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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | 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 08:23:55.151160 | 2025-09-01 02:20:05.324684 | 11791201 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11791201 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-09-02 | M | PT | Bolton | XEK910377236 | Stephen | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_11791201_6f3a21bb-9525-48de-ada9-e4317a357dd1.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682353384 | N/A | N/A | 6814151 | 2222 | 4793 | 11795314 | N/A | 5856522 | 2025-09-01 02:20:05.324684 | 2025-07-10 02:16:48.328344 |
| 2025-08-31 08:23:55.064428 | 2025-09-01 05:42:46.961198 | 11791197 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11791197 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-09-02 | M | AE | KORNREICH | JQE348W01443 | DALE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112028633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449401/check_11791197_b7491dfd-1a51-40f1-b4ba-6e408c1c047f.json | N/A | N/A | N/A | N/A | N/A | JQE348W01443 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1954-10-03 | 040 | CASUPWP0 | N/A | N/A | false | KORNREICH | N/A | DALE | N/A | 9999-12-31 | 2019-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682362511 | N/A | N/A | 7449401 | 2222 | 4793 | 11909832 | N/A | 6399188 | 2025-09-01 05:42:46.961198 | 2025-07-24 22:52:42.400774 |
| 2025-08-31 08:23:53.148541 | 2025-09-01 02:16:39.330884 | 11791125 | N/A | N/A | 60054 | Aetna | 1114042165 | 11791125 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-09-02 | M | AE | RAFIQI | W291629581 | ROMAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_11791125_30f106c4-3229-44ac-84fd-fc401f49db33.json | N/A | N/A | N/A | N/A | N/A | W291506071 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682353380 | N/A | N/A | 6813848 | 2222 | 4801 | 11791592 | N/A | 5856139 | 2025-09-01 02:16:39.330884 | 2025-07-22 03:39:47.404623 |
| 2025-08-31 08:23:32.341858 | 2025-09-01 02:42:51.356214 | 11790463 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11790463 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-03 | F | AE | FERNANDEZ | JQC95483183F | LISA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_11790463_3e871bd3-acde-4dda-8fa6-34e76c46c7d9.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682373284 | N/A | N/A | 5858692 | 2222 | 4793 | 11822394 | N/A | 4210649 | 2025-09-01 02:42:51.356214 | 2025-06-19 18:43:58.008751 |
| 2025-08-31 08:23:15.016861 | 2025-09-01 02:37:59.905630 | 11789955 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11789955 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-09-02 | F | AE | STELLINI | 08533317011 | DONNA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550852/check_11789955_1fd0f4a5-e8d1-424e-af5c-128a6a7ba041.json | N/A | N/A | N/A | N/A | N/A | 08533317011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-14 | N/A | N/A | N/A | SP | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372660 | N/A | N/A | 5550852 | 2222 | 4802 | 11812012 | N/A | 4215221 | 2025-09-01 02:37:59.905630 | 2025-05-13 04:29:37.229536 |
| 2025-08-31 08:23:14.926155 | 2025-09-01 02:42:50.435432 | 11789954 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789954 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-02 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_11789954_2f6976c5-92d7-40be-98a1-d31cd539d129.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372659 | N/A | N/A | 5550535 | 2222 | 4801 | 11822350 | N/A | 4219556 | 2025-09-01 02:42:50.435432 | 2025-05-13 04:29:37.230592 |
| 2025-08-31 08:23:14.838279 | 2025-09-01 02:42:51.088369 | 11789953 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789953 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-09-03 | F | AE | CLARK | JQE233M78857 | CARLA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549007/check_11789953_43182123-50ab-4b7a-82ad-c3574e184e0f.json | N/A | N/A | N/A | N/A | N/A | JQE233M78857 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-10 | 040 | CASUPWP0 | N/A | N/A | false | CLARK | N/A | CARLA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372658 | N/A | N/A | 5549007 | 2222 | 4801 | 11822380 | N/A | 4218754 | 2025-09-01 02:42:51.088369 | 2025-05-13 04:29:37.229746 |
| 2025-08-31 08:23:14.234048 | 2025-09-01 02:42:53.219601 | 11789937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789937 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-02 | F | AE | HOWARD | JQE896M91712 | JUDI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_11789937_39b12e51-cf62-4803-8cbf-bb950593e902.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372652 | N/A | N/A | 5543352 | 2222 | 4793 | 11822478 | N/A | 4215147 | 2025-09-01 02:42:53.219601 | 2025-05-13 04:29:37.229464 |
| 2025-08-31 08:23:14.123873 | 2025-09-01 02:37:59.666532 | 11789935 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11789935 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-09-02 | M | AE | STECHER | 34232537512 | BRIAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_11789935_a352bc71-a5f3-4f96-a14f-71038fa26273.json | N/A | N/A | N/A | N/A | N/A | 34232537512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-18 | N/A | N/A | N/A | SP | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372651 | N/A | N/A | 5543053 | 2222 | 4802 | 11812003 | N/A | 4214891 | 2025-09-01 02:37:59.666532 | 2025-05-13 04:29:37.229214 |
| 2025-08-31 08:23:14.015357 | 2025-09-01 02:41:15.783375 | 11789932 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11789932 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-09-02 | F | AE | GOLDBERG | U51264966 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_11789932_c0276be1-50ee-4491-941d-fe6e15b0d46c.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372650 | N/A | N/A | 5542937 | 2222 | 4802 | 11818309 | N/A | 4214789 | 2025-09-01 02:41:15.783375 | 2025-12-11 23:30:31.319246 |
| 2025-08-31 08:23:13.906040 | 2025-09-01 02:42:53.800848 | 11789929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789929 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-09-03 | M | AE | WOLFE | JQE620W02902 | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542524/check_11789929_b614710f-9d57-44de-9f31-b2f5ce251720.json | N/A | N/A | N/A | N/A | N/A | JQE620W02902 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-11-21 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | KEVIN | N/A | 9999-12-31 | 2019-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372593 | N/A | N/A | 5542524 | 2222 | 4801 | 11822508 | N/A | 4214422 | 2025-09-01 02:42:53.800848 | 2025-05-13 04:29:37.228745 |
| 2025-08-31 08:23:13.807061 | 2025-09-01 02:42:52.341977 | 11789926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789926 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-02 | F | AE | FRANK | JQE134A79727 | KAREN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_11789926_749b3fe7-cb2c-4638-bda0-0f2b14b90fe2.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372592 | N/A | N/A | 5542269 | 2222 | 4802 | 11822435 | N/A | 4214201 | 2025-09-01 02:42:52.341977 | 2025-05-13 04:29:37.228535 |
| 2025-08-31 08:23:13.709136 | 2025-09-01 02:37:59.420450 | 11789924 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11789924 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-09-02 | F | AE | GRINBERG | 04690155011 | HANNA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_11789924_ba6ed075-0fb5-409c-94e3-a61abee15ca2.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372591 | N/A | N/A | 5542163 | 2222 | 4802 | 11811995 | N/A | 4214112 | 2025-09-01 02:37:59.420450 | 2025-05-13 04:29:37.228426 |
| 2025-08-31 08:23:13.608116 | 2025-09-01 02:42:52.002189 | 11789921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789921 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-09-03 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_11789921_7939c245-448e-4079-9f12-60e929aed2bb.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682372590 | N/A | N/A | 5539665 | 2222 | 4793 | 11822420 | N/A | 4211935 | 2025-09-01 02:42:52.002189 | 2025-05-13 04:29:37.226259 |
| 2025-08-31 08:23:13.500645 | 2025-09-01 02:42:53.514320 | 11789919 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11789919 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-09-02 | F | AE | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539052/check_11789919_f360c156-922e-4a24-b119-7f7b77a5c41c.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372589 | N/A | N/A | 5539052 | 2222 | 4801 | 11822495 | N/A | 4211368 | 2025-09-01 02:42:53.514320 | 2025-05-13 04:29:37.225728 |
| 2025-08-31 08:23:13.286218 | 2025-09-01 02:42:33.196529 | 11789914 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11789914 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-03 | F | AE | THOMSEN | R12604487 | JANET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_11789914_423e0177-80eb-4bb4-9a79-778b902b374e.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-08-31 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372587 | N/A | N/A | 5537953 | 2222 | 4801 | 11821615 | N/A | 4210450 | 2025-09-01 02:42:33.196529 | 2026-05-04 21:51:25.248197 |
| 2025-08-31 08:23:13.178111 | 2025-09-01 02:37:59.177959 | 11789908 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11789908 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-03 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_11789908_7f5b3fe5-8de0-493a-8785-5a9da7401cb5.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372585 | N/A | N/A | 5537483 | 2222 | 4802 | 11811987 | N/A | 4210038 | 2025-09-01 02:37:59.177959 | 2025-06-02 14:57:36.820684 |
| 2025-08-31 08:23:13.085661 | 2025-09-01 02:38:00.216416 | 11789905 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11789905 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-03 | M | AE | ULLMAN | 557489000 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_11789905_aa60d27e-3633-4dab-b422-3dd404d2e8ae.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | 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 | 8682372584 | N/A | N/A | 5535842 | 2222 | 4801 | 11812020 | N/A | 4208696 | 2025-09-01 02:38:00.216416 | 2025-06-07 16:16:45.844566 |
| 2025-08-31 08:23:12.992080 | 2025-09-01 02:43:45.144930 | 11789902 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11789902 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-03 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112439074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_11789902_c5e8ab61-c07c-4159-94b0-34265a42eb49.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682372583 | N/A | N/A | 5535731 | 2222 | 4802 | 11824836 | N/A | 4208598 | 2025-09-01 02:43:45.144930 | 2025-09-11 00:56:25.554348 |
| 2025-08-31 08:23:04.820491 | 2025-09-01 05:35:28.799006 | 11789668 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11789668 | Athletic Physical Therapy Inc | 1951-07-04 | 2025-09-02 | M | PT | MALATY | MLN507W0934710 | FADY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8113030/check_11789668_1cceeb41-f326-41a1-ae78-aec0caa068b9.json | N/A | N/A | N/A | N/A | N/A | MLN507W0934710 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-07-04 | N/A | N/A | N/A | N/A | false | MALATY | N/A | FADY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682355469 | N/A | N/A | 8113030 | 2222 | 4802 | 11900891 | N/A | 6890159 | 2025-09-01 05:35:28.799006 | 2025-08-25 15:54:41.055320 |
| 2025-08-31 08:23:04.786930 | 2025-09-01 02:38:39.709593 | 11789666 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11789666 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-09-02 | M | AE | Ke | N/A | Haozhe | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112340419.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_11789666_41067b9d-8dd6-4a60-b460-f2463c2a47a3.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682370005 | N/A | N/A | 8405192 | 2222 | 4802 | 11813223 | N/A | 7083453 | 2025-09-01 02:38:39.709593 | 2025-08-26 19:33:12.586504 |
| 2025-08-31 08:22:40.504537 | 2025-08-31 08:22:51.882188 | 11789229 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-12 | 2025-09-02 | M | AE | Abramson | U8547035201 | Mitch | PT | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522486/check_11789229_41a87f19-6cf2-4e23-a27c-331c91d02271.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522486/check_11789229_2ac1b9df-72a0-4aaf-9417-e9a6a4f964d6.json | N/A | N/A | N/A | N/A | N/A | 11165739900 | N/A | Altruist Corp | CHLIC | N/A | 1992-08-12 | N/A | 00633257 | N/A | N/A | false | ABRAMSON | N/A | MITCH | N/A | N/A | N/A | Open Access Plus | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522486 | 2222 | N/A | 11774758 | N/A | 5145779 | 2025-08-31 08:22:51.882188 | 2025-06-24 17:10:45.890456 |
| 2025-08-31 08:22:36.068528 | 2025-09-01 06:06:58.524014 | 11789155 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11789155 | Athletic Physical Therapy Inc | 1981-10-10 | 2025-09-02 | F | AE | FARAHAT | 101956430 | LAURA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8108868/check_11789155_db003d7b-27af-4944-aa01-1bb456bdc1c3.json | N/A | N/A | N/A | N/A | N/A | 10195643000 | N/A | FINN PARTNERS, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1981-10-10 | N/A | 00610764 | N/A | N/A | false | FARAHAT | N/A | LAURA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682354725 | N/A | N/A | 8108868 | 2222 | 4802 | 11952305 | N/A | 4213812 | 2025-09-01 06:06:58.524014 | 2025-05-13 04:29:37.228133 |
| 2025-08-31 08:22:26.274282 | 2025-09-01 02:35:51.361862 | 11788998 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11788998 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-09-03 | M | AE | RAFIEI | 92836714F | SAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112042973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_11788998_4afc3876-3f88-4ffa-aa4b-dfd80327d04b.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682361948 | N/A | N/A | 8173002 | 2222 | 4793 | 11809231 | N/A | 6939518 | 2025-09-01 02:35:51.361862 | 2025-08-18 21:40:08.349494 |
| 2025-08-31 08:22:12.177048 | 2025-09-01 02:38:28.590232 | 11788771 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11788771 | Athletic Physical Therapy Inc | 1996-04-21 | 2025-09-03 | M | AD | WEILBACHER | 109058590 | JONATHAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112340419.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8393876/check_11788771_c2b840bd-560c-4fa8-837d-a7c8e91c30e4.json | N/A | N/A | N/A | N/A | N/A | 10905859000 | N/A | MESSNER REEVES LLP | CHLIC | COMPLETE CARE MANAGEMENT | 1996-04-21 | N/A | 00627597 | N/A | N/A | false | WEILBACHER | N/A | JONATHAN | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8682370189 | N/A | N/A | 8393876 | 2222 | 4793 | 11812902 | N/A | 7073419 | 2025-09-01 02:38:28.590232 | 2025-08-21 16:47:10.486560 |
| 2025-08-31 08:21:49.212017 | 2025-09-01 02:19:33.460689 | 11788501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11788501 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-09-03 | F | PT | Taggart | MBL830M95233 | Rita | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_11788501_01d89469-a7f2-471c-8d91-f93ac37484cc.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | 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 | 8682353096 | N/A | N/A | 6780011 | 2222 | 4802 | 11794779 | N/A | 5811238 | 2025-09-01 02:19:33.460689 | 2025-07-03 18:24:56.520298 |
| 2025-08-31 08:21:44.524788 | 2025-09-01 05:35:27.959807 | 11788438 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11788438 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-09-02 | F | AE | DURAN DE PANTOJA | 43649326 | ROSA | PT | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: Failed to create coverage for eligibility check 11788438 | N/A | N/A | N/A | N/A | N/A | 8088383 | 2222 | 4793 | N/A | N/A | 6871702 | 2025-09-01 05:35:27.959807 | 2025-08-14 21:08:52.019264 |
| 2025-08-31 08:21:42.787616 | 2025-09-01 06:08:12.571935 | 11788415 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11788415 | Athletic Physical Therapy Inc | 1990-02-01 | 2025-09-03 | M | AE | SCULLY | 000012326358 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088218/check_11788415_dee782b1-63fa-405c-b8da-67586f3945a2.json | N/A | N/A | N/A | N/A | N/A | 000012326358 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1990-02-01 | 3082495 | 101872 | N/A | N/A | false | SCULLY | N/A | MICHAEL | N/A | N/A | N/A | FLEXTRONICS AND PARTICIPATING AFFILIATES FLEXTRONI | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682355834 | N/A | N/A | 8088218 | 2222 | 4793 | 11955182 | N/A | 6871556 | 2025-09-01 06:08:12.571935 | 2025-08-14 22:11:57.081021 |
| 2025-08-31 08:21:11.960998 | 2025-09-01 02:39:59.043109 | 11787943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11787943 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-09-02 | F | AE | GARCIA | LDU736A55056 | SADIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112340419.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8387470/check_11787943_7458306d-acd7-42bf-aeba-48ad0c08a319.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682371657 | N/A | N/A | 8387470 | 2222 | 4801 | 11815684 | N/A | 5132739 | 2025-09-01 02:39:59.043109 | 2025-07-14 21:32:03.363712 |
| 2025-08-31 08:21:06.648577 | 2025-09-01 06:08:26.854784 | 11787853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11787853 | Athletic Physical Therapy Inc | 1981-03-02 | 2025-09-03 | M | PT | BALLOW | UPX827716618 | JARRETT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8083299/check_11787853_518e9ed1-5a18-42ec-a2f5-a0a43979968e.json | N/A | N/A | N/A | N/A | N/A | UPX827716618 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1981-03-02 | N/A | N/A | N/A | N/A | false | BALLOW | N/A | JARRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682356143 | N/A | N/A | 8083299 | 2222 | 4801 | 11955742 | N/A | 6866641 | 2025-09-01 06:08:26.854784 | 2025-09-16 03:24:47.780629 |
| 2025-08-31 08:21:04.097239 | 2025-09-01 06:08:28.416068 | 11787810 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11787810 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-09-03 | M | PT | MAZZA | XDM860A72836 | JACK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8083036/check_11787810_ad12d879-6d54-4d46-880c-83827975e235.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682356137 | N/A | N/A | 8083036 | 2222 | 4801 | 11955796 | N/A | 6866179 | 2025-09-01 06:08:28.416068 | 2025-08-14 16:10:19.684218 |
| 2025-08-31 08:20:51.872921 | 2025-09-01 02:38:59.644590 | 11787600 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11787600 | Athletic Physical Therapy Inc | 2013-07-05 | 2025-09-02 | F | AE | WILSON | 25982957 | EVELYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112042973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167615/check_11787600_330a8cb6-bcee-4911-8b41-485b7f00f9d6.json | N/A | N/A | N/A | N/A | N/A | 25982957 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2013-07-05 | N/A | N/A | N/A | N/A | false | WILSON | N/A | EVELYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682360910 | N/A | N/A | 8167615 | 2222 | 4793 | 11813879 | N/A | 6934183 | 2025-09-01 02:38:59.644590 | 2025-09-02 15:14:03.954784 |
| 2025-08-31 08:20:49.958472 | 2025-09-01 02:43:40.515738 | 11787564 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11787564 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-03 | F | PT | GUASTELLA | 5V49H98DH38 | ROSE ANN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112042973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_11787564_6196bd0e-cb81-46eb-8657-07195437a687.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682360908 | N/A | N/A | 8167484 | 2222 | 4801 | 11824616 | N/A | 6407685 | 2025-09-01 02:43:40.515738 | 2025-08-12 18:01:47.141909 |
| 2025-08-31 08:20:49.940084 | 2025-09-01 02:39:59.367890 | 11787562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11787562 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-09-02 | F | PT | SEITV | SEY495A67668 | KORINNE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112340419.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_11787562_b185a387-4aa3-4be5-95a6-6fde26ad275c.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682370944 | N/A | N/A | 8225980 | 2222 | 4801 | 11815697 | N/A | 6982786 | 2025-09-01 02:39:59.367890 | 2025-09-05 22:05:24.545118 |
| 2025-08-31 08:20:49.253099 | 2025-09-01 02:40:47.948520 | 11787549 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11787549 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-02 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112340419.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11787549_d2b0488c-ddaa-43ef-affb-6fb60f644443.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682370942 | N/A | N/A | 8224045 | 2222 | 4802 | 11817251 | N/A | 6981160 | 2025-09-01 02:40:47.948520 | 2025-08-26 21:16:15.557856 |
| 2025-08-31 08:20:48.480924 | 2025-09-01 02:19:32.161935 | 11787532 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11787532 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-09-03 | F | PT | MAGHSOUDLOO | XEA913772161 | FARIBAB | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_11787532_423827ed-54f9-4758-91fc-8f0b208f0bd2.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | 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 | 8682352417 | N/A | N/A | 6770593 | 2222 | 4793 | 11794753 | N/A | 5788398 | 2025-09-01 02:19:32.161935 | 2025-07-31 22:52:15.686379 |
| 2025-08-31 08:20:47.594132 | 2025-09-01 02:43:40.825819 | 11787512 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11787512 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-09-02 | F | AE | KIRK | 5FT7Y02EM72 | JAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112042973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_11787512_33bd2219-1f11-4e8f-9d50-cb10b683bc8c.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682360272 | N/A | N/A | 8167056 | 2222 | 4801 | 11824633 | N/A | 6933707 | 2025-09-01 02:43:40.825819 | 2026-05-21 16:32:55.382229 |
| 2025-08-31 08:20:29.091765 | 2025-09-01 02:19:16.680484 | 11787179 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11787179 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-09-03 | F | AE | TORREY | 00000374205 | JOYCE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11787179_201559ac-2858-4b38-bfda-df646bd12736.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | 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 | 8682351938 | N/A | N/A | 6768717 | 2222 | 4801 | 11794528 | N/A | 5725966 | 2025-09-01 02:19:16.680484 | 2025-07-08 20:19:24.946360 |
| 2025-08-31 08:20:26.653225 | 2025-09-01 02:20:06.411454 | 11787127 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11787127 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-09-03 | F | PT | SHELLHORN | XEH903359049 | MARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_11787127_0bee7157-73b8-436d-9f38-6f31d6e25539.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682351935 | N/A | N/A | 6766432 | 2222 | 4801 | 11795334 | N/A | 5670727 | 2025-09-01 02:20:06.411454 | 2025-08-05 20:04:51.056029 |
| 2025-08-31 08:20:09.435519 | 2025-09-01 02:36:19.568606 | 11786722 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11786722 | Athletic Physical Therapy Inc | 1943-04-23 | 2025-09-02 | F | AE | DONAHUE | 31019908301 | JOANNE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814715/check_11786722_e77d6333-c33b-476d-9a43-ae718abe599c.json | N/A | N/A | N/A | N/A | N/A | 31019908301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-23 | 2025H5425001 | H5425M | N/A | N/A | false | DONAHUE | N/A | JOANNE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682333956 | N/A | N/A | 6814715 | 2222 | 4801 | 11809747 | N/A | 5857041 | 2025-09-01 02:36:19.568606 | 2025-07-07 18:59:46.175391 |
| 2025-08-31 08:20:09.231746 | 2025-09-01 02:37:48.490777 | 11786718 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11786718 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-09-03 | F | PT | PERLOV | XEA905216171 | MERA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_11786718_0d6b7926-b20c-4716-84e5-3e25dac0fcb8.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682333955 | N/A | N/A | 6814311 | 2222 | 4793 | 11811657 | N/A | 5856694 | 2025-09-01 02:37:48.490777 | 2025-07-07 18:45:06.287504 |
| 2025-08-31 08:20:09.031892 | 2025-09-01 02:37:46.856151 | 11786711 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11786711 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-09-02 | M | PT | Bolton | XEK910377236 | Stephen | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_11786711_6c24b72e-e03e-4361-ad25-53643799e734.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682333953 | N/A | N/A | 6814151 | 2222 | 4793 | 11811601 | N/A | 5856522 | 2025-09-01 02:37:46.856151 | 2025-07-10 02:16:48.328344 |
| 2025-08-31 08:20:08.647307 | 2025-09-01 02:32:18.468877 | 11786700 | N/A | N/A | 60054 | Aetna | 1114042165 | 11786700 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-09-02 | M | AE | RAFIQI | W291629581 | ROMAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_11786700_08c666ea-f997-4764-9bc7-5843974da051.json | N/A | N/A | N/A | N/A | N/A | W291506071 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682333948 | N/A | N/A | 6813848 | 2222 | 4801 | 11807272 | N/A | 5856139 | 2025-09-01 02:32:18.468877 | 2025-07-22 03:39:47.404623 |
| 2025-08-31 08:20:08.450134 | 2025-09-01 06:09:26.425753 | 11786697 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11786697 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-09-03 | M | PT | BOWMAN | UMG354W05421 | JOSEPH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11786697_d1802e7e-75fb-4b1b-be82-29567bd3844f.json | N/A | N/A | N/A | N/A | N/A | UMG354W05421 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1994-05-25 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682355705 | N/A | N/A | 8073830 | 2222 | 4802 | 11957971 | N/A | 6858276 | 2025-09-01 06:09:26.425753 | 2025-08-14 00:02:33.736728 |
| 2025-08-31 08:19:58.551920 | 2025-09-01 02:23:55.896813 | 11786438 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11786438 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-03 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111816583.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_11786438_a8bc2377-5b12-46b0-85f8-b720bc82dcf0.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682353690 | N/A | N/A | 6752936 | 2222 | 4801 | 11799515 | N/A | 5065602 | 2025-09-01 02:23:55.896813 | 2025-07-01 17:25:13.681724 |
| 2025-08-31 08:19:58.004682 | 2025-08-31 08:20:06.923735 | 11786427 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-09-02 | F | AE | SAGMAN | U9205101701 | SYDNEY | PT | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_11786427_40efb69c-c491-4df2-8a39-9aff7d46c5b3.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_11786427_8ea4f93d-5803-4f91-8dcf-2e26b86bea57.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | N/A | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | Network | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078312 | 2222 | N/A | 11774563 | N/A | 4722569 | 2025-08-31 08:20:06.923735 | 2025-08-26 00:16:35.895658 |
| 2025-08-31 08:19:49.201148 | 2025-09-01 02:37:14.713149 | 11786169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11786169 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-09-03 | F | PT | Taggart | MBL830M95233 | Rita | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_11786169_e58b73c2-ca53-4dc9-9615-9fca1e238a94.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | 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 | 8682333737 | N/A | N/A | 6780011 | 2222 | 4802 | 11810829 | N/A | 5811238 | 2025-09-01 02:37:14.713149 | 2025-07-03 18:24:56.520298 |
| 2025-08-31 08:19:41.142970 | 2025-09-01 02:37:13.370928 | 11785947 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11785947 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-09-03 | F | PT | MAGHSOUDLOO | XEA913772161 | FARIBAB | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_11785947_48c2b361-6a27-4773-9364-8cfd9ed9c5e5.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | 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 | 8682333588 | N/A | N/A | 6770593 | 2222 | 4793 | 11810797 | N/A | 5788398 | 2025-09-01 02:37:13.370928 | 2025-07-31 22:52:15.686379 |
| 2025-08-31 08:19:39.793771 | 2025-09-01 06:07:31.953876 | 11785907 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11785907 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-09-02 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112020860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_11785907_4aa1c4e5-a59f-4682-9fc0-4cdeec4af234.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | 2025-08-31 | 2024-02-01 | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682355176 | N/A | N/A | 8050658 | 2222 | 4793 | 11953633 | N/A | 6845945 | 2025-09-01 06:07:31.953876 | 2025-08-20 15:30:30.230373 |
| 2025-08-31 08:19:38.182801 | 2025-09-01 02:36:56.290734 | 11785868 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11785868 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-09-03 | F | AE | TORREY | 00000374205 | JOYCE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111417115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11785868_9c848d04-e076-4de9-a38b-d3ebb23e6f4e.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | 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 | 8682335619 | N/A | N/A | 6768717 | 2222 | 4801 | 11810440 | N/A | 5725966 | 2025-09-01 02:36:56.290734 | 2025-07-08 20:19:24.946360 |