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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-31 08:52:39.409534 | 2025-09-01 02:54:32.252461 | 11807073 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11807073 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-02 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11807073_6baa46bc-830d-4437-9fd2-03187f695e6b.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 | 8682448662 | N/A | N/A | 5568076 | 2222 | 4802 | 11842085 | N/A | 4209480 | 2025-09-01 02:54:32.252461 | 2026-04-10 02:05:15.976484 |
| 2025-08-31 08:52:19.706821 | 2025-09-01 02:38:47.184398 | 11806768 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11806768 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-02 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.115244017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11806768_daccbfbd-fc55-4d54-a189-7bb4ccd72f4b.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 | 8682411493 | N/A | N/A | 6124845 | 2222 | 4793 | 11813486 | N/A | 4767293 | 2025-09-01 02:38:47.184398 | 2025-06-06 15:11:48.015692 |
| 2025-08-31 08:52:13.853815 | 2025-09-01 02:40:38.086595 | 11806685 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 11806685 | Athletic Physical Therapy Inc | 1959-10-10 | 2025-09-03 | F | AE | PT | AV | H6124714500 | KOUI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.115244017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123813/check_11806685_8330cb17-c250-4ef9-a8fb-33dc5d84ff65.json | N/A | N/A | N/A | N/A | N/A | H61247145 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP 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 | 1959-10-10 | N/A | 0B666001 | N/A | HN | false | AV | N/A | KOUI | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682411477 | N/A | N/A | 6123813 | 2222 | 4801 | 11816913 | N/A | 4766544 | 2025-09-01 02:40:38.086595 | 2025-06-03 20:39:17.779681 |
| 2025-08-31 08:52:06.486489 | 2025-09-01 02:43:26.444516 | 11806557 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11806557 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-02 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.115244017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_11806557_0492e079-186e-42a6-88a3-a5a0783dae7d.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 | 8682411285 | N/A | N/A | 6121701 | 2222 | 4793 | 11823981 | N/A | 4764460 | 2025-09-01 02:43:26.444516 | 2025-06-04 04:30:06.494155 |
| 2025-08-31 08:51:50.032519 | 2025-09-01 02:38:46.912976 | 11806253 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11806253 | Athletic Physical Therapy Inc | 2005-06-10 | 2025-09-02 | F | PT | N/A | Kassi | 957A5554370 | Keira | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.115244017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113467/check_11806253_d6a4ffe0-7206-421c-9f9f-bb720e7fc236.json | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682411168 | N/A | N/A | 6113467 | 2222 | 4801 | 11813478 | N/A | 4756194 | 2025-09-01 02:38:46.912976 | 2025-06-02 23:03:52.087356 |
| 2025-08-31 08:51:30.048907 | 2025-09-01 02:55:53.550065 | 11805926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805926 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-09-03 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_11805926_f5679e02-9f62-41c0-a0ac-2d5cd5105760.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448278 | N/A | N/A | 5550973 | 2222 | 4793 | 11842833 | N/A | 4219803 | 2025-09-01 02:55:53.550065 | 2025-05-13 04:29:37.230842 |
| 2025-08-31 08:51:29.415116 | 2025-09-01 02:55:55.262216 | 11805917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805917 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-02 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11805917_16df8a9a-c534-4246-842e-9c36afcf24bb.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 | 8682448276 | N/A | N/A | 5550953 | 2222 | 4801 | 11842849 | N/A | 4219788 | 2025-09-01 02:55:55.262216 | 2025-06-06 22:01:46.271450 |
| 2025-08-31 08:51:28.875169 | 2025-09-01 03:01:28.933937 | 11805909 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805909 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-09-02 | F | AE | PT | STELLINI | 9PU3FY2MU09 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_11805909_e3e399cb-5780-48f5-880f-1001dccab3ba.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MB | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448275 | N/A | N/A | 5550849 | 2222 | 4802 | 11845806 | N/A | 4215221 | 2025-09-01 03:01:28.933937 | 2025-05-13 04:29:37.229536 |
| 2025-08-31 08:51:28.233983 | 2025-09-01 02:55:52.885422 | 11805898 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805898 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-09-03 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_11805898_de08c3b1-5705-49bc-aa50-91114bc35908.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448274 | N/A | N/A | 5550838 | 2222 | 4801 | 11842825 | N/A | 4219709 | 2025-09-01 02:55:52.885422 | 2025-05-13 04:29:37.230752 |
| 2025-08-31 08:51:27.654136 | 2025-09-01 02:56:45.010495 | 11805887 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805887 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-09-02 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11805887_9ba46196-cf4d-4435-b307-24df25a2af46.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 | 8682448273 | N/A | N/A | 5550827 | 2222 | 4802 | 11843320 | N/A | 4219700 | 2025-09-01 02:56:45.010495 | 2025-05-13 04:29:37.230745 |
| 2025-08-31 08:51:26.923201 | 2025-09-01 02:55:36.144263 | 11805873 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11805873 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-02 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11805873_74a1fe02-d678-4566-8373-9cc8fc1552ec.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 | 8682448272 | N/A | N/A | 5550751 | 2222 | 4801 | 11842670 | 2630 | 4219640 | 2025-09-01 02:55:36.144263 | 2025-05-13 04:29:37.230682 |
| 2025-08-31 08:51:26.301002 | 2025-09-01 02:51:56.671594 | 11805863 | N/A | N/A | 60054 | Aetna | 1114042165 | 11805863 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-02 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11805863_4d4c78e7-402f-4612-bed4-245082ade1e4.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 | 8682448271 | N/A | N/A | 5550743 | 2222 | 4801 | 11840164 | N/A | 4219643 | 2025-09-01 02:51:56.671594 | 2025-05-13 04:29:37.230685 |
| 2025-08-31 08:51:25.572754 | 2025-09-01 03:01:02.666217 | 11805851 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805851 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-02 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_11805851_d9d29b42-8998-4d17-8022-ede5c577847e.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448270 | N/A | N/A | 5550534 | 2222 | 4801 | 11845614 | N/A | 4219556 | 2025-09-01 03:01:02.666217 | 2025-05-13 04:29:37.230592 |
| 2025-08-31 08:51:24.850622 | 2025-09-01 02:55:44.492905 | 11805838 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11805838 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-09-03 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_11805838_7ab4d6e6-e48f-4976-9a08-a35d864d9a0e.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448269 | N/A | N/A | 5550102 | 2222 | 4802 | 11842745 | N/A | 4212176 | 2025-09-01 02:55:44.492905 | 2025-05-13 04:29:37.226514 |
| 2025-08-31 08:51:24.192025 | 2025-09-01 03:01:09.786669 | 11805827 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805827 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-09-02 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_11805827_efef7ece-b50c-43fc-ae53-9029d15c728e.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448268 | N/A | N/A | 5549981 | 2222 | 4802 | 11845663 | N/A | 4219436 | 2025-09-01 03:01:09.786669 | 2025-05-13 04:29:37.230471 |
| 2025-08-31 08:51:23.459079 | 2025-09-01 02:55:57.465573 | 11805813 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805813 | 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/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11805813_69bcbece-ed8f-4ec0-af61-f82d77cc073c.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448267 | N/A | N/A | 5549317 | 2222 | 4801 | 11842869 | N/A | 4219010 | 2025-09-01 02:55:57.465573 | 2026-01-09 18:32:07.618867 |
| 2025-08-31 08:51:22.602231 | 2025-09-01 02:55:22.428788 | 11805798 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11805798 | N/A | 1967-12-23 | 2025-09-02 | F | AE | PT | SOL | U9859952501 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_11805798_f020b38d-ddd8-4e33-a32f-d0be30776d00.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 | 8682448266 | N/A | N/A | 5549212 | 2222 | 4793 | 11842572 | N/A | 4218926 | 2025-09-01 02:55:22.428788 | 2025-07-30 14:07:18.779456 |
| 2025-08-31 08:51:21.784770 | 2025-09-01 03:01:04.865622 | 11805786 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805786 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-09-03 | F | AE | PT | CLARK | 8KR2PU6TJ09 | CARLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549006/check_11805786_c7465db7-0897-4ff4-9e8b-580503db6614.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part B | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MB | false | CLARK | N/A | CARLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448265 | N/A | N/A | 5549006 | 2222 | 4801 | 11845629 | N/A | 4218754 | 2025-09-01 03:01:04.865622 | 2025-05-13 04:29:37.229746 |
| 2025-08-31 08:50:59.550728 | 2025-09-01 02:55:22.050487 | 11805511 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11805511 | N/A | 1962-06-19 | 2025-09-03 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11805511_5410013a-f251-4a8a-9909-2f7c58c6b0a7.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448077 | N/A | N/A | 5543555 | 2222 | 4802 | 11842569 | N/A | 4215332 | 2025-09-01 02:55:22.050487 | 2025-08-06 16:15:15.716322 |
| 2025-08-31 08:50:58.977767 | 2025-09-01 02:54:33.445069 | 11805503 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11805503 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-09-03 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_11805503_df2b7316-be52-44fa-9b2c-319794fe8731.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2025-08-31 | 2025-03-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448076 | N/A | N/A | 5543425 | 2222 | 4801 | 11842098 | N/A | 4215211 | 2025-09-01 02:54:33.445069 | 2026-04-02 22:30:20.020246 |
| 2025-08-31 08:50:58.446769 | 2025-09-01 02:55:51.322729 | 11805496 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805496 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-02 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11805496_ce827086-65a3-4086-a43d-dc4c9f61c0bd.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 | 8682448074 | N/A | N/A | 5543355 | 2222 | 4793 | 11842810 | N/A | 4215158 | 2025-09-01 02:55:51.322729 | 2025-05-13 04:29:37.229475 |
| 2025-08-31 08:50:57.909360 | 2025-09-01 03:01:14.629870 | 11805490 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805490 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-02 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543348/check_11805490_f7dfcc83-4d68-49db-a92f-e59269e319cd.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448073 | N/A | N/A | 5543348 | 2222 | 4793 | 11845702 | N/A | 4215147 | 2025-09-01 03:01:14.629870 | 2025-05-13 04:29:37.229464 |
| 2025-08-31 08:50:57.311678 | 2025-09-01 02:56:45.653936 | 11805482 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805482 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-09-02 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11805482_8d1c264d-a8c6-43f0-ab87-efa4767fe33d.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448072 | N/A | N/A | 5543343 | 2222 | 4793 | 11843326 | N/A | 4215143 | 2025-09-01 02:56:45.653936 | 2025-05-13 04:29:37.229456 |
| 2025-08-31 08:50:56.594846 | 2025-09-01 02:51:22.822291 | 11805474 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11805474 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-09-03 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_11805474_2ab3254e-3994-4858-a64c-e993fc719485.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448071 | N/A | N/A | 5543335 | 2222 | 4802 | 11839640 | N/A | 4215139 | 2025-09-01 02:51:22.822291 | 2025-05-13 21:20:11.455022 |
| 2025-08-31 08:50:55.904053 | 2025-09-01 02:56:47.131315 | 11805463 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805463 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-09-03 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_11805463_69aacd30-e8a9-4d46-9b09-aa213bdfa996.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448070 | N/A | N/A | 5543327 | 2222 | 4802 | 11843341 | N/A | 4215137 | 2025-09-01 02:56:47.131315 | 2025-10-13 23:09:53.444170 |
| 2025-08-31 08:50:55.195405 | 2025-09-01 02:55:50.163252 | 11805452 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11805452 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-02 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11805452_ddfa8e0d-3833-430e-92f6-950a6cf135bb.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 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 2025-09-01 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448069 | N/A | N/A | 5543324 | 2222 | 4801 | 11842798 | 4184 | 4215131 | 2025-09-01 02:55:50.163252 | 2025-08-11 16:45:52.816842 |
| 2025-08-31 08:50:54.534748 | 2025-09-01 02:51:22.415247 | 11805444 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11805444 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-03 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11805444_bf34be31-b1ae-4ccf-9395-a47072915f7a.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448068 | N/A | N/A | 5543270 | 2222 | 4793 | 11839635 | N/A | 4215086 | 2025-09-01 02:51:22.415247 | 2025-05-13 04:29:37.229401 |
| 2025-08-31 08:50:53.861954 | 2025-09-01 02:56:48.256146 | 11805436 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805436 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-02 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_11805436_7c64d84a-c552-40f7-b9a0-bab0a5eaecf8.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448067 | N/A | N/A | 5543211 | 2222 | 4801 | 11843352 | N/A | 4215028 | 2025-09-01 02:56:48.256146 | 2025-05-13 04:29:37.229346 |
| 2025-08-31 08:50:53.355206 | 2025-09-01 02:54:04.913366 | 11805430 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11805430 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-03 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11805430_46629a41-6b05-4d3d-8927-f5210cbe2008.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 | 8682448066 | N/A | N/A | 5543171 | 2222 | 4793 | 11841745 | N/A | 4214998 | 2025-09-01 02:54:04.913366 | 2025-05-13 04:29:37.229318 |
| 2025-08-31 08:50:52.760162 | 2025-09-01 02:55:57.053191 | 11805421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805421 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-09-03 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_11805421_1a89871f-3ed9-4c25-816c-02b54aa2c4ab.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448065 | N/A | N/A | 5543167 | 2222 | 4793 | 11842865 | N/A | 4214995 | 2025-09-01 02:55:57.053191 | 2025-05-13 04:29:37.229315 |
| 2025-08-31 08:50:52.303045 | 2025-09-01 02:55:38.169561 | 11805415 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11805415 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-02 | F | PT | N/A | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_11805415_e7c62df6-1f96-4491-9c92-1ed18014c6dd.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448064 | N/A | N/A | 5543084 | 2222 | 4801 | 11842684 | N/A | 4214920 | 2025-09-01 02:55:38.169561 | 2025-05-13 04:29:37.229242 |
| 2025-08-31 08:50:51.610096 | 2025-09-01 03:01:26.369322 | 11805406 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805406 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-09-02 | M | AE | PT | STECHER | 4P42WA3QM82 | BRIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_11805406_2c127dad-a19c-44e9-a875-e36c1cb2ab1a.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MA | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448063 | N/A | N/A | 5543052 | 2222 | 4802 | 11845788 | N/A | 4214891 | 2025-09-01 03:01:26.369322 | 2025-05-13 04:29:37.229214 |
| 2025-08-31 08:50:51.061234 | 2025-09-01 02:55:55.605187 | 11805397 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805397 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-09-03 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_11805397_00a99f70-5f25-40c5-b2cd-2ea11e870b1a.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448062 | N/A | N/A | 5543043 | 2222 | 4801 | 11842853 | N/A | 4214884 | 2025-09-01 02:55:55.605187 | 2025-11-12 00:46:10.301659 |
| 2025-08-31 08:50:50.521405 | 2025-09-01 03:01:12.491454 | 11805389 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805389 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-09-02 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_11805389_8929369a-7f9c-469d-97ae-5d91e338b9cf.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | 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 | 8682448061 | N/A | N/A | 5542935 | 2222 | 4802 | 11845685 | N/A | 4214789 | 2025-09-01 03:01:12.491454 | 2025-12-11 23:30:31.319246 |
| 2025-08-31 08:50:49.907239 | 2025-09-01 02:55:52.203323 | 11805381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805381 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-09-03 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_11805381_e15d3ea6-af74-4e5f-8e0e-0eceed43a866.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | 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 | 8682448060 | N/A | N/A | 5542900 | 2222 | 4801 | 11842818 | N/A | 4214759 | 2025-09-01 02:55:52.203323 | 2025-05-13 04:29:37.229079 |
| 2025-08-31 08:50:49.390642 | 2025-09-01 02:56:47.933771 | 11805373 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805373 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-09-02 | M | PT | N/A | MATTHEWS | KTP903824736 | LARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_11805373_385bd6b7-70af-4b2f-abd1-dc7ecfd91ec5.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448059 | N/A | N/A | 5542899 | 2222 | 4793 | 11843348 | N/A | 4214758 | 2025-09-01 02:56:47.933771 | 2025-05-13 04:29:37.229078 |
| 2025-08-31 08:50:48.748577 | 2025-09-01 02:51:57.106001 | 11805365 | N/A | N/A | 60054 | Aetna | 1114042165 | 11805365 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-09-02 | M | AE | PT | VELASQUEZ | W290801184 | EVAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_11805365_36075b1f-1853-4b87-8e7e-70a545421cea.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448058 | N/A | N/A | 5542874 | 2222 | 4802 | 11840171 | N/A | 4214737 | 2025-09-01 02:51:57.106001 | 2025-05-13 04:29:37.229056 |
| 2025-08-31 08:50:48.197958 | 2025-09-01 02:51:55.442889 | 11805356 | N/A | N/A | 60054 | Aetna | 1114042165 | 11805356 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-03 | M | AE | PT | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_11805356_64508bf3-5ad1-4f2b-87dd-4d13de3294b6.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448057 | N/A | N/A | 5542870 | 2222 | 4793 | 11840144 | N/A | 4214732 | 2025-09-01 02:51:55.442889 | 2025-06-24 20:13:53.579048 |
| 2025-08-31 08:50:47.673762 | 2025-09-01 02:55:21.749157 | 11805349 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11805349 | N/A | 2007-12-08 | 2025-09-02 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_11805349_496760a4-50da-4c26-a36b-77772ffaca87.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 | 8682448056 | N/A | N/A | 5542850 | 2222 | 4793 | 11842568 | N/A | 4214714 | 2025-09-01 02:55:21.749157 | 2025-05-13 04:29:37.229031 |
| 2025-08-31 08:50:46.999576 | 2025-09-01 02:51:56.247284 | 11805339 | N/A | N/A | 60054 | Aetna | 1114042165 | 11805339 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-09-02 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_11805339_4c1533dc-a16f-4b5b-b83e-528b2a92cef0.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448055 | N/A | N/A | 5542759 | 2222 | 4793 | 11840159 | N/A | 4214620 | 2025-09-01 02:51:56.247284 | 2025-08-05 22:41:29.756445 |
| 2025-08-31 08:50:46.423186 | 2025-09-01 02:55:51.775308 | 11805330 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805330 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-02 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_11805330_46bab29a-86f2-4c73-8828-5f3113ccad00.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448054 | N/A | N/A | 5542750 | 2222 | 4802 | 11842812 | N/A | 4214623 | 2025-09-01 02:55:51.775308 | 2025-08-28 22:11:32.536994 |
| 2025-08-31 08:50:45.644922 | 2025-09-01 02:51:55.862329 | 11805320 | N/A | N/A | 60054 | Aetna | 1114042165 | 11805320 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-02 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_11805320_735c8bea-9020-460e-a7f8-ddb4ee14a7e6.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448053 | N/A | N/A | 5542634 | 2222 | 4801 | 11840152 | N/A | 4214520 | 2025-09-01 02:51:55.862329 | 2025-07-28 19:32:04.879318 |
| 2025-08-31 08:50:45.144815 | 2025-09-01 02:56:50.969734 | 11805312 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805312 | 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/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11805312_4b4cc8cf-1009-4ab2-a11d-4c25f32126fb.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2009-08-14 | N/A | N/A | N/A | N/A | false | WEBER | N/A | MADELINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448052 | N/A | N/A | 5542628 | 2222 | 4793 | 11843379 | N/A | 4214508 | 2025-09-01 02:56:50.969734 | 2025-06-04 00:05:22.392827 |
| 2025-08-31 08:50:44.542226 | 2025-09-01 02:55:43.793187 | 11805305 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11805305 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-02 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_11805305_fe50f29a-eeee-4780-8eb6-f7fbd4104150.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 | 8682448051 | N/A | N/A | 5542611 | 2222 | 4802 | 11842738 | N/A | 4214490 | 2025-09-01 02:55:43.793187 | 2025-05-13 04:29:37.228806 |
| 2025-08-31 08:50:43.960025 | 2025-09-01 02:55:23.374829 | 11805297 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11805297 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-02 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_11805297_453476cc-a12c-48c5-96ca-3a874a674410.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 | 2025-08-31 | 2025-01-01 | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448050 | N/A | N/A | 5542606 | 2222 | 4801 | 11842580 | N/A | 4214496 | 2025-09-01 02:55:23.374829 | 2025-05-13 04:29:37.228812 |
| 2025-08-31 08:50:43.284178 | 2025-09-01 02:55:56.769144 | 11805288 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11805288 | Athletic Physical Therapy Inc | 1962-10-12 | 2025-09-03 | F | PT | N/A | KOOMAN ANDERSON | KXJ461W13871 | SARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542565/check_11805288_c456e3bc-4a96-46fe-a02c-09e5ee9c5d0f.json | N/A | N/A | N/A | N/A | N/A | KXJ461W13871 | Health Maintenance Organization (HMO) | OAKS CHRISTIAN SCHOOL | ANTHEM BLUE CROSS | N/A | 1962-10-12 | 040 | L03502H004 | N/A | HM | false | KOOMAN ANDERSON | N/A | SARIE | N/A | 2025-09-01 | 2024-09-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448049 | N/A | N/A | 5542565 | 2222 | 4793 | 11842861 | 4184 | 4214430 | 2025-09-01 02:55:56.769144 | 2025-06-03 20:17:16.657562 |
| 2025-08-31 08:50:42.564007 | 2025-09-01 03:01:01.742020 | 11805276 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805276 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-02 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11805276_bc0185d9-7357-4c4b-8505-09a2effeb516.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448048 | N/A | N/A | 5542555 | 2222 | 4793 | 11845608 | N/A | 4214447 | 2025-09-01 03:01:01.742020 | 2026-04-23 20:11:34.441054 |
| 2025-08-31 08:50:41.673365 | 2025-09-01 03:01:39.723375 | 11805263 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805263 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-09-03 | M | AE | PT | WOLFE | 7JF6YW4EF47 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_11805263_7ab37540-f399-478a-999a-2021ea9866b7.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MB | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448047 | N/A | N/A | 5542521 | 2222 | 4801 | 11845874 | N/A | 4214422 | 2025-09-01 03:01:39.723375 | 2025-05-13 04:29:37.228745 |
| 2025-08-31 08:50:40.795671 | 2025-09-01 02:55:43.070350 | 11805247 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11805247 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-02 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11805247_e87555a2-458a-4dee-a65e-57ed08bc2974.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 | 8682448046 | N/A | N/A | 5542513 | 2222 | 4793 | 11842730 | N/A | 4214418 | 2025-09-01 02:55:43.070350 | 2025-07-03 18:12:11.075357 |
| 2025-08-31 08:50:39.933385 | 2025-09-01 02:56:00.678557 | 11805233 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805233 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-03 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.120117747.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11805233_b5b8560f-a102-4483-b890-a75d0a36fa51.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448045 | N/A | N/A | 5542387 | 2222 | 4801 | 11842901 | N/A | 4214300 | 2025-09-01 02:56:00.678557 | 2025-06-17 13:03:57.252701 |