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 | 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 08:19:37.806194 | 2025-09-01 02:37:48.036566 | 11785858 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11785858 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-09-03 | F | PT | SHELLHORN | XEH903359049 | MARY | 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/2222/6766432/check_11785858_c4907712-12be-43e5-a02a-603c51cdb1d6.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 | 8682335616 | N/A | N/A | 6766432 | 2222 | 4801 | 11811643 | N/A | 5670727 | 2025-09-01 02:37:48.036566 | 2025-08-05 20:04:51.056029 |
| 2025-08-31 08:19:32.655224 | 2025-09-01 02:41:42.475841 | 11785721 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11785721 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-03 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | 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/2222/6752936/check_11785721_7754d5ba-45a8-4b96-ac6a-496e3be690ec.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 | 8682334145 | N/A | N/A | 6752936 | 2222 | 4801 | 11819350 | N/A | 5065602 | 2025-09-01 02:41:42.475841 | 2025-07-01 17:25:13.681724 |
| 2025-08-31 08:19:29.134028 | 2025-09-01 06:07:34.383935 | 11785639 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11785639 | N/A | 1960-02-19 | 2025-09-03 | F | AE | ENGLISH BLAZEJ | 40067960801 | DOREEN | PT | 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/2222/8048674/check_11785639_9e0e8b6f-86be-4879-9ccc-5e1ec0f2bf32.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1960-02-19 | N/A | N/A | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682354699 | N/A | N/A | 8048674 | 2222 | 4801 | 11953733 | N/A | 6844466 | 2025-09-01 06:07:34.383935 | 2025-08-13 17:29:27.130257 |
| 2025-08-31 08:19:26.111626 | 2025-09-01 06:08:29.382539 | 11785571 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11785571 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-09-02 | F | PT | Schwarz | LDU982A72978 | Linda | 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/2222/8048304/check_11785571_58adc58b-cfc0-41f8-9636-b9cd77451f63.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1950-02-15 | 040 | 1838NJ | N/A | EP | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682354692 | N/A | N/A | 8048304 | 2222 | 4802 | 11955830 | N/A | 6470898 | 2025-09-01 06:08:29.382539 | 2025-07-29 20:29:16.916703 |
| 2025-08-31 08:19:25.387651 | 2025-09-01 06:07:34.898893 | 11785557 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11785557 | N/A | 1956-02-05 | 2025-09-03 | F | AE | RAMOS | 40064097701 | DONNA | PT | 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/2222/8048303/check_11785557_248d3363-6c49-46d1-97aa-ee7b20035959.json | N/A | N/A | N/A | N/A | N/A | 40064097701 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1956-02-05 | N/A | N/A | N/A | N/A | false | RAMOS | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682354691 | N/A | N/A | 8048303 | 2222 | 4801 | 11953755 | N/A | 6844313 | 2025-09-01 06:07:34.898893 | 2025-08-13 18:27:32.075090 |
| 2025-08-31 08:19:22.890252 | 2025-09-01 06:08:04.325340 | 11785502 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11785502 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-09-03 | M | AE | HILTSER | 208616901 | LORNE | PT | 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/2222/8048052/check_11785502_5464c536-4835-4ec1-9dc6-24672fb387a8.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682354684 | N/A | N/A | 8048052 | 2222 | 4802 | 11954900 | N/A | 6844134 | 2025-09-01 06:08:04.325340 | 2025-08-29 16:18:21.978739 |
| 2025-08-31 08:18:55.814940 | 2025-09-01 02:41:42.906540 | 11784818 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11784818 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-02 | F | AE | GARRETT | 3EJ1R73ND18 | KATHLEEN | PT | 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/2222/6714932/check_11784818_fb2a2ef0-ffb9-4f1c-bb3d-3cd7397fdefc.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682335140 | N/A | N/A | 6714932 | 2222 | 4793 | 11819391 | N/A | 5316176 | 2025-09-01 02:41:42.906540 | 2025-07-01 18:44:12.927482 |
| 2025-08-31 08:18:55.662583 | 2025-09-01 02:41:43.269072 | 11784813 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11784813 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-09-03 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 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/2222/6714928/check_11784813_cff9a5c9-a1d4-4c25-9af3-e7a79b7a1c28.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682335139 | N/A | N/A | 6714928 | 2222 | 4802 | 11819408 | N/A | 5316172 | 2025-09-01 02:41:43.269072 | 2025-07-02 15:09:36.678003 |
| 2025-08-31 08:18:47.524615 | 2025-09-01 02:30:08.563227 | 11784627 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 11784627 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-09-03 | F | AE | SALGUERO | 35955370 | DINA | PT | 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/2222/6711965/check_11784627_0697f26a-8f0f-4b25-9456-6b18eaa79e98.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682334588 | N/A | N/A | 6711965 | 2222 | 4793 | 11806036 | 6798 | 4210430 | 2025-09-01 02:30:08.563227 | 2025-05-13 04:29:37.224841 |
| 2025-08-31 08:17:52.778176 | 2025-09-01 06:08:27.417838 | 11783513 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11783513 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-02 | M | PT | CHYNOWETH | JQU148M89680 | DAMIAN | 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/2222/8027485/check_11783513_0794f68e-3b2a-4bd8-ba04-f9eae523b674.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682354956 | N/A | N/A | 8027485 | 2222 | 4793 | 11955751 | N/A | 6828971 | 2025-09-01 06:08:27.417838 | 2025-09-02 17:27:57.794692 |
| 2025-08-31 08:17:49.109242 | 2025-09-01 02:36:20.256065 | 11783433 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11783433 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-09-02 | M | AE | SIMMONS | 40055722801 | J | PT | 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/2222/6685251/check_11783433_32c1b3cc-fbe8-49fb-9187-e86cbbbaccee.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682335442 | N/A | N/A | 6685251 | 2222 | 4793 | 11809763 | N/A | 4209868 | 2025-09-01 02:36:20.256065 | 2025-08-15 22:13:56.514261 |
| 2025-08-31 08:17:46.687776 | 2025-09-01 06:08:29.023000 | 11783374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11783374 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-09-03 | F | PT | SCHRODT | XDP041W16673 | CLARE | 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/2222/8026784/check_11783374_6b7477c5-6ed0-4f4f-9eb0-38ac521d8335.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682354945 | N/A | N/A | 8026784 | 2222 | 4802 | 11955819 | N/A | 6828383 | 2025-09-01 06:08:29.023000 | 2025-08-12 22:27:19.278771 |
| 2025-08-31 08:17:34.763356 | 2025-09-01 06:05:21.006953 | 11783085 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11783085 | N/A | 1960-06-14 | 2025-09-02 | F | PT | VERWEY | R61817302 | CAREN | 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/2222/8025542/check_11783085_92215c45-b5f1-4486-a845-b87879948cd1.json | N/A | N/A | N/A | N/A | N/A | R61817302 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1960-06-14 | N/A | N/A | N/A | N/A | false | VERWEY | N/A | CAREN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682355994 | N/A | N/A | 8025542 | 2222 | 4801 | 11948663 | N/A | 6826965 | 2025-09-01 06:05:21.006953 | 2025-08-13 02:28:19.717631 |
| 2025-08-31 08:17:27.386926 | 2025-09-01 06:08:33.910713 | 11782790 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11782790 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-02 | M | PT | DRISCOLL | XED912182768 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111140903.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_11782790_eae7213f-3290-46eb-ae9f-728c81af1951.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682327488 | N/A | N/A | 6104970 | 2222 | 4802 | 11956002 | N/A | 4749447 | 2025-09-01 06:08:33.910713 | 2025-06-06 23:16:09.869339 |
| 2025-08-31 08:17:16.403244 | 2025-09-01 02:44:32.234008 | 11782360 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11782360 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-09-03 | F | AE | CHOOBIN | 6F99G11UV44 | KEFAYAT | PT | 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/2222/8205054/check_11782360_beff454a-ff6f-4ac7-a543-ecd624784394.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MB | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682370792 | N/A | N/A | 8205054 | 2222 | 4793 | 11826968 | N/A | 6967073 | 2025-09-01 02:44:32.234008 | 2025-08-26 17:15:30.662072 |
| 2025-08-31 08:17:01.690888 | 2025-09-01 06:07:28.786215 | 11781774 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11781774 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-02 | F | AE | ROBERTS | 00000402630 | DEBRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111140903.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_11781774_a93f371a-43c3-447b-86ad-b8cbe4001702.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326662 | N/A | N/A | 6085762 | 2222 | 4793 | 11953506 | N/A | 4729138 | 2025-09-01 06:07:28.786215 | 2025-05-31 14:20:56.156252 |
| 2025-08-31 08:17:00.825188 | 2025-09-01 06:07:42.536383 | 11781737 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11781737 | Athletic Physical Therapy Inc | 1991-01-16 | 2025-09-02 | F | PT | LI | XTS845M84428 | ZHANMEI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111140903.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_11781737_5512cfb8-ce96-4fb8-a225-f5d97dd2b70a.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 1991-01-16 | 040 | 277405M037 | N/A | PR | false | HAN | N/A | PENGCHENG | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326660 | N/A | N/A | 6085650 | 2222 | 4793 | 11954033 | N/A | 4728966 | 2025-09-01 06:07:42.536383 | 2025-06-09 22:35:38.956800 |
| 2025-08-31 08:16:51.753553 | 2025-09-01 02:37:47.673500 | 11781351 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11781351 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-09-03 | F | PT | MCNUTT | XED904914958 | YOLANDA | 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/2222/6668755/check_11781351_e0e873bb-c6a9-45ad-82d7-05c84b4842db.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682334859 | N/A | N/A | 6668755 | 2222 | 4801 | 11811634 | N/A | 5282877 | 2025-09-01 02:37:47.673500 | 2025-07-01 15:56:36.473431 |
| 2025-08-31 08:16:50.652198 | 2025-09-01 02:44:31.857262 | 11781308 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11781308 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-09-02 | F | AE | CHICAS | 2VE9DX6NU27 | MARIA | PT | 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/2222/8202975/check_11781308_e4a9675c-e7e6-480f-bbe7-99872d6621d0.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682370517 | N/A | N/A | 8202975 | 2222 | 4802 | 11826954 | N/A | 6965620 | 2025-09-01 02:44:31.857262 | 2025-09-03 23:20:10.287852 |
| 2025-08-31 08:16:50.116605 | 2025-09-01 02:40:47.622884 | 11781287 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11781287 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-09-03 | M | PT | GODINEZ | XEK907039926 | RICHARD | 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/2222/8202901/check_11781287_f1503bfc-6014-4d41-a39d-6873270b96bb.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682370516 | N/A | N/A | 8202901 | 2222 | 4793 | 11817240 | N/A | 6965521 | 2025-09-01 02:40:47.622884 | 2025-09-10 21:42:23.177790 |
| 2025-08-31 08:16:47.253707 | 2025-09-01 02:35:16.869684 | 11781158 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11781158 | Athletic Physical Therapy Inc | 1951-07-04 | 2025-09-02 | M | PT | MALATY | MLN507W0934710 | FADY | 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/2222/8113030/check_11781158_389eada5-47dd-4fc8-af79-32485d1e559f.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 | 8682360134 | N/A | N/A | 8113030 | 2222 | 4802 | 11808704 | N/A | 6890159 | 2025-09-01 02:35:16.869684 | 2025-08-25 15:54:41.055320 |
| 2025-08-31 08:16:45.969487 | 2025-09-01 02:40:48.353922 | 11781096 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11781096 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-09-02 | F | PT | MURPHY | NGO398A23229 | DARA | 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/2222/8202094/check_11781096_4b817c70-2ae8-4876-9da3-e6391a8f22d9.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1985-01-29 | N/A | N/A | N/A | N/A | false | MURPHY | N/A | DARA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682370508 | N/A | N/A | 8202094 | 2222 | 4793 | 11817261 | N/A | 6964828 | 2025-09-01 02:40:48.353922 | 2025-08-21 15:20:41.432970 |
| 2025-08-31 08:16:38.265960 | 2025-09-01 06:35:57.613669 | 11780763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11780763 | Athletic Physical Therapy Inc | 2009-05-28 | 2025-09-02 | F | PT | GALLE | JXN432W14490 | MADELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111215581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8970914/check_11780763_a3521ad4-5f7a-4c1d-8cc3-1eef7a6b91d5.json | N/A | N/A | N/A | N/A | N/A | JXN432W14490 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2009-05-28 | 040 | 174222M8A1 | N/A | PR | false | FRYE | N/A | BRADLEY | N/A | 9999-12-31 | 2024-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682323104 | N/A | N/A | 8970914 | 2222 | 4793 | 11980264 | N/A | 7486302 | 2025-09-01 06:35:57.613669 | 2025-09-30 03:58:19.839826 |
| 2025-08-31 08:16:25.599681 | 2025-09-01 05:44:05.868735 | 11780141 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11780141 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-09-03 | F | AE | Andrieieva | 925988899G | Taisiia | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7881033/check_11780141_1edf91e3-9310-4d23-92bd-7507a60c0448.json | N/A | N/A | N/A | N/A | N/A | 925988899G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1999-03-02 | N/A | N/A | N/A | N/A | false | ANDRIEIEVA | N/A | TAISIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682317763 | N/A | N/A | 7881033 | 2222 | 4802 | 11911535 | N/A | 6709145 | 2025-09-01 05:44:05.868735 | 2025-08-07 23:35:55.091438 |
| 2025-08-31 08:16:22.515517 | 2025-09-01 05:43:55.308861 | 11779976 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11779976 | N/A | 1998-12-17 | 2025-09-03 | M | AE | Hassett | 93349431H | Sam | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7879091/check_11779976_a4f6e727-48fa-4ae9-902a-f0434d15aed3.json | N/A | N/A | N/A | N/A | N/A | 93349431H | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1998-12-17 | N/A | N/A | N/A | N/A | false | HASSETT | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682319440 | N/A | N/A | 7879091 | 2222 | 4802 | 11911284 | N/A | 6707740 | 2025-09-01 05:43:55.308861 | 2025-08-07 21:54:10.224455 |
| 2025-08-31 08:16:21.230219 | 2025-09-01 05:44:19.499602 | 11779922 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11779922 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-09-03 | F | PT | LORELLI | FDP190001823 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_11779922_15e59e40-71da-496f-95e1-99ad0ea3e116.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682319427 | N/A | N/A | 7877415 | 2222 | 4793 | 11911857 | N/A | 6706226 | 2025-09-01 05:44:19.499602 | 2025-08-19 15:39:56.790206 |
| 2025-08-31 08:16:19.300511 | 2025-09-01 06:09:26.679087 | 11779839 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11779839 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-09-02 | F | PT | GIANNE | XED910762094 | NATALIE | 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/2222/7994545/check_11779839_a0112fa3-e1f3-49c1-af20-f0894bf95c33.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682355622 | N/A | N/A | 7994545 | 2222 | 4802 | 11957981 | N/A | 6802250 | 2025-09-01 06:09:26.679087 | 2025-08-11 23:58:28.358402 |
| 2025-08-31 08:16:18.907239 | 2025-09-01 06:07:34.611535 | 11779820 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11779820 | N/A | 1950-08-25 | 2025-09-03 | F | AE | POLLOCK | 40002008301 | MARY | PT | 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/2222/7992096/check_11779820_e76ed2d8-e3bf-4342-b1ad-48d4a5c408a0.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1950-08-25 | N/A | N/A | N/A | N/A | false | POLLOCK | 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 | 8682355621 | N/A | N/A | 7992096 | 2222 | 4801 | 11953744 | N/A | 4212687 | 2025-09-01 06:07:34.611535 | 2025-08-27 18:05:06.350903 |
| 2025-08-31 08:16:17.886263 | 2025-09-01 05:45:38.675532 | 11779777 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11779777 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-09-02 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_11779777_5ae1e798-b0e1-4f3e-ab22-2603f9e62bb8.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1987-11-24 | N/A | N/A | N/A | N/A | false | HALAT | N/A | HOORAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682317610 | N/A | N/A | 7870152 | 2222 | 4802 | 11913815 | N/A | 6698799 | 2025-09-01 05:45:38.675532 | 2025-08-07 18:40:53.120761 |
| 2025-08-31 08:16:17.630384 | 2025-09-01 06:09:26.909982 | 11779769 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11779769 | Athletic Physical Therapy Inc | 1975-07-23 | 2025-09-03 | F | PT | KU | XED914350584 | ANGELA | 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/2222/7991439/check_11779769_337838f9-bd5c-4a07-9dec-3f03e4828f60.json | N/A | N/A | N/A | N/A | N/A | XED914350584 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1975-07-23 | 2001ZK002184 | X0001004 | N/A | PR | false | KU | N/A | ANGELA | 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 | 8682355618 | N/A | N/A | 7991439 | 2222 | 4802 | 11957993 | N/A | 6799948 | 2025-09-01 06:09:26.909982 | 2025-08-19 22:19:45.977062 |
| 2025-08-31 08:16:17.589439 | 2025-09-01 02:37:14.365934 | 11779768 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11779768 | Athletic Physical Therapy Inc | 2005-07-19 | 2025-09-03 | F | PT | MOORE | WZA952W18561 | FAITH | 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/2222/6644228/check_11779768_028ad6ca-dd2d-46a2-b11e-4aed4a4d3455.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 2005-07-19 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682335215 | N/A | N/A | 6644228 | 2222 | 4801 | 11810822 | N/A | 5251545 | 2025-09-01 02:37:14.365934 | 2025-07-16 15:52:27.392778 |
| 2025-08-31 08:16:10.370780 | 2025-09-01 06:08:28.101408 | 11779459 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11779459 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-02 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | 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/2222/7988722/check_11779459_6e6b74d8-7e25-49dc-9b1b-c96551f225d9.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682355538 | N/A | N/A | 7988722 | 2222 | 4793 | 11955785 | N/A | 6798209 | 2025-09-01 06:08:28.101408 | 2025-10-29 15:15:17.952230 |
| 2025-08-31 08:16:08.998402 | 2025-09-01 02:36:19.935230 | 11779396 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11779396 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-09-02 | M | AE | MEJIA | 40055012201 | RUBEN | PT | 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/2222/6642365/check_11779396_b4d774e8-c37a-4b95-b034-5422eebba283.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1937-09-14 | 2025H5425001 | H5425M | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682335195 | N/A | N/A | 6642365 | 2222 | 4801 | 11809756 | N/A | 5249029 | 2025-09-01 02:36:19.935230 | 2025-07-14 01:52:51.387918 |
| 2025-08-31 08:16:06.265618 | 2025-09-01 06:04:31.867140 | 11779271 | N/A | N/A | 60054 | Aetna | 1114042165 | 11779271 | Athletic Physical Therapy Inc | 1999-04-14 | 2025-09-03 | M | AE | FAGAN | W275345811 | ARIEH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111140903.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_11779271_e50e9770-9078-4052-9c62-2fa03a02abf3.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326071 | N/A | N/A | 6078250 | 2222 | 4802 | 11946969 | N/A | 4722504 | 2025-09-01 06:04:31.867140 | 2025-06-19 03:19:24.165458 |
| 2025-08-31 08:16:05.299117 | 2025-09-01 02:37:13.738939 | 11779227 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11779227 | Athletic Physical Therapy Inc | 1954-06-04 | 2025-09-03 | F | PT | Martin | JOQ815W10930 | Lilliane | 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/2222/6641910/check_11779227_e81bc8a8-3286-4645-8722-860d56947614.json | N/A | N/A | N/A | N/A | N/A | JOQ815W10930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-06-04 | N/A | N/A | N/A | N/A | false | MARTIN | N/A | LILLIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682335186 | N/A | N/A | 6641910 | 2222 | 4802 | 11810805 | N/A | 5248673 | 2025-09-01 02:37:13.738939 | 2025-09-03 18:56:09.134332 |
| 2025-08-31 08:16:03.955365 | 2025-09-01 06:13:02.053730 | 11779174 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11779174 | Athletic Physical Therapy Inc | 1951-01-24 | 2025-09-02 | F | AE | Leinwand | 9P87PC2QC50 | Shari | PT | 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/2222/7983223/check_11779174_630a7c1b-b622-46b8-b32f-2882ea9fe59b.json | N/A | N/A | N/A | N/A | N/A | 9P87PC2QC50 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-01-24 | N/A | N/A | N/A | MA | false | LEINWAND | N/A | SHARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682355515 | N/A | N/A | 7983223 | 2222 | 4802 | 11966231 | N/A | 6794499 | 2025-09-01 06:13:02.053730 | 2025-08-14 19:38:19.931659 |
| 2025-08-31 08:16:01.361598 | 2025-09-01 06:35:58.079933 | 11779051 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11779051 | Athletic Physical Therapy Inc | 1996-05-03 | 2025-09-03 | F | PT | Salant | Z6D461W08418 | Isabella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111215581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8765709/check_11779051_2ebf024b-d3c6-49fd-b9ee-33e70aef4d5b.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | Preferred Provider Organization (PPO) | DOORDASH INC | ANTHEM BLUE CROSS | N/A | 1996-05-03 | 040 | L03775M028 | N/A | PR | false | SALANT | N/A | ISABELLA | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682324031 | N/A | N/A | 8765709 | 2222 | 4802 | 11980266 | N/A | 7377649 | 2025-09-01 06:35:58.079933 | 2025-09-03 13:57:51.555585 |
| 2025-08-31 08:15:59.300506 | 2025-09-01 06:07:27.230843 | 11778962 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11778962 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-09-02 | M | AE | BECKLEY | 00000375188 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111140903.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_11778962_8e5be021-7d3d-4186-8880-356c1ec53d52.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682325618 | N/A | N/A | 6077164 | 2222 | 4801 | 11953440 | 2630 | 4720748 | 2025-09-01 06:07:27.230843 | 2025-06-11 15:34:07.942696 |
| 2025-08-31 08:15:56.546880 | 2025-09-01 05:56:03.821121 | 11778847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11778847 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-03 | M | AE | WALLACH | 1PD0KF7JH37 | CHARLES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_11778847_370ae946-e6cd-4e81-86fd-09d7f6d79e75.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682318016 | N/A | N/A | 7821426 | 2222 | 4801 | 11932212 | N/A | 6660003 | 2025-09-01 05:56:03.821121 | 2026-06-01 17:03:48.982724 |
| 2025-08-31 08:15:48.477124 | 2025-09-01 05:56:02.143997 | 11778539 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11778539 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-09-03 | M | AE | LEYDERMAN | 8C40J87HK31 | BORIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7817911/check_11778539_bda9cfbb-5165-4983-a7c3-baea59331574.json | N/A | N/A | N/A | N/A | N/A | 8C40J87HK31 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-21 | N/A | N/A | N/A | MA | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682319403 | N/A | N/A | 7817911 | 2222 | 4793 | 11932153 | N/A | 6656900 | 2025-09-01 05:56:02.143997 | 2025-08-17 17:40:08.050078 |
| 2025-08-31 08:15:48.448619 | 2025-09-01 02:37:45.415176 | 11778538 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11778538 | Athletic Physical Therapy Inc | 1981-10-10 | 2025-09-02 | F | AE | FARAHAT | 101956430 | LAURA | PT | 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/2222/8108868/check_11778538_89b70edc-0791-47cc-9c9a-d62877bf032f.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 | 8682361760 | N/A | N/A | 8108868 | 2222 | 4802 | 11811558 | N/A | 4213812 | 2025-09-01 02:37:45.415176 | 2025-05-13 04:29:37.228133 |
| 2025-08-31 08:15:46.435749 | 2025-09-01 02:23:56.277708 | 11778443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11778443 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-02 | F | AE | GARRETT | 3EJ1R73ND18 | KATHLEEN | PT | 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/2222/6714932/check_11778443_a621cd83-2b90-4a9a-a133-9d6c2a9cb0da.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682352130 | N/A | N/A | 6714932 | 2222 | 4793 | 11799522 | N/A | 5316176 | 2025-09-01 02:23:56.277708 | 2025-07-01 18:44:12.927482 |
| 2025-08-31 08:15:45.601499 | 2025-09-01 02:23:56.588990 | 11778400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11778400 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-09-03 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 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/2222/6714928/check_11778400_fa2a6add-085d-457e-9482-46d33c443898.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682352129 | N/A | N/A | 6714928 | 2222 | 4802 | 11799531 | N/A | 5316172 | 2025-09-01 02:23:56.588990 | 2025-07-02 15:09:36.678003 |
| 2025-08-31 08:15:44.677346 | 2025-09-01 05:43:49.992041 | 11778351 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11778351 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-02 | M | AE | CORAY | 00003138358 | KLAUS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111018013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_11778351_a5afa466-5fd6-4885-8f5d-740a0a7a0325.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682319376 | N/A | N/A | 7815883 | 2222 | 4793 | 11911158 | N/A | 6655655 | 2025-09-01 05:43:49.992041 | 2025-09-09 21:32:56.328170 |
| 2025-08-31 08:15:44.081564 | 2025-09-01 05:49:38.574145 | 11778319 | N/A | N/A | 60054 | Aetna | 1114042165 | 11778319 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-09-02 | M | AE | Hamilton | W292751187 | Kevin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111040261.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_11778319_5bdbbc05-a1ba-4e92-ac00-af6556eba11e.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682312570 | N/A | N/A | 6555606 | 2222 | 4802 | 11920323 | N/A | 5178755 | 2025-09-01 05:49:38.574145 | 2025-07-17 17:42:32.068740 |
| 2025-08-31 08:15:43.803287 | 2025-09-01 05:55:54.945855 | 11778307 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11778307 | Athletic Physical Therapy Inc | 1995-01-31 | 2025-09-03 | F | PT | MAJD | XED911263594 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111040261.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_11778307_0a19f435-543a-443d-91bb-37fa68e9b282.json | N/A | N/A | N/A | N/A | N/A | XED911263594 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-01-31 | 2001ZK002185 | X0001004 | N/A | PR | false | MAJD | N/A | SYDNEY | N/A | 9999-12-31 | 2022-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682312567 | N/A | N/A | 6555034 | 2222 | 4793 | 11931959 | N/A | 5178259 | 2025-09-01 05:55:54.945855 | 2025-07-08 22:15:02.277880 |
| 2025-08-31 08:15:42.562635 | 2025-09-01 06:01:13.053303 | 11778236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11778236 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-09-03 | F | AE | SEGURA | 8DD9YX8FN41 | CIRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111040261.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_11778236_668bdfbc-3c28-46cf-949a-3958107d25ee.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682312317 | N/A | N/A | 6553930 | 2222 | 4801 | 11940781 | N/A | 5177091 | 2025-09-01 06:01:13.053303 | 2025-06-23 20:23:14.340232 |
| 2025-08-31 08:15:41.973573 | 2025-09-01 05:49:04.833002 | 11778198 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11778198 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-09-02 | F | AE | Ballatore | 90665617F | Chloe | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111040261.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_11778198_08e72bc1-cc9f-45ab-b127-58e8850b5320.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682312310 | N/A | N/A | 6553125 | 2222 | 4802 | 11919344 | N/A | 5176363 | 2025-09-01 05:49:04.833002 | 2025-06-23 23:46:22.182955 |
| 2025-08-31 08:15:40.070338 | 2025-08-31 08:15:40.168247 | 11778091 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11778091 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-09-02 | F | AE | BASS | 101139629800 | NADINE | PT | 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 | N/A | N/A | N/A | N/A | N/A | N/A | 7813006 | 2222 | 4802 | N/A | N/A | 6653186 | 2025-08-31 08:15:40.168247 | 2025-08-06 14:30:41.257679 |
| 2025-08-31 08:15:35.655312 | 2025-09-01 05:45:17.032160 | 11777860 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11777860 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-02 | F | PT | CHAMBERLIN | CAW905797094 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.111115851.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11777860_6c339228-b193-473f-9e3a-33806e195209.json | N/A | N/A | N/A | N/A | N/A | CAW905797094 | Preferred Provider Organization (PPO) | CSEBA BEAR VALLEY UNIFIED SCHOOL DISTRICT | BLUE SHIELD CALIFORNIA | N/A | 1960-09-02 | 1001PPOX0001 | W0064554 | N/A | PR | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | CSEBA ASO PPO GOLD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682313820 | N/A | N/A | 7591326 | 2222 | 4801 | 11913257 | N/A | 6499323 | 2025-09-01 05:45:17.032160 | 2025-07-30 18:54:36.603528 |