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 19:56:16.653263 | 2025-09-02 05:25:53.891465 | 11879669 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11879669 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-09-04 | F | AE | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_11879669_c2cf925c-fac5-4f31-a02e-a9b6f5acfa62.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 | 8690663148 | N/A | N/A | 5676388 | 2222 | 4793 | 12065685 | N/A | 4343445 | 2025-09-02 05:25:53.891465 | 2025-05-14 09:06:09.407736 |
| 2025-09-01 19:56:16.433258 | 2025-09-02 05:18:29.655528 | 11879664 | N/A | N/A | 60054 | Aetna | 1114042165 | 11879664 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-04 | M | AE | PT | ARROW | 101393152200 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_11879664_d1378a45-c34e-4390-a585-a7a1d23a30eb.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 | 8690663147 | N/A | N/A | 5676385 | 2222 | 4802 | 12047300 | N/A | 4343439 | 2025-09-02 05:18:29.655528 | 2025-05-13 04:29:37.230918 |
| 2025-09-01 19:56:16.265574 | 2025-09-02 05:20:42.996782 | 11879659 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11879659 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_11879659_e81f23be-e828-4b5f-9a5d-cedd29599497.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 | 8690663146 | N/A | N/A | 5676340 | 2222 | 4793 | 12054889 | 4184 | 4210531 | 2025-09-02 05:20:42.996782 | 2025-12-09 17:09:13.960610 |
| 2025-09-01 19:55:43.863175 | 2025-09-02 05:19:59.539283 | 11878702 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11878702 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-04 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11878702_a063b559-1a11-4284-902f-f4f522ab5120.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 | 8690662591 | N/A | N/A | 5568076 | 2222 | 4802 | 12052261 | N/A | 4209480 | 2025-09-02 05:19:59.539283 | 2026-04-10 02:05:15.976484 |
| 2025-09-01 19:55:29.447622 | 2025-09-02 05:20:42.100684 | 11878285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11878285 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11878285_9cfa914a-a10c-42c8-ad93-0819ef9f4c37.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 | 8690662108 | N/A | N/A | 5550953 | 2222 | 4801 | 12054837 | N/A | 4219788 | 2025-09-02 05:20:42.100684 | 2025-06-06 22:01:46.271450 |
| 2025-09-01 19:55:29.281773 | 2025-09-02 05:21:16.717921 | 11878280 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11878280 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_11878280_3b88d45c-4bfd-43ec-9547-6934b842ade0.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 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690662107 | N/A | N/A | 5550845 | 2222 | 4801 | 12056957 | N/A | 4219713 | 2025-09-02 05:21:16.717921 | 2025-08-13 22:46:55.732965 |
| 2025-09-01 19:55:29.088853 | 2025-09-02 05:21:15.916170 | 11878275 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11878275 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11878275_2733ad12-6924-4f1e-8c44-d97ee12878c6.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690662106 | N/A | N/A | 5550827 | 2222 | 4802 | 12056905 | N/A | 4219700 | 2025-09-02 05:21:15.916170 | 2025-05-13 04:29:37.230745 |
| 2025-09-01 19:55:28.867113 | 2025-09-02 05:20:34.383672 | 11878269 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11878269 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-04 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11878269_189a0925-4548-425e-8cc5-f0eba964101b.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 | 8690662105 | N/A | N/A | 5550751 | 2222 | 4801 | 12054385 | 2630 | 4219640 | 2025-09-02 05:20:34.383672 | 2025-05-13 04:29:37.230682 |
| 2025-09-01 19:55:28.728133 | 2025-09-02 05:18:30.625373 | 11878265 | N/A | N/A | 60054 | Aetna | 1114042165 | 11878265 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-04 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11878265_703ba1f1-0e3d-4341-bbdd-654199ffdabd.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 | 8690662104 | N/A | N/A | 5550743 | 2222 | 4801 | 12047354 | N/A | 4219643 | 2025-09-02 05:18:30.625373 | 2025-05-13 04:29:37.230685 |
| 2025-09-01 19:55:28.584175 | 2025-09-02 05:25:53.064756 | 11878260 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11878260 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-04 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_11878260_9106e940-a832-4fd7-8125-2b8cc1ca5f6d.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | 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 | 8690662102 | N/A | N/A | 5550534 | 2222 | 4801 | 12065661 | N/A | 4219556 | 2025-09-02 05:25:53.064756 | 2025-05-13 04:29:37.230592 |
| 2025-09-01 19:55:28.313648 | 2025-09-02 05:20:43.576659 | 11878254 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11878254 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_11878254_63e95e8c-d9b2-4479-bb3b-bbd51a58c36a.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 | 8690662101 | N/A | N/A | 5549817 | 2222 | 4793 | 12054928 | 4184 | 4211143 | 2025-09-02 05:20:43.576659 | 2025-05-31 20:12:37.092503 |
| 2025-09-01 19:55:28.143775 | 2025-09-02 05:20:42.703568 | 11878249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11878249 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11878249_2d268fd6-93d0-416d-b4bb-291f45053df0.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 | 8690662100 | N/A | N/A | 5549317 | 2222 | 4801 | 12054870 | N/A | 4219010 | 2025-09-02 05:20:42.703568 | 2026-01-09 18:32:07.618867 |
| 2025-09-01 19:55:27.977597 | 2025-09-02 05:20:27.328237 | 11878244 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11878244 | N/A | 1967-12-23 | 2025-09-04 | F | AE | PT | SOL | U9859952501 | ISABEL | 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/2222/5549212/check_11878244_f090fd5f-46bd-4aed-9ec2-096dddb37843.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 | 8690662099 | N/A | N/A | 5549212 | 2222 | 4793 | 12053985 | N/A | 4218926 | 2025-09-02 05:20:27.328237 | 2025-07-30 14:07:18.779456 |
| 2025-09-01 19:55:25.985634 | 2025-09-02 05:20:41.822279 | 11878185 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11878185 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11878185_6e3399d7-1232-4be5-85c3-6894fe5be269.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 | 8690662087 | N/A | N/A | 5543355 | 2222 | 4793 | 12054817 | N/A | 4215158 | 2025-09-02 05:20:41.822279 | 2025-05-13 04:29:37.229475 |
| 2025-09-01 19:55:25.692821 | 2025-09-02 05:20:41.252063 | 11878178 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11878178 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11878178_1c10fae7-2093-4513-8a94-a9685fb9eea9.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 | 8690662086 | N/A | N/A | 5543324 | 2222 | 4801 | 12054780 | 4184 | 4215131 | 2025-09-02 05:20:41.252063 | 2025-08-11 16:45:52.816842 |
| 2025-09-01 19:55:25.515278 | 2025-09-02 05:21:16.961152 | 11878172 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11878172 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_11878172_f6c386bc-9015-475b-926e-2a761d48ca72.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 | 8690662085 | N/A | N/A | 5543211 | 2222 | 4801 | 12056974 | N/A | 4215028 | 2025-09-02 05:21:16.961152 | 2025-05-13 04:29:37.229346 |
| 2025-09-01 19:55:25.369872 | 2025-09-02 05:19:41.768475 | 11878167 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11878167 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11878167_a0e34e1d-79b2-4106-899a-19b0053167f7.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 | 8690662084 | N/A | N/A | 5543171 | 2222 | 4793 | 12051241 | N/A | 4214998 | 2025-09-02 05:19:41.768475 | 2025-05-13 04:29:37.229318 |
| 2025-09-01 19:55:25.193811 | 2025-09-02 05:20:27.074665 | 11878162 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11878162 | N/A | 2007-12-08 | 2025-09-03 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_11878162_14fd2d88-b437-4f7a-937e-1544b8c3bcd4.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 | 8690662083 | N/A | N/A | 5542850 | 2222 | 4793 | 12053969 | N/A | 4214714 | 2025-09-02 05:20:27.074665 | 2025-05-13 04:29:37.229031 |
| 2025-09-01 19:55:24.961263 | 2025-09-02 05:20:00.435446 | 11878156 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11878156 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-04 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11878156_8b09550e-26fa-43be-a7ca-df3a82dca853.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 | 8690662082 | N/A | N/A | 5542660 | 2222 | 4802 | 12052324 | N/A | 4214542 | 2025-09-02 05:20:00.435446 | 2025-05-13 04:29:37.228868 |
| 2025-09-01 19:55:24.762473 | 2025-09-02 05:21:25.025210 | 11878151 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11878151 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11878151_4c0d47d8-05bc-4e8d-b0df-6b23b69f316e.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 | 8690662079 | N/A | N/A | 5542628 | 2222 | 4793 | 12057462 | N/A | 4214508 | 2025-09-02 05:21:25.025210 | 2025-06-04 00:05:22.392827 |
| 2025-09-01 19:55:24.611550 | 2025-09-02 05:25:54.756923 | 11878146 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11878146 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-09-04 | M | AE | PT | NEILSON | 2VG5XR5CT78 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_11878146_3fa8d73d-6707-43ab-8a81-6b0f637787ae.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MA | 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 | 8690662078 | N/A | N/A | 5542623 | 2222 | 4801 | 12065702 | N/A | 4214511 | 2025-09-02 05:25:54.756923 | 2025-05-13 04:29:37.228826 |
| 2025-09-01 19:55:24.459296 | 2025-09-02 05:20:38.961897 | 11878141 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11878141 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-04 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_11878141_65a10950-a8a6-4698-86db-9c9330f2b048.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 | 8690662077 | N/A | N/A | 5542611 | 2222 | 4802 | 12054647 | N/A | 4214490 | 2025-09-02 05:20:38.961897 | 2025-05-13 04:29:37.228806 |
| 2025-09-01 19:55:24.280766 | 2025-09-02 05:20:27.874826 | 11878137 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11878137 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-04 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_11878137_4a369b9c-e892-4073-8fc0-38d3fbc3d641.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 | 8690662076 | N/A | N/A | 5542606 | 2222 | 4801 | 12054014 | N/A | 4214496 | 2025-09-02 05:20:27.874826 | 2025-05-13 04:29:37.228812 |
| 2025-09-01 19:55:24.010827 | 2025-09-02 05:20:38.466152 | 11878129 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11878129 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-04 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11878129_f688e352-1195-487f-8c02-0b281ea2bd4e.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 | 8690662075 | N/A | N/A | 5542513 | 2222 | 4793 | 12054611 | N/A | 4214418 | 2025-09-02 05:20:38.466152 | 2025-07-03 18:12:11.075357 |
| 2025-09-01 19:55:23.764071 | 2025-09-02 05:21:15.318871 | 11878122 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11878122 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11878122_9a419516-5b46-49af-8761-506449c54f15.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 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690662074 | N/A | N/A | 5542259 | 2222 | 4802 | 12056874 | N/A | 4214195 | 2025-09-02 05:21:15.318871 | 2025-05-13 04:29:37.228529 |
| 2025-09-01 19:55:23.581310 | 2025-09-02 05:20:42.385809 | 11878120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11878120 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_11878120_cb2d8ebc-62c5-4baa-acfd-dba64c2ec545.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 | 8690662073 | N/A | N/A | 5542207 | 2222 | 4802 | 12054852 | N/A | 4214152 | 2025-09-02 05:20:42.385809 | 2025-05-13 04:29:37.228479 |
| 2025-09-01 19:55:23.414936 | 2025-09-02 05:20:35.405800 | 11878114 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11878114 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-09-04 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_11878114_0eda7e67-a05a-47ab-824f-c206d7026d9f.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 | 8690662072 | N/A | N/A | 5542046 | 2222 | 4801 | 12054442 | 2630 | 4214001 | 2025-09-02 05:20:35.405800 | 2025-05-13 04:29:37.228323 |
| 2025-09-01 19:55:23.254929 | 2025-09-02 05:20:39.193727 | 11878111 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11878111 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-04 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11878111_44a35e8c-e46f-4378-81a3-536b44ccec9c.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 | 8690662071 | N/A | N/A | 5541984 | 2222 | 4802 | 12054663 | N/A | 4213934 | 2025-09-02 05:20:39.193727 | 2026-01-27 23:36:44.802366 |
| 2025-09-01 19:55:23.080456 | 2025-09-02 05:20:40.936174 | 11878106 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11878106 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_11878106_82ccf3b7-cde2-4477-b13f-e659062d1da0.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 | 8690662070 | N/A | N/A | 5541944 | 2222 | 4801 | 12054764 | 4184 | 4213907 | 2025-09-02 05:20:40.936174 | 2025-05-13 04:29:37.228228 |
| 2025-09-01 19:55:22.922047 | 2025-09-02 05:20:36.520834 | 11878100 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11878100 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-04 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_11878100_d996800b-82a4-498b-a4c3-78ccf76f1477.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 | 8690662069 | N/A | N/A | 5541719 | 2222 | 4801 | 12054504 | N/A | 4213712 | 2025-09-02 05:20:36.520834 | 2025-08-19 01:13:52.150115 |
| 2025-09-01 19:55:22.751132 | 2025-09-02 05:20:00.760876 | 11878095 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11878095 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-09-04 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_11878095_225bbe25-748e-4023-8395-01c31b9baa61.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 | 8690662068 | N/A | N/A | 5541519 | 2222 | 4802 | 12052343 | N/A | 4213530 | 2025-09-02 05:20:00.760876 | 2025-05-13 04:29:37.227860 |
| 2025-09-01 19:55:22.576079 | 2025-09-02 05:20:43.292737 | 11878088 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11878088 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_11878088_905226ef-cf22-49ed-a968-b9a9be59c162.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 | 8690662067 | N/A | N/A | 5541518 | 2222 | 4793 | 12054910 | N/A | 4213526 | 2025-09-02 05:20:43.292737 | 2025-11-13 19:34:43.197819 |
| 2025-09-01 19:55:22.427908 | 2025-09-02 05:24:36.143883 | 11878083 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11878083 | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-03 | M | AE | PT | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541349/check_11878083_7a7d08f6-a3f6-40c2-a210-1e75163f3286.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 | 8690662066 | N/A | N/A | 5541349 | 2222 | 4793 | 12063901 | N/A | 4213376 | 2025-09-02 05:24:36.143883 | 2025-09-22 23:59:39.068790 |
| 2025-09-01 19:55:22.270161 | 2025-09-02 05:21:16.468493 | 11878078 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11878078 | 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/272741.20250901.224928555.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_11878078_3e59cbba-8a79-4f60-97d7-e26701751d80.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 | 8690662065 | N/A | N/A | 5541314 | 2222 | 4793 | 12056941 | N/A | 4213343 | 2025-09-02 05:21:16.468493 | 2025-06-06 02:21:37.603701 |
| 2025-09-01 19:30:31.200092 | 2025-09-02 18:05:42.715578 | 11877628 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11877628 | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-04 | F | PT | N/A | VALENCIA | 972A2070870 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8639700/check_11877628_45108536-9fa1-465e-9722-931a10494a05.json | N/A | N/A | N/A | N/A | N/A | 972A2070870 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690579979 | N/A | N/A | 8639700 | 2222 | 4801 | 12111058 | N/A | 7100343 | 2025-09-02 18:05:42.715578 | 2025-08-26 17:30:26.978462 |
| 2025-09-01 18:55:38.786325 | 2025-09-02 18:27:44.378206 | 11877069 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11877069 | Athletic Physical Therapy Inc | 1961-06-04 | 2025-09-04 | M | PT | N/A | Burrington | 905889385 | William | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8491189/check_11877069_970ab784-c691-448f-93cb-cf3291433a8f.json | N/A | N/A | N/A | N/A | N/A | U00000260 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-06-04 | 2001ZK002169 | X0001004 | N/A | PR | false | MEYER | N/A | CAMERON | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690578417 | N/A | N/A | 8491189 | 2222 | 4802 | 12113924 | N/A | 7158278 | 2025-09-02 18:27:44.378206 | 2025-08-25 21:59:46.607796 |
| 2025-09-01 18:52:48.444338 | 2025-09-02 18:26:09.803025 | 11877027 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11877027 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-09-04 | M | AE | PT | CARINO | 166067001 | RODOLFO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_11877027_c2d1b375-b469-497f-a315-8304b1b3adb2.json | N/A | N/A | N/A | N/A | N/A | 001660670 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690579880 | N/A | N/A | 8472317 | 2222 | 4802 | 12113745 | N/A | 6543380 | 2025-09-02 18:26:09.803025 | 2025-08-01 17:39:00.802055 |
| 2025-09-01 18:30:42.038172 | 2025-09-02 18:26:37.009038 | 11876690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11876690 | Athletic Physical Therapy Inc | 1971-01-23 | 2025-09-03 | M | PT | N/A | SOBELSOHN | CBZ3HZN50757900 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420206/check_11876690_74972f71-53e0-4b69-91fa-1c0ee33a3a0e.json | N/A | N/A | N/A | N/A | N/A | CBZ3HZN50757900 | Preferred Provider Organization (PPO) | N/A | ANTHEM | COPAY APPLIES TO OOP DEDUCTIBLE APPLIES TO OOP COINSURANCE APPLIES TO OOP FOURTH QUARTER CARRYOVER BENEFIT DOES NOT APPLY | 1971-01-23 | N/A | 00762010001 | N/A | PR | false | SOBELSOHN | N/A | DANIEL | N/A | 9999-12-31 | 2023-11-01 | PREFERRED PROVIDER ORGANIZATION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690578282 | N/A | N/A | 8420206 | 2222 | 4793 | 12113823 | N/A | 7097626 | 2025-09-02 18:26:37.009038 | 2025-08-29 17:02:22.120876 |
| 2025-09-01 18:17:50.210137 | 2025-09-02 18:25:16.602509 | 11876486 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11876486 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-09-04 | M | AE | PT | Ke | N/A | Haozhe | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_11876486_13d74d93-b53a-4cad-a8b0-4a8e9a40ede7.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690579594 | N/A | N/A | 8405192 | 2222 | 4802 | 12113625 | N/A | 7083453 | 2025-09-02 18:25:16.602509 | 2025-08-26 19:33:12.586504 |
| 2025-09-01 17:58:36.686300 | 2025-09-02 05:19:08.470357 | 11876185 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11876185 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-09-04 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204714678.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_11876185_b40ea674-7f99-4238-919a-7361fa58bb5b.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690154805 | N/A | N/A | 6194938 | 2222 | 4802 | 12049496 | N/A | 4214889 | 2025-09-02 05:19:08.470357 | 2025-05-13 04:29:37.229212 |
| 2025-09-01 17:55:24.442380 | 2025-09-02 02:30:12.837005 | 11875697 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11875697 | 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/272741.20250901.204639786.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8118854/check_11875697_5e86cdba-a16d-4501-94a4-b363d3fff665.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 | 8690144174 | N/A | N/A | 8118854 | 2222 | 4801 | 12016217 | N/A | 6896967 | 2025-09-02 02:30:12.837005 | 2025-09-03 19:44:25.952611 |
| 2025-09-01 17:55:09.298579 | 2025-09-02 05:18:35.826855 | 11875652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11875652 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-09-04 | M | AE | PT | KESHAVARZIAN | JQE128W05540 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204714678.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_11875652_b65b2faf-00a2-41f2-9f85-78f4c4d98576.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-05-16 | 040 | CASUPWP0 | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | N/A | 9999-12-31 | 2020-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690156708 | N/A | N/A | 5993911 | 2222 | 4801 | 12047641 | N/A | 4534577 | 2025-09-02 05:18:35.826855 | 2025-06-18 18:41:30.608585 |
| 2025-09-01 17:55:02.247910 | 2025-09-02 02:03:53.900814 | 11875630 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11875630 | 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/272741.20250901.204639786.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8113030/check_11875630_dda9b7ee-29e3-4b4f-810e-00330be1755f.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 | 8690143778 | N/A | N/A | 8113030 | 2222 | 4802 | 12000520 | N/A | 6890159 | 2025-09-02 02:03:53.900814 | 2025-08-25 15:54:41.055320 |
| 2025-09-01 17:54:27.697083 | 2025-09-02 05:20:46.346588 | 11875519 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11875519 | Athletic Physical Therapy Inc | 1941-09-20 | 2025-09-03 | F | AE | PT | ANWAR | MISSINGPOLICYNUMBER | KAWKY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204714678.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928922/check_11875519_030ca1d2-6430-419d-ab38-3a10def162b1.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1941-09-20 | N/A | N/A | N/A | N/A | false | ANWAR | N/A | KAWKY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690155747 | N/A | N/A | 5928922 | 2222 | 4801 | 12055099 | N/A | 4210127 | 2025-09-02 05:20:46.346588 | 2026-04-16 20:03:01.426999 |
| 2025-09-01 17:53:48.451857 | 2025-09-02 18:26:36.119157 | 11875392 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11875392 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-09-04 | F | PT | N/A | SEITV | SEY495A67668 | KORINNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_11875392_3f2b1650-3cf0-4d66-b52e-f2bf0764a121.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690578584 | N/A | N/A | 8225980 | 2222 | 4801 | 12113822 | N/A | 6982786 | 2025-09-02 18:26:36.119157 | 2025-09-05 22:05:24.545118 |
| 2025-09-01 17:53:36.911049 | 2025-09-02 18:27:45.350794 | 11875358 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11875358 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-04 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.222218290.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11875358_c0ac5ca3-b904-4d66-97bd-c4d7bd072ce8.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690578581 | N/A | N/A | 8224045 | 2222 | 4802 | 12113925 | N/A | 6981160 | 2025-09-02 18:27:45.350794 | 2025-08-26 21:16:15.557856 |
| 2025-09-01 17:53:06.362408 | 2025-09-02 02:03:53.000138 | 11875288 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11875288 | 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/272741.20250901.204639786.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11875288_9c301653-3d26-4900-85e1-81d25c7f056b.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 | 8690144025 | N/A | N/A | 8088383 | 2222 | 4793 | 12000513 | N/A | 6871702 | 2025-09-02 02:03:53.000138 | 2025-08-14 21:08:52.019264 |
| 2025-09-01 17:51:34.769290 | 2025-09-02 05:18:35.524634 | 11875038 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11875038 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-04 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204714678.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_11875038_6be55184-e10a-4acd-b98a-70a16f780055.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690156026 | N/A | N/A | 5550535 | 2222 | 4801 | 12047622 | N/A | 4219556 | 2025-09-02 05:18:35.524634 | 2025-05-13 04:29:37.230592 |
| 2025-09-01 17:51:30.650193 | 2025-09-02 05:18:36.412418 | 11875019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11875019 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-09-04 | M | AE | PT | NEILSON | 468A54912 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204714678.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_11875019_2df795b2-490c-4bc0-aeeb-6a814b5aac4e.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690156019 | N/A | N/A | 5542625 | 2222 | 4801 | 12047674 | N/A | 4214511 | 2025-09-02 05:18:36.412418 | 2025-05-13 04:29:37.228826 |
| 2025-09-01 17:51:29.655872 | 2025-09-02 05:18:36.115547 | 11875015 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11875015 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-09-04 | F | AE | PT | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204714678.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539052/check_11875015_5d65c509-127d-40de-b1f1-ff4f739b3cbe.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690156018 | N/A | N/A | 5539052 | 2222 | 4801 | 12047658 | N/A | 4211368 | 2025-09-02 05:18:36.115547 | 2025-05-13 04:29:37.225728 |