API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-04 08:07:41.440566 | 2025-09-05 02:49:01.345565 | 11965369 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11965369 | Athletic Physical Therapy Inc | 1933-08-29 | 2025-09-05 | F | AE | PT | MALOLEPSZY | 31048620001 | CHRISTINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676397/check_11965369_72180934-c23e-4ced-9294-0af07ab8375b.json | N/A | N/A | N/A | N/A | N/A | 31048620001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-08-29 | 2025H5425001 | H5425M | N/A | N/A | false | MALOLEPSZY | N/A | CHRISTINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721004 | N/A | N/A | 5676397 | 2222 | 4801 | 12197410 | N/A | 4343449 | 2025-09-05 02:49:01.345565 | 2025-05-13 04:29:37.230927 |
| 2025-09-04 08:07:41.119733 | 2025-09-05 03:09:30.456425 | 11965329 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11965329 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-09-05 | M | AE | PT | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_11965329_8576396e-743e-46ce-ad4c-9ab36f019fa8.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721003 | N/A | N/A | 5676372 | 2222 | 4802 | 12227612 | N/A | 4219832 | 2025-09-05 03:09:30.456425 | 2025-05-13 04:29:37.230877 |
| 2025-09-04 08:07:40.945115 | 2025-09-05 02:35:04.697786 | 11965309 | N/A | N/A | 37308 | Allied Benefit Systems | 1114042165 | 11965309 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-05 | M | AE | PT | ELZAYN | AH2912772 | ANDREW | 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/2222/8767675/check_11965309_8edb9c65-6784-4a75-bfda-b8d0a2970629.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 | 8714707999 | N/A | N/A | 8767675 | 2222 | 4802 | 12176508 | N/A | 7383774 | 2025-09-05 02:35:04.697786 | 2025-08-28 18:43:11.156565 |
| 2025-09-04 08:07:37.794010 | 2025-09-05 04:18:27.673152 | 11964948 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11964948 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | F | PT | N/A | AZUCENA | 1YT9RR4MX51 | ESPERANZA | 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/2222/6235090/check_11964948_00b05356-b2ba-4226-b44f-90a54ccbadf8.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 | 8714703833 | N/A | N/A | 6235090 | 2222 | 4801 | 12257979 | N/A | 4213743 | 2025-09-05 04:18:27.673152 | 2025-05-13 04:29:37.228064 |
| 2025-09-04 08:07:29.502043 | 2025-09-05 04:18:32.699962 | 11963920 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11963920 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-05 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110019573.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_11963920_5bb4740f-2c75-4536-95e3-073c68a93be7.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714677794 | N/A | N/A | 7024101 | 2222 | 4801 | 12257985 | N/A | 6038562 | 2025-09-05 04:18:32.699962 | 2025-07-30 21:46:09.369299 |
| 2025-09-04 08:07:29.431731 | 2025-09-05 03:15:44.159010 | 11963913 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11963913 | Athletic Physical Therapy Inc | 2003-10-23 | 2025-09-05 | M | AE | PT | SMIT DUYZENTKUNST | 934202236 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110019573.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024081/check_11963913_cc698e88-226b-4044-bb62-6d9c403ca494.json | N/A | N/A | N/A | N/A | N/A | 934202236 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 2003-10-23 | N/A | N/A | N/A | N/A | false | SMIT DUYZENTKUNST | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714677793 | N/A | N/A | 7024081 | 2222 | 4793 | 12234517 | N/A | 6038528 | 2025-09-05 03:15:44.159010 | 2025-07-24 19:34:35.056005 |
| 2025-09-04 08:07:28.729134 | 2025-09-05 03:39:36.024116 | 11963816 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11963816 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-05 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110019573.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_11963816_c88ffb03-3646-4882-a842-25dc5da6f933.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | 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 | 8714677784 | N/A | N/A | 7022680 | 2222 | 4793 | 12249495 | N/A | 6037802 | 2025-09-05 03:39:36.024116 | 2025-07-22 17:48:16.997014 |
| 2025-09-04 08:07:27.494325 | 2025-09-05 03:43:42.103830 | 11963642 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11963642 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-05 | F | AE | PT | MAYER | XEM912219422 | MARY | 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/2222/6175091/check_11963642_03db75ef-fec7-4d02-a21a-a16c8a07ded0.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 | 8714703456 | N/A | N/A | 6175091 | 2222 | 4801 | 12250861 | N/A | 4213917 | 2025-09-05 03:43:42.103830 | 2025-06-25 01:53:37.609327 |
| 2025-09-04 08:07:27.060755 | 2025-09-05 03:39:32.701871 | 11963578 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11963578 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-09-05 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110019573.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_11963578_a874ba51-758a-4d13-b828-93b9046784ac.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-12-06 | N/A | N/A | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714676917 | N/A | N/A | 7019712 | 2222 | 4793 | 12249476 | N/A | 6034714 | 2025-09-05 03:39:32.701871 | 2025-07-15 18:02:59.670156 |
| 2025-09-04 08:07:26.850074 | 2025-09-05 22:33:16.496414 | 11963545 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11963545 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-09-05 | F | AE | PT | TORREY | 00000374205 | JOYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.105920155.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11963545_e43dbd44-6e75-4cfc-9ce8-71f67c870e45.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 | 8714697395 | N/A | N/A | 6768717 | 2222 | 4801 | 12286089 | N/A | 5725966 | 2025-09-05 22:33:16.496414 | 2025-07-08 20:19:24.946360 |
| 2025-09-04 08:07:23.988858 | 2025-09-05 03:17:47.437541 | 11963140 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11963140 | Athletic Physical Therapy Inc | 1995-01-31 | 2025-09-05 | F | PT | N/A | MAJD | XED911263594 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110642981.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_11963140_523ac92f-f292-48b0-b699-d78ae40ae46b.json | N/A | N/A | N/A | N/A | N/A | XED911263594 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-01-31 | 2001ZK002185 | X0001004 | N/A | PR | false | MAJD | N/A | SYDNEY | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714728854 | N/A | N/A | 6555034 | 2222 | 4793 | 12236257 | N/A | 5178259 | 2025-09-05 03:17:47.437541 | 2025-07-08 22:15:02.277880 |
| 2025-09-04 08:07:22.176149 | 2025-09-05 03:18:53.477246 | 11962898 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11962898 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-09-05 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110642981.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_11962898_60fa5d3a-5cb5-413c-86e5-a56c697530ad.json | N/A | N/A | N/A | N/A | N/A | 01765049801 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714728847 | N/A | N/A | 6554790 | 2222 | 4793 | 12237072 | N/A | 5177947 | 2025-09-05 03:18:53.477246 | 2026-05-11 21:31:25.186699 |
| 2025-09-04 08:07:21.036988 | 2025-09-05 03:45:01.280237 | 11962732 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11962732 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-09-05 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110642981.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_11962732_4aedb272-0045-4545-93a0-4dc0f74d7866.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714728841 | N/A | N/A | 6553930 | 2222 | 4801 | 12251337 | N/A | 5177091 | 2025-09-05 03:45:01.280237 | 2025-06-23 20:23:14.340232 |
| 2025-09-04 08:07:19.631049 | 2025-09-05 03:18:38.084718 | 11962545 | N/A | N/A | 60054 | Aetna | 1114042165 | 11962545 | Athletic Physical Therapy Inc | 2006-09-03 | 2025-09-05 | M | AE | PT | WARD | W264086653 | LEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110019573.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996539/check_11962545_03d8848c-743c-430c-8fc0-81f5d716bad7.json | N/A | N/A | N/A | N/A | N/A | W264086653 | Point of Service (POS) | HASA, INC. | AETNA | N/A | 2006-09-03 | 0170664 | 017066401300008 | N/A | PS | false | WARD | N/A | KENNETH | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714677464 | N/A | N/A | 6996539 | 2222 | 4801 | 12236905 | N/A | 6016721 | 2025-09-05 03:18:38.084718 | 2025-07-23 14:06:47.503419 |
| 2025-09-04 08:07:17.337568 | 2025-09-05 22:57:22.875180 | 11962222 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11962222 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-09-05 | F | PT | N/A | LUBOW | XEK906143943 | CAROLINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110134413.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_11962222_38e3b718-fd48-4de6-9696-0d37ee276d87.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714692434 | N/A | N/A | 7516790 | 2222 | 4793 | 12297033 | N/A | 6452743 | 2025-09-05 22:57:22.875180 | 2025-08-06 21:04:56.768115 |
| 2025-09-04 08:07:15.891786 | 2025-09-05 02:48:45.079002 | 11962038 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11962038 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-05 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11962038_7b4397d1-62e4-4e2f-ad3e-8234eae3d258.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721459 | N/A | N/A | 5568076 | 2222 | 4802 | 12196995 | N/A | 4209480 | 2025-09-05 02:48:45.079002 | 2026-04-10 02:05:15.976484 |
| 2025-09-04 08:07:07.721180 | 2025-09-05 02:52:14.634462 | 11960957 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960957 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-09-05 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11960957_5005cf94-43d5-4261-9f47-f6a25612a192.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714721240 | N/A | N/A | 5549317 | 2222 | 4801 | 12202243 | N/A | 4219010 | 2025-09-05 02:52:14.634462 | 2026-01-09 18:32:07.618867 |
| 2025-09-04 08:07:06.128591 | 2025-09-05 02:50:53.887268 | 11960747 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11960747 | N/A | 1962-06-19 | 2025-09-05 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11960747_5873abc3-57e7-4c36-af06-45a73f6bc19e.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721233 | N/A | N/A | 5543555 | 2222 | 4802 | 12200217 | N/A | 4215332 | 2025-09-05 02:50:53.887268 | 2025-08-06 16:15:15.716322 |
| 2025-09-04 08:07:05.944474 | 2025-09-05 02:48:59.797616 | 11960721 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11960721 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-05 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11960721_10a3eca2-fcbf-4911-951c-9f395d6fd3d6.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721232 | N/A | N/A | 5543493 | 2222 | 4793 | 12197375 | N/A | 4215273 | 2025-09-05 02:48:59.797616 | 2025-05-13 04:29:37.229594 |
| 2025-09-04 08:07:05.795040 | 2025-09-05 03:09:25.423538 | 11960703 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11960703 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-05 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543348/check_11960703_b786aed5-94e7-476c-a68e-80ed6ff5205d.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MB | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721231 | N/A | N/A | 5543348 | 2222 | 4793 | 12227496 | N/A | 4215147 | 2025-09-05 03:09:25.423538 | 2025-05-13 04:29:37.229464 |
| 2025-09-04 08:07:05.644543 | 2025-09-05 02:57:03.998816 | 11960684 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960684 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-09-05 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11960684_88c3876c-a5df-4da3-90f4-24542319a870.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714721230 | N/A | N/A | 5543343 | 2222 | 4793 | 12208962 | N/A | 4215143 | 2025-09-05 02:57:03.998816 | 2025-05-13 04:29:37.229456 |
| 2025-09-04 08:07:05.524930 | 2025-09-05 02:37:48.095832 | 11960669 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11960669 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-05 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11960669_e4e4fce5-6ca8-4f03-b46b-ff28d3f6c983.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721229 | N/A | N/A | 5543270 | 2222 | 4793 | 12181015 | N/A | 4215086 | 2025-09-05 02:37:48.095832 | 2025-05-13 04:29:37.229401 |
| 2025-09-04 08:07:05.498959 | 2025-09-04 08:07:05.722486 | 11960667 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 11960667 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-09-05 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | 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 | 5993958 | 2222 | 4801 | N/A | N/A | 4642892 | 2025-09-04 08:07:05.722486 | 2025-05-29 23:29:01.820749 |
| 2025-09-04 08:07:05.295882 | 2025-09-04 08:07:05.495553 | 11960642 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11960642 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-05 | F | AE | PT | ALROMAIH | 91237812E | SARAH | 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 | 5993940 | 2222 | 4802 | N/A | N/A | 4642877 | 2025-09-04 08:07:05.495553 | 2025-12-23 23:49:16.627667 |
| 2025-09-04 08:07:05.278719 | 2025-09-05 02:57:11.846686 | 11960640 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960640 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-09-05 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_11960640_0281c7d2-4a43-4dc6-b97d-d3731787c8c3.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ULTIMATE VISION 15 25 120 JAN16 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714721228 | N/A | N/A | 5543237 | 2222 | 4802 | 12209188 | N/A | 4215054 | 2025-09-05 02:57:11.846686 | 2025-05-13 04:29:37.229375 |
| 2025-09-04 08:07:05.138724 | 2025-09-05 02:51:26.865561 | 11960619 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11960619 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-05 | F | AE | PT | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_11960619_bb56b311-87dd-4bad-9737-980b669c7c78.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721227 | N/A | N/A | 5543084 | 2222 | 4801 | 12201049 | N/A | 4214920 | 2025-09-05 02:51:26.865561 | 2025-05-13 04:29:37.229242 |
| 2025-09-04 08:07:05.113185 | 2025-09-04 08:07:05.290305 | 11960614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11960614 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-05 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | 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 | 5993912 | 2222 | 4793 | N/A | N/A | 4642852 | 2025-09-04 08:07:05.290305 | 2025-11-21 18:38:17.056437 |
| 2025-09-04 08:07:05.013200 | 2025-09-05 02:52:09.804177 | 11960602 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960602 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-09-05 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_11960602_827c2ae2-b899-458f-be81-baae48a5acc1.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714721226 | N/A | N/A | 5542900 | 2222 | 4801 | 12202092 | N/A | 4214759 | 2025-09-05 02:52:09.804177 | 2025-05-13 04:29:37.229079 |
| 2025-09-04 08:07:04.900459 | 2025-09-05 02:40:33.207536 | 11960587 | N/A | N/A | 60054 | Aetna | 1114042165 | 11960587 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-05 | M | AE | PT | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_11960587_b679ca9a-95e4-475d-b5b0-fe5d353d1028.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714721225 | N/A | N/A | 5542870 | 2222 | 4793 | 12184824 | N/A | 4214732 | 2025-09-05 02:40:33.207536 | 2025-06-24 20:13:53.579048 |
| 2025-09-04 08:07:04.893798 | 2025-09-04 08:07:05.110006 | 11960586 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960586 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-05 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | 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 | 5993479 | 2222 | 4801 | N/A | N/A | 4219476 | 2025-09-04 08:07:05.110006 | 2025-05-28 20:18:04.039855 |
| 2025-09-04 08:07:04.752898 | 2025-09-05 02:57:07.694446 | 11960566 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960566 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-09-05 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_11960566_130cb59c-1f53-4e02-ac79-1cbe61112877.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720716 | N/A | N/A | 5542770 | 2222 | 4802 | 12209072 | N/A | 4214643 | 2025-09-05 02:57:07.694446 | 2025-05-13 04:29:37.228964 |
| 2025-09-04 08:07:04.526062 | 2025-09-05 02:52:08.823675 | 11960536 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960536 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-05 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_11960536_9fb1d824-25be-4084-8e1e-6c4f11a36f67.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720715 | N/A | N/A | 5542750 | 2222 | 4802 | 12202068 | N/A | 4214623 | 2025-09-05 02:52:08.823675 | 2025-08-28 22:11:32.536994 |
| 2025-09-04 08:07:04.390618 | 2025-09-05 02:48:46.674328 | 11960514 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11960514 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-05 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11960514_18977090-5b69-4da8-8d81-1b3ba77ec71a.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720714 | N/A | N/A | 5542660 | 2222 | 4802 | 12197034 | N/A | 4214542 | 2025-09-05 02:48:46.674328 | 2025-05-13 04:29:37.228868 |
| 2025-09-04 08:07:04.256969 | 2025-09-05 02:40:34.620462 | 11960496 | N/A | N/A | 60054 | Aetna | 1114042165 | 11960496 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-05 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_11960496_b8ff7912-f147-40c2-80fc-6c2ad43bd6f2.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720713 | N/A | N/A | 5542634 | 2222 | 4801 | 12184856 | N/A | 4214520 | 2025-09-05 02:40:34.620462 | 2025-07-28 19:32:04.879318 |
| 2025-09-04 08:07:04.129961 | 2025-09-05 03:09:17.371619 | 11960483 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11960483 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-05 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11960483_11b4e71d-ff68-4a40-87e1-cf67d85c2c6c.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720712 | N/A | N/A | 5542555 | 2222 | 4793 | 12227328 | N/A | 4214447 | 2025-09-05 03:09:17.371619 | 2026-04-23 20:11:34.441054 |
| 2025-09-04 08:07:04.008525 | 2025-09-05 02:52:24.578049 | 11960466 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960466 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-05 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11960466_223f34f1-7979-4915-a109-6510865f6225.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720711 | N/A | N/A | 5542387 | 2222 | 4801 | 12202487 | N/A | 4214300 | 2025-09-05 02:52:24.578049 | 2025-06-17 13:03:57.252701 |
| 2025-09-04 08:07:03.853359 | 2025-09-05 02:57:02.919570 | 11960442 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960442 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-09-05 | F | PT | N/A | BAER | XEK905554072 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11960442_fb113c42-98b7-45d8-931f-1e0a59b35ac1.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720710 | N/A | N/A | 5542259 | 2222 | 4802 | 12208926 | N/A | 4214195 | 2025-09-05 02:57:02.919570 | 2025-05-13 04:29:37.228529 |
| 2025-09-04 08:07:03.620702 | 2025-09-05 03:09:28.875042 | 11960412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11960412 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-09-05 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_11960412_8b87b803-e372-4e01-bc21-6b13f17615a5.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720709 | N/A | N/A | 5542251 | 2222 | 4802 | 12227573 | N/A | 4214191 | 2025-09-05 03:09:28.875042 | 2025-05-13 04:29:37.228525 |
| 2025-09-04 08:07:03.466876 | 2025-09-05 02:52:22.836242 | 11960390 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960390 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-05 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11960390_a9a70ace-a50f-4b47-8b0b-ac9b40f468ad.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720708 | N/A | N/A | 5542014 | 2222 | 4793 | 12202447 | N/A | 4213977 | 2025-09-05 02:52:22.836242 | 2025-05-13 04:29:37.228294 |
| 2025-09-04 08:07:03.329571 | 2025-09-05 02:51:44.811657 | 11960371 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11960371 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-05 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11960371_042b4b75-9c4e-4aa9-8541-94c11c45e2c3.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720707 | N/A | N/A | 5541984 | 2222 | 4802 | 12201479 | N/A | 4213934 | 2025-09-05 02:51:44.811657 | 2026-01-27 23:36:44.802366 |
| 2025-09-04 08:07:03.212414 | 2025-09-05 02:50:40.701464 | 11960356 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11960356 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-05 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11960356_f6222aca-9429-466c-908d-7d5f8e1d2b50.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720706 | N/A | N/A | 5541972 | 2222 | 4793 | 12199841 | N/A | 4213941 | 2025-09-05 02:50:40.701464 | 2025-05-13 04:29:37.228259 |
| 2025-09-04 08:07:03.076807 | 2025-09-05 02:57:05.302252 | 11960335 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960335 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-09-05 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_11960335_bcaf231e-113d-4115-a8a9-5007b34faf62.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720705 | N/A | N/A | 5541956 | 2222 | 4802 | 12208993 | N/A | 4213923 | 2025-09-05 02:57:05.302252 | 2025-05-13 04:29:37.228244 |
| 2025-09-04 08:07:02.920823 | 2025-09-05 03:09:31.760367 | 11960314 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11960314 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-05 | F | AE | PT | MAYER | 5J41QM7YN93 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_11960314_f853a166-ae78-4ae7-b5ff-5a391c146755.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720704 | N/A | N/A | 5541938 | 2222 | 4801 | 12227636 | N/A | 4213917 | 2025-09-05 03:09:31.760367 | 2025-06-25 01:53:37.609327 |
| 2025-09-04 08:07:02.800455 | 2025-09-05 02:52:21.442703 | 11960301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11960301 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-05 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_11960301_91ee46c7-25c0-4292-aaa7-56095b9123a3.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720703 | N/A | N/A | 5541917 | 2222 | 4793 | 12202417 | N/A | 4213891 | 2025-09-05 02:52:21.442703 | 2025-05-13 04:29:37.228207 |
| 2025-09-04 08:07:02.646584 | 2025-09-05 02:57:06.509430 | 11960277 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960277 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-05 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_11960277_ae4238b0-bd3b-4207-a7d1-5d69ba18a220.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720702 | N/A | N/A | 5541730 | 2222 | 4793 | 12209030 | N/A | 4213725 | 2025-09-05 02:57:06.509430 | 2025-05-13 04:29:37.228045 |
| 2025-09-04 08:07:02.473323 | 2025-09-05 02:57:12.733689 | 11960254 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960254 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-05 | M | PT | N/A | ZARIN | XEK905647080 | ELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_11960254_a324722b-1890-4352-8e18-b5e53ba303ec.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2034-11-30 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720701 | N/A | N/A | 5541582 | 2222 | 4793 | 12209223 | N/A | 4213586 | 2025-09-05 02:57:12.733689 | 2025-05-28 20:44:53.527917 |
| 2025-09-04 08:07:02.245707 | 2025-09-05 02:57:10.313734 | 11960225 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960225 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-05 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541240/check_11960225_a9c8f09a-af97-4009-839b-f2806b5ec525.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720700 | N/A | N/A | 5541240 | 2222 | 4801 | 12209143 | N/A | 4213276 | 2025-09-05 02:57:10.313734 | 2025-05-13 04:29:37.227602 |
| 2025-09-04 08:07:02.062400 | 2025-09-05 02:52:11.596367 | 11960201 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11960201 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-05 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_11960201_1aa1a6f8-0a8b-46da-bf7e-650f95d45031.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720699 | N/A | N/A | 5541035 | 2222 | 4801 | 12202147 | 4184 | 4213091 | 2025-09-05 02:52:11.596367 | 2025-05-13 04:29:37.227417 |
| 2025-09-04 08:07:01.904516 | 2025-09-05 02:40:27.840823 | 11960176 | N/A | N/A | 60054 | Aetna | 1114042165 | 11960176 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-09-05 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_11960176_c3f00623-3835-4738-8c83-4c2bf0422ce7.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8714720698 | N/A | N/A | 5540723 | 2222 | 4793 | 12184713 | N/A | 4212833 | 2025-09-05 02:40:27.840823 | 2025-05-28 20:46:35.079848 |
| 2025-09-04 08:07:01.660674 | 2025-09-05 02:57:08.947462 | 11960144 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11960144 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-05 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250904.110626198.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_11960144_814ea398-a373-4ce8-9839-719cca95da27.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8714720697 | N/A | N/A | 5540558 | 2222 | 4801 | 12209106 | N/A | 4212698 | 2025-09-05 02:57:08.947462 | 2025-05-13 04:29:37.227042 |