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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-01 20:42:57.855753 | 2025-09-02 09:15:09.303376 | 11900957 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11900957 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-09-04 | F | AE | PT | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_11900957_fd6b2d72-2a2f-4f49-bd2f-d095ecb6f844.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690841027 | N/A | N/A | 5874461 | 2222 | 4801 | 12095463 | N/A | 4534583 | 2025-09-02 09:15:09.303376 | 2025-05-27 21:59:00.919365 |
| 2025-09-01 20:42:57.775380 | 2025-09-02 09:24:56.827336 | 11900955 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11900955 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-09-04 | M | AE | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11900955_3ed67d2b-0cc3-43b7-8924-d3f4f908b8d2.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MA | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690841026 | N/A | N/A | 5874455 | 2222 | 4801 | 12097898 | N/A | 4534577 | 2025-09-02 09:24:56.827336 | 2025-06-18 18:41:30.608585 |
| 2025-09-01 20:42:57.700524 | 2025-09-02 09:16:31.106077 | 11900951 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11900951 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-09-04 | F | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_11900951_73b4f355-65db-4135-927e-6805bc749d85.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690841025 | N/A | N/A | 5874430 | 2222 | 4802 | 12096003 | N/A | 4534559 | 2025-09-02 09:16:31.106077 | 2025-06-06 02:13:35.698378 |
| 2025-09-01 20:42:40.321612 | 2025-09-02 09:15:24.100750 | 11900206 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11900206 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-04 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_11900206_b5561e22-86d3-4827-a609-6f6d68de8327.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8690841294 | N/A | N/A | 5676399 | 2222 | 4793 | 12095561 | 2630 | 4343454 | 2025-09-02 09:15:24.100750 | 2025-05-13 04:29:37.230932 |
| 2025-09-01 20:42:40.245816 | 2025-09-02 09:24:57.446225 | 11900202 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11900202 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-09-04 | F | AE | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_11900202_601438b6-f7c0-40ab-b100-0b408181a322.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MA | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690841293 | N/A | N/A | 5676388 | 2222 | 4793 | 12097901 | N/A | 4343445 | 2025-09-02 09:24:57.446225 | 2025-05-14 09:06:09.407736 |
| 2025-09-01 20:42:40.165200 | 2025-09-02 09:11:08.941996 | 11900199 | N/A | N/A | 60054 | Aetna | 1114042165 | 11900199 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-04 | M | AE | PT | ARROW | 101393152200 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_11900199_fb41cefa-2d8f-4c55-8eed-4ccce694d577.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690841292 | N/A | N/A | 5676385 | 2222 | 4802 | 12094207 | N/A | 4343439 | 2025-09-02 09:11:08.941996 | 2025-05-13 04:29:37.230918 |
| 2025-09-01 20:42:40.079912 | 2025-09-02 09:15:36.921045 | 11900195 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11900195 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-09-04 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_11900195_ad37f357-7d6b-4016-a7ad-e8bdf91c5aa8.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690841291 | N/A | N/A | 5676340 | 2222 | 4793 | 12095647 | 4184 | 4210531 | 2025-09-02 09:15:36.921045 | 2025-12-09 17:09:13.960610 |
| 2025-09-01 20:42:25.827657 | 2025-09-02 09:14:28.060429 | 11899576 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11899576 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-04 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11899576_3b28e1c9-6b18-4dbe-bfda-fc70624a06cf.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 | 8690840699 | N/A | N/A | 5568076 | 2222 | 4802 | 12095213 | N/A | 4209480 | 2025-09-02 09:14:28.060429 | 2026-04-10 02:05:15.976484 |
| 2025-09-01 20:42:19.604371 | 2025-09-02 09:15:35.463317 | 11899305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11899305 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-04 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11899305_78c7e8ef-7d61-4561-85da-c6a30b310cb7.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840500 | N/A | N/A | 5550953 | 2222 | 4801 | 12095638 | N/A | 4219788 | 2025-09-02 09:15:35.463317 | 2025-06-06 22:01:46.271450 |
| 2025-09-01 20:42:19.525256 | 2025-09-02 09:16:30.282250 | 11899303 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11899303 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-09-04 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_11899303_4e598285-01da-4fa2-bdfa-524972b8de1e.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840499 | N/A | N/A | 5550845 | 2222 | 4801 | 12095998 | N/A | 4219713 | 2025-09-02 09:16:30.282250 | 2025-08-13 22:46:55.732965 |
| 2025-09-01 20:42:19.457292 | 2025-09-02 09:16:29.001718 | 11899299 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11899299 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-09-04 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11899299_44ecd7a7-20a1-41be-8264-6f6ff63554e3.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840498 | N/A | N/A | 5550827 | 2222 | 4802 | 12095989 | N/A | 4219700 | 2025-09-02 09:16:29.001718 | 2025-05-13 04:29:37.230745 |
| 2025-09-01 20:42:19.374952 | 2025-09-02 09:15:22.895338 | 11899296 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11899296 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-04 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11899296_5106b26e-8fd8-4313-b9a5-cd31f19f9c23.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | 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 | 8690840497 | N/A | N/A | 5550751 | 2222 | 4801 | 12095553 | 2630 | 4219640 | 2025-09-02 09:15:22.895338 | 2025-05-13 04:29:37.230682 |
| 2025-09-01 20:42:19.287091 | 2025-09-02 09:11:11.836487 | 11899293 | N/A | N/A | 60054 | Aetna | 1114042165 | 11899293 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-04 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11899293_ee0bb80a-d76e-4cdd-bd65-4e11512c461d.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840496 | N/A | N/A | 5550743 | 2222 | 4801 | 12094221 | N/A | 4219643 | 2025-09-02 09:11:11.836487 | 2025-05-13 04:29:37.230685 |
| 2025-09-01 20:42:19.203799 | 2025-09-02 09:24:56.164307 | 11899289 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11899289 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-04 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_11899289_398a167e-ef29-4554-9f49-56c0e6c4f60f.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | 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 | 8690840495 | N/A | N/A | 5550534 | 2222 | 4801 | 12097896 | N/A | 4219556 | 2025-09-02 09:24:56.164307 | 2025-05-13 04:29:37.230592 |
| 2025-09-01 20:42:19.107075 | 2025-09-02 09:15:37.875325 | 11899286 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11899286 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-09-04 | F | PT | N/A | SAUCERMAN | XDM288A55735 | ALEXIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_11899286_e7651c53-917d-4a1a-a5c1-733dbb03ec42.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840494 | N/A | N/A | 5549817 | 2222 | 4793 | 12095654 | 4184 | 4211143 | 2025-09-02 09:15:37.875325 | 2025-05-31 20:12:37.092503 |
| 2025-09-01 20:42:19.043189 | 2025-09-02 09:15:36.398031 | 11899283 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11899283 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-09-03 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11899283_707d4213-47ab-49ea-9d94-96213c9dd52b.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 | 8690840493 | N/A | N/A | 5549317 | 2222 | 4801 | 12095644 | N/A | 4219010 | 2025-09-02 09:15:36.398031 | 2026-01-09 18:32:07.618867 |
| 2025-09-01 20:42:18.966545 | 2025-09-02 09:15:11.312370 | 11899279 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11899279 | N/A | 1967-12-23 | 2025-09-04 | F | AE | PT | SOL | U9859952501 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_11899279_3d83a80c-a8aa-45f8-887e-d77adcfc912e.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1967-12-23 | N/A | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840492 | N/A | N/A | 5549212 | 2222 | 4793 | 12095477 | N/A | 4218926 | 2025-09-02 09:15:11.312370 | 2025-07-30 14:07:18.779456 |
| 2025-09-01 20:42:18.085345 | 2025-09-02 09:15:34.913773 | 11899249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11899249 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-04 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11899249_426dc0ca-3989-422f-815a-e5443343ed30.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840480 | N/A | N/A | 5543355 | 2222 | 4793 | 12095636 | N/A | 4215158 | 2025-09-02 09:15:34.913773 | 2025-05-13 04:29:37.229475 |
| 2025-09-01 20:42:18.018153 | 2025-09-02 09:15:34.080782 | 11899246 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11899246 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-04 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11899246_7abb87fe-35e5-4b9b-ab6b-b779ab985062.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840479 | N/A | N/A | 5543324 | 2222 | 4801 | 12095630 | 4184 | 4215131 | 2025-09-02 09:15:34.080782 | 2025-08-11 16:45:52.816842 |
| 2025-09-01 20:42:17.941985 | 2025-09-02 09:16:30.675698 | 11899242 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11899242 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-04 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_11899242_9cfc7a01-b4d6-435f-8b08-ff7eca9577d1.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840478 | N/A | N/A | 5543211 | 2222 | 4801 | 12096001 | N/A | 4215028 | 2025-09-02 09:16:30.675698 | 2025-05-13 04:29:37.229346 |
| 2025-09-01 20:42:17.864632 | 2025-09-02 09:13:50.834738 | 11899239 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11899239 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-04 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11899239_8274474a-c076-4d48-9882-d32fe3623c9c.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8690840477 | N/A | N/A | 5543171 | 2222 | 4793 | 12095061 | N/A | 4214998 | 2025-09-02 09:13:50.834738 | 2025-05-13 04:29:37.229318 |
| 2025-09-01 20:42:17.765130 | 2025-09-02 09:15:10.840069 | 11899236 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11899236 | N/A | 2007-12-08 | 2025-09-03 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_11899236_7614b062-757f-424e-b796-9b487fa827f5.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840476 | N/A | N/A | 5542850 | 2222 | 4793 | 12095473 | N/A | 4214714 | 2025-09-02 09:15:10.840069 | 2025-05-13 04:29:37.229031 |
| 2025-09-01 20:42:17.685441 | 2025-09-02 09:14:29.514296 | 11899231 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11899231 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-04 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11899231_e68f69b8-3faa-4526-85ca-7fc7c1cc0dc4.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 | 8690840475 | N/A | N/A | 5542660 | 2222 | 4802 | 12095221 | N/A | 4214542 | 2025-09-02 09:14:29.514296 | 2025-05-13 04:29:37.228868 |
| 2025-09-01 20:42:17.602116 | 2025-09-02 09:16:44.789449 | 11899228 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11899228 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-09-02 | F | PT | N/A | WEBER | JQU141A54789 | MADELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11899228_fffa8c50-1088-4e99-a8df-abf9de2d4442.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | BLUE SHIELD OF CALIFORNIA | N/A | 2009-08-14 | 040 | U49858 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840474 | N/A | N/A | 5542628 | 2222 | 4793 | 12096073 | N/A | 4214508 | 2025-09-02 09:16:44.789449 | 2025-06-04 00:05:22.392827 |
| 2025-09-01 20:42:17.523343 | 2025-09-02 09:24:58.828343 | 11899225 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11899225 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-09-04 | M | AE | PT | NEILSON | 2VG5XR5CT78 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_11899225_6665bf03-eea9-4689-b340-e8265f4c4890.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MB | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840473 | N/A | N/A | 5542623 | 2222 | 4801 | 12097907 | N/A | 4214511 | 2025-09-02 09:24:58.828343 | 2025-05-13 04:29:37.228826 |
| 2025-09-01 20:42:17.439939 | 2025-09-02 09:15:30.130038 | 11899221 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11899221 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-04 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_11899221_20035f34-175a-4d29-81d3-e7924f38da74.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840472 | N/A | N/A | 5542611 | 2222 | 4802 | 12095603 | N/A | 4214490 | 2025-09-02 09:15:30.130038 | 2025-05-13 04:29:37.228806 |
| 2025-09-01 20:42:17.366972 | 2025-09-02 09:15:12.193485 | 11899218 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11899218 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-04 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_11899218_24242d8e-d005-4566-a7cd-f1dc8324614e.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840471 | N/A | N/A | 5542606 | 2222 | 4801 | 12095482 | N/A | 4214496 | 2025-09-02 09:15:12.193485 | 2025-05-13 04:29:37.228812 |
| 2025-09-01 20:42:17.293482 | 2025-09-02 09:15:29.347696 | 11899213 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11899213 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-04 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11899213_4cac60e4-9dd3-4fb0-a63e-4effc7017456.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840470 | N/A | N/A | 5542513 | 2222 | 4793 | 12095597 | N/A | 4214418 | 2025-09-02 09:15:29.347696 | 2025-07-03 18:12:11.075357 |
| 2025-09-01 20:42:17.219437 | 2025-09-02 09:16:27.795506 | 11899211 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11899211 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-09-04 | F | PT | N/A | BAER | XEK905554072 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11899211_5b91a1ff-e286-42dc-af0a-58ab355bd461.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 | 8690840469 | N/A | N/A | 5542259 | 2222 | 4802 | 12095982 | N/A | 4214195 | 2025-09-02 09:16:27.795506 | 2025-05-13 04:29:37.228529 |
| 2025-09-01 20:42:17.142270 | 2025-09-02 09:15:35.927969 | 11899207 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11899207 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-04 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_11899207_9f6bd319-fd66-4128-a605-114d67022922.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | 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 | 8690840468 | N/A | N/A | 5542207 | 2222 | 4802 | 12095641 | N/A | 4214152 | 2025-09-02 09:15:35.927969 | 2025-05-13 04:29:37.228479 |
| 2025-09-01 20:42:17.049288 | 2025-09-02 09:15:24.474816 | 11899204 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11899204 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-09-04 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_11899204_cc92d1ae-3861-4986-af01-6f98c8574dcf.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 8690840467 | N/A | N/A | 5542046 | 2222 | 4801 | 12095564 | 2630 | 4214001 | 2025-09-02 09:15:24.474816 | 2025-05-13 04:29:37.228323 |
| 2025-09-01 20:42:16.963308 | 2025-09-02 09:15:30.497297 | 11899200 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11899200 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-04 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11899200_33e96f82-8430-44fe-8949-c46debeec6e8.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 | 8690840466 | N/A | N/A | 5541984 | 2222 | 4802 | 12095606 | N/A | 4213934 | 2025-09-02 09:15:30.497297 | 2026-01-27 23:36:44.802366 |
| 2025-09-01 20:42:16.875600 | 2025-09-02 09:15:33.635238 | 11899196 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11899196 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-04 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_11899196_ad6517e0-c87f-49ce-bd41-a1b8ede73ccd.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | 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 | 8690840465 | N/A | N/A | 5541944 | 2222 | 4801 | 12095627 | 4184 | 4213907 | 2025-09-02 09:15:33.635238 | 2025-05-13 04:29:37.228228 |
| 2025-09-01 20:42:16.799573 | 2025-09-02 09:15:26.310775 | 11899194 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11899194 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-04 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_11899194_9f445c7f-fe24-4a56-ade2-9fbc268e885d.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | 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 | 8690840464 | N/A | N/A | 5541719 | 2222 | 4801 | 12095576 | N/A | 4213712 | 2025-09-02 09:15:26.310775 | 2025-08-19 01:13:52.150115 |
| 2025-09-01 20:42:16.723466 | 2025-09-02 09:14:29.937515 | 11899189 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11899189 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-09-04 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_11899189_254c02cc-cd0e-4823-a1f5-7155fd0b2490.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690840463 | N/A | N/A | 5541519 | 2222 | 4802 | 12095224 | N/A | 4213530 | 2025-09-02 09:14:29.937515 | 2025-05-13 04:29:37.227860 |
| 2025-09-01 20:42:16.652428 | 2025-09-02 09:15:37.379616 | 11899186 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11899186 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-09-04 | M | PT | N/A | SALEWSKE | SZR600905624 | TYSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_11899186_1c0ef6bd-375b-480a-902f-b90f02e486e5.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840462 | N/A | N/A | 5541518 | 2222 | 4793 | 12095650 | N/A | 4213526 | 2025-09-02 09:15:37.379616 | 2025-11-13 19:34:43.197819 |
| 2025-09-01 20:42:16.575495 | 2025-09-02 09:22:45.406516 | 11899183 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11899183 | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-03 | M | AE | PT | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541349/check_11899183_48f5f74c-96da-4280-bad8-7a6130027678.json | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | 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 | 8690840461 | N/A | N/A | 5541349 | 2222 | 4793 | 12097401 | N/A | 4213376 | 2025-09-02 09:22:45.406516 | 2025-09-22 23:59:39.068790 |
| 2025-09-01 20:42:15.922538 | 2025-09-02 09:16:29.902173 | 11899163 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11899163 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-04 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.233526782.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_11899163_ef3d7176-43b5-4841-b4d0-f29575840285.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690840460 | N/A | N/A | 5541314 | 2222 | 4793 | 12095995 | N/A | 4213343 | 2025-09-02 09:16:29.902173 | 2025-06-06 02:21:37.603701 |
| 2025-09-01 20:17:03.368390 | 2025-09-02 05:21:30.147395 | 11897232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11897232 | Athletic Physical Therapy Inc | 1965-05-27 | 2025-09-04 | F | PT | N/A | SIMMONS | JXN429M92474 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230524813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8118854/check_11897232_dc7c38e3-7a75-4321-b710-e5a3a6c5ce88.json | N/A | N/A | N/A | N/A | N/A | JXN429M92474 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1965-05-27 | 040 | 174222M9A1 | N/A | PR | false | SIMMONS | N/A | CYNTHIA | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690738097 | N/A | N/A | 8118854 | 2222 | 4801 | 12057736 | N/A | 6896967 | 2025-09-02 05:21:30.147395 | 2025-09-03 19:44:25.952611 |
| 2025-09-01 20:16:59.514236 | 2025-09-02 05:17:14.669402 | 11897166 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11897166 | Athletic Physical Therapy Inc | 1951-07-04 | 2025-09-04 | M | PT | N/A | MALATY | MLN507W0934710 | FADY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230524813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8113030/check_11897166_a192b26b-f972-4b20-8a60-939f06679717.json | N/A | N/A | N/A | N/A | N/A | MLN507W0934710 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-07-04 | N/A | N/A | N/A | N/A | false | MALATY | N/A | FADY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690736739 | N/A | N/A | 8113030 | 2222 | 4802 | 12043792 | N/A | 6890159 | 2025-09-02 05:17:14.669402 | 2025-08-25 15:54:41.055320 |
| 2025-09-01 20:16:56.832783 | 2025-09-02 05:19:22.248182 | 11897119 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11897119 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-09-04 | F | PT | N/A | Schwarz | 6K39DA7XC53 | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230521578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7546108/check_11897119_f8554bab-097f-4a03-890c-9ccad65f8312.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Medicare Part A | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-15 | N/A | C18445 1838NJ | N/A | MA | false | SCHWARZ | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690738467 | N/A | N/A | 7546108 | 2222 | 4802 | 12050190 | N/A | 6470898 | 2025-09-02 05:19:22.248182 | 2025-07-29 20:29:16.916703 |
| 2025-09-01 20:16:40.101288 | 2025-09-02 05:17:13.845483 | 11896832 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11896832 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-09-04 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230524813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11896832_608e821f-99ef-4016-9524-f375ec9e3c33.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690736262 | N/A | N/A | 8088383 | 2222 | 4793 | 12043757 | N/A | 6871702 | 2025-09-02 05:17:13.845483 | 2025-08-14 21:08:52.019264 |
| 2025-09-01 20:16:33.203376 | 2025-09-02 05:15:53.522356 | 11896707 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11896707 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-03 | F | PT | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230521578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_11896707_0ca2d09d-eaf0-4a67-8ec3-de38d47df93a.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690739629 | N/A | N/A | 7456429 | 2222 | 4802 | 12039969 | N/A | 4208856 | 2025-09-02 05:15:53.522356 | 2025-05-13 04:29:37.223284 |
| 2025-09-01 20:16:29.680596 | 2025-09-02 05:13:11.387358 | 11896643 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11896643 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-09-04 | M | AE | PT | KORNREICH | JQE348W01443 | DALE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230521578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449401/check_11896643_58a33f78-58af-4b75-866b-ec488f108fb7.json | N/A | N/A | N/A | N/A | N/A | JQE348W01443 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1954-10-03 | 040 | CASUPWP0 | N/A | N/A | false | KORNREICH | N/A | DALE | N/A | 9999-12-31 | 2019-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690738819 | N/A | N/A | 7449401 | 2222 | 4793 | 12031166 | N/A | 6399188 | 2025-09-02 05:13:11.387358 | 2025-07-24 22:52:42.400774 |
| 2025-09-01 20:16:23.303018 | 2025-09-02 05:15:54.131563 | 11896530 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11896530 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-03 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230521578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_11896530_53f70e33-188f-4632-a372-9eebc5ff7cb8.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 | 8690739105 | N/A | N/A | 7321767 | 2222 | 4793 | 12040008 | N/A | 6037802 | 2025-09-02 05:15:54.131563 | 2025-07-22 17:48:16.997014 |
| 2025-09-01 20:16:22.564285 | 2025-09-02 05:15:54.418147 | 11896519 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11896519 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-09-04 | F | PT | N/A | TIFFIN | 90692021A | ANITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230521578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7320899/check_11896519_a31cbade-4103-4b1e-b594-1c48a5f6df1f.json | N/A | N/A | N/A | N/A | N/A | 90692021A | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-08-13 | N/A | N/A | N/A | N/A | false | TIFFIN | N/A | ANITA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690739100 | N/A | N/A | 7320899 | 2222 | 4793 | 12040026 | N/A | 6037048 | 2025-09-02 05:15:54.418147 | 2025-07-19 15:02:14.947011 |
| 2025-09-01 20:16:17.949637 | 2025-09-02 05:22:29.718311 | 11896450 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11896450 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-09-03 | M | PT | N/A | BOWMAN | UMG354W05421 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230524813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11896450_e3be13ba-386a-4e00-a3c1-e168d2093879.json | N/A | N/A | N/A | N/A | N/A | UMG354W05421 | Exclusive Provider Organization | UNIVERSAL MUSIC GROUP | BLUE SHIELD OF CALIFORNIA | N/A | 1994-05-25 | 040 | 170167M050 | N/A | EP | false | BOWMAN | N/A | JOSEPH | N/A | 9999-12-31 | 2020-06-02 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690736434 | N/A | N/A | 8073830 | 2222 | 4802 | 12060899 | N/A | 6858276 | 2025-09-02 05:22:29.718311 | 2025-08-14 00:02:33.736728 |
| 2025-09-01 20:16:16.877801 | 2025-09-02 05:15:53.830614 | 11896434 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11896434 | Athletic Physical Therapy Inc | 1933-09-27 | 2025-09-02 | F | AE | PT | Lavian | 97177630D07325 | Valantin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230521578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7312836/check_11896434_31e6e821-b668-4c57-ac4b-a1689061bfb7.json | N/A | N/A | N/A | N/A | N/A | 97177630D07325 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1933-09-27 | N/A | N/A | N/A | N/A | false | LAVIAN | N/A | VALANTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690738430 | N/A | N/A | 7312836 | 2222 | 4802 | 12039989 | N/A | 6258477 | 2025-09-02 05:15:53.830614 | 2025-08-12 21:50:09.562340 |
| 2025-09-01 20:16:07.190548 | 2025-09-02 05:18:46.128702 | 11896283 | N/A | N/A | 60054 | Aetna | 1114042165 | 11896283 | Athletic Physical Therapy Inc | 1992-10-08 | 2025-09-04 | M | AE | PT | SEGAL | W235676319 | SHAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230524813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050123/check_11896283_8b985e71-baba-485b-9945-82dfe3675ae7.json | N/A | N/A | N/A | N/A | N/A | W235676319 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 1992-10-08 | 0868404 | 086840403200001 | N/A | PS | false | SEGAL | N/A | SHAY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690737348 | N/A | N/A | 8050123 | 2222 | 4802 | 12048217 | N/A | 6845522 | 2025-09-02 05:18:46.128702 | 2025-08-26 00:01:22.784762 |
| 2025-09-01 20:16:04.689166 | 2025-09-02 05:21:29.796966 | 11896238 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11896238 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-09-04 | F | PT | N/A | Schwarz | LDU982A72978 | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230524813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048304/check_11896238_6772cf6e-9a69-41fe-84cf-cb0d8305246d.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1950-02-15 | 040 | 1838NJ | N/A | EP | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690737324 | N/A | N/A | 8048304 | 2222 | 4802 | 12057714 | N/A | 6470898 | 2025-09-02 05:21:29.796966 | 2025-07-29 20:29:16.916703 |