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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-04 08:22:27.654806 | 2025-09-05 02:56:14.288122 | 11999095 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999095 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-05 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | N/A | 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/2222/5539901/check_11999095_7ac8a476-77c0-493e-bd76-51afeec3f179.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767968 | N/A | N/A | 5539901 | 2222 | 4793 | 12207643 | N/A | 4212134 | 2025-09-05 02:56:14.288122 | 2025-08-05 02:56:55.384378 |
| 2025-09-04 08:22:27.598145 | 2025-09-05 02:46:44.309475 | 11999093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999093 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-09-05 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | N/A | 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/2222/5539664/check_11999093_05067201-1666-4638-8171-04fd79c7100f.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767967 | N/A | N/A | 5539664 | 2222 | 4793 | 12193983 | N/A | 4211935 | 2025-09-05 02:46:44.309475 | 2025-05-13 04:29:37.226259 |
| 2025-09-04 08:22:27.542424 | 2025-09-05 02:46:50.397298 | 11999090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999090 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-09-05 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | N/A | 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/2222/5539612/check_11999090_ebae0a2a-0ce5-44cb-b149-243f5554466d.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767966 | N/A | N/A | 5539612 | 2222 | 4793 | 12194065 | N/A | 4211892 | 2025-09-05 02:46:50.397298 | 2025-11-02 22:03:21.557202 |
| 2025-09-04 08:22:27.480818 | 2025-09-05 02:46:58.481832 | 11999088 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999088 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-09-05 | F | PT | MAGEE | SRYHC0157512 | JENNIFER | N/A | N/A | 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/2222/5539606/check_11999088_f1bb932b-36f3-4a0b-bf85-8b3608c64061.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | 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 | 8714767965 | N/A | N/A | 5539606 | 2222 | 4793 | 12194191 | N/A | 4211886 | 2025-09-05 02:46:58.481832 | 2026-02-06 19:09:03.082684 |
| 2025-09-04 08:22:27.420537 | 2025-09-05 02:54:21.580593 | 11999085 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999085 | Athletic Physical Therapy Inc | 2009-12-07 | 2025-09-05 | F | PT | ANDRIKIAN | XEA909649257 | TALYA | N/A | N/A | 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/2222/5538962/check_11999085_626dca1f-c639-48ce-a24e-59c59621b2fb.json | N/A | N/A | N/A | N/A | N/A | XEA909649257 | Preferred Provider Organization (PPO) | SOLAR MANAGER LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-12-07 | 1000VX000102 | W0106521 | N/A | PR | false | ANDRIKIAN | N/A | NAZIK | N/A | 2028-12-31 | 2020-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767964 | N/A | N/A | 5538962 | 2222 | 4793 | 12205271 | N/A | 4211290 | 2025-09-05 02:54:21.580593 | 2025-08-05 20:20:14.899611 |
| 2025-09-04 08:22:27.363659 | 2025-09-05 02:56:18.234178 | 11999084 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999084 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-09-05 | M | PT | TOOCH | JPU633M84536 | PETER | N/A | N/A | 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/2222/5538874/check_11999084_5308b6a0-e92b-490e-8072-ed6645059daa.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767963 | N/A | N/A | 5538874 | 2222 | 4801 | 12207742 | N/A | 4211227 | 2025-09-05 02:56:18.234178 | 2025-05-13 04:29:37.225625 |
| 2025-09-04 08:22:27.296384 | 2025-09-05 02:46:53.130826 | 11999080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999080 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-09-05 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | 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/2222/5538693/check_11999080_fdbe085c-7947-4c35-b789-b0f991411c53.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767962 | N/A | N/A | 5538693 | 2222 | 4793 | 12194100 | N/A | 4211081 | 2025-09-05 02:46:53.130826 | 2025-05-13 04:29:37.225492 |
| 2025-09-04 08:22:27.240101 | 2025-09-05 03:26:16.073395 | 11999078 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999078 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-05 | M | AE | STEIN | 8MY3V79UN60 | DONALD | PT | N/A | 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/2222/5538576/check_11999078_818545d5-a699-4bb8-b1dd-20bce4473c04.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767961 | N/A | N/A | 5538576 | 2222 | 4802 | 12242326 | N/A | 4210984 | 2025-09-05 03:26:16.073395 | 2025-08-15 17:42:50.500189 |
| 2025-09-04 08:22:27.174123 | 2025-09-05 02:25:12.742637 | 11999075 | N/A | N/A | 60054 | Aetna | 1114042165 | 11999075 | Athletic Physical Therapy Inc | 1971-01-28 | 2025-09-05 | M | AE | GREENE | W263056412 | TODD | PT | N/A | 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/2222/5538282/check_11999075_fdcd7b92-d3d5-481c-a3cf-a23b530d02fe.json | N/A | N/A | N/A | N/A | N/A | W263056412 | Point of Service (POS) | PENSKE MEDIA CORPORATION | AETNA | N/A | 1971-01-28 | 0170219 | 017021902800001 | N/A | PS | false | GREENE | N/A | TODD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767960 | N/A | N/A | 5538282 | 2222 | 4802 | 12162783 | N/A | 4210719 | 2025-09-05 02:25:12.742637 | 2025-05-13 04:29:37.225134 |
| 2025-09-04 08:22:27.115189 | 2025-09-05 03:25:50.626538 | 11999072 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999072 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-05 | F | AE | FERNANDEZ | 7XX5TU4CF61 | LISA | PT | N/A | 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/2222/5538194/check_11999072_fcadfd0c-35fa-452c-adf5-d0b8f5e8bb66.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767959 | N/A | N/A | 5538194 | 2222 | 4793 | 12242007 | N/A | 4210649 | 2025-09-05 03:25:50.626538 | 2025-06-19 18:43:58.008751 |
| 2025-09-04 08:22:27.054556 | 2025-09-05 03:26:19.595959 | 11999070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999070 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-05 | F | AE | THOMSEN | 1M31KQ8DJ99 | JANET | PT | N/A | 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/2222/5537950/check_11999070_528a4bc3-c5f5-407a-8df3-dac8923b4e6d.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767958 | N/A | N/A | 5537950 | 2222 | 4801 | 12242362 | N/A | 4210450 | 2025-09-05 03:26:19.595959 | 2026-05-04 21:51:25.248197 |
| 2025-09-04 08:22:26.987611 | 2025-09-05 02:56:16.224873 | 11999066 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999066 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-09-05 | M | PT | RITENOUR | NCF553A20679 | TIM | N/A | N/A | 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/2222/5537911/check_11999066_5e8b4e80-b4df-4c29-8f0b-51c44763ce1d.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | 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 | 8714767957 | N/A | N/A | 5537911 | 2222 | 4793 | 12207687 | N/A | 4210415 | 2025-09-05 02:56:16.224873 | 2025-06-11 20:40:26.862752 |
| 2025-09-04 08:22:26.913391 | 2025-09-05 02:47:18.698008 | 11999062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999062 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-09-05 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | N/A | 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/2222/5537881/check_11999062_c3ed194e-38bb-4eed-b886-cbf6dd5bf633.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767956 | N/A | N/A | 5537881 | 2222 | 4793 | 12194696 | N/A | 4210385 | 2025-09-05 02:47:18.698008 | 2026-03-06 18:49:17.116017 |
| 2025-09-04 08:22:26.790585 | 2025-09-05 03:25:47.090472 | 11999058 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999058 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-09-05 | F | AE | DRIMMER | 8E03WF9AM78 | NADIA | PT | N/A | 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/2222/5537826/check_11999058_eb8a5228-0a04-47a9-9272-2f81a3030efc.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MA | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767955 | N/A | N/A | 5537826 | 2222 | 4802 | 12241961 | N/A | 4210338 | 2025-09-05 03:25:47.090472 | 2025-05-13 04:29:37.224744 |
| 2025-09-04 08:22:26.655416 | 2025-09-05 02:39:45.276418 | 11999053 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11999053 | N/A | 1948-04-01 | 2025-09-05 | M | AE | ISRAEL | 31177774001 | BRIAN | PT | N/A | 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/2222/5537769/check_11999053_c2be5b96-25e4-44d8-9ad5-3eaa61962216.json | N/A | N/A | N/A | N/A | N/A | 31177774001 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1948-04-01 | N/A | N/A | N/A | N/A | false | ISRAEL | 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 | 8714767954 | N/A | N/A | 5537769 | 2222 | 4801 | 12183745 | N/A | 4210284 | 2025-09-05 02:39:45.276418 | 2025-05-13 04:29:37.224693 |
| 2025-09-04 08:22:26.547852 | 2025-09-05 02:54:18.588240 | 11999049 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11999049 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-09-05 | F | PT | NAIMI | KSI73549599C | ERIN | N/A | N/A | 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/2222/5537507/check_11999049_5a2dd686-5e9b-4bfe-8a21-717bb1473d37.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767953 | N/A | N/A | 5537507 | 2222 | 4802 | 12205211 | N/A | 4210057 | 2025-09-05 02:54:18.588240 | 2025-05-13 04:29:37.224477 |
| 2025-09-04 08:22:26.456942 | 2025-09-05 03:25:40.404702 | 11999045 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999045 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-05 | F | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | PT | N/A | 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/2222/5537480/check_11999045_d4e732ea-a308-40f1-ae8f-675f4a5bafb3.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767952 | N/A | N/A | 5537480 | 2222 | 4802 | 12241876 | N/A | 4210038 | 2025-09-05 03:25:40.404702 | 2025-06-02 14:57:36.820684 |
| 2025-09-04 08:22:26.320135 | 2025-09-05 02:47:03.413765 | 11999040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11999040 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-09-05 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | 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/2222/5537188/check_11999040_d8f1471b-ea49-4b6f-b70a-9adf84c43df0.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714767951 | N/A | N/A | 5537188 | 2222 | 4802 | 12194305 | N/A | 4209789 | 2025-09-05 02:47:03.413765 | 2025-05-13 04:29:37.224215 |
| 2025-09-04 08:22:26.224048 | 2025-09-05 02:45:17.841152 | 11999037 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11999037 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-09-05 | M | AE | CHISARI | 00000386684 | THOMAS | PT | N/A | 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/2222/5536007/check_11999037_e8648dd0-02aa-430e-a710-0743586b9492.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 8714767950 | N/A | N/A | 5536007 | 2222 | 4793 | 12191785 | N/A | 4208829 | 2025-09-05 02:45:17.841152 | 2025-06-03 01:05:45.663969 |
| 2025-09-04 08:22:26.163538 | 2025-09-05 03:26:22.524982 | 11999034 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11999034 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-05 | M | AE | ULLMAN | 3A76X26KQ40 | DAVID | PT | N/A | 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/2222/5535838/check_11999034_b2ea5eca-fbc4-409a-b78e-193270573401.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767949 | N/A | N/A | 5535838 | 2222 | 4801 | 12242403 | N/A | 4208696 | 2025-09-05 03:26:22.524982 | 2025-06-07 16:16:45.844566 |
| 2025-09-04 08:22:26.062518 | 2025-09-05 02:39:49.702677 | 11999032 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11999032 | N/A | 1952-12-16 | 2025-09-05 | F | AE | PORTER | 400282215401 | SHERIL | PT | N/A | 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/2222/5535434/check_11999032_d8a97240-41b3-43b7-b4f9-75a055b0533a.json | N/A | N/A | N/A | N/A | N/A | 400282215401 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1952-12-16 | N/A | N/A | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714767948 | N/A | N/A | 5535434 | 2222 | 4793 | 12183852 | N/A | 4208356 | 2025-09-05 02:39:49.702677 | 2025-08-25 14:49:27.724897 |
| 2025-09-04 08:21:13.621192 | 2025-09-04 08:21:18.389014 | 11997800 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-29 | 2025-09-04 | F | PT | MURPHY | NGO398A23229 | DARA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8202094/check_11997800_2d63f310-7f3a-487f-a920-6efc082c901a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_11997800_848fd5b7-716e-45f1-bbe9-e1a736956aab.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | 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 | 8714753192 | N/A | N/A | 8202094 | 2222 | N/A | 12132838 | N/A | 6964828 | 2025-09-04 08:21:18.389014 | 2025-08-21 15:20:41.432970 |
| 2025-09-04 08:20:59.652523 | 2025-09-04 08:21:03.342809 | 11997753 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-09-04 | M | AE | RAFIEI | 92836714F | SAM | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_11997753_50b7d3d9-5bfe-4d62-a205-e8efd2775466.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_11997753_e368f44b-61b2-47e9-b8fb-c7c77e30d159.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714752383 | N/A | N/A | 8173002 | 2222 | N/A | 12132783 | N/A | 6939518 | 2025-09-04 08:21:03.342809 | 2025-08-18 21:40:08.349494 |
| 2025-09-04 08:19:10.459008 | 2025-09-04 08:19:15.334247 | 11997420 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-11-24 | 2025-09-04 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7870152/check_11997420_5b733eec-5045-4344-80d1-657c9c327583.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_11997420_b225c11c-3c57-45cb-8d14-3a1cd8be33ec.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 8714745532 | N/A | N/A | 7870152 | 2222 | N/A | 12132443 | N/A | 6698799 | 2025-09-04 08:19:15.334247 | 2025-08-07 18:40:53.120761 |
| 2025-09-04 08:18:16.611026 | 2025-09-04 08:18:27.323858 | 11997224 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-25 | 2025-09-04 | M | AE | Weiss | R13448501MS1 | Mark | PT | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7661660/check_11997224_2644f7fe-43be-4e82-add8-6d84a701b62a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_11997224_5bf33424-815f-4ad9-b051-d2d41b5300f7.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714742570 | N/A | N/A | 7661660 | 2222 | N/A | 12132270 | N/A | 6543985 | 2025-09-04 08:18:27.323858 | 2025-08-01 18:30:37.244428 |
| 2025-09-04 08:16:19.936613 | 2025-09-05 03:06:27.106412 | 11996543 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11996543 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-09-05 | F | AE | Ahadian | 3PT2AT4QU70 | Vida | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110617885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8477425/check_11996543_49ddbee0-4627-4e09-b261-5bc2d16f412b.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714738427 | N/A | N/A | 8477425 | 2222 | 4802 | 12222894 | N/A | 7146980 | 2025-09-05 03:06:27.106412 | 2025-08-25 22:34:13.951153 |
| 2025-09-04 08:16:10.674563 | 2025-09-05 02:45:33.643240 | 11996439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11996439 | Athletic Physical Therapy Inc | 1981-09-04 | 2025-09-05 | M | PT | ROSS | JQU305M78698 | RYAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110617885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471592/check_11996439_285ee193-3856-4e57-8337-8f24a1182e5a.json | N/A | N/A | N/A | N/A | N/A | JQU305M78698 | Preferred Provider Organization (PPO) | MCMORGAN AND COMPANY LLC | ANTHEM BLUE CROSS | N/A | 1981-09-04 | 040 | K07161 | N/A | PR | false | ROSS | N/A | RYAN | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714739635 | N/A | N/A | 8471592 | 2222 | 4793 | 12192181 | N/A | 7142505 | 2025-09-05 02:45:33.643240 | 2025-09-05 16:41:44.622776 |
| 2025-09-04 08:16:06.278791 | 2025-09-05 02:45:35.108732 | 11996380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11996380 | Athletic Physical Therapy Inc | 1937-12-03 | 2025-09-05 | M | PT | WONG | MBL700W07323 | STANLEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110617885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_11996380_51db2b6f-7c31-437a-b57c-2717d80c7b0b.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1937-12-03 | N/A | N/A | N/A | N/A | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714739323 | N/A | N/A | 8469090 | 2222 | 4802 | 12192213 | N/A | 7140615 | 2025-09-05 02:45:35.108732 | 2025-09-05 16:51:17.488032 |
| 2025-09-04 08:15:56.745537 | 2025-09-04 08:15:59.509214 | 11996283 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-18 | 2025-09-04 | M | PT | MARTIN | XEH906532391-003 | CHRISTOPHER | N/A | 23320 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6967909/check_11996283_10358311-5570-4c49-aa23-5fb6df1b10e1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_11996283_ef749aab-e2e6-4d9b-aa1d-4585b4a72e9b.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714733964 | N/A | N/A | 6967909 | 2222 | N/A | 12131700 | N/A | 5990447 | 2025-09-04 08:15:59.509214 | 2025-07-21 18:40:33.917911 |
| 2025-09-04 08:15:32.479211 | 2025-09-04 08:15:34.167637 | 11995997 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-04 | M | PT | Lane | XEK904721388 | Jason | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_11995997_102672c6-c6c8-4705-b635-e39033f71444.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_11995997_83712fd5-1d83-4387-a1a9-ece3c25b6a6a.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6814774 | 2222 | N/A | 12131607 | N/A | 5857104 | 2025-09-04 08:15:34.167637 | 2025-07-08 17:08:11.593095 |
| 2025-09-04 08:15:30.914756 | 2025-09-04 08:15:32.476561 | 11995973 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-04 | M | PT | Lane | XEK904721388 | Jason | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_11995973_13a3ec9a-cfdf-4536-90db-ee5f67227622.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | N/A | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6814774 | 2222 | N/A | N/A | N/A | 5857104 | 2025-09-04 08:15:32.476561 | 2025-07-08 17:08:11.593095 |
| 2025-09-04 08:14:49.662944 | 2025-09-05 02:37:03.967821 | 11995226 | N/A | N/A | 60054 | Aetna | 1114042165 | 11995226 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-09-05 | M | AE | BAIRD | W295329957 | WILLIAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110617885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8391594/check_11995226_fa540472-f557-4754-bf15-63d037028d70.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | 90962060803 BLUE SHIELD OF CAL | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | 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 | 8714738093 | N/A | N/A | 8391594 | 2222 | 4793 | 12179921 | N/A | 4214747 | 2025-09-05 02:37:03.967821 | 2025-05-13 04:29:37.229066 |
| 2025-09-04 08:14:47.620151 | 2025-09-05 03:24:50.537535 | 11995164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11995164 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-09-05 | F | AE | Ahadian | U5X795M98275 | Vida | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110237676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_11995164_d449e658-520e-4506-9a5c-2c8117e254ca.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714733128 | N/A | N/A | 8479499 | 2222 | 4802 | 12241276 | N/A | 7146980 | 2025-09-05 03:24:50.537535 | 2025-08-25 22:34:13.951153 |
| 2025-09-04 08:14:27.288335 | 2025-09-05 22:41:23.366450 | 11994551 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11994551 | Athletic Physical Therapy Inc | 1990-02-01 | 2025-09-05 | M | AE | SCULLY | 000012326358 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088218/check_11994551_bb304ebd-10da-442a-8cf9-b39e635155d8.json | N/A | N/A | N/A | N/A | N/A | 000012326358 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1990-02-01 | 3082495 | 101872 | N/A | N/A | false | SCULLY | N/A | MICHAEL | N/A | N/A | N/A | FLEXTRONICS AND PARTICIPATING AFFILIATES FLEXTRONI | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714725707 | N/A | N/A | 8088218 | 2222 | 4793 | 12291580 | N/A | 6871556 | 2025-09-05 22:41:23.366450 | 2025-08-14 22:11:57.081021 |
| 2025-09-04 08:14:20.494273 | 2025-09-05 03:24:41.217527 | 11994335 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11994335 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-09-05 | F | AE | CHOOBIN | 91331250G | KEFAYAT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110237676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_11994335_b6a5795a-4ac3-4b7f-a21e-5449d7ad1560.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714733401 | N/A | N/A | 8205059 | 2222 | 4793 | 12241157 | N/A | 6967073 | 2025-09-05 03:24:41.217527 | 2025-08-26 17:15:30.662072 |
| 2025-09-04 08:14:17.023441 | 2025-09-05 22:41:43.635536 | 11994233 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11994233 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-09-05 | M | PT | MAZZA | XDM860A72836 | JACK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8083036/check_11994233_5a708117-8e3f-4796-a87b-a178848446fa.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714725233 | N/A | N/A | 8083036 | 2222 | 4801 | 12291774 | N/A | 6866179 | 2025-09-05 22:41:43.635536 | 2025-08-14 16:10:19.684218 |
| 2025-09-04 08:14:07.371495 | 2025-09-05 22:43:02.475875 | 11993904 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11993904 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-09-05 | M | PT | BOWMAN | UMG354W05421 | JOSEPH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11993904_7d5b9fe6-f707-459b-b912-cce2041a4385.json | N/A | N/A | N/A | N/A | N/A | UMG354W05421 | Exclusive Provider Organization | UNIVERSAL MUSIC GROUP | BLUE SHIELD OF CALIFORNIA | N/A | 1994-05-25 | 040 | 170167M050 | N/A | EP | false | BOWMAN | N/A | JOSEPH | N/A | 9999-12-31 | 2020-06-02 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714724594 | N/A | N/A | 8073830 | 2222 | 4802 | 12292496 | N/A | 6858276 | 2025-09-05 22:43:02.475875 | 2025-08-14 00:02:33.736728 |
| 2025-09-04 08:13:53.923060 | 2025-09-05 22:40:41.115851 | 11993400 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11993400 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-09-05 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_11993400_c437c244-56f1-4688-b0d8-6f2c1e3ab51d.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714724162 | N/A | N/A | 8050658 | 2222 | 4793 | 12291216 | N/A | 6845945 | 2025-09-05 22:40:41.115851 | 2025-08-20 15:30:30.230373 |
| 2025-09-04 08:13:52.425055 | 2025-09-05 03:06:27.682136 | 11993345 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11993345 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-09-05 | F | AE | CHOOBIN | 6F99G11UV44 | KEFAYAT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110617885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11993345_7bae5d30-6fba-45e5-bc0a-a858e95db73d.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MB | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714738023 | N/A | N/A | 8205054 | 2222 | 4793 | 12222909 | N/A | 6967073 | 2025-09-05 03:06:27.682136 | 2025-08-26 17:15:30.662072 |
| 2025-09-04 08:13:50.848986 | 2025-09-05 22:40:47.006766 | 11993285 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11993285 | N/A | 1960-02-19 | 2025-09-05 | F | AE | ENGLISH BLAZEJ | 40067960801 | DOREEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_11993285_4cf8cccd-e8d8-417b-a9a9-cd234a95f932.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1960-02-19 | N/A | N/A | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714725130 | N/A | N/A | 8048674 | 2222 | 4801 | 12291264 | N/A | 6844466 | 2025-09-05 22:40:47.006766 | 2025-08-13 17:29:27.130257 |
| 2025-09-04 08:13:49.593288 | 2025-09-05 22:41:16.759732 | 11993245 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11993245 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-09-05 | M | AE | HILTSER | 208616901 | LORNE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_11993245_fdc13dde-d1d5-4301-ac6e-6422e6b25f30.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714725120 | N/A | N/A | 8048052 | 2222 | 4802 | 12291535 | N/A | 6844134 | 2025-09-05 22:41:16.759732 | 2025-08-29 16:18:21.978739 |
| 2025-09-04 08:13:49.521956 | 2025-09-05 03:44:22.771198 | 11993244 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11993244 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-05 | F | PT | Moore | 8V70PQ9EF39 | Jeana | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110237676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8044093/check_11993244_f2cb67c7-d9e6-4e52-a0f9-c59ca1ce421a.json | N/A | N/A | N/A | N/A | N/A | 8V70PQ9EF39 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-21 | H4471 | N/A | N/A | MA | false | MOORE | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714731958 | N/A | N/A | 8044093 | 2222 | 4802 | 12251114 | N/A | 6725117 | 2025-09-05 03:44:22.771198 | 2026-02-18 22:27:04.950292 |
| 2025-09-04 08:13:40.009322 | 2025-09-05 03:44:20.948273 | 11992791 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11992791 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-09-05 | M | PT | Aliabadi | 4H63HH1UD97 | Hossein | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110237676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_11992791_b10683c6-0bab-45e5-a471-cb8df9e24658.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MB | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714732389 | N/A | N/A | 7983538 | 2222 | 4802 | 12251107 | N/A | 6706099 | 2025-09-05 03:44:20.948273 | 2025-11-21 22:00:12.073625 |
| 2025-09-04 08:13:38.918188 | 2025-09-05 03:05:50.795317 | 11992739 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11992739 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-09-05 | M | AE | KOGUT | 32822509811 | JAMIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110237676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7975132/check_11992739_0504e0b6-ac1a-4024-b806-20f38ebe282b.json | N/A | N/A | N/A | N/A | N/A | 32822509811 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-04 | N/A | N/A | N/A | SP | false | KOGUT | N/A | JAMIE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714732380 | N/A | N/A | 7975132 | 2222 | 4801 | 12221865 | N/A | 6228944 | 2025-09-05 03:05:50.795317 | 2025-08-09 18:39:08.251512 |
| 2025-09-04 08:13:36.793596 | 2025-09-05 02:47:49.063895 | 11992624 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11992624 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-09-05 | F | PT | DIAZ | XEA902904791 | MCKINLEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110617885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202983/check_11992624_5cd8031c-86a2-4861-a2b2-0657b7c28260.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 2014-01-08 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2033-01-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714739391 | N/A | N/A | 8202983 | 2222 | 4793 | 12195480 | N/A | 6965635 | 2025-09-05 02:47:49.063895 | 2025-09-05 19:59:40.463785 |
| 2025-09-04 08:13:36.559644 | 2025-09-05 22:41:44.337548 | 11992610 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11992610 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-09-05 | F | PT | SCHRODT | XDP041W16673 | CLARE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110223623.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026784/check_11992610_a820a713-edfb-4ee4-a046-ed80018a5f60.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714724351 | N/A | N/A | 8026784 | 2222 | 4802 | 12291782 | N/A | 6828383 | 2025-09-05 22:41:44.337548 | 2025-08-12 22:27:19.278771 |
| 2025-09-04 08:13:36.182558 | 2025-09-05 02:55:10.299470 | 11992590 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11992590 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-05 | F | AE | MCALISTER | SFZ846186424 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110510746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_11992590_bd09f006-d47a-4cbc-895b-a6c74dfe85f7.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715310 | N/A | N/A | 7024102 | 2222 | 4801 | 12206218 | N/A | 6038562 | 2025-09-05 02:55:10.299470 | 2025-07-30 21:46:09.369299 |
| 2025-09-04 08:13:35.035745 | 2025-09-05 02:48:08.452569 | 11992530 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11992530 | Athletic Physical Therapy Inc | 1958-12-06 | 2025-09-05 | F | PT | MARCHETTI | MMA759W18793 | PAULA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110317536.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_11992530_b1167de8-3158-4021-a84f-daa79268a64b.json | N/A | N/A | N/A | N/A | N/A | MMA759W18793 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-06 | 040 | CAMCRWP0 | N/A | MP | false | MARCHETTI | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720081 | N/A | N/A | 7755198 | 2222 | 4793 | 12196033 | N/A | 6606171 | 2025-09-05 02:48:08.452569 | 2025-08-04 19:27:53.075551 |
| 2025-09-04 08:13:28.969079 | 2025-09-05 03:17:50.419200 | 11992128 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11992128 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-09-05 | F | PT | PERLOV | XEA905216171 | MERA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110642981.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_11992128_af37b92b-b219-46b5-9189-3c7c06049a8a.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714730259 | N/A | N/A | 6814311 | 2222 | 4793 | 12236298 | N/A | 5856694 | 2025-09-05 03:17:50.419200 | 2025-07-07 18:45:06.287504 |
| 2025-09-04 08:13:26.332144 | 2025-09-04 08:13:29.062314 | 11991937 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-11 | 2025-09-04 | M | PT | ALBA | XEH909330777 | KYLE | N/A | 23306 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210099/check_11991937_a8b9203a-e9bd-47c3-b671-3f1a8dbd856c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_11991937_00dbd0dd-83a9-4e26-b369-e0dcf02665f7.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714701695 | N/A | N/A | 6210099 | 2222 | N/A | 12131145 | N/A | 4852857 | 2025-09-04 08:13:29.062314 | 2025-06-17 16:28:13.795457 |