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 18:00:12.416831 | 2025-08-27 02:44:41.897092 | 11601238 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11601238 | Athletic Physical Therapy Inc | 1945-05-23 | 2025-08-29 | F | AE | PT | RODRIGUEZ | 000015228691 | FRANCES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787949/check_11601238_c271c87d-830e-4b06-be54-c15f1c2fcc51.json | N/A | N/A | N/A | N/A | N/A | 000015228691 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1945-05-23 | 4295421 | 1650095002 | N/A | N/A | false | RODRIGUEZ | N/A | FRANCES | N/A | N/A | N/A | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650131294 | N/A | N/A | 7787949 | 2222 | 4801 | 11598652 | N/A | 6631750 | 2025-08-27 02:44:41.897092 | 2025-08-05 18:41:08.443351 |
| 2025-08-26 18:00:09.308091 | 2025-08-27 02:29:30.496598 | 11601185 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11601185 | N/A | 1949-09-08 | 2025-08-29 | F | AE | PT | DRATLER | 40069518001 | LILLIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205925116.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7459515/check_11601185_9f7b46db-3285-4044-b133-4e161bf23802.json | N/A | N/A | N/A | N/A | N/A | 40069518001 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1949-09-08 | N/A | N/A | N/A | N/A | false | DRATLER | N/A | LILLIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650216200 | N/A | N/A | 7459515 | 2222 | 4801 | 11576181 | N/A | 6408333 | 2025-08-27 02:29:30.496598 | 2025-08-25 14:29:09.086491 |
| 2025-08-26 18:00:04.988508 | 2025-08-27 02:30:22.774145 | 11601120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11601120 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-29 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205925116.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_11601120_fc13b54d-3f03-4236-a255-823b04e69703.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650216187 | N/A | N/A | 7458512 | 2222 | 4793 | 11577820 | N/A | 6021448 | 2025-08-27 02:30:22.774145 | 2025-07-14 23:05:51.728886 |
| 2025-08-26 18:00:04.189260 | 2025-08-27 02:29:59.268006 | 11601104 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11601104 | Athletic Physical Therapy Inc | 1970-11-24 | 2025-08-29 | M | AE | PT | CALL | 000022665066 | BRENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205925116.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458401/check_11601104_c937e82b-eebc-4f04-a48b-e05818f16abd.json | N/A | N/A | N/A | N/A | N/A | 000022665066 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1970-11-24 | 4369231 | 230283 | N/A | N/A | false | CALL | N/A | BRENT | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650216184 | N/A | N/A | 7458401 | 2222 | 4801 | 11577125 | N/A | 6407346 | 2025-08-27 02:29:59.268006 | 2025-07-25 20:38:21.233558 |
| 2025-08-26 18:00:02.779884 | 2025-08-27 02:37:50.100626 | 11601083 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11601083 | Athletic Physical Therapy Inc | 1991-01-16 | 2025-08-29 | F | PT | N/A | LI | XTS845M84428 | ZHANMEI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_11601083_06e86d47-badb-43bb-9196-5049f2cb1e3c.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 1991-01-16 | 040 | 277405M037 | N/A | PR | false | HAN | N/A | PENGCHENG | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650145220 | N/A | N/A | 6085650 | 2222 | 4793 | 11589691 | N/A | 4728966 | 2025-08-27 02:37:50.100626 | 2025-06-09 22:35:38.956800 |
| 2025-08-26 17:59:58.971227 | 2025-08-27 02:30:20.807319 | 11601025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11601025 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-08-29 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205925116.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_11601025_e8ffad51-d9d5-41f9-a7f4-ecc8281833cb.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650216171 | N/A | N/A | 7456267 | 2222 | 4793 | 11577773 | N/A | 6405582 | 2025-08-27 02:30:20.807319 | 2025-08-04 21:58:38.426681 |
| 2025-08-26 17:59:49.034154 | 2025-08-27 02:34:37.764253 | 11600852 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11600852 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-08-29 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_11600852_0a85f640-74be-4241-a57b-d59aace3d553.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650144976 | N/A | N/A | 6078312 | 2222 | 4802 | 11584378 | N/A | 4722569 | 2025-08-27 02:34:37.764253 | 2025-08-26 00:16:35.895658 |
| 2025-08-26 17:59:43.926650 | 2025-08-27 02:11:37.076482 | 11600768 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11600768 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11600768_d380a76a-11e5-49c3-ae44-164f74ec8035.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 | 8650129578 | N/A | N/A | 5568076 | 2222 | 4802 | 11550125 | N/A | 4209480 | 2025-08-27 02:11:37.076482 | 2026-04-10 02:05:15.976484 |
| 2025-08-26 17:59:39.234708 | 2025-08-27 05:20:03.918891 | 11600693 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11600693 | Athletic Physical Therapy Inc | 1943-03-12 | 2025-08-27 | M | AE | PT | HOOPER | 849864401 | BRUCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.210733938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8085236/check_11600693_e852efce-cce3-4116-a011-26e836ec9aba.json | N/A | N/A | N/A | N/A | N/A | 849864401 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1943-03-12 | N/A | 004237 | N/A | HN | false | HOOPER | N/A | BRUCE | N/A | N/A | N/A | UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650339560 | N/A | N/A | 8085236 | 2222 | 4793 | 11616162 | N/A | 6868326 | 2025-08-27 05:20:03.918891 | 2025-08-14 20:49:11.052642 |
| 2025-08-26 17:59:34.854716 | 2025-08-27 02:49:44.616234 | 11600628 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11600628 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-08-29 | F | AE | PT | DAVIS | 3M07R08AX76 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_11600628_1a870428-2558-4bb2-8ad4-9ac32b35c683.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650144921 | N/A | N/A | 6068062 | 2222 | 4802 | 11603440 | N/A | 4713002 | 2025-08-27 02:49:44.616234 | 2025-06-03 01:39:13.971712 |
| 2025-08-26 17:59:34.031434 | 2025-08-27 02:29:59.709600 | 11600616 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11600616 | Athletic Physical Therapy Inc | 1974-04-18 | 2025-08-29 | M | AE | PT | HENDERSON | 000009200856 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205925116.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447610/check_11600616_9214bd7d-6d2d-4524-9137-6cd399328b64.json | N/A | N/A | N/A | N/A | N/A | 000009200856 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-04-18 | 4299566 | 105705 | N/A | N/A | false | HENDERSON | N/A | CHAD | N/A | N/A | N/A | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650215992 | N/A | N/A | 7447610 | 2222 | 4801 | 11577138 | N/A | 6397817 | 2025-08-27 02:29:59.709600 | 2025-07-24 21:00:46.278199 |
| 2025-08-26 17:59:26.246220 | 2025-08-26 18:00:00.757080 | 11600507 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-08-29 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_11600507_f8faa591-af02-4dd0-80e5-6ec8b40c1fe3.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 | 2025-08-26 18:00:00.757080 | 2025-05-13 04:29:37.229495 |
| 2025-08-26 17:59:11.006834 | 2025-08-27 02:44:55.104546 | 11600288 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11600288 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-08-29 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_11600288_c3d7d915-ed1d-43b1-b7ba-322df737a327.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-25 | H3815028 | N/A | N/A | HM | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650131242 | N/A | N/A | 7783566 | 2222 | 4793 | 11598888 | 2630 | 6628802 | 2025-08-27 02:44:55.104546 | 2025-08-05 16:32:50.217064 |
| 2025-08-26 17:58:43.140932 | 2025-08-27 02:40:34.610490 | 11599819 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 11599819 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-08-29 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_11599819_0fdc5e97-09a0-4b4f-81aa-79820332d3a9.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650143919 | N/A | N/A | 5993958 | 2222 | 4801 | 11593361 | N/A | 4642892 | 2025-08-27 02:40:34.610490 | 2025-05-29 23:29:01.820749 |
| 2025-08-26 17:58:42.632968 | 2025-08-27 02:36:23.683333 | 11599817 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11599817 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-08-29 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_11599817_a072db97-60c7-49af-b4b9-d522aebad5ea.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650143918 | N/A | N/A | 5993940 | 2222 | 4802 | 11587299 | N/A | 4642877 | 2025-08-27 02:36:23.683333 | 2025-12-23 23:49:16.627667 |
| 2025-08-26 17:58:42.411846 | 2025-08-27 02:37:52.236382 | 11599813 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11599813 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-08-29 | M | PT | N/A | SPENCE | SGEFW1503472 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_11599813_715f24bc-d48b-44b3-b5cb-6ac16db19669.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650143917 | N/A | N/A | 5993917 | 2222 | 4793 | 11589751 | N/A | 4642854 | 2025-08-27 02:37:52.236382 | 2025-05-28 20:57:05.075130 |
| 2025-08-26 17:58:42.263717 | 2025-08-27 02:49:46.045844 | 11599811 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11599811 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-29 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.213529979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11599811_58aaf57a-7614-4659-aed3-8e1b2b00c974.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650143916 | N/A | N/A | 5993912 | 2222 | 4793 | 11603453 | N/A | 4642852 | 2025-08-27 02:49:46.045844 | 2025-11-21 18:38:17.056437 |
| 2025-08-26 17:58:34.561502 | 2025-08-27 02:19:19.120536 | 11599721 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11599721 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_11599721_1e5ffeaf-81fa-40e8-992a-09a2544a34a9.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 | 8650129776 | N/A | N/A | 5550534 | 2222 | 4801 | 11561120 | N/A | 4219556 | 2025-08-27 02:19:19.120536 | 2025-05-13 04:29:37.230592 |
| 2025-08-26 17:58:32.953042 | 2025-08-27 02:12:28.603838 | 11599699 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11599699 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11599699_d428a5b8-d856-4aa5-bad5-7851749446c0.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 | 8650129775 | N/A | N/A | 5549317 | 2222 | 4801 | 11551264 | N/A | 4219010 | 2025-08-27 02:12:28.603838 | 2026-01-09 18:32:07.618867 |
| 2025-08-26 17:58:21.709096 | 2025-08-27 02:12:10.863752 | 11599566 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11599566 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11599566_b9c22687-63fd-462b-b5be-99cc47cf0461.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 | 8650129768 | N/A | N/A | 5543555 | 2222 | 4802 | 11550879 | N/A | 4215332 | 2025-08-27 02:12:10.863752 | 2025-08-06 16:15:15.716322 |
| 2025-08-26 17:58:20.085569 | 2025-08-27 02:12:25.921366 | 11599547 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11599547 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11599547_f0148f64-5da9-4b1d-aec6-42b4dd7045bb.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 | 8650129767 | N/A | N/A | 5543355 | 2222 | 4793 | 11551211 | N/A | 4215158 | 2025-08-27 02:12:25.921366 | 2025-05-13 04:29:37.229475 |
| 2025-08-26 17:58:18.137775 | 2025-08-27 02:13:59.707675 | 11599521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599521 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11599521_70c6db92-bbbf-437f-b37f-4a6a04420a33.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 | 8650129766 | N/A | N/A | 5543343 | 2222 | 4793 | 11553429 | N/A | 4215143 | 2025-08-27 02:13:59.707675 | 2025-05-13 04:29:37.229456 |
| 2025-08-26 17:58:16.264991 | 2025-08-27 02:12:25.251296 | 11599502 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11599502 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11599502_cc12ac0f-4b34-43ae-bf98-b6702a53a4f1.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 | 8650129765 | N/A | N/A | 5543324 | 2222 | 4801 | 11551197 | 4184 | 4215131 | 2025-08-27 02:12:25.251296 | 2025-08-11 16:45:52.816842 |
| 2025-08-26 17:58:14.119778 | 2025-08-27 02:12:21.383326 | 11599479 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11599479 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11599479_c9c0309b-226f-4b39-92c4-2f2ced698862.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 | 8650129764 | N/A | N/A | 5543270 | 2222 | 4793 | 11551118 | N/A | 4215086 | 2025-08-27 02:12:21.383326 | 2025-05-13 04:29:37.229401 |
| 2025-08-26 17:58:12.919209 | 2025-08-27 02:14:02.388951 | 11599468 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599468 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_11599468_349bd7d5-eb1b-4396-965d-a981299b3e98.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 | 9999-12-31 | 2021-07-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129763 | N/A | N/A | 5543237 | 2222 | 4802 | 11553497 | N/A | 4215054 | 2025-08-27 02:14:02.388951 | 2025-05-13 04:29:37.229375 |
| 2025-08-26 17:58:11.261338 | 2025-08-27 02:14:00.903312 | 11599448 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599448 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_11599448_a7413f19-0c5c-4f53-937a-2263ea6190a7.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129762 | N/A | N/A | 5542952 | 2222 | 4802 | 11553458 | N/A | 4214804 | 2025-08-27 02:14:00.903312 | 2025-05-13 20:09:53.786482 |
| 2025-08-26 17:58:10.075910 | 2025-08-27 02:09:05.012091 | 11599433 | N/A | N/A | 60054 | Aetna | 1114042165 | 11599433 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_11599433_8415cea6-5ecf-4a57-9680-58a6c447643d.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 | 8650129761 | N/A | N/A | 5542870 | 2222 | 4793 | 11546494 | N/A | 4214732 | 2025-08-27 02:09:05.012091 | 2025-06-24 20:13:53.579048 |
| 2025-08-26 17:58:08.528748 | 2025-08-27 02:12:10.488754 | 11599417 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11599417 | N/A | 2007-12-08 | 2025-08-27 | F | AE | PT | LARSEN | R06053944FD1 | LANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_11599417_43875ff7-f831-4573-8b35-8c4f4aca79b2.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 | 8650129760 | N/A | N/A | 5542850 | 2222 | 4793 | 11550872 | N/A | 4214714 | 2025-08-27 02:12:10.488754 | 2025-05-13 04:29:37.229031 |
| 2025-08-26 17:58:07.059329 | 2025-08-27 02:11:37.944127 | 11599397 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11599397 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11599397_772a691d-e193-4285-aa65-1c49e895ea6a.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 | 8650129759 | N/A | N/A | 5542660 | 2222 | 4802 | 11550146 | N/A | 4214542 | 2025-08-27 02:11:37.944127 | 2025-05-13 04:29:37.228868 |
| 2025-08-26 17:58:05.409834 | 2025-08-27 02:09:05.447126 | 11599377 | N/A | N/A | 60054 | Aetna | 1114042165 | 11599377 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_11599377_8ec560ec-253e-49cc-965a-c33ccea1a2ca.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 | 8650129758 | N/A | N/A | 5542634 | 2222 | 4801 | 11546506 | N/A | 4214520 | 2025-08-27 02:09:05.447126 | 2025-07-28 19:32:04.879318 |
| 2025-08-26 17:58:04.122432 | 2025-08-27 02:14:42.739141 | 11599359 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599359 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11599359_213401ac-7915-4a81-ac7c-1cd82570c8a3.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 | 8650129757 | N/A | N/A | 5542628 | 2222 | 4793 | 11554339 | N/A | 4214508 | 2025-08-27 02:14:42.739141 | 2025-06-04 00:05:22.392827 |
| 2025-08-26 17:58:02.663008 | 2025-08-27 02:12:28.005573 | 11599337 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11599337 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542565/check_11599337_66de187c-c075-4846-b204-aee9638d3bfd.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 | 8650129756 | N/A | N/A | 5542565 | 2222 | 4793 | 11551250 | 4184 | 4214430 | 2025-08-27 02:12:28.005573 | 2025-06-03 20:17:16.657562 |
| 2025-08-26 17:58:00.867003 | 2025-08-27 02:12:19.845159 | 11599311 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11599311 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11599311_4b8ef5c8-d886-4b3a-b0bc-cf47744d00a9.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 | 8650129755 | N/A | N/A | 5542513 | 2222 | 4793 | 11551080 | N/A | 4214418 | 2025-08-27 02:12:19.845159 | 2025-07-03 18:12:11.075357 |
| 2025-08-26 17:57:59.520171 | 2025-08-27 02:19:21.052766 | 11599294 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11599294 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_11599294_04c2bede-cfd1-4b2c-8646-c300a705ead1.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 | 8650129754 | N/A | N/A | 5542318 | 2222 | 4802 | 11561170 | N/A | 4214241 | 2025-08-27 02:19:21.052766 | 2025-05-13 04:29:37.228574 |
| 2025-08-26 17:57:58.291650 | 2025-08-27 02:13:59.377676 | 11599280 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599280 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11599280_69ba2e2a-392a-47a2-ab8a-bcdce09616b3.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 | 8650129749 | N/A | N/A | 5542259 | 2222 | 4802 | 11553420 | N/A | 4214195 | 2025-08-27 02:13:59.377676 | 2025-05-13 04:29:37.228529 |
| 2025-08-26 17:57:56.900279 | 2025-08-27 02:19:20.663171 | 11599262 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11599262 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_11599262_cf5b22a9-6799-4671-93fa-a99854e81ed1.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 | 8650129748 | N/A | N/A | 5542251 | 2222 | 4802 | 11561159 | N/A | 4214191 | 2025-08-27 02:19:20.663171 | 2025-05-13 04:29:37.228525 |
| 2025-08-26 17:57:55.677865 | 2025-08-27 02:12:30.701815 | 11599245 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11599245 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11599245_2f45df8f-0398-4ed7-8722-1ef21b60caa2.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 | 8650129747 | N/A | N/A | 5542014 | 2222 | 4793 | 11551309 | N/A | 4213977 | 2025-08-27 02:12:30.701815 | 2025-05-13 04:29:37.228294 |
| 2025-08-26 17:57:54.769525 | 2025-08-27 02:12:21.809916 | 11599231 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11599231 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_11599231_3d0897b2-9e54-473c-819b-28477cdc20db.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 | 8650129746 | N/A | N/A | 5541984 | 2222 | 4802 | 11551124 | N/A | 4213934 | 2025-08-27 02:12:21.809916 | 2026-01-27 23:36:44.802366 |
| 2025-08-26 17:57:53.552519 | 2025-08-27 02:12:08.445769 | 11599214 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11599214 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11599214_2d07edec-1ab9-447a-a633-cda1c78c4fea.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 | 8650129745 | N/A | N/A | 5541972 | 2222 | 4793 | 11550824 | N/A | 4213941 | 2025-08-27 02:12:08.445769 | 2025-05-13 04:29:37.228259 |
| 2025-08-26 17:57:52.487087 | 2025-08-27 02:14:00.476693 | 11599182 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599182 | 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/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_11599182_4f236b53-f031-47a5-9c87-c7d1c55fd845.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 | 8650129744 | N/A | N/A | 5541956 | 2222 | 4802 | 11553449 | N/A | 4213923 | 2025-08-27 02:14:00.476693 | 2025-05-13 04:29:37.228244 |
| 2025-08-26 17:57:51.520238 | 2025-08-27 02:12:30.045374 | 11599162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11599162 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-08-29 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_11599162_faa84001-b796-4461-9a53-e9e395f16e01.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129743 | N/A | N/A | 5541917 | 2222 | 4793 | 11551298 | N/A | 4213891 | 2025-08-27 02:12:30.045374 | 2025-05-13 04:29:37.228207 |
| 2025-08-26 17:57:50.072714 | 2025-08-27 02:12:16.659984 | 11599118 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11599118 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-08-29 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_11599118_34bc8d4d-d95f-413f-a2c4-6a1cb75d96a0.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650129742 | N/A | N/A | 5541719 | 2222 | 4801 | 11551005 | N/A | 4213712 | 2025-08-27 02:12:16.659984 | 2025-08-19 01:13:52.150115 |
| 2025-08-26 17:57:49.184516 | 2025-08-27 02:08:12.963780 | 11599097 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11599097 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-08-29 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_11599097_4ad18c12-21f2-42ae-9ceb-8534ed8ba014.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129741 | N/A | N/A | 5541664 | 2222 | 4793 | 11545104 | N/A | 4213662 | 2025-08-27 02:08:12.963780 | 2025-05-13 04:29:37.227982 |
| 2025-08-26 17:57:47.759444 | 2025-08-27 02:10:50.160160 | 11599062 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11599062 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-08-29 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_11599062_a4159c52-1269-475c-a74f-84865ba1327c.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8650129740 | N/A | N/A | 5541552 | 2222 | 4802 | 11549146 | N/A | 4213562 | 2025-08-27 02:10:50.160160 | 2025-05-13 04:29:37.227895 |
| 2025-08-26 17:57:46.867701 | 2025-08-27 02:12:29.570631 | 11599037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11599037 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-08-29 | M | PT | N/A | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_11599037_a1af8d60-28ab-4861-a360-8a7ababe9c9f.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129739 | N/A | N/A | 5541518 | 2222 | 4793 | 11551286 | N/A | 4213526 | 2025-08-27 02:12:29.570631 | 2025-11-13 19:34:43.197819 |
| 2025-08-26 17:57:45.564025 | 2025-08-27 02:14:02.012437 | 11599004 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11599004 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-08-29 | M | PT | N/A | UPSON | XEA909162969 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_11599004_0d2d6607-4f91-42b6-96e4-4245371536c8.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129738 | N/A | N/A | 5541318 | 2222 | 4801 | 11553488 | N/A | 4213349 | 2025-08-27 02:14:02.012437 | 2025-05-13 04:29:37.227671 |
| 2025-08-26 17:57:44.578662 | 2025-08-27 02:12:28.997191 | 11598980 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11598980 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-08-29 | F | PT | N/A | POWELL | YWP80258506903 | WHITNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540983/check_11598980_7262ab9a-cc7e-4888-962c-2d7d91532767.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129737 | N/A | N/A | 5540983 | 2222 | 4793 | 11551274 | N/A | 4213053 | 2025-08-27 02:12:28.997191 | 2025-08-05 22:50:43.277345 |
| 2025-08-26 17:57:42.831591 | 2025-08-27 02:09:04.160736 | 11598930 | N/A | N/A | 60054 | Aetna | 1114042165 | 11598930 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-08-29 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_11598930_459d2bbd-acc8-437e-acc5-e78009478299.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650129733 | N/A | N/A | 5540723 | 2222 | 4793 | 11546476 | N/A | 4212833 | 2025-08-27 02:09:04.160736 | 2025-05-28 20:46:35.079848 |
| 2025-08-26 17:57:41.761176 | 2025-08-27 02:19:18.698470 | 11598899 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11598899 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-08-29 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_11598899_82f6f44e-5fde-45e7-acfc-2f5ba69fd70f.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8650129732 | N/A | N/A | 5540531 | 2222 | 4802 | 11561109 | N/A | 4212676 | 2025-08-27 02:19:18.698470 | 2025-07-03 21:09:02.193065 |
| 2025-08-26 17:57:40.264506 | 2025-08-27 02:12:27.291254 | 11598864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11598864 | Athletic Physical Therapy Inc | 1967-09-15 | 2025-08-29 | M | PT | N/A | HELLER | XDL463A68495 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205232174.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_11598864_cabbe415-7b60-4a9a-bc27-c25000996e58.json | N/A | N/A | N/A | N/A | N/A | XDL463A68495 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1967-09-15 | 040 | Z13100 | N/A | PR | false | HELLER | N/A | MATTHEW | N/A | 9999-12-31 | 2009-08-01 | LUMENOS HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8650129731 | N/A | N/A | 5540316 | 2222 | 4793 | 11551236 | N/A | 4212462 | 2025-08-27 02:12:27.291254 | 2025-06-24 20:27:22.939881 |