API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-26 18:23:20.412609 | 2025-08-27 02:35:37.842041 | 11620741 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11620741 | N/A | 1937-03-24 | 2025-08-28 | F | AE | PT | STOPSKY | 98440536C | LIDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8226227/check_11620741_c43c6c10-9d2b-4f16-b57b-3c6600e1557b.json | N/A | N/A | N/A | N/A | N/A | 98440536C | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650386671 | N/A | N/A | 8226227 | 2222 | 4802 | 11586083 | N/A | 4212423 | 2025-08-27 02:35:37.842041 | 2025-05-13 04:29:37.226755 |
| 2025-08-26 18:23:18.144314 | 2025-08-27 02:37:28.329800 | 11620713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11620713 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-08-29 | M | AE | PT | COLLINS | JQE212W23450 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.211226986.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550686/check_11620713_f50e4729-ae0f-41a6-b613-0424b5818cbb.json | N/A | N/A | N/A | N/A | N/A | JQE212W23450 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-13 | 040 | CASUPWP0 | N/A | N/A | false | COLLINS | N/A | CHARLES | N/A | 9999-12-31 | 2025-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650392983 | N/A | N/A | 5550686 | 2222 | 4801 | 11589096 | N/A | 4219605 | 2025-08-27 02:37:28.329800 | 2025-06-06 16:26:34.530119 |
| 2025-08-26 18:23:17.778469 | 2025-08-27 02:37:27.758653 | 11620710 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11620710 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-08-29 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.211226986.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_11620710_616ad3bc-34cf-4959-8e71-e19ae64f6fe0.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650392982 | N/A | N/A | 5550535 | 2222 | 4801 | 11589079 | N/A | 4219556 | 2025-08-27 02:37:27.758653 | 2025-05-13 04:29:37.230592 |
| 2025-08-26 18:23:17.274937 | 2025-08-27 02:39:19.573160 | 11620704 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11620704 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-08-29 | F | AE | PT | MARCUS | XEM909523924 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.211226986.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_11620704_241ef1d3-f680-482e-97f7-3eefab1821bc.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650392979 | N/A | N/A | 5542324 | 2222 | 4802 | 11591618 | N/A | 4214241 | 2025-08-27 02:39:19.573160 | 2025-05-13 04:29:37.228574 |
| 2025-08-26 18:23:17.188700 | 2025-08-27 02:37:29.493519 | 11620703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11620703 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-08-29 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.211226986.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_11620703_165c750c-f725-4406-85eb-14c48a1c5462.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650392978 | N/A | N/A | 5539665 | 2222 | 4793 | 11589129 | N/A | 4211935 | 2025-08-27 02:37:29.493519 | 2025-05-13 04:29:37.226259 |
| 2025-08-26 18:23:17.113511 | 2025-08-27 02:29:14.416488 | 11620702 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11620702 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-08-29 | F | AE | PT | DRIMMER | 33360295512 | NADIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.211226986.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_11620702_1e60fca5-1c4a-4ca7-9991-a841ceeaf856.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650392977 | N/A | N/A | 5537832 | 2222 | 4802 | 11575654 | N/A | 4210338 | 2025-08-27 02:29:14.416488 | 2025-05-13 04:29:37.224744 |
| 2025-08-26 18:23:16.992966 | 2025-08-27 02:39:18.716569 | 11620700 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11620700 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-08-29 | M | AE | PT | EGGLETON | XEM090112120 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.211226986.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_11620700_3c3de6d7-6f32-484c-a6c3-eaed6eac0538.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650392976 | N/A | N/A | 5536871 | 2222 | 4801 | 11591602 | N/A | 4209543 | 2025-08-27 02:39:18.716569 | 2025-06-18 17:33:51.700160 |
| 2025-08-26 18:23:12.619571 | 2025-08-27 02:35:45.783096 | 11620624 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11620624 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_11620624_cc196bea-dd81-4c1b-8b07-a5f9f0dcd057.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650386631 | N/A | N/A | 8205059 | 2222 | 4793 | 11586308 | N/A | 6967073 | 2025-08-27 02:35:45.783096 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 18:22:52.824771 | 2025-08-27 02:35:48.358720 | 11620174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11620174 | Athletic Physical Therapy Inc | 1951-01-24 | 2025-08-29 | F | AE | PT | Leinwand | WXY589A22807 | Shari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8055349/check_11620174_ec529af2-94de-4fcb-a254-716ae79b68c9.json | N/A | N/A | N/A | N/A | N/A | 9P87PC2QC50 | Preferred Provider Organization (PPO) | GIBSON DUNN & CRUTCHER LLP RETIREE | MEDICARE B | N/A | 1951-01-24 | 040 | 174032M113 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2011-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650386800 | N/A | N/A | 8055349 | 2222 | 4802 | 11586376 | N/A | 6794499 | 2025-08-27 02:35:48.358720 | 2025-08-14 19:38:19.931659 |
| 2025-08-26 18:22:50.196929 | 2025-08-27 02:39:48.364559 | 11620106 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11620106 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-08-29 | F | PT | N/A | Moore | 8V70PQ9EF39 | Jeana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8044093/check_11620106_261460bb-13e3-441d-8bca-064dca775a7c.json | N/A | N/A | N/A | N/A | N/A | 8V70PQ9EF39 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-21 | H4471 | N/A | N/A | MA | false | MOORE | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650386766 | N/A | N/A | 8044093 | 2222 | 4802 | 11592174 | N/A | 6725117 | 2025-08-27 02:39:48.364559 | 2026-02-18 22:27:04.950292 |
| 2025-08-26 18:22:46.077346 | 2025-08-27 02:39:47.864740 | 11620001 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11620001 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-08-29 | M | PT | N/A | Aliabadi | 4H63HH1UD97 | Hossein | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_11620001_58f131d5-460d-4f0f-94a0-ecf38bbd27a1.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MB | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650386723 | N/A | N/A | 7983538 | 2222 | 4802 | 11592162 | N/A | 6706099 | 2025-08-27 02:39:47.864740 | 2025-11-21 22:00:12.073625 |
| 2025-08-26 18:22:45.673287 | 2025-08-27 02:32:39.972021 | 11619991 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11619991 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-08-29 | M | AE | PT | KOGUT | 32822509811 | JAMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7975132/check_11619991_a51898ee-3f9b-485b-ba34-741511272df8.json | N/A | N/A | N/A | N/A | N/A | 32822509811 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-04 | N/A | N/A | N/A | SP | false | KOGUT | N/A | JAMIE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650386718 | N/A | N/A | 7975132 | 2222 | 4801 | 11581432 | N/A | 6228944 | 2025-08-27 02:32:39.972021 | 2025-08-09 18:39:08.251512 |
| 2025-08-26 18:22:07.843337 | 2025-08-26 18:22:09.567059 | 11619153 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-08-26 | F | PT | N/A | VALENCIA | 972A20708-70 | NEVAEH | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8423284/check_11619153_e894d6e6-f64d-4ea6-89a7-390184d41938.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8423284/check_11619153_6f86f5e6-f5d2-48c3-a578-48643865e643.json | N/A | N/A | N/A | N/A | N/A | 972A20708-70 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8423284 | 2222 | N/A | 11529148 | N/A | 7100343 | 2025-08-26 18:22:09.567059 | 2025-08-26 17:30:26.978462 |
| 2025-08-26 18:22:05.173448 | 2025-08-26 18:22:07.840042 | 11619104 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-08-26 | F | PT | N/A | VALENCIA | 972A20708-70 | NEVAEH | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8423284/check_11619104_698366de-ebd2-4562-941a-01a332d2747d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | N/A | N/A | N/A | N/A | N/A | N/A | 972A20708-70 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8423284 | 2222 | N/A | N/A | N/A | 7100343 | 2025-08-26 18:22:07.840042 | 2025-08-26 17:30:26.978462 |
| 2025-08-26 18:21:53.229788 | 2025-08-27 02:35:47.982588 | 11618826 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11618826 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-08-29 | F | AE | PT | CARRANZA | 94113505C | KISELL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_11618826_978155be-ce6a-4dcd-bda4-b35911f01712.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650385823 | N/A | N/A | 7508301 | 2222 | 4802 | 11586366 | N/A | 4214064 | 2025-08-27 02:35:47.982588 | 2025-07-15 17:36:25.711810 |
| 2025-08-26 18:21:43.559315 | 2025-08-27 02:38:10.081135 | 11618691 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11618691 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-08-29 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213519111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_11618691_c74f5986-b0c5-43b8-990a-e86ccf44d008.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650385575 | N/A | N/A | 7321767 | 2222 | 4793 | 11590267 | N/A | 6037802 | 2025-08-27 02:38:10.081135 | 2025-07-22 17:48:16.997014 |
| 2025-08-26 18:20:12.782586 | 2025-08-27 02:25:14.968309 | 11618293 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11618293 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-08-29 | F | PT | N/A | SEITV | SEY495A67668 | KORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210921115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_11618293_fd55b7d0-fbc0-4e89-8778-16918d737004.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650361970 | N/A | N/A | 8225980 | 2222 | 4801 | 11569485 | N/A | 6982786 | 2025-08-27 02:25:14.968309 | 2025-09-05 22:05:24.545118 |
| 2025-08-26 18:19:36.844003 | 2025-08-27 02:38:07.070250 | 11617979 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11617979 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210921115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11617979_8cdabf19-14e6-4e01-b891-4f1ac5ab8751.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1956-05-22 | N/A | N/A | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650363761 | N/A | N/A | 8205054 | 2222 | 4793 | 11590170 | N/A | 6967073 | 2025-08-27 02:38:07.070250 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 18:19:23.635406 | 2025-08-27 02:26:25.182339 | 11617831 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11617831 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-08-29 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210921115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_11617831_d9285818-6308-4731-843a-4aee08c01e1f.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650363718 | N/A | N/A | 8202901 | 2222 | 4793 | 11571150 | N/A | 6965521 | 2025-08-27 02:26:25.182339 | 2025-09-10 21:42:23.177790 |
| 2025-08-26 18:19:22.992358 | 2025-08-27 02:19:59.448792 | 11617822 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11617822 | Athletic Physical Therapy Inc | 1948-11-30 | 2025-08-28 | M | AE | PT | DOUGLAS | H9212884400 | ROGELIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210921115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202027/check_11617822_d113fdd9-e596-4a0a-8572-878cf097c594.json | N/A | N/A | N/A | N/A | N/A | H92128844 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1948-11-30 | N/A | 0B527001 | N/A | HN | false | DOUGLAS | N/A | ROGELIO | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650363715 | N/A | N/A | 8202027 | 2222 | 4793 | 11562073 | N/A | 6964774 | 2025-08-27 02:19:59.448792 | 2025-08-24 16:04:34.721594 |
| 2025-08-26 18:18:07.767456 | 2025-08-27 05:20:25.035286 | 11616983 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11616983 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-08-29 | F | PT | N/A | SEITV | SEY495A67668 | KORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210733938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_11616983_d5e37a0b-c2b6-4575-8373-aa38e99e4182.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650339895 | N/A | N/A | 8225980 | 2222 | 4801 | 11616260 | N/A | 6982786 | 2025-08-27 05:20:25.035286 | 2025-09-05 22:05:24.545118 |
| 2025-08-26 18:17:25.319451 | 2025-08-27 02:09:35.549087 | 11616660 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11616660 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-08-29 | F | PT | N/A | RAFFERTY | XED913453119 | ZOE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_11616660_23203f86-64f9-4acb-a725-e9ad516e01b6.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | 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 | 8650309092 | N/A | N/A | 5874430 | 2222 | 4802 | 11547294 | N/A | 4534559 | 2025-08-27 02:09:35.549087 | 2025-06-06 02:13:35.698378 |
| 2025-08-26 18:17:01.877506 | 2025-08-27 05:30:37.622997 | 11616405 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11616405 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210733938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11616405_95e1ccdc-05a8-4fb0-a6b2-67b6a51ad3a6.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MB | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650339877 | N/A | N/A | 8205054 | 2222 | 4793 | 11617801 | N/A | 6967073 | 2025-08-27 05:30:37.622997 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 18:16:33.562386 | 2025-08-27 05:21:41.392339 | 11616056 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11616056 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-08-29 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210733938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_11616056_2528d355-ce64-47a6-b0f0-fe8082948f4e.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650339830 | N/A | N/A | 8202901 | 2222 | 4793 | 11616521 | N/A | 6965521 | 2025-08-27 05:21:41.392339 | 2025-09-10 21:42:23.177790 |
| 2025-08-26 18:16:31.140035 | 2025-08-27 05:17:50.953106 | 11616025 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11616025 | Athletic Physical Therapy Inc | 1948-11-30 | 2025-08-28 | M | AE | PT | DOUGLAS | H9212884400 | ROGELIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210733938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202027/check_11616025_e7419922-3bc1-41be-93ca-3745d80746b3.json | N/A | N/A | N/A | N/A | N/A | H92128844 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1948-11-30 | N/A | 0B527001 | N/A | HN | false | DOUGLAS | N/A | ROGELIO | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650339827 | N/A | N/A | 8202027 | 2222 | 4793 | 11615510 | N/A | 6964774 | 2025-08-27 05:17:50.953106 | 2025-08-24 16:04:34.721594 |
| 2025-08-26 18:15:44.876753 | 2025-08-27 02:21:21.934232 | 11615505 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11615505 | Athletic Physical Therapy Inc | 1981-10-10 | 2025-08-29 | F | AE | PT | FARAHAT | 101956430 | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210921115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8108868/check_11615505_ef7b05ad-8d53-409e-8d2c-9da50755537a.json | N/A | N/A | N/A | N/A | N/A | 10195643000 | N/A | FINN PARTNERS, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1981-10-10 | N/A | 00610764 | N/A | N/A | false | FARAHAT | N/A | LAURA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650361193 | N/A | N/A | 8108868 | 2222 | 4802 | 11563953 | N/A | 4213812 | 2025-08-27 02:21:21.934232 | 2025-05-13 04:29:37.228133 |
| 2025-08-26 18:15:37.013101 | 2025-08-27 02:07:16.738631 | 11615425 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11615425 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-29 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11615425_3d35b29a-805e-44e1-a9b7-40872d26b08c.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650310378 | N/A | N/A | 5568076 | 2222 | 4802 | 11543633 | N/A | 4209480 | 2025-08-27 02:07:16.738631 | 2026-04-10 02:05:15.976484 |
| 2025-08-26 18:15:13.360257 | 2025-08-27 02:15:55.571377 | 11615164 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11615164 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-08-29 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_11615164_f0afd252-28d5-4167-b1a0-5006051ca4d1.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650308478 | N/A | N/A | 5550534 | 2222 | 4801 | 11555923 | N/A | 4219556 | 2025-08-27 02:15:55.571377 | 2025-05-13 04:29:37.230592 |
| 2025-08-26 18:15:12.970255 | 2025-08-27 02:08:01.175763 | 11615158 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11615158 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-08-29 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11615158_8d5ba0e2-f2a7-4159-a3c4-9396f2d089c5.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308477 | N/A | N/A | 5549317 | 2222 | 4801 | 11544789 | N/A | 4219010 | 2025-08-27 02:08:01.175763 | 2026-01-09 18:32:07.618867 |
| 2025-08-26 18:15:09.814521 | 2025-08-27 02:07:47.455659 | 11615127 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11615127 | N/A | 1962-06-19 | 2025-08-29 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11615127_83e86c84-1ac0-4453-bc48-b283b80f2249.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650308469 | N/A | N/A | 5543555 | 2222 | 4802 | 11544447 | N/A | 4215332 | 2025-08-27 02:07:47.455659 | 2025-08-06 16:15:15.716322 |
| 2025-08-26 18:15:08.957293 | 2025-08-27 02:07:59.379908 | 11615117 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11615117 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-08-29 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11615117_a7a9d47c-451d-480e-ad2d-f6160baa6b19.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308468 | N/A | N/A | 5543355 | 2222 | 4793 | 11544745 | N/A | 4215158 | 2025-08-27 02:07:59.379908 | 2025-05-13 04:29:37.229475 |
| 2025-08-26 18:15:08.347072 | 2025-08-27 02:09:33.902589 | 11615110 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11615110 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-08-29 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11615110_dbca7832-f6f4-4dd1-9e75-9021d1039eef.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308467 | N/A | N/A | 5543343 | 2222 | 4793 | 11547247 | N/A | 4215143 | 2025-08-27 02:09:33.902589 | 2025-05-13 04:29:37.229456 |
| 2025-08-26 18:15:07.750871 | 2025-08-27 02:07:58.915488 | 11615104 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11615104 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-08-27 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11615104_ddb6fccb-43cb-4e32-9360-d6d26acc0136.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 | 8650308466 | N/A | N/A | 5543324 | 2222 | 4801 | 11544736 | 4184 | 4215131 | 2025-08-27 02:07:58.915488 | 2025-08-11 16:45:52.816842 |
| 2025-08-26 18:15:06.839566 | 2025-08-27 02:07:56.052267 | 11615092 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11615092 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-08-29 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11615092_ed2059f8-4329-4fb7-a02a-01b5a94a99d6.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | 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 | 8650308465 | N/A | N/A | 5543270 | 2222 | 4793 | 11544667 | N/A | 4215086 | 2025-08-27 02:07:56.052267 | 2025-05-13 04:29:37.229401 |
| 2025-08-26 18:15:06.253700 | 2025-08-27 02:09:36.994946 | 11615085 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11615085 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-08-29 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_11615085_eabaddce-9499-4186-b984-597eb351e952.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ULTIMATE VISION 15 25 120 JAN16 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308464 | N/A | N/A | 5543237 | 2222 | 4802 | 11547333 | N/A | 4215054 | 2025-08-27 02:09:36.994946 | 2025-05-13 04:29:37.229375 |
| 2025-08-26 18:15:05.780055 | 2025-08-27 02:09:35.150309 | 11615078 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11615078 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-08-29 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_11615078_357a97da-2d37-4adc-8b7b-2419a00b4cc5.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308463 | N/A | N/A | 5542952 | 2222 | 4802 | 11547282 | N/A | 4214804 | 2025-08-27 02:09:35.150309 | 2025-05-13 20:09:53.786482 |
| 2025-08-26 18:15:05.417777 | 2025-08-27 02:04:18.753119 | 11615074 | N/A | N/A | 60054 | Aetna | 1114042165 | 11615074 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-29 | M | AE | PT | KORY | 102161581800 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_11615074_5e674911-70bb-4b52-9af1-0ad1bec58fb8.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 | 8650308460 | N/A | N/A | 5542870 | 2222 | 4793 | 11539297 | N/A | 4214732 | 2025-08-27 02:04:18.753119 | 2025-06-24 20:13:53.579048 |
| 2025-08-26 18:15:04.913994 | 2025-08-27 02:07:47.032484 | 11615069 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11615069 | N/A | 2007-12-08 | 2025-08-27 | F | AE | PT | LARSEN | R06053944FD1 | LANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_11615069_60a53fc0-9063-423a-a544-62e0e9f5c942.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 | 8650308459 | N/A | N/A | 5542850 | 2222 | 4793 | 11544436 | N/A | 4214714 | 2025-08-27 02:07:47.032484 | 2025-05-13 04:29:37.229031 |
| 2025-08-26 18:15:04.473596 | 2025-08-27 02:07:17.596177 | 11615065 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11615065 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-08-27 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11615065_9d949bfe-defa-4ca5-b279-3ab13b5a253c.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650308458 | N/A | N/A | 5542660 | 2222 | 4802 | 11543657 | N/A | 4214542 | 2025-08-27 02:07:17.596177 | 2025-05-13 04:29:37.228868 |
| 2025-08-26 18:15:03.988309 | 2025-08-27 02:04:19.202162 | 11615056 | N/A | N/A | 60054 | Aetna | 1114042165 | 11615056 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-08-29 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_11615056_4a1df890-3fd3-43e5-b452-58d4bf27292c.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 | 8650308457 | N/A | N/A | 5542634 | 2222 | 4801 | 11539307 | N/A | 4214520 | 2025-08-27 02:04:19.202162 | 2025-07-28 19:32:04.879318 |
| 2025-08-26 18:15:03.420088 | 2025-08-27 02:10:17.885330 | 11615051 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11615051 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-29 | F | PT | N/A | WEBER | JQU141A54789 | MADELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11615051_8f1a8156-078d-4a69-aa03-7472134a2035.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | BLUE SHIELD OF CALIFORNIA | N/A | 2009-08-14 | 040 | U49858 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308456 | N/A | N/A | 5542628 | 2222 | 4793 | 11548359 | N/A | 4214508 | 2025-08-27 02:10:17.885330 | 2025-06-04 00:05:22.392827 |
| 2025-08-26 18:15:02.652847 | 2025-08-27 02:08:00.764932 | 11615040 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11615040 | Athletic Physical Therapy Inc | 1962-10-12 | 2025-08-29 | F | PT | N/A | KOOMAN ANDERSON | KXJ461W13871 | SARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542565/check_11615040_c2940c2b-4761-4949-94c1-8e7c650ba11a.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 | 8650308455 | N/A | N/A | 5542565 | 2222 | 4793 | 11544781 | 4184 | 4214430 | 2025-08-27 02:08:00.764932 | 2025-06-03 20:17:16.657562 |
| 2025-08-26 18:15:01.946121 | 2025-08-27 02:07:54.529580 | 11615032 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11615032 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-08-29 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11615032_28663f12-7591-49e8-a949-1385474ed8fe.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 | 8650308454 | N/A | N/A | 5542513 | 2222 | 4793 | 11544629 | N/A | 4214418 | 2025-08-27 02:07:54.529580 | 2025-07-03 18:12:11.075357 |
| 2025-08-26 18:15:01.362369 | 2025-08-27 02:15:58.883077 | 11615027 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11615027 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-08-29 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_11615027_ceea5376-afc8-4407-a56e-1f5058ee5eba.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650308452 | N/A | N/A | 5542318 | 2222 | 4802 | 11556000 | N/A | 4214241 | 2025-08-27 02:15:58.883077 | 2025-05-13 04:29:37.228574 |
| 2025-08-26 18:15:00.904475 | 2025-08-27 02:09:33.590215 | 11615023 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11615023 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-08-29 | F | PT | N/A | BAER | XEK905554072 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11615023_6de7e992-2049-4929-bd2f-1e7fadc55764.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308451 | N/A | N/A | 5542259 | 2222 | 4802 | 11547235 | N/A | 4214195 | 2025-08-27 02:09:33.590215 | 2025-05-13 04:29:37.228529 |
| 2025-08-26 18:15:00.445866 | 2025-08-27 02:15:57.972937 | 11615017 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11615017 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-08-29 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_11615017_3cd19741-80a6-46c8-be90-a7959a0e098e.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650308450 | N/A | N/A | 5542251 | 2222 | 4802 | 11555978 | N/A | 4214191 | 2025-08-27 02:15:57.972937 | 2025-05-13 04:29:37.228525 |
| 2025-08-26 18:15:00.024883 | 2025-08-27 02:08:02.992769 | 11615012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11615012 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-08-29 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11615012_99eac70c-ddff-40f9-9bc5-bbd21423a24d.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 | 8650308449 | N/A | N/A | 5542014 | 2222 | 4793 | 11544834 | N/A | 4213977 | 2025-08-27 02:08:02.992769 | 2025-05-13 04:29:37.228294 |
| 2025-08-26 18:14:59.263232 | 2025-08-27 02:07:56.382736 | 11615003 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11615003 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-08-29 | M | AE | PT | SHRIVER | 90771207E | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11615003_c94cb288-5859-48ec-9f6f-2964ff6d1834.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650308448 | N/A | N/A | 5541984 | 2222 | 4802 | 11544677 | N/A | 4213934 | 2025-08-27 02:07:56.382736 | 2026-01-27 23:36:44.802366 |
| 2025-08-26 18:14:58.598606 | 2025-08-27 02:07:45.012268 | 11614996 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11614996 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-08-29 | M | AE | PT | YEE | 412922301 | HARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11614996_a81a0752-dc25-4870-9451-538b5e1a5a23.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 | 8650308447 | N/A | N/A | 5541972 | 2222 | 4793 | 11544380 | N/A | 4213941 | 2025-08-27 02:07:45.012268 | 2025-05-13 04:29:37.228259 |
| 2025-08-26 18:14:57.813322 | 2025-08-27 02:09:34.665724 | 11614987 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11614987 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-08-29 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210530901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_11614987_e57fa3f7-dd30-4d0e-8268-fb4873b6e02a.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650308445 | N/A | N/A | 5541956 | 2222 | 4802 | 11547270 | N/A | 4213923 | 2025-08-27 02:09:34.665724 | 2025-05-13 04:29:37.228244 |