API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-01 20:01:37.420270 | 2025-09-02 09:54:15.886677 | 11888250 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11888250 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-09-04 | F | PT | SOHRAB | XED914080628 | VIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537456/check_11888250_305447bd-cd79-4f9a-b3c0-3dab99306065.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | 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 | 8690660194 | N/A | N/A | 5537456 | 2222 | 4793 | 12101522 | N/A | 4210007 | 2025-09-02 09:54:15.886677 | 2025-05-13 04:29:37.224426 |
| 2025-09-01 20:01:36.995268 | 2025-09-02 09:50:21.493180 | 11888247 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11888247 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-09-04 | M | AE | GOMES | 00000285293 | NEMESIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_11888247_a25ba638-e24a-43ec-91d6-e8ffe2f577e3.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 8690660193 | N/A | N/A | 5537439 | 2222 | 4801 | 12101279 | 2630 | 4210001 | 2025-09-02 09:50:21.493180 | 2025-05-13 04:29:37.224421 |
| 2025-09-01 20:01:36.615247 | 2025-09-02 09:40:49.122214 | 11888244 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11888244 | N/A | 2008-04-07 | 2025-09-04 | M | PT | HERRERA | LCB831759896 | JAIRO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537418/check_11888244_722e09e4-e96f-4495-a78b-80d88be78444.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2008-04-07 | N/A | N/A | N/A | N/A | false | HERRERA | N/A | JAIRO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690660192 | N/A | N/A | 5537418 | 2222 | 4801 | 12100403 | N/A | 4209986 | 2025-09-02 09:40:49.122214 | 2025-05-13 04:29:37.224406 |
| 2025-09-01 20:01:36.241698 | 2025-09-02 09:48:29.397460 | 11888240 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11888240 | N/A | 1957-02-16 | 2025-09-04 | F | AE | OSE | 40050866601 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_11888240_d5b046a2-78c8-446e-b656-d456288b72ce.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690660191 | N/A | N/A | 5537366 | 2222 | 4793 | 12101109 | N/A | 4209945 | 2025-09-02 09:48:29.397460 | 2025-08-13 22:24:17.841096 |
| 2025-09-01 20:01:35.850022 | 2025-09-02 09:50:51.009166 | 11888237 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11888237 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-09-04 | M | PT | MILES | MBL835W05431 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_11888237_d70e5c97-f2e8-415e-995c-fcfc4fc41eeb.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 8690660190 | N/A | N/A | 5536896 | 2222 | 4793 | 12101331 | N/A | 4209567 | 2025-09-02 09:50:51.009166 | 2025-05-13 04:29:37.223990 |
| 2025-09-01 20:01:35.366778 | 2025-09-02 08:55:58.323517 | 11888233 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11888233 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-09-04 | M | PT | CHRISTIAN | NCF767A52319 | SETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_11888233_733aa28a-0ca4-4dad-b916-8a96aec01804.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690660189 | N/A | N/A | 5536162 | 2222 | 4793 | 12090792 | N/A | 4208960 | 2025-09-02 08:55:58.323517 | 2025-07-11 19:38:20.011022 |
| 2025-09-01 20:01:34.901422 | 2025-09-02 09:48:27.834671 | 11888228 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11888228 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-09-04 | F | AE | RYAN | 31026142401 | CAROL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.225227822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_11888228_7fda1459-b71f-4276-803b-3887a75eccbd.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690660188 | N/A | N/A | 5535455 | 2222 | 4793 | 12101106 | N/A | 4208375 | 2025-09-02 09:48:27.834671 | 2025-08-08 21:08:12.459471 |
| 2025-09-01 20:01:20.648712 | 2025-09-02 05:54:39.294545 | 11888113 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11888113 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-04 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_11888113_896fc1c8-8268-43a4-8672-01b0be4e3184.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690721053 | N/A | N/A | 7204595 | 2222 | 4801 | 12089239 | N/A | 6175435 | 2025-09-02 05:54:39.294545 | 2025-08-05 19:05:08.506352 |
| 2025-09-01 20:01:08.369503 | 2025-09-02 05:25:52.393688 | 11888020 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11888020 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-09-04 | F | AE | BARRE | 4WR8HF0MV28 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_11888020_9c267f3c-0d12-4862-ab5d-239124cde2b0.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MB | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690662901 | N/A | N/A | 6418037 | 2222 | 4802 | 12065651 | N/A | 5065797 | 2025-09-02 05:25:52.393688 | 2025-07-28 17:08:00.544400 |
| 2025-09-01 20:00:45.867469 | 2025-09-02 05:20:35.667309 | 11887614 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11887614 | Athletic Physical Therapy Inc | 1950-06-14 | 2025-09-04 | F | AE | MIESSNER | 00000302558 | CHERYLL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_11887614_2fda3a7c-8a6d-4fdf-8c2b-2fa85afcbea3.json | N/A | N/A | N/A | N/A | N/A | 00000302558 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-06-14 | H3815028 | N/A | N/A | HM | false | MIESSNER | N/A | CHERYLL | 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 | 8690663659 | N/A | N/A | 6398725 | 2222 | 4801 | 12054455 | N/A | 5046278 | 2025-09-02 05:20:35.667309 | 2025-06-15 19:17:04.043327 |
| 2025-09-01 20:00:45.462672 | 2025-09-02 05:28:29.479255 | 11887608 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11887608 | Athletic Physical Therapy Inc | 1993-09-05 | 2025-09-04 | M | AE | UL HASSAN | 625728130 | AMMAD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7177107/check_11887608_5baa62b1-3fa5-4105-96ed-ed2906178b87.json | N/A | N/A | N/A | N/A | N/A | 625728130 | N/A | L.A. CARE COVERED SILVER 94 HMO | LA CARE HEALTH PLAN | N/A | 1993-09-05 | LACC | 92815CA001000806 | N/A | N/A | false | AMMAD UL HASSAN | N/A | SYED MUHAMMAD | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690721337 | N/A | N/A | 7177107 | 2222 | 4802 | 12069897 | N/A | 6152718 | 2025-09-02 05:28:29.479255 | 2025-09-04 23:57:57.131799 |
| 2025-09-01 20:00:38.815882 | 2025-09-02 05:25:55.386543 | 11887490 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11887490 | Athletic Physical Therapy Inc | 1948-03-15 | 2025-09-04 | M | AE | SAMOFF | 9WK1PA8GW14 | WILLIAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_11887490_18067c81-386d-4602-9952-a3dfd5eff0f0.json | N/A | N/A | N/A | N/A | N/A | 9WK1PA8GW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-15 | H3815 | N/A | N/A | MA | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690663628 | N/A | N/A | 6236212 | 2222 | 4793 | 12065715 | N/A | 4884170 | 2025-09-02 05:25:55.386543 | 2025-07-09 21:20:43.604452 |
| 2025-09-01 20:00:35.344647 | 2025-09-02 05:28:41.187086 | 11887427 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11887427 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-04 | M | PT | SMITH | JQE149M79948 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173793/check_11887427_8e6bb97c-8672-4264-9ba4-a9e720578e38.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690721304 | N/A | N/A | 7173793 | 2222 | 4793 | 12070277 | N/A | 6149539 | 2025-09-02 05:28:41.187086 | 2025-07-17 20:34:26.073953 |
| 2025-09-01 20:00:10.638075 | 2025-09-02 05:54:47.151496 | 11886776 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11886776 | Athletic Physical Therapy Inc | 1952-06-10 | 2025-09-04 | F | AE | NGUYEN | 4RN2FT7MY90 | DIEM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7039866/check_11886776_40e8b0c0-8c69-4077-98d6-a2e8e16ddefc.json | N/A | N/A | N/A | N/A | N/A | 4RN2FT7MY90 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-06-10 | S4802 | N/A | N/A | MB | false | NGUYEN | N/A | DIEM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690720994 | N/A | N/A | 7039866 | 2222 | 4801 | 12089257 | N/A | 6051960 | 2025-09-02 05:54:47.151496 | 2025-07-16 20:09:14.193919 |
| 2025-09-01 20:00:09.391639 | 2025-09-02 05:20:36.251860 | 11886740 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11886740 | Athletic Physical Therapy Inc | 1953-09-16 | 2025-09-04 | F | AE | SANKOVICH | 00000375069 | DEBORAH A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11886740_79603039-956d-48e3-b2b1-c37e242d95ea.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690664187 | N/A | N/A | 6210775 | 2222 | 4793 | 12054489 | 2630 | 4215193 | 2025-09-02 05:20:36.251860 | 2026-01-16 04:38:12.725481 |
| 2025-09-01 20:00:06.238410 | 2025-09-02 05:54:34.808183 | 11886642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11886642 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-04 | F | AE | BALLETTA | 4JJ4X54RC07 | LYNDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035993/check_11886642_a43537e6-69e0-44a6-b9d0-4c87419ba4f2.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MA | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690720960 | N/A | N/A | 7035993 | 2222 | 4793 | 12089230 | N/A | 6048781 | 2025-09-02 05:54:34.808183 | 2025-07-22 23:03:15.103027 |
| 2025-09-01 20:00:01.605588 | 2025-09-02 05:25:54.232323 | 11886540 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11886540 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-09-04 | F | AE | NAFTZGER | 3NW9CG6WM45 | SANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_11886540_1cdaa884-ffc3-42dd-b2db-280b1a8df4a8.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690664150 | N/A | N/A | 6194923 | 2222 | 4802 | 12065693 | N/A | 4214889 | 2025-09-02 05:25:54.232323 | 2025-05-13 04:29:37.229212 |
| 2025-09-01 20:00:01.405683 | 2025-09-02 05:20:41.547020 | 11886533 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11886533 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-09-04 | F | PT | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11886533_9bca9fa9-6293-43e3-afa0-093fa7b5175b.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690664149 | N/A | N/A | 6193751 | 2222 | 4801 | 12054797 | N/A | 4837995 | 2025-09-02 05:20:41.547020 | 2025-06-13 00:15:18.726975 |
| 2025-09-01 19:59:58.193589 | 2025-09-02 05:20:34.915011 | 11886435 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11886435 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-09-04 | M | AE | MATHEU | 00000270336 | CARLOS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_11886435_0017a01a-90ab-48fb-97ae-6eae823b1108.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 8690663594 | N/A | N/A | 6189737 | 2222 | 4801 | 12054410 | N/A | 4209126 | 2025-09-02 05:20:34.915011 | 2025-05-13 04:29:37.223551 |
| 2025-09-01 19:59:47.207408 | 2025-09-02 05:28:42.273316 | 11886102 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11886102 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-09-04 | F | PT | TIFFIN | JQW831W13969 | ANITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7021806/check_11886102_ff9473cb-5cdd-4ddb-b17a-4e66c6f5ee4e.json | N/A | N/A | N/A | N/A | N/A | JQW831W13969 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1956-08-13 | 040 | CAMCRWP0 | N/A | MP | false | TIFFIN | N/A | ANITA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690721512 | N/A | N/A | 7021806 | 2222 | 4793 | 12070305 | N/A | 6037048 | 2025-09-02 05:28:42.273316 | 2025-07-19 15:02:14.947011 |
| 2025-09-01 19:59:25.904617 | 2025-09-02 05:17:46.687936 | 11885464 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11885464 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-09-04 | F | AE | Tatge | 2DH1CG9VR90 | Glenda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11885464_43dde482-f633-4178-8366-48c9e959c181.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690717116 | N/A | N/A | 6641936 | 2222 | 4801 | 12045150 | N/A | 5248742 | 2025-09-02 05:17:46.687936 | 2025-07-16 18:02:25.797343 |
| 2025-09-01 19:59:25.758271 | 2025-09-02 05:17:38.034027 | 11885461 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11885461 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-04 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-04 | 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 | Error creating eligibility check coverage from waystar response. Exception: Failed to create coverage for eligibility check 11885461 | N/A | N/A | N/A | N/A | N/A | 6124845 | 2222 | 4793 | N/A | N/A | 4767293 | 2025-09-02 05:17:38.034027 | 2025-06-06 15:11:48.015692 |
| 2025-09-01 19:59:25.450930 | 2025-09-02 05:18:31.003039 | 11885452 | N/A | N/A | 60054 | Aetna | 1114042165 | 11885452 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-09-04 | F | AE | Taylor | 0322952413 | Vienna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_11885452_5269975a-1430-42e0-a888-8e3d33e56a4c.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690663307 | N/A | N/A | 6124049 | 2222 | 4793 | 12047372 | N/A | 4766759 | 2025-09-02 05:18:31.003039 | 2025-06-04 21:51:50.184092 |
| 2025-09-01 19:59:22.128598 | 2025-09-02 05:21:17.511843 | 11885385 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11885385 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-04 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_11885385_d123712a-5378-4ad1-9af0-e9471fdc8b87.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690663292 | N/A | N/A | 6121701 | 2222 | 4793 | 12057005 | N/A | 4764460 | 2025-09-02 05:21:17.511843 | 2025-06-04 04:30:06.494155 |
| 2025-09-01 19:59:16.344256 | 2025-09-02 05:28:36.647205 | 11885226 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11885226 | Athletic Physical Therapy Inc | 1947-03-21 | 2025-09-04 | M | PT | FERRALL | 480M9267310 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7001790/check_11885226_ceb5af27-9d83-4274-bbf8-4a35bdc3a14a.json | N/A | N/A | N/A | N/A | N/A | 480M9267310 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-03-21 | N/A | N/A | N/A | N/A | false | FERRALL | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690722086 | N/A | N/A | 7001790 | 2222 | 4801 | 12070135 | N/A | 6020056 | 2025-09-02 05:28:36.647205 | 2025-07-14 21:10:04.704842 |
| 2025-09-01 19:59:09.703489 | 2025-09-02 05:54:41.461852 | 11885026 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11885026 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-09-04 | F | AE | FRITH SMITH | 9M69RM7JM34 | BARBARA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_11885026_bb344407-3ae5-4a0e-a3c9-59d8b2c957b3.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MA | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690722060 | N/A | N/A | 6998367 | 2222 | 4801 | 12089242 | N/A | 6017959 | 2025-09-02 05:54:41.461852 | 2025-07-14 18:22:35.995798 |
| 2025-09-01 19:58:59.428903 | 2025-09-02 05:25:56.029799 | 11884736 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11884736 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-04 | M | AE | SCOTT | 2F27FV6KJ47 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_11884736_be750318-0b11-4156-b063-d829312d0576.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | 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 | 8690663948 | N/A | N/A | 6105989 | 2222 | 4802 | 12065732 | N/A | 4750274 | 2025-09-02 05:25:56.029799 | 2025-06-12 22:26:37.845238 |
| 2025-09-01 19:58:58.674813 | 2025-09-02 05:21:16.206877 | 11884709 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11884709 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-04 | M | PT | DRISCOLL | XED912182768 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_11884709_fb11ef47-1a5a-4a91-8fb3-ab1aa5ed2deb.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690663943 | N/A | N/A | 6104970 | 2222 | 4802 | 12056925 | N/A | 4749447 | 2025-09-02 05:21:16.206877 | 2025-06-06 23:16:09.869339 |
| 2025-09-01 19:58:53.141599 | 2025-09-02 05:20:36.006063 | 11884527 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11884527 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-04 | F | AE | ROBERTS | 00000402630 | DEBRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_11884527_63ddab6c-d726-42c0-88e6-3aecf283edec.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | 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 | 8690663909 | N/A | N/A | 6085762 | 2222 | 4793 | 12054470 | N/A | 4729138 | 2025-09-02 05:20:36.006063 | 2025-05-31 14:20:56.156252 |
| 2025-09-01 19:58:46.198319 | 2025-09-02 05:12:57.386581 | 11884320 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11884320 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-09-04 | F | PT | MARYAN | JPU047A23611 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_11884320_98152225-3ed5-4e1a-aac3-2a393cac4ece.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690717545 | N/A | N/A | 6600346 | 2222 | 4801 | 12030362 | N/A | 4211322 | 2025-09-02 05:12:57.386581 | 2025-07-17 16:31:59.104530 |
| 2025-09-01 19:58:43.109869 | 2025-09-02 05:20:34.636803 | 11884214 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11884214 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-09-04 | M | AE | BECKLEY | 00000375188 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_11884214_fd4b2db0-f683-476c-b1aa-425b81ac71e5.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 8690664027 | N/A | N/A | 6077164 | 2222 | 4801 | 12054395 | 2630 | 4720748 | 2025-09-02 05:20:34.636803 | 2025-06-11 15:34:07.942696 |
| 2025-09-01 19:58:39.256376 | 2025-09-02 05:11:26.242491 | 11884087 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11884087 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-09-04 | M | AE | SHIMOHARA | H7561028700 | STANLEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_11884087_43affec3-c615-4cfa-ac0e-01a458301b34.json | N/A | N/A | N/A | N/A | N/A | H75610287 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-09-20 | N/A | 0B527001 | N/A | HN | false | SHIMOHARA | N/A | STANLEY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690718230 | N/A | N/A | 6594216 | 2222 | 4801 | 12026184 | N/A | 5213181 | 2025-09-02 05:11:26.242491 | 2025-07-28 18:07:32.231640 |
| 2025-09-01 19:58:34.809516 | 2025-09-02 05:28:38.832929 | 11883939 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11883939 | Athletic Physical Therapy Inc | 1957-07-02 | 2025-09-04 | F | PT | HEET | NCF335A78493 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6971855/check_11883939_011df06d-1a3b-435a-a1b1-784e5e2860e7.json | N/A | N/A | N/A | N/A | N/A | 9U73KW0FR19 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1957-07-02 | 040 | 280612H004 | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690721729 | N/A | N/A | 6971855 | 2222 | 4793 | 12070209 | N/A | 5993849 | 2025-09-02 05:28:38.832929 | 2025-07-24 01:56:09.463748 |
| 2025-09-01 19:58:14.569105 | 2025-09-02 05:12:24.473646 | 11883325 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11883325 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-09-04 | F | AE | AGHA ZADEH SHARE | 40034093701 | FIMA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_11883325_b2b0eabe-2829-477f-b073-3ad7e5d36c33.json | N/A | N/A | N/A | N/A | N/A | 40034093701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-01-26 | 2025H5425001 | H5425M | N/A | N/A | false | AGHA ZADEH SHARE | N/A | FIMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690718141 | N/A | N/A | 6582113 | 2222 | 4801 | 12028592 | N/A | 5201198 | 2025-09-02 05:12:24.473646 | 2025-07-11 22:39:28.411632 |
| 2025-09-01 19:57:56.700460 | 2025-09-02 05:18:30.008427 | 11882756 | N/A | N/A | 60054 | Aetna | 1114042165 | 11882756 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-09-04 | F | AE | DAVIS | W258779471 | MARTINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11882756_67834e2d-0857-4e59-a12c-46e13d6eaa26.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690663977 | N/A | N/A | 5993951 | 2222 | 4802 | 12047320 | N/A | 4642884 | 2025-09-02 05:18:30.008427 | 2025-12-02 20:19:19.910444 |
| 2025-09-01 19:57:56.556038 | 2025-09-02 05:18:30.274685 | 11882751 | N/A | N/A | 60054 | Aetna | 1114042165 | 11882751 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-09-04 | M | AE | ROSS | W292476869 | BRYAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_11882751_c268d761-a22f-4b22-afbe-f4e90edf5c91.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690663976 | N/A | N/A | 5993949 | 2222 | 4793 | 12047337 | N/A | 4642881 | 2025-09-02 05:18:30.274685 | 2025-06-06 02:27:19.212061 |
| 2025-09-01 19:57:56.386891 | 2025-09-02 05:21:15.578048 | 11882746 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11882746 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-09-04 | M | PT | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_11882746_c0f93199-48ac-4a23-903d-0f37a35dc1aa.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690663975 | N/A | N/A | 5993926 | 2222 | 4802 | 12056889 | N/A | 4642862 | 2025-09-02 05:21:15.578048 | 2025-05-28 20:59:09.029689 |
| 2025-09-01 19:57:56.225491 | 2025-09-02 05:20:27.594358 | 11882740 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11882740 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-04 | M | AE | JOHNSON | R04617470MM1 | ROTH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_11882740_be7c6f36-4f6b-4c02-8a6c-a85cc30344e3.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690663974 | N/A | N/A | 5993907 | 2222 | 4793 | 12053999 | N/A | 4534544 | 2025-09-02 05:20:27.594358 | 2025-05-28 20:51:40.104091 |
| 2025-09-01 19:57:56.014053 | 2025-09-02 05:20:43.855420 | 11882736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11882736 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-03 | F | PT | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_11882736_0bd9abf9-4aae-425b-8e1e-a5cd6cc078a0.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690663973 | N/A | N/A | 5993479 | 2222 | 4801 | 12054944 | N/A | 4219476 | 2025-09-02 05:20:43.855420 | 2025-05-28 20:18:04.039855 |
| 2025-09-01 19:57:45.613423 | 2025-09-02 05:10:46.578239 | 11882398 | N/A | N/A | 60054 | Aetna | 1114042165 | 11882398 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-09-04 | M | AE | Hamilton | W292751187 | Kevin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_11882398_d5e8de89-462d-475b-b976-34230f6c9652.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690716331 | N/A | N/A | 6555606 | 2222 | 4802 | 12024813 | N/A | 5178755 | 2025-09-02 05:10:46.578239 | 2025-07-17 17:42:32.068740 |
| 2025-09-01 19:57:43.741600 | 2025-09-02 05:13:55.338573 | 11882349 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11882349 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-09-04 | F | PT | MANALO LAMANNA | GSC134174111001 | ISADORE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_11882349_dabf752f-c730-4bda-b302-bcf26496de7e.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 | 8690716320 | N/A | N/A | 6554790 | 2222 | 4793 | 12033751 | N/A | 5177947 | 2025-09-02 05:13:55.338573 | 2026-05-11 21:31:25.186699 |
| 2025-09-01 19:57:41.041676 | 2025-09-02 05:10:27.572460 | 11882268 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11882268 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-09-04 | F | AE | Ballatore | 90665617F | Chloe | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_11882268_e7f98f78-6c17-426e-bbd4-7ed57eefcb97.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690717758 | N/A | N/A | 6553125 | 2222 | 4802 | 12024242 | N/A | 5176363 | 2025-09-02 05:10:27.572460 | 2025-06-23 23:46:22.182955 |
| 2025-09-01 19:57:40.886978 | 2025-09-02 05:28:37.390378 | 11882263 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11882263 | Athletic Physical Therapy Inc | 1967-05-29 | 2025-09-04 | M | PT | FINN | JQU683A20101 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938589/check_11882263_a22dd1d3-2e51-4dbc-bfc2-d803bbed782e.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1967-05-29 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690721129 | N/A | N/A | 6938589 | 2222 | 4793 | 12070161 | N/A | 5969280 | 2025-09-02 05:28:37.390378 | 2025-07-09 21:37:07.694893 |
| 2025-09-01 19:57:17.193015 | 2025-09-02 05:31:27.931761 | 11881492 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11881492 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-09-04 | M | PT | Shachory | XEK906003800 | Rafael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6919729/check_11881492_4e85596a-bdb1-4358-a24e-42192892c9e1.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690720719 | N/A | N/A | 6919729 | 2222 | 4793 | 12074715 | N/A | 5950744 | 2025-09-02 05:31:27.931761 | 2025-07-10 00:33:25.010317 |
| 2025-09-01 19:57:17.032689 | 2025-09-02 05:28:30.114256 | 11881486 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11881486 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-09-04 | M | AE | KIM | 96135332F | JOSEPH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230324668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_11881486_42624abc-ba86-4f02-9e68-e97bcab9d2bc.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690720718 | N/A | N/A | 6917652 | 2222 | 4802 | 12069919 | N/A | 5949044 | 2025-09-02 05:28:30.114256 | 2025-07-08 23:15:13.625855 |
| 2025-09-01 19:57:13.019700 | 2025-09-02 05:17:46.298341 | 11881354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11881354 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-04 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.230327147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_11881354_b58280df-f37b-45d7-a113-4ccd2941d349.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690716998 | N/A | N/A | 6522947 | 2222 | 4802 | 12045133 | N/A | 5146127 | 2025-09-02 05:17:46.298341 | 2025-06-20 17:58:23.371130 |
| 2025-09-01 19:57:03.618410 | 2025-09-02 05:20:26.032338 | 11881084 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11881084 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-09-04 | F | AE | DVORSKY | 000009483838 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_11881084_57828c3f-170d-44d7-8ca8-5e75ccd7ac0e.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690662175 | N/A | N/A | 5874461 | 2222 | 4801 | 12053907 | N/A | 4534583 | 2025-09-02 05:20:26.032338 | 2025-05-27 21:59:00.919365 |
| 2025-09-01 19:57:03.420170 | 2025-09-02 05:25:53.540143 | 11881078 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11881078 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-09-04 | M | AE | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11881078_d5c7a0da-ef69-44dc-9368-4d1c0d132a10.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MB | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690662174 | N/A | N/A | 5874455 | 2222 | 4801 | 12065676 | N/A | 4534577 | 2025-09-02 05:25:53.540143 | 2025-06-18 18:41:30.608585 |
| 2025-09-01 19:57:03.164479 | 2025-09-02 05:21:17.220892 | 11881068 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11881068 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-09-04 | F | PT | RAFFERTY | XED913453119 | ZOE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_11881068_3f67fd06-176f-482e-9fc7-20721d42d7b1.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 | 8690662173 | N/A | N/A | 5874430 | 2222 | 4802 | 12056991 | N/A | 4534559 | 2025-09-02 05:21:17.220892 | 2025-06-06 02:13:35.698378 |
| 2025-09-01 19:56:16.858564 | 2025-09-02 05:20:35.150774 | 11879673 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11879673 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-04 | M | AE | MATTHEWS | 00000283273 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_11879673_e3702f2a-d44e-4ad9-a652-b71916362a5d.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 | 8690663149 | N/A | N/A | 5676399 | 2222 | 4793 | 12054426 | 2630 | 4343454 | 2025-09-02 05:20:35.150774 | 2025-05-13 04:29:37.230932 |