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 08:50:39.046512 | 2025-09-01 03:01:11.091614 | 11805222 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805222 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-02 | F | AE | PT | FRANK | 6C06N65FN89 | KAREN | 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/2222/5542263/check_11805222_23b95ca4-b59a-46ea-9aac-2035d9a1c84a.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MB | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448044 | N/A | N/A | 5542263 | 2222 | 4802 | 11845676 | N/A | 4214201 | 2025-09-01 03:01:11.091614 | 2025-05-13 04:29:37.228535 |
| 2025-08-31 08:50:38.284611 | 2025-09-01 02:56:46.456945 | 11805209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805209 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-09-03 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 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/2222/5542222/check_11805209_0e1f4c1c-af22-41b6-aa0d-039b5f752e3e.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448043 | N/A | N/A | 5542222 | 2222 | 4793 | 11843334 | N/A | 4214148 | 2025-09-01 02:56:46.456945 | 2025-05-13 04:29:37.228475 |
| 2025-08-31 08:50:37.456214 | 2025-09-01 02:55:56.415508 | 11805199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805199 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-02 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_11805199_b8e0dd30-53d5-4fba-ab33-73f33a220b98.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 | 8682448040 | N/A | N/A | 5542207 | 2222 | 4802 | 11842856 | N/A | 4214152 | 2025-09-01 02:55:56.415508 | 2025-05-13 04:29:37.228479 |
| 2025-08-31 08:50:36.671197 | 2025-09-01 03:01:13.490339 | 11805189 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805189 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-09-02 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_11805189_b4a48727-8dd7-4cf9-8c3e-90c5ac89fa89.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448038 | N/A | N/A | 5542161 | 2222 | 4802 | 11845697 | N/A | 4214112 | 2025-09-01 03:01:13.490339 | 2025-05-13 04:29:37.228426 |
| 2025-08-31 08:50:35.810145 | 2025-09-01 02:56:00.368463 | 11805178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805178 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-02 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_11805178_86b7f8d5-3aa5-4f3d-8371-c065e30ed35b.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 8682448037 | N/A | N/A | 5542014 | 2222 | 4793 | 11842897 | N/A | 4213977 | 2025-09-01 02:56:00.368463 | 2025-05-13 04:29:37.228294 |
| 2025-08-31 08:50:35.231958 | 2025-09-01 02:55:15.559312 | 11805167 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11805167 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-03 | M | AE | PT | YEE | 412922301 | HARRY | 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/2222/5541972/check_11805167_1dee0be4-a368-4477-8cf2-72e9a1dd0728.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448036 | N/A | N/A | 5541972 | 2222 | 4793 | 11842509 | N/A | 4213941 | 2025-09-01 02:55:15.559312 | 2025-05-13 04:29:37.228259 |
| 2025-08-31 08:50:34.640932 | 2025-09-01 02:55:49.718521 | 11805159 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11805159 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-02 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_11805159_ddfecf7a-f903-48b8-8886-99969265e6ae.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 | 8682448035 | N/A | N/A | 5541944 | 2222 | 4801 | 11842795 | 4184 | 4213907 | 2025-09-01 02:55:49.718521 | 2025-05-13 04:29:37.228228 |
| 2025-08-31 08:50:34.136844 | 2025-09-01 03:01:18.493561 | 11805151 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11805151 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-02 | F | AE | PT | MAYER | 5J41QM7YN93 | MARY | 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/2222/5541938/check_11805151_a5ac4d9b-a231-407f-9032-59c5b7816df2.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MB | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682448034 | N/A | N/A | 5541938 | 2222 | 4801 | 11845732 | N/A | 4213917 | 2025-09-01 03:01:18.493561 | 2025-06-25 01:53:37.609327 |
| 2025-08-31 08:50:33.558358 | 2025-09-01 02:55:59.924241 | 11805140 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11805140 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-03 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_11805140_acde39e8-ccc4-4171-8fca-680ab9d80f49.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 8682448033 | N/A | N/A | 5541917 | 2222 | 4793 | 11842892 | N/A | 4213891 | 2025-09-01 02:55:59.924241 | 2025-05-13 04:29:37.228207 |
| 2025-08-31 08:50:32.941075 | 2025-09-01 02:56:46.778139 | 11805130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805130 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-03 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | 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/2222/5541730/check_11805130_44650c63-89af-414e-973b-48049bca010c.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682448032 | N/A | N/A | 5541730 | 2222 | 4793 | 11843336 | N/A | 4213725 | 2025-09-01 02:56:46.778139 | 2025-05-13 04:29:37.228045 |
| 2025-08-31 08:50:32.157096 | 2025-09-01 02:55:39.591684 | 11805114 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11805114 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-02 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | 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/2222/5541719/check_11805114_293f7d43-57da-4ef0-a76a-ddde9bf3814a.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 | 8682448031 | N/A | N/A | 5541719 | 2222 | 4801 | 11842698 | N/A | 4213712 | 2025-09-01 02:55:39.591684 | 2025-08-19 01:13:52.150115 |
| 2025-08-31 08:50:31.452355 | 2025-09-01 02:32:47.300137 | 11805095 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11805095 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-09-03 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | 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/2222/5541664/check_11805095_5c6de9ff-27af-49c4-b323-46f938bea93d.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447908 | N/A | N/A | 5541664 | 2222 | 4793 | 11807409 | N/A | 4213662 | 2025-09-01 02:32:47.300137 | 2025-05-13 04:29:37.227982 |
| 2025-08-31 08:50:30.738756 | 2025-09-01 02:56:51.463224 | 11805082 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805082 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-03 | M | PT | N/A | ZARIN | XEK905647080 | ELLA | 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/2222/5541582/check_11805082_ebdfd4a3-f233-4879-bdd1-3f913b0bec4a.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2034-11-30 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447907 | N/A | N/A | 5541582 | 2222 | 4793 | 11843380 | N/A | 4213586 | 2025-09-01 02:56:51.463224 | 2025-05-28 20:44:53.527917 |
| 2025-08-31 08:50:30.261395 | 2025-09-01 02:54:33.766767 | 11805073 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11805073 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-09-02 | F | AE | PT | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_11805073_4e808c8a-f4ec-401b-8b43-6683847b0f65.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 | 8682447905 | N/A | N/A | 5541519 | 2222 | 4802 | 11842102 | N/A | 4213530 | 2025-09-01 02:54:33.766767 | 2025-05-13 04:29:37.227860 |
| 2025-08-31 08:50:29.761331 | 2025-09-01 02:56:47.476867 | 11805060 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805060 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-09-03 | F | PT | N/A | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_11805060_0d2046c2-cc30-4a41-8c69-a64dd110412b.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447904 | N/A | N/A | 5541378 | 2222 | 4793 | 11843343 | N/A | 4213405 | 2025-09-01 02:56:47.476867 | 2025-05-13 04:29:37.227726 |
| 2025-08-31 08:50:29.337850 | 2025-09-01 02:56:50.613843 | 11805053 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805053 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-03 | M | PT | N/A | UPSON | XEA909162969 | RYAN | 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/2222/5541318/check_11805053_6fa88892-46eb-4769-b3a6-b298b67d4657.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER CUSTOM VISION PLUS 0 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447903 | N/A | N/A | 5541318 | 2222 | 4801 | 11843374 | N/A | 4213349 | 2025-09-01 02:56:50.613843 | 2025-05-13 04:29:37.227671 |
| 2025-08-31 08:50:28.895862 | 2025-09-01 02:56:46.047249 | 11805045 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805045 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-02 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_11805045_3d159ddd-5e43-423a-8265-647dca88c715.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 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447902 | N/A | N/A | 5541314 | 2222 | 4793 | 11843329 | N/A | 4213343 | 2025-09-01 02:56:46.047249 | 2025-06-06 02:21:37.603701 |
| 2025-08-31 08:50:28.307950 | 2025-09-01 02:56:50.265326 | 11805035 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805035 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-09-02 | F | PT | N/A | TRUJILLO | XED914492685 | ADRIENNE | 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/2222/5541269/check_11805035_973587dc-86b6-48eb-8383-c9bdd462fa89.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | 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 | 8682447901 | N/A | N/A | 5541269 | 2222 | 4793 | 11843372 | N/A | 4213302 | 2025-09-01 02:56:50.265326 | 2025-05-13 04:29:37.227624 |
| 2025-08-31 08:50:27.629859 | 2025-09-01 02:56:49.335710 | 11805018 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11805018 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-02 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | 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/2222/5541240/check_11805018_1ae2d9e3-9728-4e8e-ad8c-cbe568c4d6be.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447900 | N/A | N/A | 5541240 | 2222 | 4801 | 11843363 | N/A | 4213276 | 2025-09-01 02:56:49.335710 | 2025-05-13 04:29:37.227602 |
| 2025-08-31 08:50:27.131329 | 2025-09-01 02:53:19.993239 | 11805004 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 11805004 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-09-03 | F | AE | PT | BARON | H7986555300 | AIDA | 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/2222/5541086/check_11805004_ea33db4e-cb1f-46e0-bf31-e7e283b46b02.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447899 | N/A | N/A | 5541086 | 2222 | 4793 | 11841217 | N/A | 4213141 | 2025-09-01 02:53:19.993239 | 2025-05-13 04:29:37.227470 |
| 2025-08-31 08:50:26.499229 | 2025-09-01 02:55:53.208657 | 11804989 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804989 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-03 | F | PT | N/A | GALVAN GUERRERO | 904W1671720 | MARIA | 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/2222/5541035/check_11804989_38b4e1c0-0e78-44b5-8634-5db6861d310e.json | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN GUERRERO | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447898 | N/A | N/A | 5541035 | 2222 | 4801 | 11842830 | N/A | 4213091 | 2025-09-01 02:55:53.208657 | 2025-05-13 04:29:37.227417 |
| 2025-08-31 08:50:25.767755 | 2025-09-01 02:54:39.557492 | 11804976 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11804976 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-09-02 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | 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/2222/5540591/check_11804976_3e597234-bb43-469c-ae24-66e2965a8a0a.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447897 | N/A | N/A | 5540591 | 2222 | 4801 | 11842159 | N/A | 4212724 | 2025-09-01 02:54:39.557492 | 2025-07-26 22:27:37.781276 |
| 2025-08-31 08:50:25.157589 | 2025-09-01 02:56:48.976436 | 11804960 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11804960 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-03 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_11804960_b72d380d-834d-40c2-90e9-425b3c7f08ad.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447896 | N/A | N/A | 5540558 | 2222 | 4801 | 11843359 | N/A | 4212698 | 2025-09-01 02:56:48.976436 | 2025-05-13 04:29:37.227042 |
| 2025-08-31 08:50:24.545429 | 2025-09-01 03:00:59.992650 | 11804949 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804949 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-09-02 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | 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/2222/5540531/check_11804949_4a755858-61ee-445c-a656-b5ade32b89ae.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447895 | N/A | N/A | 5540531 | 2222 | 4802 | 11845598 | N/A | 4212676 | 2025-09-01 03:00:59.992650 | 2025-07-03 21:09:02.193065 |
| 2025-08-31 08:50:23.985315 | 2025-09-01 03:01:30.134843 | 11804938 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804938 | Athletic Physical Therapy Inc | 1937-03-24 | 2025-09-02 | F | AE | PT | STOPSKY | 1RY8AR3KR51 | LIDIA | 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/2222/5540229/check_11804938_a6d1160f-4d3b-4fe6-bc11-89ceb64afd48.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-03-24 | S5601 | N/A | N/A | MA | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447894 | N/A | N/A | 5540229 | 2222 | 4802 | 11845813 | N/A | 4212423 | 2025-09-01 03:01:30.134843 | 2025-05-13 04:29:37.226755 |
| 2025-08-31 08:50:23.423813 | 2025-09-01 02:54:04.310319 | 11804929 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11804929 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-09-02 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_11804929_baf61c70-7811-4d1d-a2b2-c68f19ae2486.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447893 | N/A | N/A | 5540185 | 2222 | 4802 | 11841738 | N/A | 4212381 | 2025-09-01 02:54:04.310319 | 2025-12-17 20:12:42.035054 |
| 2025-08-31 08:50:22.675432 | 2025-09-01 02:55:57.879142 | 11804916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804916 | Athletic Physical Therapy Inc | 2007-03-28 | 2025-09-03 | M | PT | N/A | MAGEN | B6YE01199897 | NADAV | 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/2222/5539958/check_11804916_9a02467b-15a2-47aa-abb8-b23411837ddc.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 2007-03-28 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447892 | N/A | N/A | 5539958 | 2222 | 4793 | 11842872 | N/A | 4212189 | 2025-09-01 02:55:57.879142 | 2025-05-13 04:29:37.226532 |
| 2025-08-31 08:50:22.035850 | 2025-09-01 02:57:07.319497 | 11804909 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11804909 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-03 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_11804909_adbe37c8-ac27-471e-8790-4b594906423d.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | N/A | N/A | N/A | false | FLEMING | N/A | CHASE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447891 | N/A | N/A | 5539901 | 2222 | 4793 | 11843526 | N/A | 4212134 | 2025-09-01 02:57:07.319497 | 2025-08-05 02:56:55.384378 |
| 2025-08-31 08:50:21.471641 | 2025-09-01 02:54:39.914553 | 11804899 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11804899 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-09-03 | F | AE | PT | WENSEL | 40065419401 | KAREN | 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/2222/5539718/check_11804899_9a58cef7-63a3-4b3e-8f03-51eaba431e6a.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-02-23 | 2025H5425001 | H5425M | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447890 | N/A | N/A | 5539718 | 2222 | 4793 | 11842163 | N/A | 4211977 | 2025-09-01 02:54:39.914553 | 2025-05-13 04:29:37.226299 |
| 2025-08-31 08:50:20.974453 | 2025-09-01 02:55:52.517452 | 11804892 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804892 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-09-03 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | 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/2222/5539664/check_11804892_db332466-8693-45ad-bf78-fe731e2dcdaf.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447889 | N/A | N/A | 5539664 | 2222 | 4793 | 11842823 | N/A | 4211935 | 2025-09-01 02:55:52.517452 | 2025-05-13 04:29:37.226259 |
| 2025-08-31 08:50:20.461619 | 2025-09-01 02:55:53.884152 | 11804883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804883 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-09-03 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | 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/2222/5539612/check_11804883_81515444-7b55-45d9-8ddc-8b59482b2117.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447888 | N/A | N/A | 5539612 | 2222 | 4793 | 11842836 | N/A | 4211892 | 2025-09-01 02:55:53.884152 | 2025-11-02 22:03:21.557202 |
| 2025-08-31 08:50:19.845827 | 2025-09-01 03:01:22.656885 | 11804873 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804873 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-09-02 | F | AE | PT | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | 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/2222/5539049/check_11804873_48884c3b-4fd3-4d20-9d7a-79ea836db3c5.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MB | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447887 | N/A | N/A | 5539049 | 2222 | 4801 | 11845763 | N/A | 4211368 | 2025-09-01 03:01:22.656885 | 2025-05-13 04:29:37.225728 |
| 2025-08-31 08:50:18.742254 | 2025-09-01 02:55:54.198826 | 11804855 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804855 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-09-03 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | 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/2222/5538693/check_11804855_f5e3efb4-7e9c-47a0-a815-55be36faa79c.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447885 | N/A | N/A | 5538693 | 2222 | 4793 | 11842840 | N/A | 4211081 | 2025-09-01 02:55:54.198826 | 2025-05-13 04:29:37.225492 |
| 2025-08-31 08:50:18.211513 | 2025-09-01 03:01:27.860621 | 11804847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804847 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-03 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | 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/2222/5538576/check_11804847_087ad89b-cb70-41f1-9f0b-dc039b489bda.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447884 | N/A | N/A | 5538576 | 2222 | 4802 | 11845798 | N/A | 4210984 | 2025-09-01 03:01:27.860621 | 2025-08-15 17:42:50.500189 |
| 2025-08-31 08:50:17.659731 | 2025-09-01 02:55:54.526307 | 11804835 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804835 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-09-03 | M | PT | N/A | HAMILTON | KZU14135950E | JAMES | 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/2222/5538409/check_11804835_38164bcf-0c4f-42b8-9ffc-c9aaa6713d36.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447883 | N/A | N/A | 5538409 | 2222 | 4801 | 11842843 | N/A | 4210828 | 2025-09-01 02:55:54.526307 | 2025-05-13 04:29:37.225234 |
| 2025-08-31 08:50:17.011689 | 2025-09-01 03:01:23.910069 | 11804825 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804825 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-09-02 | M | AE | PT | ROOFEH | 8QJ0UJ1EM45 | NADDER | 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/2222/5538287/check_11804825_59142c5f-1664-44c1-8fcc-ff0e576faf9b.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MA | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447882 | N/A | N/A | 5538287 | 2222 | 4802 | 11845770 | N/A | 4210725 | 2025-09-01 03:01:23.910069 | 2025-06-16 16:15:05.679018 |
| 2025-08-31 08:50:16.390563 | 2025-09-01 03:01:08.120587 | 11804816 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804816 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-03 | F | AE | PT | FERNANDEZ | 7XX5TU4CF61 | LISA | 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/2222/5538194/check_11804816_78060bc1-e5cf-46be-94d1-95e13138f11c.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MB | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447881 | N/A | N/A | 5538194 | 2222 | 4793 | 11845652 | N/A | 4210649 | 2025-09-01 03:01:08.120587 | 2025-06-19 18:43:58.008751 |
| 2025-08-31 08:50:15.883443 | 2025-09-01 03:01:36.619201 | 11804806 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804806 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-03 | F | AE | PT | THOMSEN | 1M31KQ8DJ99 | JANET | 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/2222/5537950/check_11804806_9b32b500-6340-4031-924e-da88097167cf.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447880 | N/A | N/A | 5537950 | 2222 | 4801 | 11845821 | N/A | 4210450 | 2025-09-01 03:01:36.619201 | 2026-05-04 21:51:25.248197 |
| 2025-08-31 08:50:15.334156 | 2025-09-01 02:54:41.803423 | 11804797 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11804797 | N/A | 1948-04-01 | 2025-09-02 | M | AE | PT | ISRAEL | 31177774001 | 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/2222/5537769/check_11804797_e3c42570-796f-4b87-979b-78935c93a2cc.json | N/A | N/A | N/A | N/A | N/A | 31177774001 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1948-04-01 | N/A | N/A | N/A | N/A | false | ISRAEL | 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 | 8682447879 | N/A | N/A | 5537769 | 2222 | 4801 | 11842183 | N/A | 4210284 | 2025-09-01 02:54:41.803423 | 2025-05-13 04:29:37.224693 |
| 2025-08-31 08:50:14.935035 | 2025-09-01 02:56:49.634578 | 11804790 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11804790 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-09-02 | F | PT | N/A | SNELL | XED912271222 | NICOLE | 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/2222/5537740/check_11804790_4eb129c0-659b-4f18-8905-7971e515672d.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447878 | N/A | N/A | 5537740 | 2222 | 4802 | 11843365 | N/A | 4210260 | 2025-09-01 02:56:49.634578 | 2025-05-13 04:29:37.224672 |
| 2025-08-31 08:50:14.454961 | 2025-09-01 03:01:01.032797 | 11804780 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804780 | Athletic Physical Therapy Inc | 1941-09-20 | 2025-09-03 | F | AE | PT | ANWAR | 1Q84U28KD79 | KAWKY | 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/2222/5537590/check_11804780_b9e106f1-42d1-466c-95f4-f69b62ed80a8.json | N/A | N/A | N/A | N/A | N/A | 1Q84U28KD79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-09-20 | S4802 | N/A | N/A | MA | false | ANWAR | N/A | KAWKY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447877 | N/A | N/A | 5537590 | 2222 | 4801 | 11845605 | N/A | 4210127 | 2025-09-01 03:01:01.032797 | 2026-04-16 20:03:01.426999 |
| 2025-08-31 08:50:13.983903 | 2025-09-01 03:01:03.701347 | 11804772 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804772 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-03 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | 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/2222/5537480/check_11804772_5cc177a1-1222-4b33-9ab6-1c7613564ba7.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MB | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447876 | N/A | N/A | 5537480 | 2222 | 4802 | 11845620 | N/A | 4210038 | 2025-09-01 03:01:03.701347 | 2025-06-02 14:57:36.820684 |
| 2025-08-31 08:50:13.496695 | 2025-09-01 02:56:49.915574 | 11804760 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11804760 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-09-02 | F | PT | N/A | SOHRAB | XED914080628 | VIDA | 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/2222/5537456/check_11804760_df6c16bb-846b-40f0-a7c3-6facb1f9f7ed.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447875 | N/A | N/A | 5537456 | 2222 | 4793 | 11843368 | N/A | 4210007 | 2025-09-01 02:56:49.915574 | 2025-05-13 04:29:37.224426 |
| 2025-08-31 08:50:12.927468 | 2025-09-01 02:51:44.475792 | 11804749 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11804749 | N/A | 2008-04-07 | 2025-09-02 | M | PT | N/A | HERRERA | LCB831759896 | JAIRO | 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/2222/5537418/check_11804749_594f0b67-7c34-4c4b-925f-c79c6fce35d9.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2008-04-07 | N/A | N/A | N/A | N/A | false | HERRERA | N/A | JAIRO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447874 | N/A | N/A | 5537418 | 2222 | 4801 | 11840006 | N/A | 4209986 | 2025-09-01 02:51:44.475792 | 2025-05-13 04:29:37.224406 |
| 2025-08-31 08:50:12.333768 | 2025-09-01 02:54:42.535275 | 11804740 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11804740 | N/A | 1957-02-16 | 2025-09-02 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_11804740_2560d1b7-536b-42cd-bf86-d612acc591a6.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447873 | N/A | N/A | 5537366 | 2222 | 4793 | 11842191 | N/A | 4209945 | 2025-09-01 02:54:42.535275 | 2025-08-13 22:24:17.841096 |
| 2025-08-31 08:50:11.729357 | 2025-09-01 02:55:58.246708 | 11804730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11804730 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-09-02 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_11804730_bcce9e48-7f5e-48bd-bde6-a2b5f50cf7ab.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447872 | N/A | N/A | 5536896 | 2222 | 4793 | 11842876 | N/A | 4209567 | 2025-09-01 02:55:58.246708 | 2025-05-13 04:29:37.223990 |
| 2025-08-31 08:50:10.621408 | 2025-09-01 02:32:46.985654 | 11804710 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11804710 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-09-02 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | 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/2222/5536162/check_11804710_91ab0b2d-bea4-43b1-b84c-2bb50d221594.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447870 | N/A | N/A | 5536162 | 2222 | 4793 | 11807406 | N/A | 4208960 | 2025-09-01 02:32:46.985654 | 2025-07-11 19:38:20.011022 |
| 2025-08-31 08:50:10.026193 | 2025-09-01 02:55:50.551671 | 11804699 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11804699 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-03 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | 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/2222/5536041/check_11804699_ee6014d3-d371-4038-a992-1ad9b0329247.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682447869 | N/A | N/A | 5536041 | 2222 | 4802 | 11842801 | 4184 | 4208856 | 2025-09-01 02:55:50.551671 | 2025-05-13 04:29:37.223284 |
| 2025-08-31 08:50:09.357122 | 2025-09-01 02:55:37.026289 | 11804691 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11804691 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-09-03 | M | AE | PT | CHISARI | 00000386684 | THOMAS | 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/2222/5536007/check_11804691_e5523eba-875a-4b07-8f99-f5997d98293d.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 8682447868 | N/A | N/A | 5536007 | 2222 | 4793 | 11842674 | N/A | 4208829 | 2025-09-01 02:55:37.026289 | 2025-06-03 01:05:45.663969 |
| 2025-08-31 08:50:08.755606 | 2025-09-01 03:01:38.048950 | 11804679 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11804679 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-03 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | 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/2222/5535838/check_11804679_6415c1df-1ba0-46be-bea8-4a165524e30c.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682447867 | N/A | N/A | 5535838 | 2222 | 4801 | 11845865 | N/A | 4208696 | 2025-09-01 03:01:38.048950 | 2025-06-07 16:16:45.844566 |