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 17:32:01.274046 | 2025-09-02 02:36:50.563577 | 11860322 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11860322 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-04 | F | AE | PT | BALLETTA | 4JJ4X54RC07 | LYNDA | 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/2222/7035993/check_11860322_e53d58c5-4d98-45d7-a403-499d69ac1c47.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MB | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689979275 | N/A | N/A | 7035993 | 2222 | 4793 | 12018469 | N/A | 6048781 | 2025-09-02 02:36:50.563577 | 2025-07-22 23:03:15.103027 |
| 2025-09-01 17:31:54.473617 | 2025-09-02 02:29:22.217500 | 11859739 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11859739 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-09-04 | F | PT | N/A | TIFFIN | JQW831W13969 | ANITA | 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/2222/7021806/check_11859739_9c5d4c91-921b-4674-a85d-118fe4ec84b6.json | N/A | N/A | N/A | N/A | N/A | JQW831W13969 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1956-08-13 | 040 | CAMCRWP0 | N/A | MP | false | TIFFIN | N/A | ANITA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981051 | N/A | N/A | 7021806 | 2222 | 4793 | 12015740 | N/A | 6037048 | 2025-09-02 02:29:22.217500 | 2025-07-19 15:02:14.947011 |
| 2025-09-01 17:31:44.708771 | 2025-09-02 02:29:19.595732 | 11859010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11859010 | Athletic Physical Therapy Inc | 1947-03-21 | 2025-09-04 | M | PT | N/A | FERRALL | 480M9267310 | 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/2222/7001790/check_11859010_1a396104-b889-4ebd-8ff3-f492810d6864.json | N/A | N/A | N/A | N/A | N/A | 480M9267310 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-03-21 | N/A | N/A | N/A | N/A | false | FERRALL | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689980748 | N/A | N/A | 7001790 | 2222 | 4801 | 12015712 | N/A | 6020056 | 2025-09-02 02:29:19.595732 | 2025-07-14 21:10:04.704842 |
| 2025-09-01 17:31:42.531165 | 2025-09-02 02:36:51.677467 | 11858872 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11858872 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-09-04 | F | AE | PT | FRITH SMITH | 9M69RM7JM34 | BARBARA | 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/2222/6998367/check_11858872_21ef1060-4993-46f9-a1f0-1c6604d3fc7b.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MB | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689980720 | N/A | N/A | 6998367 | 2222 | 4801 | 12018475 | N/A | 6017959 | 2025-09-02 02:36:51.677467 | 2025-07-14 18:22:35.995798 |
| 2025-09-01 17:31:29.837201 | 2025-09-02 02:29:20.733350 | 11858082 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11858082 | Athletic Physical Therapy Inc | 1957-07-02 | 2025-09-04 | F | PT | N/A | HEET | NCF335A78493 | MARY | 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/2222/6971855/check_11858082_bdc0a169-48bd-4d14-af18-48925b53ed24.json | N/A | N/A | N/A | N/A | N/A | 9U73KW0FR19 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1957-07-02 | 040 | 280612H004 | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689980496 | N/A | N/A | 6971855 | 2222 | 4793 | 12015724 | N/A | 5993849 | 2025-09-02 02:29:20.733350 | 2025-07-24 01:56:09.463748 |
| 2025-09-01 17:31:24.181498 | 2025-09-02 02:25:34.203456 | 11857723 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11857723 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-09-02 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.203940661.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_11857723_6d60186c-d20a-4ea8-b32d-f79d25e7b6f7.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690087702 | N/A | N/A | 7513987 | 2222 | 4802 | 12013526 | N/A | 6451061 | 2025-09-02 02:25:34.203456 | 2025-07-28 22:43:26.605856 |
| 2025-09-01 17:31:16.874596 | 2025-09-02 02:10:28.074329 | 11857145 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11857145 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-09-04 | F | AE | PT | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_11857145_8f5f03de-af0c-4ae7-b9b7-764973a089d1.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689981381 | N/A | N/A | 5874461 | 2222 | 4801 | 12004086 | N/A | 4534583 | 2025-09-02 02:10:28.074329 | 2025-05-27 21:59:00.919365 |
| 2025-09-01 17:31:16.813172 | 2025-09-02 02:16:02.646858 | 11857140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11857140 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-09-04 | M | AE | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11857140_5904e7b3-8edd-4ce3-9999-b6c8610af30e.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MB | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689981380 | N/A | N/A | 5874455 | 2222 | 4801 | 12007111 | N/A | 4534577 | 2025-09-02 02:16:02.646858 | 2025-06-18 18:41:30.608585 |
| 2025-09-01 17:31:16.738432 | 2025-09-02 02:11:43.157041 | 11857135 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11857135 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-09-04 | F | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_11857135_a16c2df2-399d-4b30-a2f3-331fac92fa97.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981379 | N/A | N/A | 5874430 | 2222 | 4802 | 12004599 | N/A | 4534559 | 2025-09-02 02:11:43.157041 | 2025-06-06 02:13:35.698378 |
| 2025-09-01 17:31:08.886420 | 2025-09-02 02:29:20.043163 | 11856562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11856562 | Athletic Physical Therapy Inc | 1967-05-29 | 2025-09-04 | M | PT | N/A | FINN | JQU683A20101 | PATRICK | 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/2222/6938589/check_11856562_4965e191-cce3-471a-b279-59022c2cca97.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1967-05-29 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689979797 | N/A | N/A | 6938589 | 2222 | 4793 | 12015716 | N/A | 5969280 | 2025-09-02 02:29:20.043163 | 2025-07-09 21:37:07.694893 |
| 2025-09-01 17:31:03.725071 | 2025-09-02 02:10:40.633423 | 11856198 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11856198 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-04 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_11856198_4d23328e-e96e-48c1-82d9-8a196f6e4692.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689982487 | N/A | N/A | 5676399 | 2222 | 4793 | 12004188 | 2630 | 4343454 | 2025-09-02 02:10:40.633423 | 2025-05-13 04:29:37.230932 |
| 2025-09-01 17:31:03.663870 | 2025-09-02 02:16:03.023379 | 11856194 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11856194 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-09-04 | F | AE | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_11856194_0a957136-e346-41c5-a1ce-b7417ce869a3.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MB | 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 | 8689982486 | N/A | N/A | 5676388 | 2222 | 4793 | 12007114 | N/A | 4343445 | 2025-09-02 02:16:03.023379 | 2025-05-14 09:06:09.407736 |
| 2025-09-01 17:31:03.601827 | 2025-09-02 02:07:07.915531 | 11856189 | N/A | N/A | 60054 | Aetna | 1114042165 | 11856189 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-04 | M | AE | PT | ARROW | 101393152200 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_11856189_976d354c-b55f-4cb4-ac3f-a7ba2fa5f66c.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 | 8689982484 | N/A | N/A | 5676385 | 2222 | 4802 | 12002610 | N/A | 4343439 | 2025-09-02 02:07:07.915531 | 2025-05-13 04:29:37.230918 |
| 2025-09-01 17:31:03.527938 | 2025-09-02 02:11:00.168680 | 11856183 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11856183 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_11856183_c0171051-24e9-44d5-abd2-48bde63ed1c7.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 | 8689982482 | N/A | N/A | 5676340 | 2222 | 4793 | 12004274 | 4184 | 4210531 | 2025-09-02 02:11:00.168680 | 2025-12-09 17:09:13.960610 |
| 2025-09-01 17:30:58.793413 | 2025-09-02 02:30:34.970948 | 11855856 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11855856 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-09-04 | M | PT | N/A | Shachory | XEK906003800 | Rafael | 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/2222/6919729/check_11855856_e6c06a9e-71cf-4bbf-a523-4ffe72077434.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689979381 | N/A | N/A | 6919729 | 2222 | 4793 | 12016380 | N/A | 5950744 | 2025-09-02 02:30:34.970948 | 2025-07-10 00:33:25.010317 |
| 2025-09-01 17:30:58.719338 | 2025-09-02 02:29:16.693178 | 11855851 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11855851 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-09-04 | M | AE | PT | KIM | 96135332F | JOSEPH | 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/2222/6917652/check_11855851_8990f0ef-b835-4f87-aed0-e34c7f0935d9.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689979380 | N/A | N/A | 6917652 | 2222 | 4802 | 12015678 | N/A | 5949044 | 2025-09-02 02:29:16.693178 | 2025-07-08 23:15:13.625855 |
| 2025-09-01 17:30:57.600795 | 2025-09-02 02:24:06.622901 | 11855776 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11855776 | N/A | 1949-09-08 | 2025-09-04 | F | AE | PT | DRATLER | 40069518001 | LILLIAN | 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/2222/7459515/check_11855776_fd85af86-894a-406c-b5bf-803df2c6ae0b.json | N/A | N/A | N/A | N/A | N/A | 40069518001 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1949-09-08 | N/A | N/A | N/A | N/A | false | DRATLER | N/A | LILLIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690086932 | N/A | N/A | 7459515 | 2222 | 4801 | 12012468 | N/A | 6408333 | 2025-09-02 02:24:06.622901 | 2025-08-25 14:29:09.086491 |
| 2025-09-01 17:30:55.938470 | 2025-09-02 02:22:09.936566 | 11855662 | N/A | N/A | 60054 | Aetna | 1114042165 | 11855662 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-09-04 | F | AE | PT | TRUONG | W285894295 | TARA | 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/2222/7458419/check_11855662_8379a9ea-d389-479b-9932-13a41c09a93c.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8690086691 | N/A | N/A | 7458419 | 2222 | 4801 | 12010942 | N/A | 6407374 | 2025-09-02 02:22:09.936566 | 2025-07-25 20:45:12.336863 |
| 2025-09-01 17:30:53.564476 | 2025-09-02 02:24:48.794544 | 11855501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11855501 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-09-04 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | 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/2222/7456267/check_11855501_6299b836-df23-47bb-a3d9-eb9f51bcd9dc.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8690086651 | N/A | N/A | 7456267 | 2222 | 4793 | 12013011 | N/A | 6405582 | 2025-09-02 02:24:48.794544 | 2025-08-04 21:58:38.426681 |
| 2025-09-01 17:30:52.265964 | 2025-09-02 02:09:50.695935 | 11855411 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11855411 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-04 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11855411_3ee5595a-4108-4e0f-9024-89ae0a03dbb6.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 | 8689981872 | N/A | N/A | 5568076 | 2222 | 4802 | 12003804 | N/A | 4209480 | 2025-09-02 02:09:50.695935 | 2026-04-10 02:05:15.976484 |
| 2025-09-01 17:30:47.410602 | 2025-09-02 02:10:59.142342 | 11855102 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11855102 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11855102_7dbe9512-5a72-4e63-a748-610d15d0d49a.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 | 8689981606 | N/A | N/A | 5550953 | 2222 | 4801 | 12004266 | N/A | 4219788 | 2025-09-02 02:10:59.142342 | 2025-06-06 22:01:46.271450 |
| 2025-09-01 17:30:47.330753 | 2025-09-02 02:11:42.367398 | 11855096 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11855096 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_11855096_a1dcecfe-6a73-4bd7-b0b2-e8511c9952df.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 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981605 | N/A | N/A | 5550845 | 2222 | 4801 | 12004592 | N/A | 4219713 | 2025-09-02 02:11:42.367398 | 2025-08-13 22:46:55.732965 |
| 2025-09-01 17:30:47.258893 | 2025-09-02 02:11:41.176798 | 11855090 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11855090 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11855090_778b0816-3e38-4781-a5d0-bb261a092929.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981604 | N/A | N/A | 5550827 | 2222 | 4802 | 12004583 | N/A | 4219700 | 2025-09-02 02:11:41.176798 | 2025-05-13 04:29:37.230745 |
| 2025-09-01 17:30:47.140624 | 2025-09-02 02:10:39.679466 | 11855087 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11855087 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-04 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11855087_64849fa6-b173-4739-9970-376f1827f0e9.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 | 8689981603 | N/A | N/A | 5550751 | 2222 | 4801 | 12004181 | 2630 | 4219640 | 2025-09-02 02:10:39.679466 | 2025-05-13 04:29:37.230682 |
| 2025-09-01 17:30:47.080763 | 2025-09-02 02:07:09.138861 | 11855082 | N/A | N/A | 60054 | Aetna | 1114042165 | 11855082 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-04 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11855082_41ff81cd-0e10-4e1a-bea6-453f9473a219.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 | 8689981601 | N/A | N/A | 5550743 | 2222 | 4801 | 12002624 | N/A | 4219643 | 2025-09-02 02:07:09.138861 | 2025-05-13 04:29:37.230685 |
| 2025-09-01 17:30:47.007413 | 2025-09-02 02:16:01.680232 | 11855079 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11855079 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-04 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_11855079_882bf82f-da53-4422-b642-1ff07b41404b.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 | 8689981600 | N/A | N/A | 5550534 | 2222 | 4801 | 12007104 | N/A | 4219556 | 2025-09-02 02:16:01.680232 | 2025-05-13 04:29:37.230592 |
| 2025-09-01 17:30:46.946460 | 2025-09-02 02:11:00.770836 | 11855075 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11855075 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_11855075_e1aaa50a-fe61-40d7-9335-901c964df2c8.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 | 8689981599 | N/A | N/A | 5549817 | 2222 | 4793 | 12004279 | 4184 | 4211143 | 2025-09-02 02:11:00.770836 | 2025-05-31 20:12:37.092503 |
| 2025-09-01 17:30:46.889314 | 2025-09-02 02:10:59.865105 | 11855073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11855073 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11855073_09d06da7-67d8-40ef-a7d7-df9442231f2f.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 | 8689981598 | N/A | N/A | 5549317 | 2222 | 4801 | 12004272 | N/A | 4219010 | 2025-09-02 02:10:59.865105 | 2026-01-09 18:32:07.618867 |
| 2025-09-01 17:30:46.823746 | 2025-09-02 02:10:30.201445 | 11855068 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11855068 | N/A | 1967-12-23 | 2025-09-04 | F | AE | PT | SOL | U9859952501 | ISABEL | 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/2222/5549212/check_11855068_dafd4bb8-77da-49c3-8437-d4aa62c5fb1b.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 | 8689981597 | N/A | N/A | 5549212 | 2222 | 4793 | 12004103 | N/A | 4218926 | 2025-09-02 02:10:30.201445 | 2025-07-30 14:07:18.779456 |
| 2025-09-01 17:30:46.000990 | 2025-09-02 02:10:58.807943 | 11855025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11855025 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11855025_9865e903-024d-49a5-8ddc-a764e2d5b8f0.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 | 8689981585 | N/A | N/A | 5543355 | 2222 | 4793 | 12004264 | N/A | 4215158 | 2025-09-02 02:10:58.807943 | 2025-05-13 04:29:37.229475 |
| 2025-09-01 17:30:45.923650 | 2025-09-02 02:10:58.177058 | 11855021 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11855021 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11855021_5a818610-c9c3-42e9-922e-3e3885130845.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 | 8689981584 | N/A | N/A | 5543324 | 2222 | 4801 | 12004258 | 4184 | 4215131 | 2025-09-02 02:10:58.177058 | 2025-08-11 16:45:52.816842 |
| 2025-09-01 17:30:45.850618 | 2025-09-02 02:11:42.741615 | 11855018 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11855018 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_11855018_12cb2dd7-d7bc-4891-9025-35940612b89a.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 | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981583 | N/A | N/A | 5543211 | 2222 | 4801 | 12004596 | N/A | 4215028 | 2025-09-02 02:11:42.741615 | 2025-05-13 04:29:37.229346 |
| 2025-09-01 17:30:45.788023 | 2025-09-02 02:09:27.922504 | 11855014 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11855014 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11855014_db0969af-42ce-4c46-818e-cf93452a9187.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 | 8689981582 | N/A | N/A | 5543171 | 2222 | 4793 | 12003610 | N/A | 4214998 | 2025-09-02 02:09:27.922504 | 2025-05-13 04:29:37.229318 |
| 2025-09-01 17:30:45.718362 | 2025-09-02 02:10:29.878645 | 11855010 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11855010 | N/A | 2007-12-08 | 2025-09-03 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_11855010_97114fba-ca44-41f8-9621-9183d223af0d.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 | 8689981581 | N/A | N/A | 5542850 | 2222 | 4793 | 12004100 | N/A | 4214714 | 2025-09-02 02:10:29.878645 | 2025-05-13 04:29:37.229031 |
| 2025-09-01 17:30:45.637914 | 2025-09-02 02:09:51.945119 | 11855006 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11855006 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-04 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11855006_9ad3cc8a-525b-436a-be28-fc4ff9cc423f.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 | 8689981580 | N/A | N/A | 5542660 | 2222 | 4802 | 12003814 | N/A | 4214542 | 2025-09-02 02:09:51.945119 | 2025-05-13 04:29:37.228868 |
| 2025-09-01 17:30:45.566576 | 2025-09-02 02:11:52.286975 | 11855001 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11855001 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11855001_e8ff8539-c57d-443c-aff9-dba6c4c006b7.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 | 8689981579 | N/A | N/A | 5542628 | 2222 | 4793 | 12004673 | N/A | 4214508 | 2025-09-02 02:11:52.286975 | 2025-06-04 00:05:22.392827 |
| 2025-09-01 17:30:45.500841 | 2025-09-02 02:16:03.741204 | 11854999 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11854999 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-09-04 | M | AE | PT | NEILSON | 2VG5XR5CT78 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_11854999_4c778226-6dc5-40d2-9bf4-a76f4391c7a4.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MB | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8689981578 | N/A | N/A | 5542623 | 2222 | 4801 | 12007119 | N/A | 4214511 | 2025-09-02 02:16:03.741204 | 2025-05-13 04:29:37.228826 |
| 2025-09-01 17:30:45.439791 | 2025-09-02 02:10:53.701629 | 11854996 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11854996 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-04 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_11854996_620d1ab8-0c47-45ce-9c9b-196400d01601.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 | 8689981577 | N/A | N/A | 5542611 | 2222 | 4802 | 12004233 | N/A | 4214490 | 2025-09-02 02:10:53.701629 | 2025-05-13 04:29:37.228806 |
| 2025-09-01 17:30:45.370859 | 2025-09-02 02:10:30.932585 | 11854992 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11854992 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-04 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_11854992_b8314e04-be1c-4d6c-a6d9-63fc0ddf1975.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 | 8689981576 | N/A | N/A | 5542606 | 2222 | 4801 | 12004110 | N/A | 4214496 | 2025-09-02 02:10:30.932585 | 2025-05-13 04:29:37.228812 |
| 2025-09-01 17:30:45.297050 | 2025-09-02 02:10:52.062658 | 11854988 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11854988 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-04 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11854988_2d94cf0f-4366-4a0e-a4c9-31903d59664d.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 | 8689981575 | N/A | N/A | 5542513 | 2222 | 4793 | 12004224 | N/A | 4214418 | 2025-09-02 02:10:52.062658 | 2025-07-03 18:12:11.075357 |
| 2025-09-01 17:30:45.217484 | 2025-09-02 02:11:40.373745 | 11854985 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11854985 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11854985_b13191fa-b5a8-4555-98e1-06ea21aff36c.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 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981574 | N/A | N/A | 5542259 | 2222 | 4802 | 12004579 | N/A | 4214195 | 2025-09-02 02:11:40.373745 | 2025-05-13 04:29:37.228529 |
| 2025-09-01 17:30:45.157177 | 2025-09-02 02:10:59.512347 | 11854983 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11854983 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_11854983_c2300f4d-e64b-4ba3-a327-1695f6bb933d.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 | 8689981572 | N/A | N/A | 5542207 | 2222 | 4802 | 12004268 | N/A | 4214152 | 2025-09-02 02:10:59.512347 | 2025-05-13 04:29:37.228479 |
| 2025-09-01 17:30:45.068335 | 2025-09-02 02:10:40.945476 | 11854978 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11854978 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-09-04 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_11854978_3bf483d1-8125-4ffc-940f-680c6be40b6f.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 | 8689981570 | N/A | N/A | 5542046 | 2222 | 4801 | 12004191 | 2630 | 4214001 | 2025-09-02 02:10:40.945476 | 2025-05-13 04:29:37.228323 |
| 2025-09-01 17:30:44.997326 | 2025-09-02 02:10:54.644487 | 11854976 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11854976 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-04 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11854976_6ff21380-1ece-49ec-9e38-a02171de3399.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 | 8689981568 | N/A | N/A | 5541984 | 2222 | 4802 | 12004236 | N/A | 4213934 | 2025-09-02 02:10:54.644487 | 2026-01-27 23:36:44.802366 |
| 2025-09-01 17:30:44.921482 | 2025-09-02 02:10:57.841002 | 11854972 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11854972 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_11854972_c7bdd9b9-5a78-4733-8991-63c87cde7935.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 | 8689981567 | N/A | N/A | 5541944 | 2222 | 4801 | 12004256 | 4184 | 4213907 | 2025-09-02 02:10:57.841002 | 2025-05-13 04:29:37.228228 |
| 2025-09-01 17:30:44.851876 | 2025-09-02 02:10:42.308641 | 11854969 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11854969 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-04 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_11854969_57e15203-f566-4540-8f63-3b35f0e3745a.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 | 8689981566 | N/A | N/A | 5541719 | 2222 | 4801 | 12004202 | N/A | 4213712 | 2025-09-02 02:10:42.308641 | 2025-08-19 01:13:52.150115 |
| 2025-09-01 17:30:44.783976 | 2025-09-02 02:09:52.324269 | 11854966 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11854966 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-09-04 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_11854966_5781a493-901e-4bbd-8a19-468b01caffcb.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 | 8689981565 | N/A | N/A | 5541519 | 2222 | 4802 | 12003818 | N/A | 4213530 | 2025-09-02 02:09:52.324269 | 2025-05-13 04:29:37.227860 |
| 2025-09-01 17:30:44.705335 | 2025-09-02 02:11:00.465645 | 11854962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11854962 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_11854962_f8112531-9931-4e05-bcd5-2cfa431f80ff.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 | 8689981564 | N/A | N/A | 5541518 | 2222 | 4793 | 12004276 | N/A | 4213526 | 2025-09-02 02:11:00.465645 | 2025-11-13 19:34:43.197819 |
| 2025-09-01 17:30:44.634929 | 2025-09-02 02:14:57.701449 | 11854960 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11854960 | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-03 | M | AE | PT | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541349/check_11854960_4754d39a-02e8-41e0-9320-a418d3b175d3.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 | 8689981563 | N/A | N/A | 5541349 | 2222 | 4793 | 12006510 | N/A | 4213376 | 2025-09-02 02:14:57.701449 | 2025-09-22 23:59:39.068790 |
| 2025-09-01 17:30:44.060037 | 2025-09-02 02:11:41.955960 | 11854949 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11854949 | 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/272741.20250901.202720640.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_11854949_622c8a69-496b-49fb-a5ea-d329cbdcf31b.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8689981562 | N/A | N/A | 5541314 | 2222 | 4793 | 12004589 | N/A | 4213343 | 2025-09-02 02:11:41.955960 | 2025-06-06 02:21:37.603701 |