API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 08:13:19.685173 | 2025-09-04 08:13:20.116715 | 11991494 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11991494 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-09-05 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-05 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7456457 | 2222 | 4793 | N/A | N/A | 6405774 | 2025-09-04 08:13:20.116715 | 2026-03-16 21:02:08.525887 |
| 2025-09-04 08:13:15.674164 | 2025-09-05 03:24:43.082587 | 11991240 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11991240 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-09-05 | M | AE | PT | LEYDERMAN | IH2417651 | BORIS | 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/2222/7817928/check_11991240_b9066128-c2d0-4a52-9c7c-0bb837354266.json | N/A | N/A | N/A | N/A | N/A | IH2417651 | N/A | PASC-SEIU BENEFIT PLAN | LA CARE HEALTH PLAN | N/A | 1954-12-21 | PASC | PASC | N/A | N/A | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | PASC-SEIU PLAN (PASC) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714733044 | N/A | N/A | 7817928 | 2222 | 4793 | 12241175 | N/A | 6656900 | 2025-09-05 03:24:43.082587 | 2025-08-17 17:40:08.050078 |
| 2025-09-04 08:13:14.959033 | 2025-09-05 02:48:04.592582 | 11991190 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11991190 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-09-05 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | 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/2222/7752768/check_11991190_177b5c8f-56d8-40e2-ab69-e0f3abd19a59.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714719133 | N/A | N/A | 7752768 | 2222 | 4802 | 12195928 | N/A | 6604326 | 2025-09-05 02:48:04.592582 | 2025-08-06 18:06:11.137864 |
| 2025-09-04 08:13:11.451572 | 2025-09-05 02:40:28.592057 | 11990973 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11990973 | Athletic Physical Therapy Inc | 1990-09-23 | 2025-09-05 | F | PT | N/A | Ostroff | THW36938870C | Rachel | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110522713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9060116/check_11990973_8150f467-c35a-4c90-9506-7d16177c1302.json | N/A | N/A | N/A | N/A | N/A | THW36938870C | Preferred Provider Organization (PPO) | THE WONDERFUL COMPANY SAP | BLUE SHIELD CALIFORNIA | N/A | 1990-09-23 | 1000PPOX0001 | W8003002 | N/A | PR | false | OSTROFF | N/A | RACHEL | N/A | N/A | N/A | THE WONDERFUL COMPANY SHARED ADVANTAGE PPO NATIO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714713183 | N/A | N/A | 9060116 | 2222 | 4802 | 12184736 | N/A | 7575424 | 2025-09-05 02:40:28.592057 | 2025-09-03 18:43:05.905105 |
| 2025-09-04 08:13:10.588757 | 2025-09-05 02:50:23.731201 | 11990900 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11990900 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-09-05 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | 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/2222/6821574/check_11990900_4bcb21d6-6c64-4b75-b52d-33549174bd0d.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715169 | N/A | N/A | 6821574 | 2222 | 4802 | 12199346 | N/A | 4214191 | 2025-09-05 02:50:23.731201 | 2025-05-13 04:29:37.228525 |
| 2025-09-04 08:13:09.824279 | 2025-09-05 22:40:47.601002 | 11990842 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11990842 | N/A | 1950-08-25 | 2025-09-05 | F | AE | PT | POLLOCK | 40002008301 | MARY | 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/2222/7992096/check_11990842_b8e13fb9-befd-4098-819e-c4fb3542ee44.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1950-08-25 | N/A | N/A | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714724551 | N/A | N/A | 7992096 | 2222 | 4801 | 12291270 | N/A | 4212687 | 2025-09-05 22:40:47.601002 | 2025-08-27 18:05:06.350903 |
| 2025-09-04 08:12:57.219997 | 2025-09-05 02:50:20.451087 | 11989844 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11989844 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-09-05 | M | AE | PT | Harvey | LFYHC0062508 | Roy | 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/2222/6714942/check_11989844_5104123d-53b5-4ad9-b13b-25711796d88d.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714713892 | N/A | N/A | 6714942 | 2222 | 4802 | 12199218 | N/A | 5316172 | 2025-09-05 02:50:20.451087 | 2025-07-02 15:09:36.678003 |
| 2025-09-04 08:12:57.148911 | 2025-09-05 02:50:17.624499 | 11989840 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11989840 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-05 | F | AE | PT | GARRETT | JQE702W20596 | KATHLEEN | 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/2222/6714934/check_11989840_d07b0ebd-167c-4432-9408-831a1747030e.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714713891 | N/A | N/A | 6714934 | 2222 | 4793 | 12199165 | N/A | 5316176 | 2025-09-05 02:50:17.624499 | 2025-07-01 18:44:12.927482 |
| 2025-09-04 08:12:56.867907 | 2025-09-05 03:05:01.442599 | 11989813 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11989813 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-09-05 | F | AE | PT | NAZERALI | 95517882H | SHAHEEN | 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/2222/6782227/check_11989813_4b344d36-3ede-4bb4-99ba-30be866959c1.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1984-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714729053 | N/A | N/A | 6782227 | 2222 | 4802 | 12220780 | N/A | 5813326 | 2025-09-05 03:05:01.442599 | 2025-07-21 17:21:46.553298 |
| 2025-09-04 08:12:53.514512 | 2025-09-05 02:52:20.147420 | 11989515 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11989515 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-09-05 | F | PT | N/A | RUND | JQU141A61623 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398636/check_11989515_53ec68a8-a53c-4b3e-8d07-67f022b8eb05.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714721758 | N/A | N/A | 6398636 | 2222 | 4802 | 12202378 | N/A | 5046194 | 2025-09-05 02:52:20.147420 | 2026-01-06 19:15:31.520951 |
| 2025-09-04 08:12:48.205643 | 2025-09-05 03:06:01.212455 | 11989129 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11989129 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-09-05 | F | PT | N/A | Taggart | MBL830M95233 | Rita | 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/2222/6780011/check_11989129_3c524514-2646-493b-a069-ae0aa87006aa.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714729034 | N/A | N/A | 6780011 | 2222 | 4802 | 12222141 | N/A | 5811238 | 2025-09-05 03:06:01.212455 | 2025-07-03 18:24:56.520298 |
| 2025-09-04 08:12:47.416893 | 2025-09-05 02:40:36.572769 | 11989064 | N/A | N/A | 60054 | Aetna | 1114042165 | 11989064 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-09-05 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_11989064_4e7e01de-f516-47c7-a4bd-db088fabf6b8.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721733 | N/A | N/A | 6235883 | 2222 | 4802 | 12184889 | N/A | 4883697 | 2025-09-05 02:40:36.572769 | 2025-07-08 14:55:53.397662 |
| 2025-09-04 08:12:44.096968 | 2025-09-05 02:52:07.835397 | 11988807 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11988807 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | F | PT | N/A | AZUCENA | MMA139W21606 | ESPERANZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_11988807_fc57d701-661a-40a7-8e00-853d93a298ca.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714721215 | N/A | N/A | 6234679 | 2222 | 4801 | 12202039 | N/A | 4213743 | 2025-09-05 02:52:07.835397 | 2025-05-13 04:29:37.228064 |
| 2025-09-04 08:12:29.994948 | 2025-09-05 03:04:44.155584 | 11987702 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11987702 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-09-05 | F | AE | PT | TORREY | 00000374205 | JOYCE | 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/2222/6768717/check_11987702_b795f354-2c60-4aab-b376-091deb30a6dc.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | 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 | 8714728478 | N/A | N/A | 6768717 | 2222 | 4801 | 12220335 | N/A | 5725966 | 2025-09-05 03:04:44.155584 | 2025-07-08 20:19:24.946360 |
| 2025-09-04 08:12:25.860255 | 2025-09-05 02:30:59.749336 | 11987363 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11987363 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-05 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/6528155/check_11987363_973a71c6-9c99-4368-965c-52eacbf29fbb.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715129 | N/A | N/A | 6528155 | 2222 | 4793 | 12170660 | N/A | 4214447 | 2025-09-05 02:30:59.749336 | 2026-04-23 20:11:34.441054 |
| 2025-09-04 08:12:19.733706 | 2025-09-05 22:41:43.956823 | 11986893 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11986893 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-05 | F | PT | N/A | Moore | 788W15745 | Jeana | 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/2222/7899162/check_11986893_050791f6-46fb-431f-8760-77c23d8a26f2.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714724305 | N/A | N/A | 7899162 | 2222 | 4802 | 12291778 | N/A | 6725117 | 2025-09-05 22:41:43.956823 | 2026-02-18 22:27:04.950292 |
| 2025-09-04 08:12:18.577887 | 2025-09-05 22:32:02.321616 | 11986810 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11986810 | N/A | 1956-10-21 | 2025-09-05 | M | PT | N/A | TOROS | SAD103594467 | HALIL | 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/2222/7896723/check_11986810_074ad457-47b2-4088-ac39-d13bec59728e.json | N/A | N/A | N/A | N/A | N/A | SAD103594467 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1956-10-21 | N/A | N/A | N/A | N/A | false | TOROS | N/A | HALIL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714724299 | N/A | N/A | 7896723 | 2222 | 4802 | 12285009 | N/A | 6723602 | 2025-09-05 22:32:02.321616 | 2025-08-12 18:22:41.461515 |
| 2025-09-04 08:12:12.746170 | 2025-09-05 02:40:29.759406 | 11986316 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11986316 | Athletic Physical Therapy Inc | 1983-01-26 | 2025-09-05 | M | PT | N/A | Shin | XED914140051 | Edward | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110522713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969164/check_11986316_08bb9210-85f4-471f-ab53-aa7df9ec1eb1.json | N/A | N/A | N/A | N/A | N/A | XED914140051 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-01-26 | 2001ZK002185 | X0001004 | N/A | PR | false | SHIN | N/A | EDWARD | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714711718 | N/A | N/A | 8969164 | 2222 | 4802 | 12184760 | N/A | 7484713 | 2025-09-05 02:40:29.759406 | 2025-08-29 16:08:54.990493 |
| 2025-09-04 08:12:10.589107 | 2025-09-05 03:06:17.265928 | 11986119 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11986119 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | F | PT | N/A | AZUCENA | 1YT9RR4MX51 | ESPERANZA | 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/2222/6235090/check_11986119_d7af8352-c3f7-41a9-ad6b-11eff09a2661.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714713837 | N/A | N/A | 6235090 | 2222 | 4801 | 12222583 | N/A | 4213743 | 2025-09-05 03:06:17.265928 | 2025-05-13 04:29:37.228064 |
| 2025-09-04 08:12:07.029762 | 2025-09-05 02:39:32.129370 | 11985789 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11985789 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-05 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110522713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_11985789_424f3796-f658-445f-8c08-463f9afc5e64.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714713035 | N/A | N/A | 8960010 | 2222 | 4802 | 12183450 | N/A | 7476978 | 2025-09-05 02:39:32.129370 | 2026-01-07 18:27:22.752552 |
| 2025-09-04 08:12:06.158719 | 2025-09-05 02:53:42.875192 | 11985716 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11985716 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-05 | F | AE | PT | MAYER | XEM912219422 | MARY | 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/2222/6175091/check_11985716_fcf5eeac-4239-4958-9dfa-6217527e71ab.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715516 | N/A | N/A | 6175091 | 2222 | 4801 | 12204364 | N/A | 4213917 | 2025-09-05 02:53:42.875192 | 2025-06-25 01:53:37.609327 |
| 2025-09-04 08:11:58.586350 | 2025-09-05 02:33:54.370869 | 11985104 | N/A | N/A | 37308 | Allied Benefit Systems | 1114042165 | 11985104 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-05 | M | AE | PT | ELZAYN | AH2912772 | ANDREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110522713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_11985104_c09ee697-a4dc-4c6a-8869-ab028a380245.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | DIMENSION SERVICE CORPORATION | ALLIED BENEFIT SYS ABSF. | N/A | 1999-02-07 | L256110A | L252025 | N/A | N/A | false | ELZAYN | N/A | ANDREW | N/A | N/A | N/A | L252025 2-2 PPO AETNA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714712176 | N/A | N/A | 8767675 | 2222 | 4802 | 12174367 | N/A | 7383774 | 2025-09-05 02:33:54.370869 | 2025-08-28 18:43:11.156565 |
| 2025-09-04 08:11:57.613163 | 2025-09-05 22:41:36.396616 | 11985030 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11985030 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-09-05 | F | AE | PT | Andrieieva | 925988899G | Taisiia | 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/2222/7881033/check_11985030_0aa6ca57-5650-4689-b3bc-d028a5a3f704.json | N/A | N/A | N/A | N/A | N/A | 925988899G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1999-03-02 | N/A | N/A | N/A | N/A | false | ANDRIEIEVA | N/A | TAISIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714724089 | N/A | N/A | 7881033 | 2222 | 4802 | 12291706 | N/A | 6709145 | 2025-09-05 22:41:36.396616 | 2025-08-07 23:35:55.091438 |
| 2025-09-04 08:11:55.449886 | 2025-09-05 03:46:03.193823 | 11984834 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11984834 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-05 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110152548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_11984834_9d2a7395-345b-4a4b-b052-007f52b1a3a7.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 | 8714704383 | N/A | N/A | 7024102 | 2222 | 4801 | 12251708 | N/A | 6038562 | 2025-09-05 03:46:03.193823 | 2025-07-30 21:46:09.369299 |
| 2025-09-04 08:11:52.411034 | 2025-09-05 03:06:18.619956 | 11984582 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11984582 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-05 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | 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/2222/6068049/check_11984582_2f905c3e-bcf8-4fa5-a8da-9330013e849c.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715442 | N/A | N/A | 6068049 | 2222 | 4793 | 12222656 | N/A | 4642852 | 2025-09-05 03:06:18.619956 | 2025-11-21 18:38:17.056437 |
| 2025-09-04 08:11:50.422295 | 2025-09-05 22:41:42.784820 | 11984399 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11984399 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-09-05 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | 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/2222/7877415/check_11984399_20a710ef-a188-42de-8c43-47b7344e61a3.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714725546 | N/A | N/A | 7877415 | 2222 | 4793 | 12291765 | N/A | 6706226 | 2025-09-05 22:41:42.784820 | 2025-08-19 15:39:56.790206 |
| 2025-09-04 08:11:50.063103 | 2025-09-05 22:41:43.184721 | 11984366 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11984366 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-09-05 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | 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/2222/7877206/check_11984366_a60402e3-8f49-4d9f-b445-8beea24a696f.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | N/A | N/A | N/A | N/A | 2025-10-01 | 2025-05-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714725542 | N/A | N/A | 7877206 | 2222 | 4802 | 12291769 | N/A | 6706099 | 2025-09-05 22:41:43.184721 | 2025-11-21 22:00:12.073625 |
| 2025-09-04 08:11:42.176378 | 2025-09-05 02:50:12.463604 | 11983641 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11983641 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-05 | F | AE | PT | FERNANDEZ | JQC95483183F | LISA | 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/2222/5858692/check_11983641_20872b26-d3f9-4a97-b052-8bcde18eb90b.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714714191 | N/A | N/A | 5858692 | 2222 | 4793 | 12199068 | N/A | 4210649 | 2025-09-05 02:50:12.463604 | 2025-06-19 18:43:58.008751 |
| 2025-09-04 08:11:40.329107 | 2025-09-05 03:44:55.481470 | 11983465 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11983465 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-05 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | 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/2222/6714932/check_11983465_5dc07881-4eed-4077-9394-06831d243f09.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MB | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714730165 | N/A | N/A | 6714932 | 2222 | 4793 | 12251303 | N/A | 5316176 | 2025-09-05 03:44:55.481470 | 2025-07-01 18:44:12.927482 |
| 2025-09-04 08:11:40.148909 | 2025-09-05 03:44:58.743420 | 11983449 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11983449 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-09-05 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | 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/2222/6714928/check_11983449_aa8f6ed1-d15a-4f38-ba8f-073a22e88a00.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714730164 | N/A | N/A | 6714928 | 2222 | 4802 | 12251320 | N/A | 5316172 | 2025-09-05 03:44:58.743420 | 2025-07-02 15:09:36.678003 |
| 2025-09-04 08:11:39.234472 | 2025-09-05 02:48:07.061399 | 11983369 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11983369 | Athletic Physical Therapy Inc | 1990-11-27 | 2025-09-05 | M | PT | N/A | HAN | XTS845M18428 | PENGCHENG | 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/2222/7689149/check_11983369_162d08a3-1a7f-4a9b-a6f2-5e04016c3d6c.json | N/A | N/A | N/A | N/A | N/A | XTS845M18428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-11-27 | N/A | N/A | N/A | N/A | false | HAN | N/A | PENGCHENG | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714719892 | N/A | N/A | 7689149 | 2222 | 4793 | 12195991 | N/A | 6560578 | 2025-09-05 02:48:07.061399 | 2025-08-15 01:36:36.509527 |
| 2025-09-04 08:11:34.438463 | 2025-09-05 03:06:28.333058 | 11982916 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11982916 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-05 | F | PT | N/A | GUASTELLA | 5V49H98DH38 | ROSE ANN | 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/2222/8167484/check_11982916_625797bc-52ca-4155-a953-da621e4ee692.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714738464 | N/A | N/A | 8167484 | 2222 | 4801 | 12222925 | N/A | 6407685 | 2025-09-05 03:06:28.333058 | 2025-08-12 18:01:47.141909 |
| 2025-09-04 08:11:34.181254 | 2025-09-05 03:24:51.604406 | 11982886 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11982886 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-05 | F | PT | N/A | GUASTELLA | 911M7843220 | ROSE ANN | 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/2222/7458753/check_11982886_e6d15743-046e-4311-8dd8-7efaf67c0592.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714731533 | N/A | N/A | 7458753 | 2222 | 4801 | 12241289 | N/A | 6407685 | 2025-09-05 03:24:51.604406 | 2025-08-12 18:01:47.141909 |
| 2025-09-04 08:11:33.996077 | 2025-09-05 02:50:22.452766 | 11982868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11982868 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-05 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | 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/2222/5543352/check_11982868_6d13e1d5-cfd8-4289-89e6-cf44b194a834.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715060 | N/A | N/A | 5543352 | 2222 | 4793 | 12199290 | N/A | 4215147 | 2025-09-05 02:50:22.452766 | 2025-05-13 04:29:37.229464 |
| 2025-09-04 08:11:33.907941 | 2025-09-05 02:50:15.015916 | 11982863 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11982863 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-09-05 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | 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/2222/5539665/check_11982863_67d5c9d0-0bfb-4f8a-b796-6887c103604a.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 | 8714715059 | N/A | N/A | 5539665 | 2222 | 4793 | 12199109 | N/A | 4211935 | 2025-09-05 02:50:15.015916 | 2025-05-13 04:29:37.226259 |
| 2025-09-04 08:11:33.819675 | 2025-09-05 02:48:10.282322 | 11982855 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11982855 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-05 | F | AE | PT | THOMSEN | R12604487 | JANET | 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/2222/5537953/check_11982855_86d4769b-784c-49f1-814f-b89049a29691.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715058 | N/A | N/A | 5537953 | 2222 | 4801 | 12196097 | N/A | 4210450 | 2025-09-05 02:48:10.282322 | 2026-05-04 21:51:25.248197 |
| 2025-09-04 08:11:33.764680 | 2025-09-05 02:33:27.709609 | 11982849 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11982849 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-09-05 | F | AE | PT | DRIMMER | 33360295512 | NADIA | 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/2222/5537832/check_11982849_d3f48b0c-03a8-44df-8dbf-e4878f6783e1.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | 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. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715057 | N/A | N/A | 5537832 | 2222 | 4802 | 12173488 | N/A | 4210338 | 2025-09-05 02:33:27.709609 | 2025-05-13 04:29:37.224744 |
| 2025-09-04 08:11:33.711696 | 2025-09-05 02:33:26.772760 | 11982845 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11982845 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-05 | F | AE | PT | CHADORCHI | 33261790711 | JAFFA | 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/2222/5537483/check_11982845_57aaf0ba-41b3-4184-b054-621369d7e209.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714715056 | N/A | N/A | 5537483 | 2222 | 4802 | 12173461 | N/A | 4210038 | 2025-09-05 02:33:26.772760 | 2025-06-02 14:57:36.820684 |
| 2025-09-04 08:11:33.636127 | 2025-09-05 02:33:29.135563 | 11982840 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11982840 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-05 | M | AE | PT | ULLMAN | 557489000 | DAVID | 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/2222/5535842/check_11982840_ecaf83f8-a32b-449c-a33c-2fd98cc4160d.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | 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 | 8714715055 | N/A | N/A | 5535842 | 2222 | 4801 | 12173508 | N/A | 4208696 | 2025-09-05 02:33:29.135563 | 2025-06-07 16:16:45.844566 |
| 2025-09-04 08:11:31.491947 | 2025-09-04 08:11:31.748380 | 11982612 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11982612 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-09-05 | F | PT | N/A | RUND | JQU141A61623 | Stephanie | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-05 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6398636 | 2222 | 4802 | N/A | N/A | 5046194 | 2025-09-04 08:11:31.748380 | 2026-01-06 19:15:31.520951 |
| 2025-09-04 08:11:28.206755 | 2025-09-05 03:37:44.788836 | 11982306 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11982306 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-05 | M | AE | PT | SMITH | 99688004H | MATTHEW | 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/2222/7321767/check_11982306_92c64409-41ee-42cf-a812-bf3490e773cf.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714731849 | N/A | N/A | 7321767 | 2222 | 4793 | 12248841 | N/A | 6037802 | 2025-09-05 03:37:44.788836 | 2025-07-22 17:48:16.997014 |
| 2025-09-04 08:11:24.791347 | 2025-09-04 08:11:25.032726 | 11981936 | N/A | N/A | 60054 | Aetna | 1114042165 | 11981936 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-09-05 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-05 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6235883 | 2222 | 4802 | N/A | N/A | 4883697 | 2025-09-04 08:11:25.032726 | 2025-07-08 14:55:53.397662 |
| 2025-09-04 08:11:21.648442 | 2025-09-05 02:52:54.267680 | 11981624 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11981624 | Athletic Physical Therapy Inc | 1990-09-23 | 2025-09-05 | F | PT | N/A | Ostroff | THW36938870C | Rachel | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110418316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9060116/check_11981624_c6bbe6e1-d62e-4e12-b555-d6e04b6316c2.json | N/A | N/A | N/A | N/A | N/A | THW36938870C | Preferred Provider Organization (PPO) | THE WONDERFUL COMPANY SAP | BLUE SHIELD CALIFORNIA | N/A | 1990-09-23 | 1000PPOX0001 | W8003002 | N/A | PR | false | OSTROFF | N/A | RACHEL | N/A | N/A | N/A | THE WONDERFUL COMPANY SHARED ADVANTAGE PPO NATIO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714706953 | N/A | N/A | 9060116 | 2222 | 4802 | 12203194 | N/A | 7575424 | 2025-09-05 02:52:54.267680 | 2025-09-03 18:43:05.905105 |
| 2025-09-04 08:11:21.047250 | 2025-09-04 08:11:21.337048 | 11981570 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11981570 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | F | PT | N/A | AZUCENA | MMA139W21606 | ESPERANZA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-05 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6234679 | 2222 | 4801 | N/A | N/A | 4213743 | 2025-09-04 08:11:21.337048 | 2025-05-13 04:29:37.228064 |
| 2025-09-04 08:11:20.022080 | 2025-09-05 22:47:45.214533 | 11981470 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11981470 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-05 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | 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/2222/7821426/check_11981470_5e945ae9-68b7-45c3-b5fe-f3f6f525dca9.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714725282 | N/A | N/A | 7821426 | 2222 | 4801 | 12294641 | N/A | 6660003 | 2025-09-05 22:47:45.214533 | 2026-06-01 17:03:48.982724 |
| 2025-09-04 08:11:18.497628 | 2025-09-05 02:50:55.195415 | 11981317 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11981317 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-09-05 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_11981317_8ae41ac8-5ae4-4f7c-b326-d98a9ae53f3a.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714722556 | N/A | N/A | 6140436 | 2222 | 4801 | 12200255 | N/A | 4781417 | 2025-09-05 02:50:55.195415 | 2025-06-06 17:03:19.078153 |
| 2025-09-04 08:11:18.033523 | 2025-09-05 02:40:31.907851 | 11981281 | N/A | N/A | 60054 | Aetna | 1114042165 | 11981281 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-09-05 | M | AE | PT | HUANG | W278191924 | DANNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_11981281_0a3775bf-e148-4cfb-8788-4bb1c2d28c5a.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721561 | N/A | N/A | 6140246 | 2222 | 4802 | 12184803 | N/A | 4781166 | 2025-09-05 02:40:31.907851 | 2025-06-11 17:29:46.826705 |
| 2025-09-04 08:11:15.605600 | 2025-09-05 22:47:44.729758 | 11981064 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11981064 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-09-05 | M | AE | PT | LEYDERMAN | 8C40J87HK31 | BORIS | 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/2222/7817911/check_11981064_9da03956-beea-4963-ae4a-23150d589d03.json | N/A | N/A | N/A | N/A | N/A | 8C40J87HK31 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-21 | N/A | N/A | N/A | MA | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714724796 | N/A | N/A | 7817911 | 2222 | 4793 | 12294638 | N/A | 6656900 | 2025-09-05 22:47:44.729758 | 2025-08-17 17:40:08.050078 |
| 2025-09-04 08:11:10.394821 | 2025-09-04 08:11:27.227449 | 11980592 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-24 | 2025-09-04 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543268/check_11980592_54c120df-bfdb-4c7a-8229-c2888e33055e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_11980592_445f21a0-0d2c-4e6a-8454-fc02c5228fc0.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8714694327 | N/A | N/A | 5543268 | 2222 | N/A | 12130723 | N/A | 4215085 | 2025-09-04 08:11:27.227449 | 2025-05-23 17:53:24.114484 |
| 2025-09-04 08:11:10.215022 | 2025-09-04 08:11:13.055777 | 11980574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-27 | 2025-09-04 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543161/check_11980574_35666a16-2e64-462d-a9dd-354fc165ffdc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_11980574_6cb66cf7-06cb-49d6-b86f-5a7ff33d03c2.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714694321 | N/A | N/A | 5543161 | 2222 | N/A | 12130673 | N/A | 4214989 | 2025-09-04 08:11:13.055777 | 2025-05-13 04:29:37.229310 |