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 08:02:45.740346 | 2025-09-01 06:07:38.163375 | 11733562 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11733562 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-02 | F | PT | BARAJAS | NCF425A56241 | EMMA | 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/2222/5543324/check_11733562_540d2208-0332-4f9e-9964-701701c9d873.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 2025-09-01 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326172 | N/A | N/A | 5543324 | 2222 | 4801 | 11953876 | 4184 | 4215131 | 2025-09-01 06:07:38.163375 | 2025-08-11 16:45:52.816842 |
| 2025-08-31 08:02:45.593908 | 2025-09-01 06:09:37.496777 | 11733554 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733554 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-02 | F | AE | STERINA | 5G17E95JX47 | ELIZABETH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.112138838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_11733554_172df95d-f3d1-4834-b5ac-00e75c4a58c6.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MB | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682364333 | N/A | N/A | 8632769 | 2222 | 4802 | 11958364 | N/A | 7278220 | 2025-09-01 06:09:37.496777 | 2025-08-26 15:52:58.453727 |
| 2025-08-31 08:02:45.585404 | 2025-09-01 06:03:44.791016 | 11733552 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11733552 | Athletic Physical Therapy Inc | 1966-11-15 | 2025-09-03 | F | PT | WILLIAMS | XEH9032731694 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110239977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258960/check_11733552_b1cf2af2-4229-40d2-8b99-b5cad368cb7c.json | N/A | N/A | N/A | N/A | N/A | XEH9032731694 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1966-11-15 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CYNTHIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682284408 | N/A | N/A | 7258960 | 2222 | 4801 | 11945406 | N/A | 6224768 | 2025-09-01 06:03:44.791016 | 2025-08-08 01:50:02.444196 |
| 2025-08-31 08:02:45.466495 | 2025-09-01 05:45:37.448810 | 11733545 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11733545 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-03 | M | AE | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_11733545_b6f12bc6-5efe-40fa-ad7b-bfdb04de9b16.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326171 | N/A | N/A | 5543270 | 2222 | 4793 | 11913773 | N/A | 4215086 | 2025-09-01 05:45:37.448810 | 2025-05-13 04:29:37.229401 |
| 2025-08-31 08:02:45.100126 | 2025-09-01 06:08:37.764415 | 11733523 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11733523 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-02 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_11733523_b70a341b-48d3-467a-8bf7-2b2de1ad08cf.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326170 | N/A | N/A | 5543211 | 2222 | 4801 | 11956140 | N/A | 4215028 | 2025-09-01 06:08:37.764415 | 2025-05-13 04:29:37.229346 |
| 2025-08-31 08:02:44.761115 | 2025-09-01 06:06:05.902902 | 11733504 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11733504 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-03 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | 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/2222/5543171/check_11733504_b8af9144-c434-4237-b1f9-604647a7767e.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8682326169 | N/A | N/A | 5543171 | 2222 | 4793 | 11950297 | N/A | 4214998 | 2025-09-01 06:06:05.902902 | 2025-05-13 04:29:37.229318 |
| 2025-08-31 08:02:44.507874 | 2025-09-01 06:01:39.376253 | 11733486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733486 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-09-03 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110239977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_11733486_0d99ce96-268c-4fb7-918c-dbbdc794c997.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682284404 | N/A | N/A | 7258746 | 2222 | 4802 | 11941537 | N/A | 6224482 | 2025-09-01 06:01:39.376253 | 2025-08-07 00:03:18.267969 |
| 2025-08-31 08:02:44.426608 | 2025-09-01 06:07:44.287236 | 11733482 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733482 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-09-03 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | 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/2222/5543167/check_11733482_9d4e56b1-e4be-44d7-994a-d81239907d0d.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326167 | N/A | N/A | 5543167 | 2222 | 4793 | 11954115 | N/A | 4214995 | 2025-09-01 06:07:44.287236 | 2025-05-13 04:29:37.229315 |
| 2025-08-31 08:02:44.032528 | 2025-09-01 06:07:28.506723 | 11733464 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11733464 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-02 | F | PT | PORTILLO | 00000315343 | LISA | 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/2222/5543084/check_11733464_86819675-c14c-4706-82d2-b573d8e5ed6d.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326166 | N/A | N/A | 5543084 | 2222 | 4801 | 11953494 | N/A | 4214920 | 2025-09-01 06:07:28.506723 | 2025-05-13 04:29:37.229242 |
| 2025-08-31 08:02:43.669894 | 2025-09-01 06:11:45.457867 | 11733443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733443 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-09-02 | M | AE | STECHER | 4P42WA3QM82 | BRIAN | 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/2222/5543052/check_11733443_56ed1c81-f441-49aa-910c-93613de581b4.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MA | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326165 | N/A | N/A | 5543052 | 2222 | 4802 | 11963481 | N/A | 4214891 | 2025-09-01 06:11:45.457867 | 2025-05-13 04:29:37.229214 |
| 2025-08-31 08:02:43.347963 | 2025-09-01 06:07:43.296736 | 11733427 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733427 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-09-03 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | 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/2222/5543043/check_11733427_77a7cc8f-a2b5-4eb9-ab31-2e03d5ed446b.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326163 | N/A | N/A | 5543043 | 2222 | 4801 | 11954074 | N/A | 4214884 | 2025-09-01 06:07:43.296736 | 2025-11-12 00:46:10.301659 |
| 2025-08-31 08:02:43.226775 | 2025-09-01 06:01:42.757120 | 11733419 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11733419 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-09-02 | M | PT | Gast | JQV110W08240 | Eberhard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110239977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_11733419_59fdfa6a-4539-4f27-b59a-4cd7cb6b2c41.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682284398 | N/A | N/A | 7258119 | 2222 | 4802 | 11941636 | 4184 | 6223297 | 2025-09-01 06:01:42.757120 | 2025-07-28 18:57:51.679781 |
| 2025-08-31 08:02:43.029838 | 2025-09-01 06:11:41.724622 | 11733408 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733408 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-09-02 | F | AE | GOLDBERG | 6YD7TP7AC72 | LINDA | 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/2222/5542935/check_11733408_aba73fe2-ddcd-42ae-818b-116a5a182bd1.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326160 | N/A | N/A | 5542935 | 2222 | 4802 | 11963341 | N/A | 4214789 | 2025-09-01 06:11:41.724622 | 2025-12-11 23:30:31.319246 |
| 2025-08-31 08:02:42.756729 | 2025-09-01 06:07:39.659306 | 11733391 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733391 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-09-03 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | 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/2222/5542900/check_11733391_f8fa8466-1ca8-4323-b201-7deb20c78195.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326158 | N/A | N/A | 5542900 | 2222 | 4801 | 11953931 | N/A | 4214759 | 2025-09-01 06:07:39.659306 | 2025-05-13 04:29:37.229079 |
| 2025-08-31 08:02:42.411039 | 2025-09-01 06:08:36.992792 | 11733375 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11733375 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-09-02 | M | PT | MATTHEWS | KTP903824736 | LARRY | 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/2222/5542899/check_11733375_ec2f3062-3b25-4723-ad6c-42e93331dce6.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326157 | N/A | N/A | 5542899 | 2222 | 4793 | 11956127 | N/A | 4214758 | 2025-09-01 06:08:36.992792 | 2025-05-13 04:29:37.229078 |
| 2025-08-31 08:02:42.404039 | 2025-09-01 06:03:43.962668 | 11733372 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11733372 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-09-03 | F | PT | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110239977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_11733372_cfcf32ef-5e4c-4475-bcb2-5e436af75fba.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682284394 | N/A | N/A | 7257479 | 2222 | 4802 | 11945385 | N/A | 4210270 | 2025-09-01 06:03:43.962668 | 2025-07-08 18:23:05.596578 |
| 2025-08-31 08:02:42.107750 | 2025-09-01 06:04:33.804521 | 11733358 | N/A | N/A | 60054 | Aetna | 1114042165 | 11733358 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-09-02 | M | AE | VELASQUEZ | W290801184 | EVAN | 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/2222/5542874/check_11733358_8bcf321b-ff4c-4c9e-b3aa-25dceaad3c57.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326156 | N/A | N/A | 5542874 | 2222 | 4802 | 11947039 | N/A | 4214737 | 2025-09-01 06:04:33.804521 | 2025-05-13 04:29:37.229056 |
| 2025-08-31 08:02:41.737442 | 2025-09-01 06:04:32.252617 | 11733340 | N/A | N/A | 60054 | Aetna | 1114042165 | 11733340 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-03 | M | AE | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_11733340_af00fdf1-5bfc-4d9d-bbe3-109ab19ee0e9.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326153 | N/A | N/A | 5542870 | 2222 | 4793 | 11946985 | N/A | 4214732 | 2025-09-01 06:04:32.252617 | 2025-06-24 20:13:53.579048 |
| 2025-08-31 08:02:41.072247 | 2025-09-01 06:07:14.761580 | 11733305 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11733305 | N/A | 2007-12-08 | 2025-09-02 | F | AE | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_11733305_f31f9ce1-809d-4ee3-bb9d-00218c3ab39a.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326152 | N/A | N/A | 5542850 | 2222 | 4793 | 11952932 | N/A | 4214714 | 2025-09-01 06:07:14.761580 | 2025-05-13 04:29:37.229031 |
| 2025-08-31 08:02:40.729053 | 2025-09-01 06:04:33.159229 | 11733287 | N/A | N/A | 60054 | Aetna | 1114042165 | 11733287 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-09-02 | M | AE | MOLAVI | W290733985 | MATTHEW | 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/2222/5542759/check_11733287_c6f80575-d350-4cfe-b4a4-3b0e61b6ce7a.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326150 | N/A | N/A | 5542759 | 2222 | 4793 | 11947017 | N/A | 4214620 | 2025-09-01 06:04:33.159229 | 2025-08-05 22:41:29.756445 |
| 2025-08-31 08:02:40.392597 | 2025-09-01 06:07:39.341707 | 11733267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733267 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-02 | F | PT | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | 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/2222/5542750/check_11733267_374e03d4-489a-4ccc-b48c-deabadd998ea.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326149 | N/A | N/A | 5542750 | 2222 | 4802 | 11953920 | N/A | 4214623 | 2025-09-01 06:07:39.341707 | 2025-08-28 22:11:32.536994 |
| 2025-08-31 08:02:40.347964 | 2025-09-01 02:27:05.548608 | 11733264 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11733264 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-02 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110226924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11733264_0fde1593-ab5b-4c5a-872e-17ab5657d183.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682281559 | N/A | N/A | 6124845 | 2222 | 4793 | 11802847 | N/A | 4767293 | 2025-09-01 02:27:05.548608 | 2025-06-06 15:11:48.015692 |
| 2025-08-31 08:02:40.042003 | 2025-09-01 06:04:32.732993 | 11733249 | N/A | N/A | 60054 | Aetna | 1114042165 | 11733249 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-02 | M | AE | MEADOWS | 101352892200 | STANLEY | 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/2222/5542634/check_11733249_c2258db4-a0e7-4b3c-95d0-a9fb74a3caab.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326148 | N/A | N/A | 5542634 | 2222 | 4801 | 11946995 | N/A | 4214520 | 2025-09-01 06:04:32.732993 | 2025-07-28 19:32:04.879318 |
| 2025-08-31 08:02:39.524987 | 2025-09-01 06:08:41.381122 | 11733223 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11733223 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-09-02 | F | PT | WEBER | JQU141A54789 | MADELINE | 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/2222/5542628/check_11733223_bea073d1-5ce3-4d1c-9b0a-88c3130457bd.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2009-08-14 | N/A | N/A | N/A | N/A | false | WEBER | N/A | MADELINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326147 | N/A | N/A | 5542628 | 2222 | 4793 | 11956276 | N/A | 4214508 | 2025-09-01 06:08:41.381122 | 2025-06-04 00:05:22.392827 |
| 2025-08-31 08:02:38.990035 | 2025-09-01 06:07:33.061452 | 11733199 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11733199 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-02 | F | AE | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_11733199_867ffa63-d6c7-402d-9616-5886922e11e9.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326146 | N/A | N/A | 5542611 | 2222 | 4802 | 11953682 | N/A | 4214490 | 2025-09-01 06:07:33.061452 | 2025-05-13 04:29:37.228806 |
| 2025-08-31 08:02:38.552382 | 2025-09-01 06:07:16.073363 | 11733177 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11733177 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-02 | M | AE | MOSLEY | R02649763MM1 | MICHAEL | 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/2222/5542606/check_11733177_ac3b08fa-e8d0-455f-a782-73daf8f32e1d.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2025-08-31 | 2025-01-01 | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326145 | N/A | N/A | 5542606 | 2222 | 4801 | 11952990 | N/A | 4214496 | 2025-09-01 06:07:16.073363 | 2025-05-13 04:29:37.228812 |
| 2025-08-31 08:02:38.089167 | 2025-09-01 06:07:43.962108 | 11733155 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11733155 | Athletic Physical Therapy Inc | 1962-10-12 | 2025-09-03 | F | PT | KOOMAN ANDERSON | KXJ461W13871 | SARIE | N/A | 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/2222/5542565/check_11733155_b6f07e10-b366-4fdf-a203-2f30fbed88a0.json | N/A | N/A | N/A | N/A | N/A | KXJ461W13871 | Health Maintenance Organization (HMO) | OAKS CHRISTIAN SCHOOL | ANTHEM BLUE CROSS | N/A | 1962-10-12 | 040 | L03502H004 | N/A | HM | false | KOOMAN ANDERSON | N/A | SARIE | N/A | 2025-09-01 | 2024-09-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326144 | N/A | N/A | 5542565 | 2222 | 4793 | 11954103 | 4184 | 4214430 | 2025-09-01 06:07:43.962108 | 2025-06-03 20:17:16.657562 |
| 2025-08-31 08:02:37.760929 | 2025-09-01 06:11:39.125452 | 11733140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733140 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-02 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/5542555/check_11733140_4273d4d2-3fce-4d42-b1c0-c14cb06b14dd.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326143 | N/A | N/A | 5542555 | 2222 | 4793 | 11963236 | N/A | 4214447 | 2025-09-01 06:11:39.125452 | 2026-04-23 20:11:34.441054 |
| 2025-08-31 08:02:37.390522 | 2025-09-01 06:11:47.308244 | 11733120 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733120 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-09-03 | M | AE | WOLFE | 7JF6YW4EF47 | KEVIN | 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/2222/5542521/check_11733120_2f582d8a-89aa-4996-9b51-8d24ed6b773b.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326142 | N/A | N/A | 5542521 | 2222 | 4801 | 11963552 | N/A | 4214422 | 2025-09-01 06:11:47.308244 | 2025-05-13 04:29:37.228745 |
| 2025-08-31 08:02:36.953706 | 2025-09-01 06:07:32.448460 | 11733103 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11733103 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-02 | F | AE | CAPISTRANO | 98696372G | FERDELLE | 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/2222/5542513/check_11733103_ffa67a3c-2059-4d18-9a5a-989a50acd602.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326140 | N/A | N/A | 5542513 | 2222 | 4793 | 11953650 | N/A | 4214418 | 2025-09-01 06:07:32.448460 | 2025-07-03 18:12:11.075357 |
| 2025-08-31 08:02:36.459942 | 2025-09-01 06:07:47.491079 | 11733085 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733085 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-03 | F | PT | UTLEY | MBL209M95251 | SHERIDAN | N/A | 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/2222/5542387/check_11733085_873a913f-7371-45d9-ace0-30a39582db30.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326139 | N/A | N/A | 5542387 | 2222 | 4801 | 11954246 | N/A | 4214300 | 2025-09-01 06:07:47.491079 | 2025-06-17 13:03:57.252701 |
| 2025-08-31 08:02:35.978991 | 2025-09-01 06:11:41.399553 | 11733066 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733066 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-02 | F | AE | FRANK | 6C06N65FN89 | KAREN | 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/2222/5542263/check_11733066_083e0d67-3922-4d9b-8e52-15b2f496b1c1.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MA | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326138 | N/A | N/A | 5542263 | 2222 | 4802 | 11963329 | N/A | 4214201 | 2025-09-01 06:11:41.399553 | 2025-05-13 04:29:37.228535 |
| 2025-08-31 08:02:35.805437 | 2025-09-01 02:30:46.340211 | 11733058 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 11733058 | Athletic Physical Therapy Inc | 1959-10-10 | 2025-09-03 | F | AE | AV | H6124714500 | KOUI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110226924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123813/check_11733058_12c23dfe-c4cb-4f24-806c-20acf826dd57.json | N/A | N/A | N/A | N/A | N/A | H61247145 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1959-10-10 | N/A | 0B666001 | N/A | HN | false | AV | N/A | KOUI | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682281544 | N/A | N/A | 6123813 | 2222 | 4801 | 11806704 | N/A | 4766544 | 2025-09-01 02:30:46.340211 | 2025-06-03 20:39:17.779681 |
| 2025-08-31 08:02:35.829273 | 2025-09-01 05:59:05.875707 | 11733057 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11733057 | Athletic Physical Therapy Inc | 1956-06-24 | 2025-09-03 | M | AE | De Castro | 40043440501 | Teodolofo B | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250831.110239977.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7254540/check_11733057_f932ed2e-417b-4986-a093-3a8f16e90f31.json | N/A | N/A | N/A | N/A | N/A | 40043440501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-06-24 | 2025H5425006 | H5425M | N/A | N/A | false | DE CASTRO | N/A | TEODOLFO | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682284145 | N/A | N/A | 7254540 | 2222 | 4802 | 11937232 | N/A | 6021643 | 2025-09-01 05:59:05.875707 | 2025-07-21 16:19:33.638318 |
| 2025-08-31 08:02:35.550546 | 2025-09-01 06:08:35.042694 | 11733047 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11733047 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-09-03 | F | PT | HASERJIAN | XED912403581 | RENEE | N/A | 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/2222/5542222/check_11733047_c72fccac-38b6-45c9-bf23-5ce39b50873b.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326137 | N/A | N/A | 5542222 | 2222 | 4793 | 11956045 | N/A | 4214148 | 2025-09-01 06:08:35.042694 | 2025-05-13 04:29:37.228475 |
| 2025-08-31 08:02:35.173863 | 2025-09-01 06:07:43.631609 | 11733032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733032 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-02 | F | PT | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_11733032_6794d4b3-8916-4308-a8a5-052308bb13da.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326136 | N/A | N/A | 5542207 | 2222 | 4802 | 11954089 | N/A | 4214152 | 2025-09-01 06:07:43.631609 | 2025-05-13 04:29:37.228479 |
| 2025-08-31 08:02:34.842506 | 2025-09-01 06:11:42.035345 | 11733021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11733021 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-09-02 | F | AE | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_11733021_b9b59860-20f1-4a92-b600-de806b0e50ea.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326135 | N/A | N/A | 5542161 | 2222 | 4802 | 11963351 | N/A | 4214112 | 2025-09-01 06:11:42.035345 | 2025-05-13 04:29:37.228426 |
| 2025-08-31 08:02:34.505778 | 2025-09-01 06:07:47.200688 | 11733011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11733011 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-02 | F | PT | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_11733011_3a57226b-d6af-4e62-8753-7b7614656c58.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326134 | N/A | N/A | 5542014 | 2222 | 4793 | 11954231 | N/A | 4213977 | 2025-09-01 06:07:47.200688 | 2025-05-13 04:29:37.228294 |
| 2025-08-31 08:02:34.059808 | 2025-09-01 06:07:09.262464 | 11733000 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11733000 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-03 | M | AE | YEE | 412922301 | HARRY | 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/2222/5541972/check_11733000_cb883c3e-b0b6-4db6-802e-1b2d406b034a.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326133 | N/A | N/A | 5541972 | 2222 | 4793 | 11952725 | N/A | 4213941 | 2025-09-01 06:07:09.262464 | 2025-05-13 04:29:37.228259 |
| 2025-08-31 08:02:33.621840 | 2025-09-01 06:07:37.864076 | 11732989 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11732989 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-02 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_11732989_3d0038c1-1745-42a1-9418-5702384f99be.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326132 | N/A | N/A | 5541944 | 2222 | 4801 | 11953868 | 4184 | 4213907 | 2025-09-01 06:07:37.864076 | 2025-05-13 04:29:37.228228 |
| 2025-08-31 08:02:33.065344 | 2025-09-01 06:11:43.555510 | 11732971 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11732971 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-02 | F | AE | MAYER | 5J41QM7YN93 | MARY | 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/2222/5541938/check_11732971_3af59c68-d5e8-4ade-acb8-9b57e78922f8.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326131 | N/A | N/A | 5541938 | 2222 | 4801 | 11963412 | N/A | 4213917 | 2025-09-01 06:11:43.555510 | 2025-06-25 01:53:37.609327 |
| 2025-08-31 08:02:32.693206 | 2025-09-01 06:07:46.873115 | 11732961 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11732961 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-03 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | 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/2222/5541917/check_11732961_6f03ba8a-947a-494b-b6d1-5b23fc3019d1.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326130 | N/A | N/A | 5541917 | 2222 | 4793 | 11954216 | N/A | 4213891 | 2025-09-01 06:07:46.873115 | 2025-05-13 04:29:37.228207 |
| 2025-08-31 08:02:32.313663 | 2025-09-01 06:08:35.363013 | 11732952 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11732952 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-03 | F | PT | HILLIGER | XEA902904791 | JENNIE | N/A | 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/2222/5541730/check_11732952_55a08f55-2c2b-4b8c-baf6-ee72c9150931.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682326129 | N/A | N/A | 5541730 | 2222 | 4793 | 11956061 | N/A | 4213725 | 2025-09-01 06:08:35.363013 | 2025-05-13 04:29:37.228045 |
| 2025-08-31 08:02:31.825705 | 2025-09-01 06:07:29.352882 | 11732938 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11732938 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-02 | F | AE | ZAMORA | 00000327568 | FLORYBETH | 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/2222/5541719/check_11732938_907d19c1-a7b3-44e5-86bc-e137bba87440.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682326128 | N/A | N/A | 5541719 | 2222 | 4801 | 11953527 | N/A | 4213712 | 2025-09-01 06:07:29.352882 | 2025-08-19 01:13:52.150115 |
| 2025-08-31 08:02:31.507681 | 2025-09-01 05:20:27.147453 | 11732931 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11732931 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-09-03 | F | PT | GARCIA | NCF666A56083 | DAWN | N/A | 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/2222/5541664/check_11732931_12c15a15-280c-46b6-bca9-07e7072338e9.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682325951 | N/A | N/A | 5541664 | 2222 | 4793 | 11857146 | N/A | 4213662 | 2025-09-01 05:20:27.147453 | 2025-05-13 04:29:37.227982 |
| 2025-08-31 08:02:31.168084 | 2025-09-01 06:08:41.843641 | 11732923 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11732923 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-03 | M | PT | ZARIN | XEK905647080 | ELLA | N/A | 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/2222/5541582/check_11732923_e1d8c4ae-f73a-40d9-99ce-f7aed299b4f2.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682325950 | N/A | N/A | 5541582 | 2222 | 4793 | 11956292 | N/A | 4213586 | 2025-09-01 06:08:41.843641 | 2025-05-28 20:44:53.527917 |
| 2025-08-31 08:02:30.669877 | 2025-09-01 06:06:32.444871 | 11732907 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11732907 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-09-02 | F | AE | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_11732907_41b8117f-9c27-4c68-8352-665037448d71.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8682325949 | N/A | N/A | 5541519 | 2222 | 4802 | 11951270 | N/A | 4213530 | 2025-09-01 06:06:32.444871 | 2025-05-13 04:29:37.227860 |
| 2025-08-31 08:02:30.340598 | 2025-09-01 06:08:36.500002 | 11732895 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11732895 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-09-03 | F | PT | KURTZ | XED906231353 | NINA | N/A | 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/2222/5541378/check_11732895_3e47afcd-2cb6-4289-b28b-0f9942b25b94.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682325948 | N/A | N/A | 5541378 | 2222 | 4793 | 11956100 | N/A | 4213405 | 2025-09-01 06:08:36.500002 | 2025-05-13 04:29:37.227726 |
| 2025-08-31 08:02:29.976574 | 2025-09-01 06:08:40.915779 | 11732884 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11732884 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-03 | M | PT | UPSON | XEA909162969 | RYAN | N/A | 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/2222/5541318/check_11732884_45d7bc26-d4ec-4cf2-b556-2c9c5f39b2ee.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER CUSTOM VISION PLUS 0 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682325947 | N/A | N/A | 5541318 | 2222 | 4801 | 11956261 | N/A | 4213349 | 2025-09-01 06:08:40.915779 | 2025-05-13 04:29:37.227671 |
| 2025-08-31 08:02:29.617423 | 2025-09-01 06:08:34.662859 | 11732871 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11732871 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-02 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_11732871_75018c58-1582-4b80-92a4-d9108deb51d1.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8682325946 | N/A | N/A | 5541314 | 2222 | 4793 | 11956033 | N/A | 4213343 | 2025-09-01 06:08:34.662859 | 2025-06-06 02:21:37.603701 |