.032324 | 12003014 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12003014 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-05 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_12003014_baddb846-09a2-446a-9e09-b773e236dd22.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | 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 | 8714769523 | N/A | N/A | 6105989 | 2222 | 4802 | 12242282 | N/A | 4750274 | 2025-09-05 03:26:13.032324 | 2025-06-12 22:26:37.845238 |
| 2025-09-04 08:23:56.245448 | 2025-09-05 03:23:36.050515 | 12002514 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12002514 | Athletic Physical Therapy Inc | 1995-01-31 | 2025-09-05 | F | PT | N/A | MAJD | XED911263594 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112643211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_12002514_32db0de9-4d4c-4761-b8cb-0985da9e5156.json | N/A | N/A | N/A | N/A | N/A | XED911263594 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-01-31 | 2001ZK002185 | X0001004 | N/A | PR | false | MAJD | N/A | SYDNEY | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714799510 | N/A | N/A | 6555034 | 2222 | 4793 | 12240302 | N/A | 5178259 | 2025-09-05 03:23:36.050515 | 2025-07-08 22:15:02.277880 |
| 2025-09-04 08:23:54.205306 | 2025-09-05 03:23:46.214067 | 12002415 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12002415 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-09-05 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112643211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_12002415_783ac812-3693-4f1f-b97e-f99aae3b527f.json | N/A | N/A | N/A | N/A | N/A | 01765049801 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714799503 | N/A | N/A | 6554790 | 2222 | 4793 | 12240446 | N/A | 5177947 | 2025-09-05 03:23:46.214067 | 2026-05-11 21:31:25.186699 |
| 2025-09-04 08:23:52.418534 | 2025-09-05 03:28:05.523656 | 12002327 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12002327 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-09-05 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112643211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_12002327_949035d8-d453-4500-a2b9-011dbdb1c65c.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714799489 | N/A | N/A | 6553930 | 2222 | 4801 | 12243942 | N/A | 5177091 | 2025-09-05 03:28:05.523656 | 2025-06-23 20:23:14.340232 |
| 2025-09-04 08:23:49.097723 | 2025-09-05 03:11:03.104409 | 12002180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12002180 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-05 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.114129138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6956492/check_12002180_f81fa151-3613-4b24-b276-f4e0d0ea7aa7.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-23 | 040 | CAMCRWP0 | N/A | MP | false | BURNS | N/A | MARY | 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 | 8714773693 | N/A | N/A | 6956492 | 2222 | 4801 | 12229572 | N/A | 4209247 | 2025-09-05 03:11:03.104409 | 2025-07-22 18:58:10.876206 |
| 2025-09-04 08:23:36.854218 | 2025-09-05 02:56:11.951880 | 12001586 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12001586 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-09-05 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_12001586_492c90d6-bac2-4400-90ef-420a1e8b60c8.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714768318 | N/A | N/A | 5993958 | 2222 | 4801 | 12207581 | N/A | 4642892 | 2025-09-05 02:56:11.951880 | 2025-05-29 23:29:01.820749 |
| 2025-09-04 08:23:36.803033 | 2025-09-05 02:39:08.582280 | 12001583 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12001583 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-05 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12001583_c07c62a0-346a-40bc-9286-ac68efc38850.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 | 8714768317 | N/A | N/A | 5993940 | 2222 | 4802 | 12182888 | N/A | 4642877 | 2025-09-05 02:39:08.582280 | 2025-12-23 23:49:16.627667 |
| 2025-09-04 08:23:36.741694 | 2025-09-05 03:25:57.297307 | 12001580 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12001580 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-05 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_12001580_cde8dee8-e299-4270-80c3-2281478526a1.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714768316 | N/A | N/A | 5993912 | 2222 | 4793 | 12242095 | N/A | 4642852 | 2025-09-05 03:25:57.297307 | 2025-11-21 18:38:17.056437 |
| 2025-09-04 08:23:36.672229 | 2025-09-05 02:47:16.419003 | 12001575 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12001575 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-05 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_12001575_69110d51-f6fc-48e2-8bb7-35118b7b6027.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 | 8714768315 | N/A | N/A | 5993479 | 2222 | 4801 | 12194619 | N/A | 4219476 | 2025-09-05 02:47:16.419003 | 2025-05-28 20:18:04.039855 |
| 2025-09-04 08:23:32.404867 | 2025-09-05 03:11:04.936939 | 12001366 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12001366 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-09-05 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.114129138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_12001366_8e0ee60a-efcb-4b49-8d40-6a2487a90c78.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714772696 | N/A | N/A | 6917703 | 2222 | 4793 | 12229605 | N/A | 5949095 | 2025-09-05 03:11:04.936939 | 2025-07-28 22:15:30.266976 |
| 2025-09-04 08:23:10.819031 | 2025-09-05 03:25:44.083431 | 12000546 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12000546 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-05 | M | AE | PT | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_12000546_1d3c5427-ef5c-400a-8559-d3785cba4e88.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 | 8714769038 | N/A | N/A | 5874420 | 2222 | 4793 | 12241917 | N/A | 4534550 | 2025-09-05 03:25:44.083431 | 2025-10-15 18:36:58.255255 |
| 2025-09-04 08:23:09.932032 | 2025-09-05 02:45:19.983328 | 12000515 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12000515 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-09-05 | F | AE | PT | FINE | 00000272194 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_12000515_0290842d-4ca6-49cc-92ad-3d8f9fb4fdb9.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 | 8714769030 | N/A | N/A | 5858742 | 2222 | 4801 | 12191829 | 2630 | 4219630 | 2025-09-05 02:45:19.983328 | 2025-05-13 04:29:37.230672 |
| 2025-09-04 08:22:59.667646 | 2025-09-05 03:21:07.095455 | 12000156 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12000156 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-09-05 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112643211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_12000156_c6678bfb-b49b-4325-a69d-5647708fa64a.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714798872 | N/A | N/A | 6491817 | 2222 | 4801 | 12238606 | N/A | 5120889 | 2025-09-05 03:21:07.095455 | 2025-06-23 18:24:54.219050 |
| 2025-09-04 08:22:48.401286 | 2025-09-05 02:45:24.993015 | 11999814 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11999814 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-09-05 | M | AE | PT | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_11999814_d6a0f089-714f-4ac2-94e0-930f157035db.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 | 8714768613 | N/A | N/A | 5676415 | 2222 | 4801 | 12191934 | 2630 | 4343470 | 2025-09-05 02:45:24.993015 | 2025-05-13 04:29:37.230947 |
| 2025-09-04 08:22:48.308785 | 2025-09-05 02:39:43.285712 | 11999809 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11999809 | Athletic Physical Therapy Inc | 1933-08-29 | 2025-09-05 | F | AE | PT | MALOLEPSZY | 31048620001 | CHRISTINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676397/check_11999809_cf9f6fab-61cc-466a-b1e6-8bd978a1db74.json | N/A | N/A | N/A | N/A | N/A | 31048620001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-08-29 | 2025H5425001 | H5425M | N/A | N/A | false | MALOLEPSZY | N/A | CHRISTINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714768612 | N/A | N/A | 5676397 | 2222 | 4801 | 12183690 | N/A | 4343449 | 2025-09-05 02:39:43.285712 | 2025-05-13 04:29:37.230927 |
| 2025-09-04 08:22:48.196551 | 2025-09-05 03:26:06.118508 | 11999803 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999803 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-09-05 | M | AE | PT | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_11999803_bf5f0f0b-b5df-47bd-b0ae-beb155ab4e8d.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714768611 | N/A | N/A | 5676372 | 2222 | 4802 | 12242206 | N/A | 4219832 | 2025-09-05 03:26:06.118508 | 2025-05-13 04:29:37.230877 |
| 2025-09-04 08:22:34.054276 | 2025-09-05 02:39:05.829461 | 11999341 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11999341 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-05 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11999341_6c5fed26-e8aa-453a-a29e-09858e2787e8.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 | 8714768054 | N/A | N/A | 5568076 | 2222 | 4802 | 12182826 | N/A | 4209480 | 2025-09-05 02:39:05.829461 | 2026-04-10 02:05:15.976484 |
| 2025-09-04 08:22:30.092437 | 2025-09-05 02:46:55.818666 | 11999201 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999201 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-09-05 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11999201_ea14a02e-f3f1-4c62-89f2-e19a88f8231d.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714768005 | N/A | N/A | 5549317 | 2222 | 4801 | 12194144 | N/A | 4219010 | 2025-09-05 02:46:55.818666 | 2026-01-09 18:32:07.618867 |
| 2025-09-04 08:22:29.704491 | 2025-09-05 02:44:09.444911 | 11999185 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11999185 | N/A | 1962-06-19 | 2025-09-05 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11999185_c96e5ae2-92ca-47d4-b81b-0ff5f966b8d9.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767998 | N/A | N/A | 5543555 | 2222 | 4802 | 12189952 | N/A | 4215332 | 2025-09-05 02:44:09.444911 | 2025-08-06 16:15:15.716322 |
| 2025-09-04 08:22:29.647513 | 2025-09-05 02:39:40.453947 | 11999183 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11999183 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-05 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11999183_eb181731-208c-4441-bb84-4e13a902da61.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767997 | N/A | N/A | 5543493 | 2222 | 4793 | 12183632 | N/A | 4215273 | 2025-09-05 02:39:40.453947 | 2025-05-13 04:29:37.229594 |
| 2025-09-04 08:22:29.538561 | 2025-09-05 03:25:53.950428 | 11999179 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999179 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-05 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543348/check_11999179_5103f450-5a11-4da2-975c-b2bd8723fd36.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767996 | N/A | N/A | 5543348 | 2222 | 4793 | 12242050 | N/A | 4215147 | 2025-09-05 03:25:53.950428 | 2025-05-13 04:29:37.229464 |
| 2025-09-04 08:22:29.485641 | 2025-09-05 02:54:26.271057 | 11999176 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999176 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-09-05 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11999176_2d6bcf0e-9b81-4c1e-8dcc-30dd57d64bcb.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 | 8714767995 | N/A | N/A | 5543343 | 2222 | 4793 | 12205376 | N/A | 4215143 | 2025-09-05 02:54:26.271057 | 2025-05-13 04:29:37.229456 |
| 2025-09-04 08:22:29.354291 | 2025-09-05 02:23:06.898854 | 11999171 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11999171 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-05 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11999171_1a44d337-461f-48bd-a38d-f16ac72c1da7.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767994 | N/A | N/A | 5543270 | 2222 | 4793 | 12160974 | N/A | 4215086 | 2025-09-05 02:23:06.898854 | 2025-05-13 04:29:37.229401 |
| 2025-09-04 08:22:29.161928 | 2025-09-05 02:54:59.896173 | 11999165 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999165 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-09-05 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_11999165_e644cffa-64b8-4b94-a1b1-a186e33eeeec.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 | 8714767993 | N/A | N/A | 5543237 | 2222 | 4802 | 12205995 | N/A | 4215054 | 2025-09-05 02:54:59.896173 | 2025-05-13 04:29:37.229375 |
| 2025-09-04 08:22:29.082400 | 2025-09-05 02:45:22.128630 | 11999162 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11999162 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-05 | F | AE | PT | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_11999162_25fc8447-6207-4c4f-91cc-d3dd7b4277ed.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 | 8714767992 | N/A | N/A | 5543084 | 2222 | 4801 | 12191876 | N/A | 4214920 | 2025-09-05 02:45:22.128630 | 2025-05-13 04:29:37.229242 |
| 2025-09-04 08:22:29.026826 | 2025-09-05 02:46:42.405307 | 11999159 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999159 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-09-05 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_11999159_5bafb7f6-615b-41cf-918b-e17c066daec5.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767991 | N/A | N/A | 5542900 | 2222 | 4801 | 12193925 | N/A | 4214759 | 2025-09-05 02:46:42.405307 | 2025-05-13 04:29:37.229079 |
| 2025-09-04 08:22:28.973206 | 2025-09-05 02:25:18.058015 | 11999156 | N/A | N/A | 60054 | Aetna | 1114042165 | 11999156 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-05 | M | AE | PT | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_11999156_6f27fd4e-308d-4b9b-887d-3f930e0cdb6e.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767990 | N/A | N/A | 5542870 | 2222 | 4793 | 12162857 | N/A | 4214732 | 2025-09-05 02:25:18.058015 | 2025-06-24 20:13:53.579048 |
| 2025-09-04 08:22:28.911495 | 2025-09-05 02:54:52.815919 | 11999155 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999155 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-09-05 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_11999155_77fc30c6-131d-4393-95c0-eb2adaf0c35a.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767989 | N/A | N/A | 5542770 | 2222 | 4802 | 12205852 | N/A | 4214643 | 2025-09-05 02:54:52.815919 | 2025-05-13 04:29:37.228964 |
| 2025-09-04 08:22:28.856094 | 2025-09-05 02:46:39.473735 | 11999152 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999152 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-05 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_11999152_f1f878b7-a658-415e-b371-a063af4b9ce5.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 | 8714767988 | N/A | N/A | 5542750 | 2222 | 4802 | 12193881 | N/A | 4214623 | 2025-09-05 02:46:39.473735 | 2025-08-28 22:11:32.536994 |
| 2025-09-04 08:22:28.797263 | 2025-09-05 02:39:10.535697 | 11999148 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11999148 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-05 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11999148_719556b4-882c-4717-a9c1-9d6c65984003.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767987 | N/A | N/A | 5542660 | 2222 | 4802 | 12182939 | N/A | 4214542 | 2025-09-05 02:39:10.535697 | 2025-05-13 04:29:37.228868 |
| 2025-09-04 08:22:28.743883 | 2025-09-05 02:25:20.016836 | 11999146 | N/A | N/A | 60054 | Aetna | 1114042165 | 11999146 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-05 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_11999146_9d38d632-409c-41b7-9519-047df18703ce.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 | 8714767986 | N/A | N/A | 5542634 | 2222 | 4801 | 12162911 | N/A | 4214520 | 2025-09-05 02:25:20.016836 | 2025-07-28 19:32:04.879318 |
| 2025-09-04 08:22:28.680736 | 2025-09-05 03:25:37.727863 | 11999144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999144 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-05 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11999144_76d023f8-f83c-41db-90b0-126ff72f733c.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767985 | N/A | N/A | 5542555 | 2222 | 4793 | 12241830 | N/A | 4214447 | 2025-09-05 03:25:37.727863 | 2026-04-23 20:11:34.441054 |
| 2025-09-04 08:22:28.625308 | 2025-09-05 02:47:13.379012 | 11999141 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999141 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-05 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11999141_bf360135-4aa2-4010-ba4e-e6ad0ca1336e.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 | 8714767984 | N/A | N/A | 5542387 | 2222 | 4801 | 12194558 | N/A | 4214300 | 2025-09-05 02:47:13.379012 | 2025-06-17 13:03:57.252701 |
| 2025-09-04 08:22:28.570978 | 2025-09-05 02:54:23.839707 | 11999138 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999138 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-09-05 | F | PT | N/A | BAER | XEK905554072 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11999138_84660f70-631d-431c-9f7c-199a3fe7dc1d.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 | 2017-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767983 | N/A | N/A | 5542259 | 2222 | 4802 | 12205334 | N/A | 4214195 | 2025-09-05 02:54:23.839707 | 2025-05-13 04:29:37.228529 |
| 2025-09-04 08:22:28.515621 | 2025-09-05 03:26:02.565734 | 11999137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999137 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-09-05 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_11999137_c278d595-a9a9-4951-815f-0e771da5b9ce.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767982 | N/A | N/A | 5542251 | 2222 | 4802 | 12242146 | N/A | 4214191 | 2025-09-05 03:26:02.565734 | 2025-05-13 04:29:37.228525 |
| 2025-09-04 08:22:28.450961 | 2025-09-05 02:47:10.665623 | 11999134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999134 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-05 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11999134_b7c01327-6397-493d-9eb1-c038f83dacf5.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 | 8714767981 | N/A | N/A | 5542014 | 2222 | 4793 | 12194501 | N/A | 4213977 | 2025-09-05 02:47:10.665623 | 2025-05-13 04:29:37.228294 |
| 2025-09-04 08:22:28.388055 | 2025-09-05 02:45:55.242478 | 11999131 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11999131 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-05 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11999131_ecfab9cc-7b11-4638-9fcb-9b990c0c2131.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767980 | N/A | N/A | 5541984 | 2222 | 4802 | 12192709 | N/A | 4213934 | 2025-09-05 02:45:55.242478 | 2026-01-27 23:36:44.802366 |
| 2025-09-04 08:22:28.328456 | 2025-09-05 02:43:41.403854 | 11999128 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11999128 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-05 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11999128_c7f6546a-39d7-4464-a5d6-b4fab82ffa34.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 | 8714767979 | N/A | N/A | 5541972 | 2222 | 4793 | 12189164 | N/A | 4213941 | 2025-09-05 02:43:41.403854 | 2025-05-13 04:29:37.228259 |
| 2025-09-04 08:22:28.269459 | 2025-09-05 02:54:28.484346 | 11999125 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999125 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-09-05 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_11999125_2b6091e2-7859-4169-8cbe-61acf383172f.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767978 | N/A | N/A | 5541956 | 2222 | 4802 | 12205402 | N/A | 4213923 | 2025-09-05 02:54:28.484346 | 2025-05-13 04:29:37.228244 |
| 2025-09-04 08:22:28.211592 | 2025-09-05 03:26:09.364999 | 11999124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999124 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-05 | F | AE | PT | MAYER | 5J41QM7YN93 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_11999124_601666a9-27a2-4fc2-9ebb-9ce1cff9fb15.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 | 8714767977 | N/A | N/A | 5541938 | 2222 | 4801 | 12242250 | N/A | 4213917 | 2025-09-05 03:26:09.364999 | 2025-06-25 01:53:37.609327 |
| 2025-09-04 08:22:28.138669 | 2025-09-05 02:47:08.417838 | 11999119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999119 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-05 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_11999119_b01f2347-00c9-442d-807e-45dd3ee7fe6c.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 | 8714767976 | N/A | N/A | 5541917 | 2222 | 4793 | 12194442 | N/A | 4213891 | 2025-09-05 02:47:08.417838 | 2025-05-13 04:29:37.228207 |
| 2025-09-04 08:22:28.072956 | 2025-09-05 02:54:50.319252 | 11999116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999116 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-05 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_11999116_2fed339f-20e6-4ebb-a1b2-70e33fa3857b.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 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767975 | N/A | N/A | 5541730 | 2222 | 4793 | 12205800 | N/A | 4213725 | 2025-09-05 02:54:50.319252 | 2025-05-13 04:29:37.228045 |
| 2025-09-04 08:22:28.020136 | 2025-09-05 02:55:01.884892 | 11999113 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999113 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-05 | M | PT | N/A | ZARIN | XEK905647080 | ELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_11999113_e6e7b2da-a86b-4cdc-862e-0fe8d1dd1062.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767974 | N/A | N/A | 5541582 | 2222 | 4793 | 12206044 | N/A | 4213586 | 2025-09-05 02:55:01.884892 | 2025-05-28 20:44:53.527917 |
| 2025-09-04 08:22:27.964904 | 2025-09-05 02:54:56.989417 | 11999111 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999111 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-05 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541240/check_11999111_cc15f2ac-0158-42a3-becc-f64474aa7d46.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767973 | N/A | N/A | 5541240 | 2222 | 4801 | 12205941 | N/A | 4213276 | 2025-09-05 02:54:56.989417 | 2025-05-13 04:29:37.227602 |
| 2025-09-04 08:22:27.892913 | 2025-09-05 02:46:47.514865 | 11999107 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11999107 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-05 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_11999107_aa9e550f-be23-42ff-bd07-09d872e89753.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 | 8714767972 | N/A | N/A | 5541035 | 2222 | 4801 | 12194024 | 4184 | 4213091 | 2025-09-05 02:46:47.514865 | 2025-05-13 04:29:37.227417 |
| 2025-09-04 08:22:27.828030 | 2025-09-05 02:25:10.986215 | 11999105 | N/A | N/A | 60054 | Aetna | 1114042165 | 11999105 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-09-05 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_11999105_9cb6e728-b04f-487a-856f-a8180a4e22c7.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767971 | N/A | N/A | 5540723 | 2222 | 4793 | 12162750 | N/A | 4212833 | 2025-09-05 02:25:10.986215 | 2025-05-28 20:46:35.079848 |
| 2025-09-04 08:22:27.774211 | 2025-09-05 02:54:54.748148 | 11999102 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999102 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-05 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_11999102_92f4917c-f18e-4ee4-86a9-906c1fa8cb35.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767970 | N/A | N/A | 5540558 | 2222 | 4801 | 12205893 | N/A | 4212698 | 2025-09-05 02:54:54.748148 | 2025-05-13 04:29:37.227042 |
| 2025-09-04 08:22:27.712699 | 2025-09-05 02:47:01.209716 | 11999100 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999100 | Athletic Physical Therapy Inc | 2007-03-28 | 2025-09-05 | M | PT | N/A | MAGEN | B6YE01199897 | NADAV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.112744730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539958/check_11999100_265db0e1-73bc-4ae4-bcc1-bc3b20c5bae2.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 2007-03-28 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767969 | N/A | N/A | 5539958 | 2222 | 4793 | 12194248 | N/A | 4212189 | 2025-09-05 02:47:01.209716 | 2025-05-13 04:29:37.226532 |