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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-30 20:29:10.134228 | 2025-05-31 05:32:20.567551 | 8417661 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8417661 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-06-04 | M | PT | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_8417661_f36998d8-1c70-4255-aeb8-e98467ceb56e.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993926 | 2222 | 4802 | 8124925 | N/A | 4642862 | 2025-05-31 05:32:20.567551 | 2025-05-28 20:59:09.029689 |
| 2025-05-30 20:29:09.804656 | 2025-05-31 05:35:51.443149 | 8417652 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8417652 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-05 | U | PT | PARLIER | 7D70AM9KX14 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993924/check_8417652_f968cf38-10e5-4940-bec0-197fa94a317b.json | N/A | N/A | N/A | N/A | N/A | 7D70AM9KX14 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-01 | H4036 | N/A | N/A | MA | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993924 | 2222 | 4801 | 8126500 | N/A | 4642861 | 2025-05-31 05:35:51.443149 | 2025-11-25 19:25:55.074534 |
| 2025-05-30 20:29:09.402762 | 2025-05-31 05:35:49.359253 | 8417638 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8417638 | Athletic Physical Therapy Inc | 1941-01-22 | 2025-06-06 | U | PT | CAMRAS | 7GP4YY5EE63 | LINDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993921/check_8417638_7d15aac9-6411-4301-b828-25d8044d196f.json | N/A | N/A | N/A | N/A | N/A | 7GP4YY5EE63 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-01-22 | S5601 | N/A | N/A | MA | false | CAMRAS | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993921 | 2222 | 4802 | 8126485 | N/A | 4642858 | 2025-05-31 05:35:49.359253 | 2025-06-04 17:40:37.742950 |
| 2025-05-30 20:29:09.223473 | 2025-05-31 05:30:15.043954 | 8417632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8417632 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-06-03 | M | PT | SPENCE | SGEFW1503472 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_8417632_c49712ff-c608-4707-a2a4-525297b28303.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993917 | 2222 | 4793 | 8124388 | N/A | 4642854 | 2025-05-31 05:30:15.043954 | 2025-05-28 20:57:05.075130 |
| 2025-05-30 20:29:09.054776 | 2025-05-31 05:35:50.771821 | 8417627 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8417627 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-04 | U | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993909/check_8417627_31bdab06-0dd0-42f7-bd90-544ed5013145.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MB | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993909 | 2222 | 4801 | 8126497 | N/A | 4534577 | 2025-05-31 05:35:50.771821 | 2025-06-18 18:41:30.608585 |
| 2025-05-30 20:29:08.718846 | 2025-05-31 05:32:22.597182 | 8417618 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8417618 | Athletic Physical Therapy Inc | 1984-05-19 | 2025-06-04 | U | PT | DANG | XEA913823841 | TRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993908/check_8417618_8ef99a49-f548-4759-99cb-df3082b3b7cc.json | N/A | N/A | N/A | N/A | N/A | XEA913823841 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1984-05-19 | N/A | N/A | N/A | N/A | false | DANG | N/A | TRAM | 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 | 5993908 | 2222 | 4802 | 8124938 | N/A | 4534561 | 2025-05-31 05:32:22.597182 | 2025-06-02 15:59:21.578406 |
| 2025-05-30 20:29:08.595263 | 2025-05-31 05:28:17.487530 | 8417615 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8417615 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-06-04 | M | PT | JOHNSON | R04617470MM1 | ROTH | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_8417615_0cdb4800-dd90-4b8a-be20-e51e6cb55064.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | K7Z PPOSBG | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993907 | 2222 | 4793 | 8123828 | N/A | 4534544 | 2025-05-31 05:28:17.487530 | 2025-05-28 20:51:40.104091 |
| 2025-05-30 20:29:08.417679 | 2025-05-31 05:31:18.883940 | 8417609 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8417609 | Athletic Physical Therapy Inc | 1961-08-22 | 2025-06-06 | U | PT | LY | ZYF589M98531 | FRANCIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993906/check_8417609_eb8b3ea2-5aaf-4a53-940b-5c237a59ce43.json | N/A | N/A | N/A | N/A | N/A | ZYF589M98531 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1961-08-22 | N/A | N/A | N/A | N/A | false | LY | N/A | FRANCIS | 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 | 5993906 | 2222 | 4801 | 8124650 | N/A | 4534584 | 2025-05-31 05:31:18.883940 | 2025-06-02 22:12:48.722054 |
| 2025-05-30 20:29:08.256676 | 2025-05-31 05:30:19.973802 | 8417603 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8417603 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-05 | M | PT | VELASQUEZ | MBL825A50913 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993898/check_8417603_df3c752f-d82c-454a-8f27-b9d07a094b6a.json | N/A | N/A | N/A | N/A | N/A | MBL825A50913 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CA039GRS | N/A | N/A | false | VELAZQUEZ | N/A | NELSON | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993898 | 2222 | 4801 | 8124393 | N/A | 4219819 | 2025-05-31 05:30:19.973802 | 2026-04-16 20:37:54.612915 |
| 2025-05-30 20:29:07.991565 | 2025-05-31 05:02:54.275853 | 8417597 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8417597 | Athletic Physical Therapy Inc | 1988-01-04 | 2025-06-02 | F | PT | CATALDO | 909320518000 | NATALIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993812/check_8417597_3a546deb-0c51-4581-9939-56243c917519.json | N/A | N/A | N/A | N/A | N/A | 909320518000 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1988-01-04 | N/A | N/A | N/A | N/A | false | CATALDO | N/A | NATALIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993812 | 2222 | 4801 | 8111778 | N/A | 4219581 | 2025-05-31 05:02:54.275853 | 2025-05-21 21:23:40.415030 |
| 2025-05-30 20:29:07.799711 | 2025-05-31 05:04:36.993610 | 8417589 | N/A | N/A | 60054 | Aetna | 1114042165 | 8417589 | Athletic Physical Therapy Inc | 2009-02-09 | 2025-06-06 | F | PT | SANABRIA CANO | W29037029102 | ISABELLA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993269/check_8417589_7c019078-5581-4ce3-b4db-5d9b9b5594ea.json | N/A | N/A | N/A | N/A | N/A | W290370291 | Point of Service (POS) | PTC THERAPEUTICS, INC. | AETNA | N/A | 2009-02-09 | 0472568 | 047256801200001 | N/A | PS | false | CORA PLANADEBALL | N/A | KAREL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993269 | 2222 | 4801 | 8112467 | N/A | 4210321 | 2025-05-31 05:04:36.993610 | 2025-06-11 21:24:33.499500 |
| 2025-05-30 20:28:19.677575 | 2025-05-31 05:21:38.094463 | 8415779 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8415779 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-02 | M | PT | DERR | 35335410011 | DENNIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8415779_153b9ee2-87c0-478f-b447-c7d3d5178ec1.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | 4793 | 8120656 | N/A | 4534550 | 2025-05-31 05:21:38.094463 | 2025-10-15 18:36:58.255255 |
| 2025-05-30 20:27:51.049590 | 2025-05-31 05:05:17.745771 | 8414695 | N/A | N/A | 60054 | Aetna | 1114042165 | 8414695 | Athletic Physical Therapy Inc | 2000-04-04 | 2025-06-05 | F | PT | Whisman | 1234567890 | Athelas | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232217684.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5201628/check_8414695_16172379-7e3a-43ff-a2ad-b6a6395149b3.json | N/A | N/A | N/A | N/A | N/A | 1234567890 | N/A | N/A | AETNA INC | N/A | 2000-04-04 | N/A | N/A | N/A | N/A | false | WHISMAN | N/A | ATHELAS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5201628 | 2222 | 4801 | 8112765 | N/A | 3930357 | 2025-05-31 05:05:17.745771 | 2025-07-30 22:49:39.209776 |
| 2025-05-30 20:27:39.534874 | 2025-05-31 05:01:17.317447 | 8414231 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8414231 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-02 | M | PT | TEDDER | 00000390480 | CHARLES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8414231_896a0ccf-2d88-4add-8478-50f9423ae0cd.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676415 | 2222 | 4801 | 8111395 | N/A | 4343470 | 2025-05-31 05:01:17.317447 | 2025-05-13 04:29:37.230947 |
| 2025-05-30 20:27:39.324324 | 2025-05-31 05:13:12.355272 | 8414220 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8414220 | Athletic Physical Therapy Inc | 2001-04-04 | 2025-06-06 | U | PT | NEBENS | XNK909607418 | PAYTON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676414/check_8414220_ee41350e-1d36-4f88-9b0b-53432748c7ba.json | N/A | N/A | N/A | N/A | N/A | XNK909607418 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2001-04-04 | N/A | N/A | N/A | N/A | false | NEBENS | N/A | PAYTON | 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 | 5676414 | 2222 | 4802 | 8116569 | N/A | 4343466 | 2025-05-31 05:13:12.355272 | 2025-06-02 16:41:34.870528 |
| 2025-05-30 20:27:39.145292 | 2025-05-31 05:05:47.406780 | 8414213 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8414213 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-02 | M | PT | CAMPOS | U6223907103 | DEVON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676403/check_8414213_01507bcd-8110-4444-8339-c2c919d159e9.json | N/A | N/A | N/A | N/A | N/A | U6223907103 | N/A | MORGAN STANLEY DOMESTIC HOLDINGS, INC. | CHLIC | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1999-05-15 | N/A | 3327984 | N/A | N/A | false | CAMPOS | N/A | DEVON | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676403 | 2222 | 4802 | 8113013 | N/A | 4343457 | 2025-05-31 05:05:47.406780 | 2025-05-13 04:29:37.230935 |
| 2025-05-30 20:27:39.021153 | 2025-05-31 05:11:39.001052 | 8414208 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8414208 | Athletic Physical Therapy Inc | 1990-06-23 | 2025-06-06 | F | PT | HSIEH | VUC433W09917 | VICKY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676402/check_8414208_3d8fe98b-5438-4ad0-a3cc-2cc3cfc27362.json | N/A | N/A | N/A | N/A | N/A | VUC433W09917 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1990-06-23 | 040 | 280509A400 | N/A | PR | false | HSIEH | N/A | VICKY | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676402 | 2222 | 4802 | 8115904 | N/A | 4343459 | 2025-05-31 05:11:39.001052 | 2025-05-13 04:29:37.230937 |
| 2025-05-30 20:27:38.843116 | 2025-05-31 05:04:10.357810 | 8414201 | N/A | N/A | 60054 | Aetna | 1114042165 | 8414201 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-06-06 | M | PT | ARROW | 101393152200 | PAUL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_8414201_57e88512-d91c-478e-b6ff-19253e0e0574.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676385 | 2222 | 4802 | 8112256 | N/A | 4343439 | 2025-05-31 05:04:10.357810 | 2025-05-13 04:29:37.230918 |
| 2025-05-30 20:27:38.668226 | 2025-05-31 05:20:07.178945 | 8414194 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8414194 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-05 | M | PT | LANE | 4CA5FX1PJ56 | STEVEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_8414194_6dfee565-e5fb-49bf-91ba-63d5c1bd086d.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MB | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676372 | 2222 | 4802 | 8119887 | N/A | 4219832 | 2025-05-31 05:20:07.178945 | 2025-05-13 04:29:37.230877 |
| 2025-05-30 20:27:38.452006 | 2025-05-31 05:01:16.981979 | 8414189 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8414189 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-06-05 | F | PT | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_8414189_ccf3ba2d-6ac9-4765-b107-87b68968956c.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-04-03 | N/A | N/A | N/A | N/A | false | OBLINGER | N/A | MARIA DEL CARMEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676340 | 2222 | 4793 | 8111394 | N/A | 4210531 | 2025-05-31 05:01:16.981979 | 2025-12-09 17:09:13.960610 |
| 2025-05-30 20:27:14.399730 | 2025-05-31 05:03:28.689417 | 8412816 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8412816 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-06-05 | F | PT | BOWMAN | 00000386100 | GLORIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_8412816_c4daade3-b455-4362-8f83-0e0be66c9f4f.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-10 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551030 | 2222 | 4801 | 8111951 | N/A | 4219852 | 2025-05-31 05:03:28.689417 | 2025-05-13 04:29:37.230898 |
| 2025-05-30 20:27:14.285440 | 2025-05-31 05:28:03.377827 | 8412810 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412810 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-04 | F | PT | SCHLEIKORN | XDD664W08200 | MARIETTE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_8412810_6a660e5e-9f77-4a35-bafe-336607ec2d64.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550960 | 2222 | 4793 | 8123754 | N/A | 4219792 | 2025-05-31 05:28:03.377827 | 2025-05-13 04:29:37.230832 |
| 2025-05-30 20:27:14.201397 | 2025-05-31 05:30:42.657704 | 8412804 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412804 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-06-05 | F | PT | LINDSEY | XEM905211597 | CHRISTIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550956/check_8412804_c702b2e5-5361-4178-bcf6-d90dc6cfd2af.json | N/A | N/A | N/A | N/A | N/A | XEM905211597 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-05-24 | 2002SD000004 | X0001002 | N/A | OT | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550956 | 2222 | 4801 | 8124513 | N/A | 4219787 | 2025-05-31 05:30:42.657704 | 2025-05-13 04:29:37.230828 |
| 2025-05-30 20:27:14.112446 | 2025-05-31 05:17:04.212500 | 8412801 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 8412801 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-02 | U | PT | BRENNER | TER6252245 | ROCIO FLORES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8412801_3456ab8d-2437-4d56-8502-b75010b4e92b.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550897 | 2222 | 4793 | 8118233 | N/A | 4219750 | 2025-05-31 05:17:04.212500 | 2025-06-06 02:15:39.377685 |
| 2025-05-30 20:27:14.021611 | 2025-05-31 05:27:57.766415 | 8412795 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412795 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-05 | F | PT | MARTIN | DGA11867912J | DOLLY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_8412795_daa81408-4a0a-4c6e-952e-4d029fa1ed8f.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550799 | 2222 | 4793 | 8123731 | N/A | 4219681 | 2025-05-31 05:27:57.766415 | 2026-01-14 20:54:02.193776 |
| 2025-05-30 20:27:13.904900 | 2025-05-31 05:03:52.254843 | 8412788 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8412788 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-06-05 | F | PT | BARCENES | H9209970900 | IRENE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549355/check_8412788_1557e90f-9170-4c5d-905d-f252fea432b4.json | N/A | N/A | N/A | N/A | N/A | H9209970900 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-04-26 | N/A | N/A | N/A | N/A | false | BARCENES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549355 | 2222 | 4801 | 8112123 | N/A | 4219033 | 2025-05-31 05:03:52.254843 | 2025-05-13 04:29:37.230052 |
| 2025-05-30 20:27:13.827559 | 2025-05-31 05:30:44.099566 | 8412783 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412783 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-04 | F | PT | LUCZYWEK | XEA907100099 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_8412783_59ad1566-34e5-4da7-9460-b8c407705e6e.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 8124521 | N/A | 4219010 | 2025-05-31 05:30:44.099566 | 2026-01-09 18:32:07.618867 |
| 2025-05-30 20:27:13.691894 | 2025-05-31 05:37:47.243385 | 8412774 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8412774 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-06-06 | M | PT | CALDERON | 4DH3VT4QR98 | FREDY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549156/check_8412774_a87983a1-0c3f-473b-abd3-979326e0f60e.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MB | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549156 | 2222 | 4801 | 8127445 | N/A | 4218873 | 2025-05-31 05:37:47.243385 | 2025-05-13 04:29:37.229886 |
| 2025-05-30 20:27:13.625792 | 2025-05-31 05:27:55.795946 | 8412769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412769 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-06-05 | M | PT | HELLER | JQE123A61563 | LAWRENCE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549013/check_8412769_d7e2c1d4-0b2b-4266-8a80-7dc2317a62b4.json | N/A | N/A | N/A | N/A | N/A | JQE123A61563 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-10-09 | 040 | CASUPWP0 | N/A | N/A | false | HELLER | N/A | LAWRENCE | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549013 | 2222 | 4802 | 8123712 | N/A | 4208819 | 2025-05-31 05:27:55.795946 | 2025-05-13 04:29:37.223245 |
| 2025-05-30 20:27:13.567123 | 2025-05-31 05:07:04.391763 | 8412765 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8412765 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-06-05 | F | PT | DOUGLAS | 34470011211 | HEATHER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548966/check_8412765_d795fdc6-b34d-467e-9c61-dfcbe2e29941.json | N/A | N/A | N/A | N/A | N/A | 34470011211 | 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. | 1956-02-09 | N/A | N/A | N/A | SP | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN K | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5548966 | 2222 | 4802 | 8113653 | N/A | 4218725 | 2025-05-31 05:07:04.391763 | 2025-05-13 04:29:37.229715 |
| 2025-05-30 20:27:13.152780 | 2025-05-31 05:15:14.592523 | 8412735 | N/A | N/A | 60054 | Aetna | 1114042165 | 8412735 | Athletic Physical Therapy Inc | 1947-04-14 | 2025-06-02 | F | PT | UYGUR | GLA008101 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_8412735_cb921ab4-6ffd-43ff-87fb-258f20472dcd.json | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543315 | 2222 | 4802 | 8117380 | N/A | 4215116 | 2025-05-31 05:15:14.592523 | 2025-05-29 22:32:19.748297 |
| 2025-05-30 20:27:13.082126 | 2025-05-31 05:27:57.007338 | 8412730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412730 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-06 | F | PT | LANGINGER | XDO068A68730 | BARBARA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543306/check_8412730_3dd253e6-d22b-4777-9154-afa79b3aaef7.json | N/A | N/A | N/A | N/A | N/A | XDO068A68730 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1937-05-27 | 040 | CASUPWP0 | N/A | N/A | false | LANGINGER | N/A | BARBARA | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543306 | 2222 | 4793 | 8123723 | N/A | 4215107 | 2025-05-31 05:27:57.007338 | 2025-05-13 04:29:37.229419 |
| 2025-05-30 20:27:13.020436 | 2025-05-31 05:27:54.322434 | 8412726 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412726 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-02 | M | PT | GEVURTZ | JQE714A62350 | IRWIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_8412726_4ec2990d-c627-453c-82d0-33813d8fcdf9.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543273 | 2222 | 4802 | 8123705 | N/A | 4215069 | 2025-05-31 05:27:54.322434 | 2025-05-13 04:29:37.229385 |
| 2025-05-30 20:27:12.950621 | 2025-05-31 05:28:04.973557 | 8412719 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412719 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-06 | F | PT | SINGER | XEM911011492 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543248/check_8412719_8dfa9b91-2d03-4d63-b03a-dc7c4c466a58.json | N/A | N/A | N/A | N/A | N/A | XEM911011492 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-05-17 | 2004SD000030 | X0001002 | N/A | SP | false | SINGER | N/A | JOEL | N/A | 2025-06-30 | 2024-07-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543248 | 2222 | 4793 | 8123777 | N/A | 4215066 | 2025-05-31 05:28:04.973557 | 2025-05-13 04:29:37.229384 |
| 2025-05-30 20:27:12.884311 | 2025-05-31 05:30:48.402020 | 8412715 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412715 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-04 | F | PT | STOLZ | XED912573254 | ARDENN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_8412715_703a5376-79a8-4c4e-908e-a8e92569d47e.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2023-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543121 | 2222 | 4802 | 8124533 | N/A | 4214948 | 2025-05-31 05:30:48.402020 | 2025-06-26 01:28:07.741882 |
| 2025-05-30 20:27:12.830509 | 2025-05-31 05:15:13.758242 | 8412711 | N/A | N/A | 60054 | Aetna | 1114042165 | 8412711 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-05 | M | PT | KORY | 102161581800 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_8412711_379a1163-1ed2-4268-8acf-6e1287fd33fd.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542870 | 2222 | 4793 | 8117373 | N/A | 4214732 | 2025-05-31 05:15:13.758242 | 2025-06-24 20:13:53.579048 |
| 2025-05-30 20:27:12.766374 | 2025-05-31 05:27:58.498198 | 8412706 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412706 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-06 | M | PT | NEILSON | 468A54912 | GEORGE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_8412706_53a423c6-7c0a-4f06-a975-379dfef88566.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542625 | 2222 | 4801 | 8123737 | N/A | 4214511 | 2025-05-31 05:27:58.498198 | 2025-05-13 04:29:37.228826 |
| 2025-05-30 20:27:12.697581 | 2025-05-31 05:37:51.485635 | 8412701 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8412701 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-06 | F | PT | MARCUS | 4VG5XF7HN64 | LISSA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_8412701_4c7fafda-bea0-4126-ad0c-254ac69c103c.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542318 | 2222 | 4802 | 8127462 | N/A | 4214241 | 2025-05-31 05:37:51.485635 | 2025-05-13 04:29:37.228574 |
| 2025-05-30 20:27:12.641192 | 2025-05-31 05:30:46.913319 | 8412698 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412698 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-03 | M | PT | SIMON | XED913765354 | DUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542217/check_8412698_3f4a4b9b-346a-441a-bab4-1fc8490311e7.json | N/A | N/A | N/A | N/A | N/A | XED913765354 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001ZK002185 | X0001004 | N/A | PR | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542217 | 2222 | 4793 | 8124529 | N/A | 4214155 | 2025-05-31 05:30:46.913319 | 2025-05-13 04:29:37.228482 |
| 2025-05-30 20:27:12.578145 | 2025-05-31 05:17:49.700728 | 8412694 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8412694 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-06-06 | M | AD | SCHIRO | U4234027401 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541834/check_8412694_43c7f88e-3f98-49d5-9666-71b8f70bff37.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541834 | 2222 | 4802 | 8118605 | N/A | 4213817 | 2025-05-31 05:17:49.700728 | 2025-05-13 04:29:37.228137 |
| 2025-05-30 20:27:12.512609 | 2025-05-31 05:29:36.862551 | 8412690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412690 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-04 | U | PT | WOLFE | JQE369M78235 | DIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541818/check_8412690_0f5f62e4-3e13-41b9-a509-d1983bff570c.json | N/A | N/A | N/A | N/A | N/A | JQE369M78235 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-05-13 | N/A | N/A | N/A | N/A | false | WOLFE | N/A | DIA | N/A | 9999-12-31 | 2024-06-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541818 | 2222 | 4801 | 8124202 | N/A | 4213795 | 2025-05-31 05:29:36.862551 | 2026-06-05 00:55:52.281598 |
| 2025-05-30 20:27:12.430831 | 2025-05-31 05:21:42.364946 | 8412684 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8412684 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-06-05 | F | PT | RAMSEY KANZAWA | 778790241 | JENNIFER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8412684_b8664d62-3290-4bb2-99e2-903fa79a2c81.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | 4802 | 8120664 | N/A | 4213204 | 2025-05-31 05:21:42.364946 | 2025-05-28 20:17:37.873556 |
| 2025-05-30 20:27:12.347730 | 2025-05-31 05:07:05.427691 | 8412678 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8412678 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-03 | F | PT | GNAD | 03840002311 | MELANIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_8412678_0317280b-8800-44cc-887e-6a9b94104baf.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540682 | 2222 | 4801 | 8113669 | N/A | 4212792 | 2025-05-31 05:07:05.427691 | 2025-10-07 20:33:25.637997 |
| 2025-05-30 20:27:12.257244 | 2025-05-31 05:26:18.266694 | 8412674 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8412674 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-06-04 | M | PT | BAKSHI | 96558021D | ALFRED | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8412674_542605cb-02ac-4d49-a4e5-99d63671335c.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540448 | 2222 | 4802 | 8122858 | N/A | 4212608 | 2025-05-31 05:26:18.266694 | 2025-05-13 04:29:37.226956 |
| 2025-05-30 20:27:12.161201 | 2025-05-31 05:17:49.363142 | 8412666 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8412666 | Athletic Physical Therapy Inc | 1988-09-18 | 2025-06-04 | F | PT | MERCADO | 11105311801 | ASHLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539885/check_8412666_14be85e9-bd19-4cde-9151-7824a966f438.json | N/A | N/A | N/A | N/A | N/A | 11105311801 | N/A | TELESIGN CORPORATION | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1988-09-18 | N/A | 00655624 | N/A | N/A | false | MERCADO | N/A | ASHLEY | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539885 | 2222 | 4802 | 8118597 | N/A | 4212122 | 2025-05-31 05:17:49.363142 | 2025-05-13 04:29:37.226459 |
| 2025-05-30 20:27:12.032306 | 2025-05-31 05:27:53.057572 | 8412661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412661 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-03 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8412661_6fc2e089-5d71-4635-a18c-227bd90ddf6b.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539665 | 2222 | 4793 | 8123697 | N/A | 4211935 | 2025-05-31 05:27:53.057572 | 2025-05-13 04:29:37.226259 |
| 2025-05-30 20:27:11.924850 | 2025-05-31 05:30:40.691796 | 8412655 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412655 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-06-03 | M | PT | GORODENZIK | XEM910692096 | AMIR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539599/check_8412655_9b946055-b248-4f34-bf15-331447c8da85.json | N/A | N/A | N/A | N/A | N/A | XEM910692096 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-08-13 | 2002SD000030 | X0001002 | N/A | OT | false | GORODENZIK | N/A | AMIR | N/A | 2025-06-30 | 2025-01-01 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539599 | 2222 | 4793 | 8124507 | N/A | 4211880 | 2025-05-31 05:30:40.691796 | 2025-05-13 04:29:37.226201 |
| 2025-05-30 20:27:11.652732 | 2025-05-31 05:27:51.923056 | 8412636 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412636 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-06-05 | F | PT | FINCH | XDD909A67880 | DAWN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8412636_4799951d-f941-43c6-b712-a4188b4e78eb.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538474 | 2222 | 4802 | 8123691 | N/A | 4210886 | 2025-05-31 05:27:51.923056 | 2025-05-13 04:29:37.225284 |
| 2025-05-30 20:27:11.568551 | 2025-05-31 05:17:50.040644 | 8412630 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8412630 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-06 | M | AD | WARD | U7734372001 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538124/check_8412630_5ae35a0b-ea34-45a9-bed1-cb71f4dd33a2.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538124 | 2222 | 4802 | 8118609 | N/A | 4210590 | 2025-05-31 05:17:50.040644 | 2025-05-13 04:29:37.225004 |
| 2025-05-30 20:27:11.450747 | 2025-05-31 05:07:06.188145 | 8412624 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8412624 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-06 | F | PT | GODBOLD | 33204792612 | SHARI | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8412624_9daf0b1c-a600-4484-8eb4-5d9880d1f54c.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | 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. | 1941-11-29 | N/A | N/A | N/A | SP | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537863 | 2222 | 4802 | 8113677 | N/A | 4210360 | 2025-05-31 05:07:06.188145 | 2025-05-13 04:29:37.224766 |