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 17:37:21.833307 | 2025-09-02 02:25:51.781220 | 11869132 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11869132 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-09-04 | F | AE | PT | Dickenson | 91000390H | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_11869132_9379d5c2-6023-4c34-97f0-b15947a35321.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980991 | N/A | N/A | 7449889 | 2222 | 4802 | 12013686 | N/A | 6399696 | 2025-09-02 02:25:51.781220 | 2025-07-24 23:24:56.744520 |
| 2025-09-01 17:37:21.746030 | 2025-09-02 02:30:34.496179 | 11869130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11869130 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-09-04 | M | PT | N/A | Prichard | XED910420685 | Riley | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_11869130_d7393fca-b8fd-4e0e-b8da-ea90cc006fbf.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689980990 | N/A | N/A | 7449872 | 2222 | 4802 | 12016377 | N/A | 6399679 | 2025-09-02 02:30:34.496179 | 2025-07-24 23:16:22.582609 |
| 2025-09-01 17:37:21.675128 | 2025-09-02 02:25:52.816109 | 11869129 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11869129 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-09-04 | M | AE | PT | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_11869129_11e91233-7014-4792-ba60-8efce1456597.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980989 | N/A | N/A | 7449843 | 2222 | 4802 | 12013696 | N/A | 6399635 | 2025-09-02 02:25:52.816109 | 2025-07-29 18:42:47.970149 |
| 2025-09-01 17:37:20.968788 | 2025-09-02 02:36:52.039746 | 11869114 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11869114 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-09-04 | M | AE | PT | KORNREICH | 7XA1CA4AR01 | DALE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449349/check_11869114_3ea826e0-a1cf-451f-979e-8d23dfab4470.json | N/A | N/A | N/A | N/A | N/A | 7XA1CA4AR01 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-03 | S5601 | N/A | N/A | MA | false | KORNREICH | N/A | DALE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980979 | N/A | N/A | 7449349 | 2222 | 4793 | 12018477 | N/A | 6399188 | 2025-09-02 02:36:52.039746 | 2025-07-24 22:52:42.400774 |
| 2025-09-01 17:37:15.360679 | 2025-09-02 02:28:56.998544 | 11869003 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11869003 | Athletic Physical Therapy Inc | 1974-04-18 | 2025-09-04 | M | AE | PT | HENDERSON | 000009200856 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447610/check_11869003_8a97ce9e-df1d-4cfe-b24c-73c1761124ee.json | N/A | N/A | N/A | N/A | N/A | 000009200856 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-04-18 | 4299566 | 105705 | N/A | N/A | false | HENDERSON | N/A | CHAD | N/A | N/A | N/A | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 2 AC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980944 | N/A | N/A | 7447610 | 2222 | 4801 | 12015527 | N/A | 6397817 | 2025-09-02 02:28:56.998544 | 2025-07-24 21:00:46.278199 |
| 2025-09-01 17:37:14.090655 | 2025-09-02 02:29:21.096014 | 11868990 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11868990 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-09-04 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_11868990_c51f012e-7e60-4fe5-8460-aa88297a8a32.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689980942 | N/A | N/A | 7447590 | 2222 | 4801 | 12015728 | N/A | 6397797 | 2025-09-02 02:29:21.096014 | 2025-08-12 19:16:58.418300 |
| 2025-09-01 17:36:44.579866 | 2025-09-02 02:16:01.340322 | 11868614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11868614 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-09-04 | F | AE | PT | BARRE | 4WR8HF0MV28 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_11868614_ab033580-14dd-4ffe-a15e-9a2291d4643d.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 | 8689982354 | N/A | N/A | 6418037 | 2222 | 4802 | 12007101 | N/A | 5065797 | 2025-09-02 02:16:01.340322 | 2025-07-28 17:08:00.544400 |
| 2025-09-01 17:36:44.301116 | 2025-09-02 02:27:12.313530 | 11868603 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11868603 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-09-04 | F | AE | PT | JENSEN | H8814805300 | ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444559/check_11868603_8876af37-f10d-4c1d-b84c-436d21142aae.json | N/A | N/A | N/A | N/A | N/A | H88148053 | 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 | 1946-05-08 | N/A | 0B527001 | N/A | HN | false | JENSEN | N/A | ANN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980385 | N/A | N/A | 7444559 | 2222 | 4801 | 12014577 | N/A | 6395281 | 2025-09-02 02:27:12.313530 | 2025-07-24 18:22:24.913461 |
| 2025-09-01 17:36:41.852944 | 2025-09-02 02:36:50.947372 | 11868511 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11868511 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-09-04 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_11868511_46394ba1-ba41-4a7c-8ec9-ec6a8d97ebad.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980358 | N/A | N/A | 7442857 | 2222 | 4801 | 12018471 | N/A | 6393941 | 2025-09-02 02:36:50.947372 | 2025-08-13 16:33:53.313259 |
| 2025-09-01 17:36:39.511850 | 2025-09-02 02:10:41.330289 | 11868443 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11868443 | Athletic Physical Therapy Inc | 1950-06-14 | 2025-09-04 | F | AE | PT | MIESSNER | 00000302558 | CHERYLL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_11868443_2c03b4bc-b657-4fb0-83f6-dbb47d465ddd.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 | 8689983338 | N/A | N/A | 6398725 | 2222 | 4801 | 12004192 | N/A | 5046278 | 2025-09-02 02:10:41.330289 | 2025-06-15 19:17:04.043327 |
| 2025-09-01 17:36:38.442452 | 2025-09-02 02:30:34.043000 | 11868416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11868416 | Athletic Physical Therapy Inc | 1971-01-26 | 2025-09-04 | F | PT | N/A | Crandell | XED910548319 | Shelby | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442378/check_11868416_4a3c45cf-e02f-4651-a613-a856088f46d0.json | N/A | N/A | N/A | N/A | N/A | XED910548319 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-01-26 | 2001ZK002187 | X0001004 | N/A | PR | false | CRANDELL | N/A | SHELBY | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689980350 | N/A | N/A | 7442378 | 2222 | 4801 | 12016373 | N/A | 6393427 | 2025-09-02 02:30:34.043000 | 2025-08-09 23:20:00.870450 |
| 2025-09-01 17:36:38.043630 | 2025-09-02 02:16:04.072232 | 11868403 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11868403 | Athletic Physical Therapy Inc | 1948-03-15 | 2025-09-04 | M | AE | PT | SAMOFF | 9WK1PA8GW14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_11868403_63f90817-e97c-4377-aa2a-153df586a272.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 | 8689983310 | N/A | N/A | 6236212 | 2222 | 4793 | 12007123 | N/A | 4884170 | 2025-09-02 02:16:04.072232 | 2025-07-09 21:20:43.604452 |
| 2025-09-01 17:36:30.323438 | 2025-09-02 02:10:42.018200 | 11868162 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11868162 | Athletic Physical Therapy Inc | 1953-09-16 | 2025-09-04 | F | AE | PT | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11868162_04cf23e5-902e-439d-8d57-7a2beba1632d.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 | 8689982844 | N/A | N/A | 6210775 | 2222 | 4793 | 12004199 | 2630 | 4215193 | 2025-09-02 02:10:42.018200 | 2026-01-16 04:38:12.725481 |
| 2025-09-01 17:36:28.031809 | 2025-09-02 02:16:03.414406 | 11868079 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11868079 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-09-04 | F | AE | PT | NAFTZGER | 3NW9CG6WM45 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_11868079_4e0bf0b8-9bf2-4d97-ac08-103c3a9a842d.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MB | 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 | 8689982806 | N/A | N/A | 6194923 | 2222 | 4802 | 12007117 | N/A | 4214889 | 2025-09-02 02:16:03.414406 | 2025-05-13 04:29:37.229212 |
| 2025-09-01 17:36:27.977990 | 2025-09-02 02:10:58.503856 | 11868077 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11868077 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-09-04 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11868077_30b84e01-3740-48a4-81ad-cb57e01bd766.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 | 8689982805 | N/A | N/A | 6193751 | 2222 | 4801 | 12004262 | N/A | 4837995 | 2025-09-02 02:10:58.503856 | 2025-06-13 00:15:18.726975 |
| 2025-09-01 17:36:26.908563 | 2025-09-02 02:10:40.288621 | 11868036 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11868036 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-09-04 | M | AE | PT | MATHEU | 00000270336 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_11868036_a75bf321-cb99-40ad-b7b0-35a85b0a4e43.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 | 8689982671 | N/A | N/A | 6189737 | 2222 | 4801 | 12004186 | N/A | 4209126 | 2025-09-02 02:10:40.288621 | 2025-05-13 04:29:37.223551 |
| 2025-09-01 17:35:29.398541 | 2025-09-02 02:06:03.192554 | 11867150 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11867150 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-04 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11867150_5b8255d3-a5bd-4df2-b7cd-78ebb45bd59c.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689982595 | N/A | N/A | 6124845 | 2222 | 4793 | 12001800 | N/A | 4767293 | 2025-09-02 02:06:03.192554 | 2025-06-06 15:11:48.015692 |
| 2025-09-01 17:35:29.291847 | 2025-09-02 02:07:09.583633 | 11867148 | N/A | N/A | 60054 | Aetna | 1114042165 | 11867148 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-09-04 | F | AE | PT | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_11867148_5aafc258-ed85-4e33-a021-fcd2f8043abe.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 | 8689982593 | N/A | N/A | 6124049 | 2222 | 4793 | 12002628 | N/A | 4766759 | 2025-09-02 02:07:09.583633 | 2025-06-04 21:51:50.184092 |
| 2025-09-01 17:35:28.482906 | 2025-09-02 02:11:43.539297 | 11867122 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11867122 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-04 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_11867122_a1745fc8-5946-435d-89a7-5eac09588a2f.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 | 8689982578 | N/A | N/A | 6121701 | 2222 | 4793 | 12004601 | N/A | 4764460 | 2025-09-02 02:11:43.539297 | 2025-06-04 04:30:06.494155 |
| 2025-09-01 17:35:21.225716 | 2025-09-02 02:22:08.196137 | 11866840 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11866840 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-09-04 | F | AE | PT | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11866840_b0bd69ef-a1c6-4a11-aa56-5100cc83ba56.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MB | 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 | 8689996646 | N/A | N/A | 6641936 | 2222 | 4801 | 12010924 | N/A | 5248742 | 2025-09-02 02:22:08.196137 | 2025-07-16 18:02:25.797343 |
| 2025-09-01 17:35:21.018346 | 2025-09-02 02:16:04.427145 | 11866832 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11866832 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-04 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_11866832_53660913-842f-4652-b1a3-d21eeb1b18e0.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 | 8689982556 | N/A | N/A | 6105989 | 2222 | 4802 | 12007126 | N/A | 4750274 | 2025-09-02 02:16:04.427145 | 2025-06-12 22:26:37.845238 |
| 2025-09-01 17:35:20.693918 | 2025-09-02 02:11:41.587197 | 11866819 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11866819 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-04 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_11866819_c0c712b3-24de-4496-bbe3-9035f0031f60.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689982551 | N/A | N/A | 6104970 | 2222 | 4802 | 12004586 | N/A | 4749447 | 2025-09-02 02:11:41.587197 | 2025-06-06 23:16:09.869339 |
| 2025-09-01 17:35:18.794310 | 2025-09-02 02:10:41.673163 | 11866747 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11866747 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-04 | F | AE | PT | ROBERTS | 00000402630 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_11866747_6bbc7651-bbcc-46e7-b187-7a7dd71835bc.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 | 8689982515 | N/A | N/A | 6085762 | 2222 | 4793 | 12004197 | N/A | 4729138 | 2025-09-02 02:10:41.673163 | 2025-05-31 14:20:56.156252 |
| 2025-09-01 17:35:13.954689 | 2025-09-02 02:10:39.973073 | 11866606 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11866606 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-09-04 | M | AE | PT | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_11866606_adc6e773-f40b-4545-95d6-216816bb8ebb.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 | 8689981982 | N/A | N/A | 6077164 | 2222 | 4801 | 12004184 | 2630 | 4720748 | 2025-09-02 02:10:39.973073 | 2025-06-11 15:34:07.942696 |
| 2025-09-01 17:35:03.307292 | 2025-09-02 02:17:14.287317 | 11866412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11866412 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-09-04 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_11866412_b241feb3-1ca0-41a4-9c8f-52c176515b0d.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 | 8689997283 | N/A | N/A | 6600346 | 2222 | 4801 | 12007750 | N/A | 4211322 | 2025-09-02 02:17:14.287317 | 2025-07-17 16:31:59.104530 |
| 2025-09-01 17:34:50.922902 | 2025-09-02 02:15:33.398527 | 11866270 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11866270 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-09-04 | M | AE | PT | SHIMOHARA | H7561028700 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_11866270_bdf2cc0a-bdf1-4de1-98f7-5456510fe25f.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 | 8689998479 | N/A | N/A | 6594216 | 2222 | 4801 | 12006863 | N/A | 5213181 | 2025-09-02 02:15:33.398527 | 2025-07-28 18:07:32.231640 |
| 2025-09-01 17:34:49.806091 | 2025-09-02 02:21:00.766253 | 11866252 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11866252 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-09-04 | F | PT | N/A | HERCEG | JQQ193M82762 | ANDJELKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.203940661.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7627183/check_11866252_135b5d71-b445-40ef-a425-663e1c22d3a2.json | N/A | N/A | N/A | N/A | N/A | JQQ193M82762 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-04-03 | N/A | N/A | N/A | N/A | false | HERCEG | N/A | ANDJELKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690087822 | N/A | N/A | 7627183 | 2222 | 4793 | 12010149 | N/A | 6526151 | 2025-09-02 02:21:00.766253 | 2025-07-31 16:27:01.412304 |
| 2025-09-01 17:34:12.427491 | 2025-09-02 02:16:32.792065 | 11865726 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11865726 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-09-04 | F | AE | PT | AGHA ZADEH SHARE | 40034093701 | FIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_11865726_9a55a41f-fdf6-4537-801e-22f79279cd71.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 | 8689997245 | N/A | N/A | 6582113 | 2222 | 4801 | 12007358 | N/A | 5201198 | 2025-09-02 02:16:32.792065 | 2025-07-11 22:39:28.411632 |
| 2025-09-01 17:33:59.636675 | 2025-09-02 02:14:50.929466 | 11865429 | N/A | N/A | 60054 | Aetna | 1114042165 | 11865429 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-09-04 | M | AE | PT | Hamilton | W292751187 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_11865429_f2c5864d-8286-45d9-b98c-7c2d6ae33ffd.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 | 8689998275 | N/A | N/A | 6555606 | 2222 | 4802 | 12006445 | N/A | 5178755 | 2025-09-02 02:14:50.929466 | 2025-07-17 17:42:32.068740 |
| 2025-09-01 17:33:59.152393 | 2025-09-02 02:18:18.333028 | 11865414 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11865414 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-09-04 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_11865414_25ee095a-9ff4-43c5-853c-4db0a5bfb87a.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 | 8689998268 | N/A | N/A | 6554790 | 2222 | 4793 | 12008406 | N/A | 5177947 | 2025-09-02 02:18:18.333028 | 2026-05-11 21:31:25.186699 |
| 2025-09-01 17:33:58.320738 | 2025-09-02 02:14:29.069003 | 11865390 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11865390 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-09-04 | F | AE | PT | Ballatore | 90665617F | Chloe | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_11865390_99c464a8-966f-4fbd-859d-f7802633b5e5.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 | 8689998082 | N/A | N/A | 6553125 | 2222 | 4802 | 12006236 | N/A | 5176363 | 2025-09-02 02:14:29.069003 | 2025-06-23 23:46:22.182955 |
| 2025-09-01 17:33:34.160588 | 2025-09-02 02:31:21.824194 | 11864869 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11864869 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-09-02 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.204639786.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_11864869_920befb1-9a36-49ea-8227-c5731a334508.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. DOUBLEQUOTECHAR | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 8690143514 | N/A | N/A | 7870152 | 2222 | 4802 | 12016659 | N/A | 6698799 | 2025-09-02 02:31:21.824194 | 2025-08-07 18:40:53.120761 |
| 2025-09-01 17:33:31.996137 | 2025-09-02 02:28:25.256732 | 11864813 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11864813 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-09-04 | M | AE | PT | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_11864813_f7923e09-1081-4612-b684-00670cd8c7dd.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980144 | N/A | N/A | 7315101 | 2222 | 4802 | 12015187 | N/A | 6152454 | 2025-09-02 02:28:25.256732 | 2025-07-17 21:44:04.596080 |
| 2025-09-01 17:33:24.876432 | 2025-09-02 02:25:26.196148 | 11864606 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11864606 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-04 | F | PT | N/A | CHAMBERLIN | CAW905797094 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.203940661.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11864606_bcb5d835-8ea2-4954-b824-bbb0e42914b0.json | N/A | N/A | N/A | N/A | N/A | CAW905797094 | Preferred Provider Organization (PPO) | CSEBA BEAR VALLEY UNIFIED SCHOOL DISTRICT | MEDICARE PART A AND B | N/A | 1960-09-02 | 1001PPOX0001 | W0064554 | N/A | PR | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | CSEBA ASO PPO GOLD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690088391 | N/A | N/A | 7591326 | 2222 | 4801 | 12013448 | N/A | 6499323 | 2025-09-02 02:25:26.196148 | 2025-07-30 18:54:36.603528 |
| 2025-09-01 17:33:20.302980 | 2025-09-02 02:36:52.407146 | 11864374 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11864374 | Athletic Physical Therapy Inc | 1933-09-27 | 2025-09-03 | F | AE | PT | Lavian | 9D60QE9FV21 | Valantin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7300565/check_11864374_bf6a6221-3d29-4fc7-91b4-bd3aa8dd725f.json | N/A | N/A | N/A | N/A | N/A | 9D60QE9FV21 | Medicare Part A | N/A | HARTFORD CASUALTY INSURANCE COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-09-27 | S4802 | DOL 09182015 | N/A | MA | false | LAVIAN | N/A | VALANTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980927 | N/A | N/A | 7300565 | 2222 | 4802 | 12018479 | N/A | 6258477 | 2025-09-02 02:36:52.407146 | 2025-08-12 21:50:09.562340 |
| 2025-09-01 17:33:18.178151 | 2025-09-02 02:25:52.370442 | 11864269 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11864269 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-09-04 | F | AE | PT | Odate | 96680377F | Keina | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_11864269_6fc978f5-ebee-4b16-9f0d-225e0a81c700.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980904 | N/A | N/A | 7295079 | 2222 | 4802 | 12013691 | N/A | 6254701 | 2025-09-02 02:25:52.370442 | 2026-05-21 14:19:15.159394 |
| 2025-09-01 17:33:15.459282 | 2025-09-02 02:29:21.469593 | 11864141 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11864141 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-09-04 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7283495/check_11864141_8b6821c5-7a34-4fb3-a50e-f05b0431a887.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689980334 | N/A | N/A | 7283495 | 2222 | 4801 | 12015731 | N/A | 6247001 | 2025-09-02 02:29:21.469593 | 2025-07-25 21:24:35.111542 |
| 2025-09-01 17:33:14.804558 | 2025-09-02 02:24:48.402554 | 11864108 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11864108 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-09-04 | F | PT | N/A | Benet | CPT240W21227 | Lilian | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.203940661.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587004/check_11864108_64a2f7d0-6dc8-4cfb-bb77-a94ba60a61ad.json | N/A | N/A | N/A | N/A | N/A | CPT240W21227 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | ANTHEM BLUE CROSS | N/A | 1994-12-08 | 040 | C20001M1A2 | N/A | PR | false | BENET | N/A | LILIAN | N/A | 9999-12-31 | 2024-08-26 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690087188 | N/A | N/A | 7587004 | 2222 | 4802 | 12013006 | N/A | 6496624 | 2025-09-02 02:24:48.402554 | 2025-09-26 20:15:15.570978 |
| 2025-09-01 17:32:59.678339 | 2025-09-02 02:29:20.398535 | 11863495 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11863495 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-09-04 | M | PT | N/A | Gast | JQV110W08240 | Eberhard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_11863495_cc5be97c-ccc8-46ae-ba20-3b6c71dcfa87.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689979317 | N/A | N/A | 7258119 | 2222 | 4802 | 12015720 | 4184 | 6223297 | 2025-09-02 02:29:20.398535 | 2025-07-28 18:57:51.679781 |
| 2025-09-01 17:32:50.045174 | 2025-09-02 02:07:08.345580 | 11863177 | N/A | N/A | 60054 | Aetna | 1114042165 | 11863177 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-09-04 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11863177_f872f07a-c2b4-4931-87e2-8452b4eb8b4a.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 | 8689981400 | N/A | N/A | 5993951 | 2222 | 4802 | 12002614 | N/A | 4642884 | 2025-09-02 02:07:08.345580 | 2025-12-02 20:19:19.910444 |
| 2025-09-01 17:32:49.458345 | 2025-09-02 02:07:08.784313 | 11863156 | N/A | N/A | 60054 | Aetna | 1114042165 | 11863156 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-09-04 | M | AE | PT | ROSS | W292476869 | BRYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_11863156_f894dff6-076d-48c7-bffb-403a8da90e64.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 | 8689981399 | N/A | N/A | 5993949 | 2222 | 4793 | 12002619 | N/A | 4642881 | 2025-09-02 02:07:08.784313 | 2025-06-06 02:27:19.212061 |
| 2025-09-01 17:32:48.922878 | 2025-09-02 02:11:40.797203 | 11863145 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11863145 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-09-04 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_11863145_59214b0a-e036-43aa-aadc-b78856983757.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 | 8689981398 | N/A | N/A | 5993926 | 2222 | 4802 | 12004580 | N/A | 4642862 | 2025-09-02 02:11:40.797203 | 2025-05-28 20:59:09.029689 |
| 2025-09-01 17:32:48.338931 | 2025-09-02 02:10:30.572246 | 11863130 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11863130 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-04 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_11863130_683e94f3-743a-4e11-8845-2a6dcb6618bf.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 | 8689981397 | N/A | N/A | 5993907 | 2222 | 4793 | 12004106 | N/A | 4534544 | 2025-09-02 02:10:30.572246 | 2025-05-28 20:51:40.104091 |
| 2025-09-01 17:32:47.627290 | 2025-09-02 02:11:01.097661 | 11863110 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11863110 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-03 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_11863110_b1e87658-65f9-43c6-9932-3e9f6e27af62.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 | 8689981396 | N/A | N/A | 5993479 | 2222 | 4801 | 12004282 | N/A | 4219476 | 2025-09-02 02:11:01.097661 | 2025-05-28 20:18:04.039855 |
| 2025-09-01 17:32:42.061855 | 2025-09-02 02:36:51.324374 | 11862939 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11862939 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-04 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_11862939_d1a794ea-8f15-4532-861e-7b567203b3ee.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 | 8689980270 | N/A | N/A | 7204595 | 2222 | 4801 | 12018473 | N/A | 6175435 | 2025-09-02 02:36:51.324374 | 2025-08-05 19:05:08.506352 |
| 2025-09-01 17:32:31.597151 | 2025-09-02 02:22:07.846168 | 11862625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11862625 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-04 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202735933.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_11862625_8f10a325-ff8b-4516-90ba-5bc3795ac28d.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 | 8689997601 | N/A | N/A | 6522947 | 2222 | 4802 | 12010919 | N/A | 5146127 | 2025-09-02 02:22:07.846168 | 2025-06-20 17:58:23.371130 |
| 2025-09-01 17:32:27.207386 | 2025-09-02 02:29:16.344222 | 11862336 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11862336 | Athletic Physical Therapy Inc | 1993-09-05 | 2025-09-04 | M | AE | PT | UL HASSAN | 625728130 | AMMAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7177107/check_11862336_55c207ab-6f31-4379-bcce-a57cdfc81d54.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 | 8689979113 | N/A | N/A | 7177107 | 2222 | 4802 | 12015674 | N/A | 6152718 | 2025-09-02 02:29:16.344222 | 2025-09-04 23:57:57.131799 |
| 2025-09-01 17:32:22.942944 | 2025-09-02 02:29:21.856576 | 11862014 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11862014 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-04 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173793/check_11862014_4cdb2a86-4b70-4a64-8b23-a7f224b48ef7.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 | 8689979078 | N/A | N/A | 7173793 | 2222 | 4793 | 12015735 | N/A | 6149539 | 2025-09-02 02:29:21.856576 | 2025-07-17 20:34:26.073953 |
| 2025-09-01 17:32:22.376108 | 2025-09-02 02:29:47.784787 | 11861968 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11861968 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-04 | M | AE | PT | CORAY | 00003138358 | KLAUS | 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/2222/7815883/check_11861968_f010994b-bbc5-4755-98df-f4d52c8dcc13.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690142352 | N/A | N/A | 7815883 | 2222 | 4793 | 12015980 | N/A | 6655655 | 2025-09-02 02:29:47.784787 | 2025-09-09 21:32:56.328170 |
| 2025-09-01 17:32:04.114592 | 2025-09-02 02:36:52.815587 | 11860579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11860579 | Athletic Physical Therapy Inc | 1952-06-10 | 2025-09-04 | F | AE | PT | NGUYEN | 4RN2FT7MY90 | DIEM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202532012.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7039866/check_11860579_80bc84da-51f4-4785-9f8d-b344a78bb1ab.json | N/A | N/A | N/A | N/A | N/A | 4RN2FT7MY90 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-06-10 | S4802 | N/A | N/A | MA | 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 | 8689979306 | N/A | N/A | 7039866 | 2222 | 4801 | 12018481 | N/A | 6051960 | 2025-09-02 02:36:52.815587 | 2025-07-16 20:09:14.193919 |