API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-28 17:56:54.697588 | 2025-08-28 17:56:57.494880 | 11689701 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 23326 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11689701_769e6224-77c3-4bd7-a9a0-85f195fc0498.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11689701_91ad617f-b863-464d-91fe-972de786ab2a.json | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 11695252 | N/A | 4215273 | 2025-08-28 17:56:57.494880 | 2025-05-13 04:29:37.229594 |
| 2025-08-28 17:56:52.072025 | 2025-08-28 17:56:54.695349 | 11689700 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 23326 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11689700_3d1c3ff2-ec9b-420d-80c3-d63ba8ce525e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-28 17:56:54.695349 | 2025-05-13 04:29:37.229594 |
| 2025-08-28 17:56:43.821654 | 2025-08-28 17:56:46.559845 | 11689699 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 6237 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11689699_6cecca42-a886-4062-9b2c-350b7a0b5546.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11689699_11ebfc4b-d9d3-449c-b165-e37b5be1726c.json | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 11695250 | N/A | 4215273 | 2025-08-28 17:56:46.559845 | 2025-05-13 04:29:37.229594 |
| 2025-08-28 17:56:41.239535 | 2025-08-28 17:56:43.819825 | 11689698 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 6237 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11689698_2ff07732-63d9-4509-9cf6-7127b5fbbc5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-28 17:56:43.819825 | 2025-05-13 04:29:37.229594 |
| 2025-08-28 17:55:07.120608 | 2025-08-28 17:55:10.049059 | 11689691 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 23326 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11689691_5964bb0b-1761-4469-9cf3-4e24041ab4d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11689691_eb825b34-a12b-44a8-9843-984954e192bd.json | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 11695241 | N/A | 4215273 | 2025-08-28 17:55:10.049059 | 2025-05-13 04:29:37.229594 |
| 2025-08-28 17:55:04.401278 | 2025-08-28 17:55:07.109355 | 11689690 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 23326 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11689690_ffcb7bd3-052e-417a-8533-85a5f771da18.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-28 17:55:07.109355 | 2025-05-13 04:29:37.229594 |
| 2025-08-28 14:03:08.744831 | 2025-08-28 14:03:10.675317 | 11687474 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11687474_674901d2-677d-4f28-ac16-09d69ae7b9e5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11687474_9700ebac-9283-49fb-a8e5-82132a993d87.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8664092876 | N/A | N/A | 8217366 | 2222 | N/A | 11692859 | N/A | 4213743 | 2025-08-28 14:03:10.675317 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 12:57:52.203815 | 2025-08-28 12:57:53.979329 | 11687020 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11687020_6fa2183f-d752-4391-9538-b89750bdf913.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11687020_a258f544-23d0-45e7-ad80-cdbd8192e611.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8663282348 | N/A | N/A | 8217366 | 2222 | N/A | 11692250 | N/A | 4213743 | 2025-08-28 12:57:53.979329 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 12:18:32.153832 | 2025-08-28 12:18:38.127701 | 11686850 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11686850_acb09824-1588-440c-9d9f-51087108781e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11686850_fa0a2e30-6d98-4d5a-9b8c-c1a69718a7b5.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8662928300 | N/A | N/A | 8217366 | 2222 | N/A | 11691994 | N/A | 4213743 | 2025-08-28 12:18:38.127701 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 09:48:38.775374 | 2025-08-28 09:48:43.640294 | 11686048 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11686048_ef478039-7722-4bb6-832c-bc382adfee2d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11686048_88acbe37-b6cf-42e4-8466-d52ecbd1b372.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8662372801 | N/A | N/A | 8217366 | 2222 | N/A | 11690779 | N/A | 4213743 | 2025-08-28 09:48:43.640294 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 09:37:24.834371 | 2025-08-28 09:37:26.633069 | 11686045 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11686045_4f1b5156-8344-40e1-ac41-8e2aa0310287.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11686045_fa56d495-de48-4cc5-bba3-cce85034a1bb.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8662316067 | N/A | N/A | 8217366 | 2222 | N/A | 11690743 | N/A | 4213743 | 2025-08-28 09:37:26.633069 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 08:21:46.319880 | 2025-08-28 08:21:54.523358 | 11683320 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-08-29 | M | AE | PT | 6341 | WALLACH | 006908882 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_11683320_7ce2c064-bca8-4225-b25a-9b9d0137194d.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_11683320_8119a640-3b25-49c5-a3c0-3034653aabe2.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | 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 | N/A | N/A | N/A | 7821426 | 2222 | N/A | 11689294 | N/A | 6660003 | 2025-08-28 08:21:54.523358 | 2026-06-01 17:03:48.982724 |
| 2025-08-28 08:18:15.095079 | 2025-08-29 02:27:00.174249 | 11682027 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11682027 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-08-29 | F | PT | N/A | N/A | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.113130625.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_11682027_a8f65bf3-1ab1-4b68-b863-0724b96dce4d.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8662008944 | N/A | N/A | 7752768 | 2222 | 4802 | 11713976 | N/A | 6604326 | 2025-08-29 02:27:00.174249 | 2025-08-06 18:06:11.137864 |
| 2025-08-28 08:15:49.189026 | 2025-08-29 02:16:04.721919 | 11680435 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11680435 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-08-29 | F | AE | PT | N/A | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.111140791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_11680435_a21e2864-a4c9-4708-8464-e584f8ca69d9.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1984-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661995202 | N/A | N/A | 6782227 | 2222 | 4802 | 11706258 | N/A | 5813326 | 2025-08-29 02:16:04.721919 | 2025-07-21 17:21:46.553298 |
| 2025-08-28 08:14:43.560293 | 2025-08-28 08:14:45.393018 | 11679631 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11679631_baeb998f-976a-4a87-85dd-3ed874fe7b03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11679631_ca018676-5410-4999-9c7b-8c6dd47edc31.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661975769 | N/A | N/A | 8217366 | 2222 | N/A | 11688958 | N/A | 4213743 | 2025-08-28 08:14:45.393018 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 08:14:11.059568 | 2025-08-29 02:17:20.096673 | 11679135 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11679135 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-08-29 | F | PT | N/A | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110811319.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_11679135_f4f045e3-a5e3-45e3-a95d-5c2280d107bb.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661984751 | N/A | N/A | 7456429 | 2222 | 4802 | 11707291 | N/A | 4208856 | 2025-08-29 02:17:20.096673 | 2025-05-13 04:29:37.223284 |
| 2025-08-28 08:14:10.257638 | 2025-08-29 02:14:30.695776 | 11679121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11679121 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-08-29 | F | AE | PT | N/A | COMBS | XDD261A55173 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110811319.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450034/check_11679121_c635394d-7f2c-437f-a6c0-444b4108df7d.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1954-10-13 | 040 | 1264MD | N/A | SP | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2019-11-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661984748 | N/A | N/A | 7450034 | 2222 | 4801 | 11704902 | N/A | 6399759 | 2025-08-29 02:14:30.695776 | 2025-07-24 23:45:59.561511 |
| 2025-08-28 08:13:14.145230 | 2025-08-29 02:31:23.564550 | 11678032 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11678032 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-08-29 | F | AE | PT | N/A | COMBS | 9RM0WC3QW15 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.113130625.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450031/check_11678032_a237f397-3d93-4408-a49e-591f90305a20.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-13 | N/A | N/A | N/A | MB | false | COMBS | N/A | ROBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8662008401 | N/A | N/A | 7450031 | 2222 | 4801 | 11715337 | N/A | 6399759 | 2025-08-29 02:31:23.564550 | 2025-07-24 23:45:59.561511 |
| 2025-08-28 08:12:57.560686 | 2025-08-29 02:21:49.172755 | 11677679 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11677679 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-08-29 | F | PT | N/A | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110821902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_11677679_fe537f30-9a17-4958-afaf-513644cc8382.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661987003 | N/A | N/A | 7456429 | 2222 | 4802 | 11711156 | N/A | 4208856 | 2025-08-29 02:21:49.172755 | 2025-05-13 04:29:37.223284 |
| 2025-08-28 08:12:56.575135 | 2025-08-29 02:19:16.941291 | 11677660 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11677660 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-08-29 | F | AE | PT | N/A | COMBS | XDD261A55173 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110821902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450034/check_11677660_353d8692-91c5-4e02-b534-2376ad92b89d.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1954-10-13 | 040 | 1264MD | N/A | SP | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2019-11-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661987000 | N/A | N/A | 7450034 | 2222 | 4801 | 11709162 | N/A | 6399759 | 2025-08-29 02:19:16.941291 | 2025-07-24 23:45:59.561511 |
| 2025-08-28 08:11:39.104494 | 2025-08-29 02:15:28.633593 | 11676385 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11676385 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-08-29 | F | PT | N/A | N/A | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.113124786.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_11676385_3981e96b-4ee8-4f08-8018-c00705c65ede.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8662005839 | N/A | N/A | 7752768 | 2222 | 4802 | 11705730 | N/A | 6604326 | 2025-08-29 02:15:28.633593 | 2025-08-06 18:06:11.137864 |
| 2025-08-28 08:10:56.960151 | 2025-08-29 02:28:08.556951 | 11675908 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11675908 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-08-29 | F | AE | PT | N/A | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110630742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_11675908_56b9db0e-828f-49ab-8c50-7d331a62caac.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1984-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661977345 | N/A | N/A | 6782227 | 2222 | 4802 | 11714336 | N/A | 5813326 | 2025-08-29 02:28:08.556951 | 2025-07-21 17:21:46.553298 |
| 2025-08-28 08:10:38.749087 | 2025-08-28 08:11:15.668480 | 11675739 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-08-29 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_11675739_1ea14e5c-7fcf-4bbd-80aa-99965fb9276b.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-08-28 08:11:15.668480 | 2025-05-13 04:29:37.229495 |
| 2025-08-28 08:10:17.715983 | 2025-08-29 02:16:14.654135 | 11675527 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11675527 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-08-29 | F | PT | N/A | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.111140791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_11675527_6c4a4f2c-a748-4246-8428-df97ebbdb1ea.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 2025-09-22 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661994304 | N/A | N/A | 5543178 | 2222 | 4802 | 11706368 | N/A | 4215006 | 2025-08-29 02:16:14.654135 | 2025-05-13 04:29:37.229325 |
| 2025-08-28 08:10:17.149603 | 2025-08-29 02:15:34.548330 | 11675520 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11675520 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-08-29 | F | AE | PT | N/A | MARTINEZ | 40032670501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.111140791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_11675520_d8de90e5-0d2c-48a1-aae6-3af8f7018af2.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661994303 | N/A | N/A | 5540591 | 2222 | 4801 | 11705808 | N/A | 4212724 | 2025-08-29 02:15:34.548330 | 2025-07-26 22:27:37.781276 |
| 2025-08-28 08:10:16.641341 | 2025-08-29 02:16:13.831998 | 11675512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11675512 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-08-29 | M | PT | N/A | N/A | KOSTER | DGA11321380J | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.111140791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_11675512_84d00e70-f97e-4537-a747-da3c43bf9b4a.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661994302 | N/A | N/A | 5536722 | 2222 | 4802 | 11706359 | N/A | 4209420 | 2025-08-29 02:16:13.831998 | 2025-05-13 04:29:37.223843 |
| 2025-08-28 08:10:16.086793 | 2025-08-29 02:16:12.960081 | 11675506 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11675506 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-08-29 | F | PT | N/A | N/A | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.111140791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_11675506_d7734d41-7ca2-4c72-bd88-80bccf71f2f2.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661994301 | N/A | N/A | 5536041 | 2222 | 4802 | 11706347 | 4184 | 4208856 | 2025-08-29 02:16:12.960081 | 2025-05-13 04:29:37.223284 |
| 2025-08-28 08:08:40.326846 | 2025-08-29 02:17:19.639943 | 11674333 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11674333 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-08-29 | F | PT | N/A | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110411090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_11674333_0dce3a33-d98d-427b-a492-b432bf08ae80.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661971304 | N/A | N/A | 7456429 | 2222 | 4802 | 11707275 | N/A | 4208856 | 2025-08-29 02:17:19.639943 | 2025-05-13 04:29:37.223284 |
| 2025-08-28 08:08:39.102911 | 2025-08-29 02:13:47.946260 | 11674319 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11674319 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-08-29 | F | AE | PT | N/A | COMBS | XDD261A55173 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110411090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450034/check_11674319_96671d43-379a-4b06-bf57-d62a2d6ec02a.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1954-10-13 | 040 | 1264MD | N/A | SP | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2019-11-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661971301 | N/A | N/A | 7450034 | 2222 | 4801 | 11704240 | N/A | 6399759 | 2025-08-29 02:13:47.946260 | 2025-07-24 23:45:59.561511 |
| 2025-08-28 08:07:30.701220 | 2025-08-29 02:28:12.475860 | 11673394 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11673394 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-08-29 | F | PT | N/A | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110630742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_11673394_7f7b9a39-ea2e-4d22-8c0f-4ae364ea2cf5.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 2025-09-22 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661978574 | N/A | N/A | 5543178 | 2222 | 4802 | 11714360 | N/A | 4215006 | 2025-08-29 02:28:12.475860 | 2025-05-13 04:29:37.229325 |
| 2025-08-28 08:07:30.612398 | 2025-08-29 02:27:48.557251 | 11673390 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11673390 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-08-29 | F | AE | PT | N/A | MARTINEZ | 40032670501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110630742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_11673390_3a702086-ba1e-45a3-9ae2-39155f5d37b3.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661978573 | N/A | N/A | 5540591 | 2222 | 4801 | 11714225 | N/A | 4212724 | 2025-08-29 02:27:48.557251 | 2025-07-26 22:27:37.781276 |
| 2025-08-28 08:07:30.525675 | 2025-08-29 02:28:12.086909 | 11673389 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11673389 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-08-29 | M | PT | N/A | N/A | KOSTER | DGA11321380J | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110630742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_11673389_7254e6e5-833d-4e9a-a9f6-e4865161ec5b.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661978572 | N/A | N/A | 5536722 | 2222 | 4802 | 11714358 | N/A | 4209420 | 2025-08-29 02:28:12.086909 | 2025-05-13 04:29:37.223843 |
| 2025-08-28 08:07:30.395734 | 2025-08-29 02:28:11.795494 | 11673388 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11673388 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-08-29 | F | PT | N/A | N/A | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.110630742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_11673388_050d626d-84ce-4faa-8a61-7a40e3e85bc4.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661978571 | N/A | N/A | 5536041 | 2222 | 4802 | 11714356 | 4184 | 4208856 | 2025-08-29 02:28:11.795494 | 2025-05-13 04:29:37.223284 |
| 2025-08-28 08:06:24.892771 | 2025-08-28 08:06:27.726317 | 11672282 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11672282_980af62c-ce19-42af-8b1a-80cc7d1cd28b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11672282_f76e588e-e89d-4262-a30d-4f8f6e43e545.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661948147 | N/A | N/A | 8217366 | 2222 | N/A | 11688221 | N/A | 4213743 | 2025-08-28 08:06:27.726317 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 08:05:50.298920 | 2025-08-29 02:20:12.331281 | 11671715 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11671715 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-08-29 | F | AE | PT | N/A | COMBS | 9RM0WC3QW15 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.113124786.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450031/check_11671715_c3717e36-c850-4f9b-8ee1-a25ac25abd0e.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-13 | N/A | N/A | N/A | MB | false | COMBS | N/A | ROBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8662005976 | N/A | N/A | 7450031 | 2222 | 4801 | 11709894 | N/A | 6399759 | 2025-08-29 02:20:12.331281 | 2025-07-24 23:45:59.561511 |
| 2025-08-28 08:05:29.951020 | 2025-08-28 08:05:32.981497 | 11671413 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-07-12 | 2025-08-28 | M | AE | PT | 23322 | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/2222/7315101/check_11671413_b2d07e90-e9b4-475f-8f12-c8c3d2d3bbbd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_11671413_e824897d-37c3-4a91-88b0-3e814855fd53.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661938316 | N/A | N/A | 7315101 | 2222 | N/A | 11688093 | N/A | 6152454 | 2025-08-28 08:05:32.981497 | 2025-07-17 21:44:04.596080 |
| 2025-08-28 08:02:50.950929 | 2025-08-29 05:06:44.918390 | 11668764 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11668764 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-08-29 | F | PT | N/A | N/A | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.105626745.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_11668764_c9a27c8e-044d-4497-aef2-cb235028d4b0.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8661945783 | N/A | N/A | 7752768 | 2222 | 4802 | 11718771 | N/A | 6604326 | 2025-08-29 05:06:44.918390 | 2025-08-06 18:06:11.137864 |
| 2025-08-28 08:01:59.881864 | 2025-08-29 05:10:41.343785 | 11667823 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11667823 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-08-29 | F | AE | PT | N/A | COMBS | 9RM0WC3QW15 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250828.105626745.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450031/check_11667823_68cd099d-242e-4419-a4d0-2f21fff290aa.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-13 | N/A | N/A | N/A | MA | false | COMBS | N/A | ROBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8661945665 | N/A | N/A | 7450031 | 2222 | 4801 | 11719438 | N/A | 6399759 | 2025-08-29 05:10:41.343785 | 2025-07-24 23:45:59.561511 |
| 2025-08-28 07:26:55.908589 | 2025-08-28 07:26:57.734520 | 11667633 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667633_02edcaa8-25ea-46b0-bcfa-04ac5b174f46.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667633_68e3c1c2-10b4-40dc-a560-52dc193c3f48.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661804806 | N/A | N/A | 8217366 | 2222 | N/A | 11687553 | N/A | 4213743 | 2025-08-28 07:26:57.734520 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 07:01:44.108999 | 2025-08-28 07:01:45.859265 | 11667619 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667619_32a907d5-d41b-4e6b-8657-bb9755b3221b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667619_b49b7f6b-6054-4225-9e39-ed54fdeeff98.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661742966 | N/A | N/A | 8217366 | 2222 | N/A | 11687508 | N/A | 4213743 | 2025-08-28 07:01:45.859265 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 06:58:56.156959 | 2025-08-28 06:58:57.954566 | 11667617 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667617_45c949d8-b064-47e3-a47f-2748de5530b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667617_e870eba0-b52c-4449-9293-083327688fc5.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661735530 | N/A | N/A | 8217366 | 2222 | N/A | 11687505 | N/A | 4213743 | 2025-08-28 06:58:57.954566 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 06:42:05.901985 | 2025-08-28 06:42:07.861639 | 11667594 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667594_d772242c-5806-47ce-a1db-ce68a1939e7d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667594_45871c11-c2e5-41db-8517-82b979edf9bc.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661707881 | N/A | N/A | 8217366 | 2222 | N/A | 11687136 | N/A | 4213743 | 2025-08-28 06:42:07.861639 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 06:30:48.536283 | 2025-08-28 06:30:50.354153 | 11667589 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667589_d434969f-dc41-4e72-b4db-79c411893e43.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667589_978d7893-f724-4000-a4ed-bfdcbab5df01.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661685663 | N/A | N/A | 8217366 | 2222 | N/A | 11686680 | N/A | 4213743 | 2025-08-28 06:30:50.354153 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 06:01:13.050325 | 2025-08-28 06:01:14.950199 | 11667578 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667578_815a86fd-9c61-4837-8a62-fc765ad03483.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667578_63c24737-5478-4925-9604-aa2b771d46fa.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661610510 | N/A | N/A | 8217366 | 2222 | N/A | 11683415 | N/A | 4213743 | 2025-08-28 06:01:14.950199 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 05:40:58.537860 | 2025-08-28 05:41:00.555016 | 11667568 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667568_db8af790-cf2a-402d-b3d4-f0f6fe858de2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667568_a2c0de5e-ebc2-474c-bda2-303846966f03.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661555465 | N/A | N/A | 8217366 | 2222 | N/A | 11678268 | N/A | 4213743 | 2025-08-28 05:41:00.555016 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 05:35:35.304651 | 2025-08-28 05:35:40.029850 | 11667565 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1950-03-19 | N/A | F | PT | AE | 4197 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8217366/check_11667565_66fd5cf3-7c0a-4b9d-bc59-888978094613.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8217366/check_11667565_6b25e62a-87a6-4900-a2c5-6b31106f5e3e.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661533223 | N/A | N/A | 8217366 | 2222 | N/A | 11676546 | N/A | 4213743 | 2025-08-28 05:35:40.029850 | 2025-05-13 04:29:37.228064 |
| 2025-08-28 04:06:32.938419 | 2025-08-28 04:06:38.002790 | 11667492 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-03-30 | 2025-08-11 | N/A | PT | AE | 3948 | BUCKLE | W276209560 | MADALYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8427149/check_11667492_a84e2906-a33f-42fa-b57f-14416e774bca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8427149/check_11667492_74910ff2-41a9-4cac-bc65-014f3efbd10c.json | N/A | N/A | N/A | N/A | N/A | W276209560 | Point of Service (POS) | JPMORGAN CHASE & CO. | AETNA | N/A | 2004-03-30 | 0192643 | 019264301100001 | N/A | PS | false | BUCKLE | N/A | NANCY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8661278789 | 1275 | N/A | 8427149 | 2222 | N/A | 11662903 | N/A | 6227714 | 2025-08-28 04:06:38.002790 | 2025-07-21 23:13:31.723269 |
| 2025-08-28 04:06:13.727728 | 2025-08-28 04:06:15.694272 | 11667472 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-01 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11667472_b3239eb0-1598-4aad-a643-f58cf4eb7dcf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_11667472_38cedd21-4744-4bd8-9a57-fac2552ab795.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | 11662878 | N/A | 4766950 | 2025-08-28 04:06:15.694272 | 2025-06-03 22:10:54.646473 |
| 2025-08-28 04:06:11.924171 | 2025-08-28 04:06:13.725228 | 11667468 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-01 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11667468_b2cbe662-7a4a-45bb-abc2-3c6386181cb8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-08-28 04:06:13.725228 | 2025-06-03 22:10:54.646473 |
| 2025-08-28 04:05:21.732122 | 2025-08-28 04:05:23.560399 | 11667433 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-06-10 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11667433_b7390a23-b588-4aed-bc3c-21951cc56cd8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_11667433_c10440f8-42a4-414b-8fb3-f1b391c83341.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | 11662842 | N/A | 4766950 | 2025-08-28 04:05:23.560399 | 2025-06-03 22:10:54.646473 |