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 | service_type_codes_3 | service_type_codes_4 | 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 17:28:26.644310 | 2025-08-27 02:32:18.159675 | 11570161 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11570161 | N/A | 1956-02-05 | 2025-08-29 | F | AE | PT | RAMOS | 40064097701 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048303/check_11570161_6ff60196-3680-418e-b021-efbade17ae40.json | N/A | N/A | N/A | N/A | N/A | 40064097701 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1956-02-05 | N/A | N/A | N/A | N/A | false | RAMOS | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696658 | N/A | N/A | 8048303 | 2222 | 4801 | 11580946 | N/A | 6844313 | 2025-08-27 02:32:18.159675 | 2025-08-13 18:27:32.075090 |
| 2025-08-26 17:28:23.391641 | 2025-08-27 02:33:55.752100 | 11570130 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11570130 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-08-29 | M | AE | PT | HILTSER | 208616901 | LORNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_11570130_15f99e4d-cf72-4257-bbba-b0ad37b2aad3.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696653 | N/A | N/A | 8048052 | 2222 | 4802 | 11583244 | N/A | 6844134 | 2025-08-27 02:33:55.752100 | 2025-08-29 16:18:21.978739 |
| 2025-08-26 17:28:16.799456 | 2025-08-27 02:33:38.300002 | 11570039 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11570039 | 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/272741.20250826.205511925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_11570039_31c6ba73-1da0-4fc9-9239-21f5526ce2fc.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 | N/A | N/A | 8650174170 | N/A | N/A | 7508301 | 2222 | 4802 | 11582819 | N/A | 4214064 | 2025-08-27 02:33:38.300002 | 2025-07-15 17:36:25.711810 |
| 2025-08-26 17:27:58.516679 | 2025-08-27 02:34:48.967450 | 11569705 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11569705 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-08-28 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_11569705_afdd6c93-940a-42f1-86ef-a0e20c359e64.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649697041 | N/A | N/A | 8027485 | 2222 | 4793 | 11584660 | N/A | 6828971 | 2025-08-27 02:34:48.967450 | 2025-09-02 17:27:57.794692 |
| 2025-08-26 17:27:55.919509 | 2025-08-27 02:34:54.055998 | 11569650 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11569650 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-08-29 | F | PT | N/A | SCHRODT | XDP041W16673 | CLARE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026784/check_11569650_38c1680e-d974-41ec-a1c8-15cb24c2c83e.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649697029 | N/A | N/A | 8026784 | 2222 | 4802 | 11584812 | N/A | 6828383 | 2025-08-27 02:34:54.055998 | 2025-08-12 22:27:19.278771 |
| 2025-08-26 17:27:54.623182 | 2025-08-27 05:18:19.750120 | 11569625 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11569625 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_11569625_5687c2e2-3305-43d7-89da-15b78c5ece2b.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 | N/A | N/A | 8649808166 | N/A | N/A | 6085650 | 2222 | 4793 | 11615664 | N/A | 4728966 | 2025-08-27 05:18:19.750120 | 2025-06-09 22:35:38.956800 |
| 2025-08-26 17:27:54.217449 | 2025-08-27 02:09:38.087059 | 11569617 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11569617 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-08-29 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.204523963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_11569617_acbe75d4-65bd-4a0a-9523-3043a18f6a9b.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | 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 | N/A | N/A | 8650026258 | N/A | N/A | 6770593 | 2222 | 4793 | 11547361 | N/A | 5788398 | 2025-08-27 02:09:38.087059 | 2025-07-31 22:52:15.686379 |
| 2025-08-26 17:27:52.104434 | 2025-08-27 02:09:06.393097 | 11569571 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11569571 | Athletic Physical Therapy Inc | 1955-08-15 | 2025-08-29 | F | AE | PT | CARTWRIGHT | 000010189897 | BRENDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.204523963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770316/check_11569571_e56c40ae-f6b7-4d8f-9a53-c67a3007edd6.json | N/A | N/A | N/A | N/A | N/A | 000010189897 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1955-08-15 | 4299049 | 1650095002 | N/A | N/A | false | CARTWRIGHT | N/A | BRENDA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 S.E.I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650026247 | N/A | N/A | 6770316 | 2222 | 4801 | 11546524 | N/A | 5782958 | 2025-08-27 02:09:06.393097 | 2025-08-05 20:26:57.320321 |
| 2025-08-26 17:27:47.033102 | 2025-08-27 02:12:29.783573 | 11569471 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11569471 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-08-29 | F | PT | N/A | SHELLHORN | XEH903359049 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.204523963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_11569471_0ffa7861-20c6-4cba-a3b0-77f8aef83e46.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650026233 | N/A | N/A | 6766432 | 2222 | 4801 | 11551278 | N/A | 5670727 | 2025-08-27 02:12:29.783573 | 2025-08-05 20:04:51.056029 |
| 2025-08-26 17:27:40.329057 | 2025-08-27 05:16:39.145793 | 11569333 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11569333 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_11569333_76b026b6-0f29-4a6f-a5f6-b2b4b71ff234.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 | N/A | N/A | 8649807969 | N/A | N/A | 6078312 | 2222 | 4802 | 11615134 | N/A | 4722569 | 2025-08-27 05:16:39.145793 | 2025-08-26 00:16:35.895658 |
| 2025-08-26 17:27:32.409651 | 2025-08-27 02:43:53.322544 | 11569188 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11569188 | N/A | 1949-09-08 | 2025-08-29 | F | AE | PT | DRATLER | 40069518001 | LILLIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7459515/check_11569188_15a0abaf-2f49-47fa-8915-c583b9120c2d.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 | N/A | N/A | 8650131335 | N/A | N/A | 7459515 | 2222 | 4801 | 11597749 | N/A | 6408333 | 2025-08-27 02:43:53.322544 | 2025-08-25 14:29:09.086491 |
| 2025-08-26 17:27:25.782491 | 2025-08-27 02:45:16.012496 | 11569049 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11569049 | 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/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_11569049_d60f351a-4e7a-4eae-a484-43490b54beac.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 | N/A | N/A | 8650131306 | N/A | N/A | 7458512 | 2222 | 4793 | 11599217 | N/A | 6021448 | 2025-08-27 02:45:16.012496 | 2025-07-14 23:05:51.728886 |
| 2025-08-26 17:27:25.496276 | 2025-08-27 05:26:14.256095 | 11569043 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11569043 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_11569043_b0836045-84f6-4863-841a-4e1226dd8434.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 | N/A | N/A | 8649807914 | N/A | N/A | 6068062 | 2222 | 4802 | 11617300 | N/A | 4713002 | 2025-08-27 05:26:14.256095 | 2025-06-03 01:39:13.971712 |
| 2025-08-26 17:27:24.140392 | 2025-08-27 02:44:40.657005 | 11569013 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11569013 | 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/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458401/check_11569013_2c235cba-a862-4fd8-a74d-fe6e55c7ccfe.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 | N/A | N/A | 8650130100 | N/A | N/A | 7458401 | 2222 | 4801 | 11598628 | N/A | 6407346 | 2025-08-27 02:44:40.657005 | 2025-07-25 20:38:21.233558 |
| 2025-08-26 17:27:23.256527 | 2025-08-27 02:37:21.284439 | 11568988 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11568988 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-29 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11568988_f4203088-08d0-4559-93e6-dffb86340450.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696179 | N/A | N/A | 7994545 | 2222 | 4802 | 11588896 | N/A | 6802250 | 2025-08-27 02:37:21.284439 | 2025-08-11 23:58:28.358402 |
| 2025-08-26 17:27:17.538813 | 2025-08-27 02:45:13.660733 | 11568856 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11568856 | 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/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_11568856_1504f089-4f9b-469a-a4c3-a275f7f27c40.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 | N/A | N/A | 8650130076 | N/A | N/A | 7456267 | 2222 | 4793 | 11599178 | N/A | 6405582 | 2025-08-27 02:45:13.660733 | 2025-08-04 21:58:38.426681 |
| 2025-08-26 17:27:15.858926 | 2025-08-27 02:50:17.651406 | 11568812 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11568812 | Athletic Physical Therapy Inc | 1951-01-24 | 2025-08-29 | F | AE | PT | Leinwand | 9P87PC2QC50 | Shari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983223/check_11568812_e6d9c41d-301d-48bb-b348-8efd36beca9b.json | N/A | N/A | N/A | N/A | N/A | 9P87PC2QC50 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-01-24 | N/A | N/A | N/A | MA | false | LEINWAND | N/A | SHARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696140 | N/A | N/A | 7983223 | 2222 | 4802 | 11603682 | N/A | 6794499 | 2025-08-27 02:50:17.651406 | 2025-08-14 19:38:19.931659 |
| 2025-08-26 17:26:46.905925 | 2025-08-27 02:09:05.510706 | 11568124 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11568124 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-08-28 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.204523963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_11568124_8b6d2291-cd9f-401f-888e-a251f42f55e1.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650025814 | N/A | N/A | 6721942 | 2222 | 4793 | 11546499 | N/A | 5322280 | 2025-08-27 02:09:05.510706 | 2025-07-01 21:45:15.878047 |
| 2025-08-26 17:26:46.241865 | 2025-08-27 02:40:39.693145 | 11568111 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11568111 | 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/272741.20250826.205511925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_11568111_d02f8475-e2ec-41bc-8c69-99b504befafc.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 | N/A | N/A | 8650173973 | N/A | N/A | 7321767 | 2222 | 4793 | 11593451 | N/A | 6037802 | 2025-08-27 02:40:39.693145 | 2025-07-22 17:48:16.997014 |
| 2025-08-26 17:26:43.290746 | 2025-08-27 05:19:22.704725 | 11568041 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 11568041 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_11568041_79aed8be-f62d-4429-8d26-25fe8386783a.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 | N/A | N/A | 8649807260 | N/A | N/A | 5993958 | 2222 | 4801 | 11615983 | N/A | 4642892 | 2025-08-27 05:19:22.704725 | 2025-05-29 23:29:01.820749 |
| 2025-08-26 17:26:43.166147 | 2025-08-27 05:17:35.741658 | 11568040 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11568040 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_11568040_b46198a0-517f-4d74-afb3-1b47a1009d33.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 | N/A | N/A | 8649807259 | N/A | N/A | 5993940 | 2222 | 4802 | 11615430 | N/A | 4642877 | 2025-08-27 05:17:35.741658 | 2025-12-23 23:49:16.627667 |
| 2025-08-26 17:26:42.965096 | 2025-08-27 05:18:20.853464 | 11568036 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11568036 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_11568036_fc6f0250-ad37-497c-b83c-9e6c76f27ba2.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 | N/A | N/A | 8649807258 | N/A | N/A | 5993917 | 2222 | 4793 | 11615670 | N/A | 4642854 | 2025-08-27 05:18:20.853464 | 2025-05-28 20:57:05.075130 |
| 2025-08-26 17:26:42.570964 | 2025-08-27 05:26:17.885722 | 11568030 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11568030 | 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/272741.20250826.203054990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11568030_d0776352-a1c6-42a9-9653-f1dde97c400b.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 | N/A | N/A | 8649807257 | N/A | N/A | 5993912 | 2222 | 4793 | 11617305 | N/A | 4642852 | 2025-08-27 05:26:17.885722 | 2025-11-21 18:38:17.056437 |
| 2025-08-26 17:26:38.249771 | 2025-08-27 02:44:41.237774 | 11567950 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11567950 | 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/272741.20250826.205325924.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447610/check_11567950_4d4489fd-2706-46c8-ae34-2077bc1f0d0d.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 | ASCIP - SIMI VALLEY UNIFIED SCHOOL DISTRICT SVUSD- | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650131184 | N/A | N/A | 7447610 | 2222 | 4801 | 11598639 | N/A | 6397817 | 2025-08-27 02:44:41.237774 | 2025-07-24 21:00:46.278199 |
| 2025-08-26 17:26:37.386222 | 2025-08-27 02:34:52.798282 | 11567928 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11567928 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-08-29 | F | PT | N/A | Moore | 788W15745 | Jeana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7899162/check_11567928_5f386f90-472b-4bb0-927b-a8fab7056798.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696979 | N/A | N/A | 7899162 | 2222 | 4802 | 11584782 | N/A | 6725117 | 2025-08-27 02:34:52.798282 | 2026-02-18 22:27:04.950292 |
| 2025-08-26 17:26:27.860231 | 2025-08-27 02:22:57.402631 | 11567752 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11567752 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-08-29 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.204523963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_11567752_9102fa04-0e1a-4860-a754-1a62a0805984.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650025717 | N/A | N/A | 6714932 | 2222 | 4793 | 11566233 | N/A | 5316176 | 2025-08-27 02:22:57.402631 | 2025-07-01 18:44:12.927482 |
| 2025-08-26 17:26:23.619689 | 2025-08-27 02:03:14.062430 | 11567675 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 11567675 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-08-29 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.204523963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_11567675_de288fa7-3fe9-49f0-b773-a6004fc25e0f.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650025443 | N/A | N/A | 6711965 | 2222 | 4793 | 11538008 | 6798 | 4210430 | 2025-08-27 02:03:14.062430 | 2025-05-13 04:29:37.224841 |
| 2025-08-26 17:26:16.379079 | 2025-08-27 02:34:33.279275 | 11567532 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11567532 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-08-29 | F | AE | PT | Andrieieva | 925988899G | Taisiia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7881033/check_11567532_66dd19d8-3336-48dc-8515-1133e94764a0.json | N/A | N/A | N/A | N/A | N/A | 925988899G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1999-03-02 | N/A | N/A | N/A | N/A | false | ANDRIEIEVA | N/A | TAISIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696825 | N/A | N/A | 7881033 | 2222 | 4802 | 11584264 | N/A | 6709145 | 2025-08-27 02:34:33.279275 | 2025-08-07 23:35:55.091438 |
| 2025-08-26 17:26:12.710954 | 2025-08-27 02:34:38.130023 | 11567450 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11567450 | Athletic Physical Therapy Inc | 1967-10-08 | 2025-08-29 | F | AE | PT | CHAVEZ | 94986484A | RAFAELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7879085/check_11567450_c884ba5e-f5b6-40d7-b819-2c3b6e290625.json | N/A | N/A | N/A | N/A | N/A | 94986484A | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-10-08 | N/A | N/A | N/A | N/A | false | CHAVEZ | N/A | RAFAELA | 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 | 8649696633 | N/A | N/A | 7879085 | 2222 | 4793 | 11584379 | N/A | 6276688 | 2025-08-27 02:34:38.130023 | 2025-08-07 22:51:00.572173 |
| 2025-08-26 17:26:11.838583 | 2025-08-27 02:34:50.391765 | 11567429 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11567429 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-08-29 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_11567429_922eaaa4-0711-47df-9936-2b707ea8649e.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696624 | N/A | N/A | 7877415 | 2222 | 4793 | 11584710 | N/A | 6706226 | 2025-08-27 02:34:50.391765 | 2025-08-19 15:39:56.790206 |
| 2025-08-26 17:26:11.182746 | 2025-08-27 02:34:51.576388 | 11567418 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11567418 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-08-29 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877206/check_11567418_eacda8de-b5b7-4397-a4ab-6c558e375dcf.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-05-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8649696620 | N/A | N/A | 7877206 | 2222 | 4802 | 11584745 | N/A | 6706099 | 2025-08-27 02:34:51.576388 | 2025-11-21 22:00:12.073625 |
| 2025-08-26 17:26:08.760152 | 2025-08-27 02:38:12.291915 | 11567357 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11567357 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-08-29 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250826.202335030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_11567357_13f4b5cf-80da-47ea-9d3d-9a825c4c2320.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. DOUBLEQUOTECHAR | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | N/A | N/A | 8649696607 | N/A | N/A | 7870152 | 2222 | 4802 | 11590316 | N/A | 6698799 | 2025-08-27 02:38:12.291915 | 2025-08-07 18:40:53.120761 |
| 2025-08-26 17:25:14.670402 | 2025-08-26 17:25:22.308404 | 11566829 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-10-24 | 2025-03-26 | F | PT | AE | WATKINS | 9118772604 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542927/check_11566829_70e76585-f7d3-451d-84f8-5951179396da.json | UHC | N/A | INSIGHTS | 2025-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542927/check_11566829_efec5e25-f9b8-4fd4-8493-ba8c28195878.json | N/A | N/A | N/A | N/A | N/A | 988607756 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-10-24 | N/A | 15896 | N/A | N/A | false | WATKINS | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542927 | 2222 | N/A | 11524014 | N/A | 4214777 | 2025-08-26 17:25:22.308404 | 2025-05-13 04:29:37.229103 |
| 2025-08-26 17:16:59.722352 | 2025-08-26 17:17:03.698495 | 11566686 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566686_3afcc68c-6798-4a49-9dd3-974ae2b592a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566686_f6e867e9-7fa1-4c00-938c-eba8c016e802.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MA | 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 | N/A | N/A | 8649445427 | 9482 | N/A | 8205054 | 2222 | N/A | 11523861 | N/A | 6967073 | 2025-08-26 17:17:03.698495 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:16:51.810698 | 2025-08-26 17:16:53.634321 | 11566685 | N/A | N/A | Z1073 | Medicare B California Southern | 1972047595 | N/A | Jasmine Martin | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566685_9d51f6d7-68c2-4930-a30b-0de36f51eeee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566685_ccaad18c-5714-4e93-81e6-d62bf14e0401.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 | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | 11523859 | N/A | 6967073 | 2025-08-26 17:16:53.634321 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:16:49.976534 | 2025-08-26 17:16:51.730286 | 11566684 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566684_073c5a51-c748-486c-8e1a-607f843ce140.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566684_61846e8a-f2ad-4b0b-8c18-a663fdceb68f.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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | 11523857 | N/A | 6967073 | 2025-08-26 17:16:51.730286 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:16:46.942444 | 2025-08-26 17:16:49.973292 | 11566682 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566682_0301b682-d3bd-4406-9a95-15c7f2ce8c51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | N/A | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | N/A | N/A | 6967073 | 2025-08-26 17:16:49.973292 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:14:39.595987 | 2025-08-26 17:14:47.416216 | 11566611 | N/A | N/A | Z1073 | Medicare B California Southern | 1972047595 | N/A | Jasmine Martin | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566611_5535552f-b968-4579-ae14-ca163c67cef2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566611_5a0418a7-8694-4fb6-95b1-18750d3108cf.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1956-03-22 | 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 | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | 11523783 | N/A | 6967073 | 2025-08-26 17:14:47.416216 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:14:37.567645 | 2025-08-26 17:14:39.446417 | 11566610 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566610_ec9dad64-b3e4-4726-acf9-0ae4c913c51c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566610_74e71463-0adc-475d-9cdb-b2b488349356.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1956-03-22 | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | 11523782 | N/A | 6967073 | 2025-08-26 17:14:39.446417 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:14:35.901268 | 2025-08-26 17:14:37.564292 | 11566609 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566609_0c696b9d-52b0-4812-b5a1-9d71382f85b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | CMS | N/A | 1956-03-22 | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | N/A | N/A | 6967073 | 2025-08-26 17:14:37.564292 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:14:05.219242 | 2025-08-26 17:14:07.012652 | 11566606 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566606_05ab29c2-1da7-42c2-a18b-fcfe18f3fc8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566606_601b4e41-6a61-4e0c-b963-d3c011a91904.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | CMS | N/A | 1956-03-22 | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | 11523778 | N/A | 6967073 | 2025-08-26 17:14:07.012652 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:14:03.216631 | 2025-08-26 17:14:05.215422 | 11566605 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566605_49dc7936-b6d4-41b9-8e55-25a5b14bd088.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | CMS | N/A | 1956-03-22 | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | N/A | N/A | 6967073 | 2025-08-26 17:14:05.215422 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:13:43.518191 | 2025-08-26 17:13:46.432544 | 11566593 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205059/check_11566593_299bd37b-0c57-4043-97a8-a34e6866101c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_11566593_7fce3367-5a1b-4096-89a2-0e2b0169cdd1.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 | N/A | N/A | 8649401928 | 9482 | N/A | 8205059 | 2222 | N/A | 11523765 | N/A | 6967073 | 2025-08-26 17:13:46.432544 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:12:01.444389 | 2025-08-26 17:12:03.208211 | 11566569 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566569_887af769-ad6b-4b1e-b373-f523f2b57c76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_11566569_71773500-046c-42d7-9e26-265ca4383f55.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | CMS | N/A | 1956-03-22 | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | 11523738 | N/A | 6967073 | 2025-08-26 17:12:03.208211 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:11:58.845903 | 2025-08-26 17:12:01.440802 | 11566567 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-22 | 2025-08-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205054/check_11566567_f4048ebf-d927-4f8d-a2f6-8a344133b804.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | N/A | N/A | CMS | N/A | 1956-03-22 | 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 | N/A | N/A | N/A | 9482 | N/A | 8205054 | 2222 | N/A | N/A | N/A | 6967073 | 2025-08-26 17:12:01.440802 | 2025-08-26 17:15:30.662072 |
| 2025-08-26 17:03:35.145983 | 2025-08-26 17:03:38.015233 | 11566168 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-26 | F | PT | N/A | GALVAN-GUERRERO | 904W1671720 | MARIA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541035/check_11566168_613dfd16-8913-4afd-a6e4-aa1a0d0489e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_11566168_f2dbbeaf-0ca0-49b7-a268-34c8be771fb3.json | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN-GUERRERO | N/A | MARIA | 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 | N/A | N/A | 161267 | N/A | 5541035 | 2222 | N/A | 11523336 | N/A | 4213091 | 2025-08-26 17:03:38.015233 | 2025-05-13 04:29:37.227417 |
| 2025-08-26 17:03:32.282650 | 2025-08-26 17:03:35.142995 | 11566167 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-26 | F | PT | N/A | GALVAN GUERRERO | 904W1671720 | MARIA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541035/check_11566167_74313984-9c03-4e85-8e97-b9f9d1b458fc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | N/A | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN GUERRERO | N/A | MARIA | 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 | N/A | N/A | 161267 | N/A | 5541035 | 2222 | N/A | N/A | N/A | 4213091 | 2025-08-26 17:03:35.142995 | 2025-05-13 04:29:37.227417 |
| 2025-08-26 16:40:25.847182 | 2025-08-26 16:40:32.725248 | 11566001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-07-16 | 2025-08-26 | M | AE | PT | FORSTER | D7X929848912 | JOHN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8633336/check_11566001_b95ce429-f25f-4907-8f94-74272a26c18b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8633336/check_11566001_efc41890-9135-4b25-a5a0-d5469e5e38da.json | N/A | N/A | N/A | N/A | N/A | D7X929848912 | Preferred Provider Organization (PPO) | CACI INTERNATIONAL | ANTHEM BLUE CROSS | N/A | 1962-07-16 | N/A | 67203000 | N/A | PR | false | FORSTER | N/A | JOHN | N/A | 9999-12-31 | 2025-07-01 | BLUECHOICE ADVANTAGE CDH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8648979181 | 161267 | N/A | 8633336 | 2222 | N/A | 11523147 | N/A | 4209604 | 2025-08-26 16:40:32.725248 | 2025-05-13 04:29:37.224032 |
| 2025-08-26 15:16:50.238412 | 2025-08-26 15:17:03.559801 | 11565290 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2025-08-26 | F | AE | PT | PORTER | 400282215401 | SHERIL | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_11565290_976d53f4-c83b-4ee3-bf2c-7800ec872e49.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_11565290_01794ba9-ece6-4fee-b1d4-485f50cd08e8.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8647831991 | N/A | N/A | 5535434 | 2222 | N/A | 11518201 | N/A | 4208356 | 2025-08-26 15:17:03.559801 | 2025-08-25 14:49:27.724897 |
| 2025-08-26 13:49:36.192290 | 2025-08-26 13:49:38.034530 | 11564605 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11564605_2030b635-6d5a-43ad-9897-33c6c9faf28f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11564605_754cd352-bfc9-4481-9902-1807d18c6306.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8646688640 | N/A | N/A | 5538874 | 2222 | N/A | 11517526 | N/A | 4211227 | 2025-08-26 13:49:38.034530 | 2025-05-13 04:29:37.225625 |