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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-25 14:38:55.870900 | 2025-08-26 02:33:45.172549 | 11550666 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11550666 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-28 | M | AE | PT | Kosec | MBL802W22845 | Kevin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173016698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641037/check_11550666_18fdaf7e-4b2c-47c4-ac32-79f6ac971484.json | N/A | N/A | N/A | N/A | N/A | MBL802W22845 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-05-21 | 040 | CAEGR002 | N/A | N/A | false | KOSEC | N/A | KEVIN | N/A | 9999-12-31 | 2025-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637974585 | N/A | N/A | 6641037 | 2222 | 4802 | 11460874 | N/A | 5248081 | 2025-08-26 02:33:45.172549 | 2025-07-01 21:08:10.945475 |
| 2025-08-25 14:38:46.269520 | 2025-08-26 02:27:57.730538 | 11550399 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11550399 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-28 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173016698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_11550399_d80328fe-d156-4426-9134-ee7a30d67142.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637972411 | N/A | N/A | 6528155 | 2222 | 4793 | 11447356 | N/A | 4214447 | 2025-08-26 02:27:57.730538 | 2026-04-23 20:11:34.441054 |
| 2025-08-25 14:38:31.659932 | 2025-08-26 02:41:46.362403 | 11550150 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11550150 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-28 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.194713646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_11550150_1b3c7409-f725-46ca-820a-a2db9395b25e.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8638025549 | N/A | N/A | 6752939 | 2222 | 4801 | 11478093 | N/A | 5065602 | 2025-08-26 02:41:46.362403 | 2025-07-01 17:25:13.681724 |
| 2025-08-25 14:38:28.471728 | 2025-08-26 02:41:47.804428 | 11550136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11550136 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-28 | M | AE | PT | Walter | XDO472A63371 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.194713646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_11550136_d1f2ee65-b005-4066-9310-0afbe11ed0fa.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8638025539 | N/A | N/A | 6751424 | 2222 | 4802 | 11478136 | N/A | 5557241 | 2025-08-26 02:41:47.804428 | 2025-07-22 17:08:51.810153 |
| 2025-08-25 14:38:10.378729 | 2025-08-25 14:38:14.233612 | 11550055 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-09-08 | 2025-08-25 | F | AE | PT | DRATLER | 40069518001 | LILLIAN | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7459515/check_11550055_f5787286-265f-40ef-8429-8ab6e426cfef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7459515/check_11550055_e82eb08a-77bc-4bb6-851b-981febeea78d.json | N/A | N/A | N/A | N/A | N/A | 40069518001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-09-08 | 2025H5425001 | H5425M | N/A | N/A | false | DRATLER | N/A | LILLIAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637954223 | N/A | N/A | 7459515 | 2222 | N/A | 11399790 | N/A | 6408333 | 2025-08-25 14:38:14.233612 | 2025-08-25 14:29:09.086491 |
| 2025-08-25 14:37:33.580480 | 2025-08-26 02:34:50.272598 | 11549616 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11549616 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-28 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173016698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_11549616_b8c5edfa-95c9-4ff3-bf86-1016286afb17.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637973982 | N/A | N/A | 6203312 | 2222 | 4801 | 11463674 | N/A | 4846213 | 2025-08-26 02:34:50.272598 | 2025-06-10 21:58:09.734801 |
| 2025-08-25 14:37:09.767210 | 2025-08-26 02:33:44.714967 | 11549273 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11549273 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-28 | M | AE | PT | KESHAVARZIAN | JQE128W05540 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173016698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_11549273_a10dcc33-9ceb-4208-8631-92d9d4cccae9.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-05-16 | 040 | CASUPWP0 | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | N/A | 9999-12-31 | 2020-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637973016 | N/A | N/A | 5993911 | 2222 | 4801 | 11460857 | N/A | 4534577 | 2025-08-26 02:33:44.714967 | 2025-06-18 18:41:30.608585 |
| 2025-08-25 14:36:37.463986 | 2025-08-26 02:32:31.448454 | 11548932 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11548932 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-08-28 | F | AE | PT | THOMSEN | R12604487 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173016698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_11548932_1e795d0f-d50b-4a5e-8cfc-22a62a92bac6.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637972599 | N/A | N/A | 5537953 | 2222 | 4801 | 11458021 | N/A | 4210450 | 2025-08-26 02:32:31.448454 | 2026-05-04 21:51:25.248197 |
| 2025-08-25 14:34:37.753256 | 2025-08-26 02:35:02.156266 | 11547406 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11547406 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-08-28 | M | AE | PT | RANDERIA | 1AY5A41XE81 | BHUPENDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420254/check_11547406_a5a110e0-5c63-4beb-afed-03f8d702d2c4.json | N/A | N/A | N/A | N/A | N/A | 1AY5A41XE81 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-05-31 | N/A | N/A | N/A | MB | false | RANDERIA | N/A | BHUPENDRA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637965545 | N/A | N/A | 8420254 | 2222 | 4802 | 11464219 | N/A | 7097664 | 2025-08-26 02:35:02.156266 | 2026-04-30 18:11:14.979451 |
| 2025-08-25 14:32:47.217559 | 2025-08-26 02:26:53.921783 | 11546757 | N/A | N/A | 44827 | Self Insured Services Company (SISCO) | 1114042165 | 11546757 | N/A | 1978-12-03 | 2025-08-28 | F | AE | PT | PEREZ | 994953372 | MAHSHID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8397375/check_11546757_4409f79a-42a9-4421-a96c-a627fd1431dd.json | N/A | N/A | N/A | N/A | N/A | 994953372 | N/A | N/A | SELF INSURED SERVICES COMPANY (SISCO) | N/A | 1978-12-03 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | MAHSHID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637966882 | N/A | N/A | 8397375 | 2222 | 4793 | 11444968 | N/A | 6891702 | 2025-08-26 02:26:53.921783 | 2025-08-15 20:26:36.547465 |
| 2025-08-25 14:32:31.810849 | 2025-08-26 02:28:22.688224 | 11546529 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11546529 | Athletic Physical Therapy Inc | 1967-09-02 | 2025-08-28 | F | AE | PT | CASALE | U2155410602 | ALMERINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385985/check_11546529_792f4896-693c-4e35-ad35-9141531ead6e.json | N/A | N/A | N/A | N/A | N/A | U2155410602 | N/A | WESTFIELD, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1967-09-02 | N/A | 3346470 | N/A | N/A | false | CASALE | N/A | ALMERINDA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637966820 | N/A | N/A | 8385985 | 2222 | 4802 | 11448335 | N/A | 7065214 | 2025-08-26 02:28:22.688224 | 2025-08-21 00:00:50.875462 |
| 2025-08-25 14:32:31.613216 | 2025-08-26 02:30:32.426644 | 11546526 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11546526 | N/A | 1973-10-19 | 2025-08-28 | F | AE | PT | SAMIGOULINA | 94151397D | ROZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8322755/check_11546526_f65b8b74-e42a-4aa9-b744-48d5e0ab02cc.json | N/A | N/A | N/A | N/A | N/A | 94151397D | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1973-10-19 | N/A | N/A | N/A | N/A | false | SAMIGOULINA | N/A | ROZA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637966818 | N/A | N/A | 8322755 | 2222 | 4802 | 11453562 | N/A | 7032742 | 2025-08-26 02:30:32.426644 | 2025-08-20 23:12:15.422903 |
| 2025-08-25 14:32:31.119501 | 2025-08-26 02:27:01.590560 | 11546516 | N/A | N/A | 60054 | Aetna | 1114042165 | 11546516 | Athletic Physical Therapy Inc | 2001-09-30 | 2025-08-28 | M | AE | PT | VOLOSHIN | 6567890013 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8229177/check_11546516_5183fa22-f0e6-4540-bcd5-ba8d3a56952b.json | N/A | N/A | N/A | N/A | N/A | 6567889013 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 2001-09-30 | 004 | 16404 | N/A | GP | false | VOLOSHIN | N/A | MOSHE | N/A | N/A | N/A | META PLATFORMS INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637966813 | N/A | N/A | 8229177 | 2222 | 4802 | 11445268 | N/A | 6985402 | 2025-08-26 02:27:01.590560 | 2025-08-28 23:04:18.854159 |
| 2025-08-25 14:32:02.853269 | 2025-08-26 02:21:14.193744 | 11546067 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11546067 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-08-28 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11546067_c6180c21-13f7-43fc-9833-718419b1fc5b.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637913331 | N/A | N/A | 8088383 | 2222 | 4793 | 11431497 | N/A | 6871702 | 2025-08-26 02:21:14.193744 | 2025-08-14 21:08:52.019264 |
| 2025-08-25 14:31:58.043811 | 2025-08-26 02:35:01.787410 | 11545945 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11545945 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-08-28 | F | AE | PT | CHICAS | 2VE9DX6NU27 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_11545945_1be641af-53f9-4809-921e-1250dd69675c.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637966574 | N/A | N/A | 8202975 | 2222 | 4802 | 11464201 | N/A | 6965620 | 2025-08-26 02:35:01.787410 | 2025-09-03 23:20:10.287852 |
| 2025-08-25 14:31:39.802131 | 2025-08-26 02:47:58.750859 | 11545502 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11545502 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-08-27 | M | PT | N/A | BOWMAN | UMG354W05421 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11545502_7928487e-25d7-4719-b5de-3f9f5d1c0ecc.json | N/A | N/A | N/A | N/A | N/A | UMG354W05421 | Exclusive Provider Organization | UNIVERSAL MUSIC GROUP | BLUE SHIELD OF CALIFORNIA | N/A | 1994-05-25 | 040 | 170167M050 | N/A | EP | false | BOWMAN | N/A | JOSEPH | N/A | 9999-12-31 | 2020-06-02 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637913252 | N/A | N/A | 8073830 | 2222 | 4802 | 11486372 | N/A | 6858276 | 2025-08-26 02:47:58.750859 | 2025-08-14 00:02:33.736728 |
| 2025-08-25 14:31:37.296210 | 2025-08-26 02:27:01.265767 | 11545449 | N/A | N/A | 60054 | Aetna | 1114042165 | 11545449 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-08-28 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.173039125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_11545449_d86ad073-8927-48b7-806f-ff2f2a369c79.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637965656 | N/A | N/A | 8173116 | 2222 | 4802 | 11445252 | N/A | 6939617 | 2025-08-26 02:27:01.265767 | 2025-09-16 00:28:24.457071 |
| 2025-08-25 14:31:34.241335 | 2025-08-26 02:46:59.367789 | 11545397 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11545397 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-08-28 | F | PT | N/A | Schwarz | LDU982A72978 | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048304/check_11545397_c8d3ecbc-b7c7-44c8-90ba-c5168c4721b6.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1950-02-15 | 040 | 1838NJ | N/A | EP | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637913060 | N/A | N/A | 8048304 | 2222 | 4802 | 11485378 | N/A | 6470898 | 2025-08-26 02:46:59.367789 | 2025-07-29 20:29:16.916703 |
| 2025-08-25 14:31:23.852397 | 2025-08-26 02:47:59.053083 | 11545241 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11545241 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-27 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_11545241_b8cd7388-8abb-49f0-ae89-670b80e8ff95.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | 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 | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | 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 | 8637912546 | N/A | N/A | 8026951 | 2222 | 4801 | 11486375 | N/A | 6828511 | 2025-08-26 02:47:59.053083 | 2025-08-14 00:23:35.929152 |
| 2025-08-25 14:31:22.587434 | 2025-08-26 02:42:33.331065 | 11545222 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11545222 | N/A | 1960-06-14 | 2025-08-28 | F | PT | N/A | VERWEY | R61817302 | CAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_11545222_498594a1-80ad-426a-9a55-32d6f273e0ac.json | N/A | N/A | N/A | N/A | N/A | R61817302 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1960-06-14 | N/A | N/A | N/A | N/A | false | VERWEY | N/A | CAREN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637912526 | N/A | N/A | 8025542 | 2222 | 4801 | 11479366 | N/A | 6826965 | 2025-08-26 02:42:33.331065 | 2025-08-13 02:28:19.717631 |
| 2025-08-25 14:31:03.832729 | 2025-08-26 02:45:04.214705 | 11544962 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11544962 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-08-28 | F | AE | PT | LESLIE | 106969238 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7978844/check_11544962_249483da-9f94-43d2-8609-dec972e728cb.json | N/A | N/A | N/A | N/A | N/A | 10696923800 | N/A | BELLWETHER ASSET MANAGEMENT, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1977-08-24 | N/A | 00634196 | N/A | N/A | false | LESLIE | N/A | CAROLYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637912136 | N/A | N/A | 7978844 | 2222 | 4802 | 11483112 | N/A | 6791609 | 2025-08-26 02:45:04.214705 | 2025-08-12 23:25:40.841503 |
| 2025-08-25 14:30:43.290747 | 2025-08-26 02:28:42.886400 | 11544663 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11544663 | Athletic Physical Therapy Inc | 1979-01-26 | 2025-08-27 | F | AE | PT | Khona | 11097423700 | Bhumika | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796115/check_11544663_75ab2728-ef49-4741-982f-4ebf3f35ce50.json | N/A | N/A | N/A | N/A | N/A | 11097423700 | N/A | SITETRACKER, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1979-10-26 | N/A | 00656333 | N/A | N/A | false | KHONA | N/A | BHUMIKA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637896117 | N/A | N/A | 7796115 | 2222 | 4802 | 11449108 | N/A | 6638261 | 2025-08-26 02:28:42.886400 | 2025-08-05 22:53:03.080537 |
| 2025-08-25 14:30:29.933109 | 2025-08-26 02:46:59.026298 | 11544393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11544393 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-08-27 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_11544393_a3f1a32c-d8ae-42f9-a27d-03eeb65cde18.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 | 8637913665 | N/A | N/A | 7877415 | 2222 | 4793 | 11485372 | N/A | 6706226 | 2025-08-26 02:46:59.026298 | 2025-08-19 15:39:56.790206 |
| 2025-08-25 14:30:16.045724 | 2025-08-26 02:40:28.266507 | 11544133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11544133 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-08-28 | F | AE | PT | McKinnon | 4081VP4NU12 | Dawn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_11544133_b71de112-8072-4741-84ad-fa752f8a3eab.json | N/A | N/A | N/A | N/A | N/A | 4081VP4NU12 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-08-14 | N/A | N/A | N/A | N/A | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637896087 | N/A | N/A | 7783105 | 2222 | 4802 | 11476297 | N/A | 6628331 | 2025-08-26 02:40:28.266507 | 2025-08-22 15:16:03.942743 |
| 2025-08-25 14:30:05.374495 | 2025-08-26 02:46:47.324328 | 11543970 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11543970 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-08-28 | M | AE | PT | CORAY | 00003138358 | KLAUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172525186.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_11543970_8ed54f02-72fc-4e5b-b227-c5ce59143058.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637912040 | N/A | N/A | 7815883 | 2222 | 4793 | 11485152 | N/A | 6655655 | 2025-08-26 02:46:47.324328 | 2025-09-09 21:32:56.328170 |
| 2025-08-25 14:29:52.828208 | 2025-08-26 02:26:45.736329 | 11543785 | N/A | N/A | 60054 | Aetna | 1114042165 | 11543785 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-08-28 | M | AE | PT | YAMASAKI | W121490267 | KENNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_11543785_a51d1355-6764-4e4c-91b0-b61155aabed1.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637897140 | N/A | N/A | 7761496 | 2222 | 4802 | 11444700 | N/A | 6610810 | 2025-08-26 02:26:45.736329 | 2025-08-04 22:41:35.670334 |
| 2025-08-25 14:29:41.819113 | 2025-08-26 02:32:20.260569 | 11543694 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11543694 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-08-28 | M | PT | N/A | Sariri | XDP632A69850 | Darius | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_11543694_757bf155-20a0-4151-bdf4-392d030c4e67.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637895957 | N/A | N/A | 7754707 | 2222 | 4802 | 11457612 | N/A | 6605684 | 2025-08-26 02:32:20.260569 | 2025-08-05 01:08:16.312539 |
| 2025-08-25 14:28:40.582603 | 2025-08-26 02:30:44.739257 | 11543361 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11543361 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-08-28 | M | AE | PT | Weiss | R13448501MS1 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_11543361_5bd2e206-bd90-4e49-b58e-48cd76ad7e2b.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895296 | N/A | N/A | 7661660 | 2222 | 4802 | 11454028 | N/A | 6543985 | 2025-08-26 02:30:44.739257 | 2025-08-01 18:30:37.244428 |
| 2025-08-25 14:27:22.608602 | 2025-08-26 02:24:59.366304 | 11542964 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11542964 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-08-28 | F | PT | N/A | HERCEG | JQQ193M82762 | ANDJELKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7627183/check_11542964_fb53a515-7a30-4608-922f-d70f7dd81999.json | N/A | N/A | N/A | N/A | N/A | JQQ193M82762 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-04-03 | N/A | N/A | N/A | N/A | false | HERCEG | N/A | ANDJELKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637896198 | N/A | N/A | 7627183 | 2222 | 4793 | 11440286 | N/A | 6526151 | 2025-08-26 02:24:59.366304 | 2025-07-31 16:27:01.412304 |
| 2025-08-25 14:26:39.948335 | 2025-08-26 02:21:47.738464 | 11542695 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 11542695 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-08-28 | M | PT | N/A | ALBA | XEH909330777 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_11542695_ace75c04-4173-4328-a39e-9d04be1bedc2.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637868759 | N/A | N/A | 6210099 | 2222 | 4793 | 11432654 | N/A | 4852857 | 2025-08-26 02:21:47.738464 | 2025-06-17 16:28:13.795457 |
| 2025-08-25 14:26:33.024314 | 2025-08-26 02:26:15.069718 | 11542618 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11542618 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-28 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_11542618_4b529028-e03d-4357-b9ce-7b2102c8070b.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868728 | N/A | N/A | 6203310 | 2222 | 4801 | 11443621 | N/A | 4846213 | 2025-08-26 02:26:15.069718 | 2025-06-10 21:58:09.734801 |
| 2025-08-25 14:26:31.852873 | 2025-08-26 02:20:12.843043 | 11542605 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11542605 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-08-28 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11542605_852ce5cf-4c29-4cff-a17b-fcac61c187f4.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637868725 | N/A | N/A | 6193751 | 2222 | 4801 | 11429659 | N/A | 4837995 | 2025-08-26 02:20:12.843043 | 2025-06-13 00:15:18.726975 |
| 2025-08-25 14:26:24.464712 | 2025-08-26 02:32:03.552390 | 11542511 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11542511 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-28 | F | PT | N/A | CHAMBERLIN | CAW905797094 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11542511_026b27ee-9f1d-45e8-8bd7-ac91472f000a.json | N/A | N/A | N/A | N/A | N/A | CAW905797094 | Preferred Provider Organization (PPO) | CSEBA BEAR VALLEY UNIFIED SCHOOL DISTRICT | BLUE SHIELD CALIFORNIA | N/A | 1960-09-02 | 1001PPOX0001 | W0064554 | N/A | PR | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | CSEBA ASO PPO GOLD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637897214 | N/A | N/A | 7591326 | 2222 | 4801 | 11457034 | N/A | 6499323 | 2025-08-26 02:32:03.552390 | 2025-07-30 18:54:36.603528 |
| 2025-08-25 14:26:09.745900 | 2025-08-26 02:21:52.054070 | 11542294 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11542294 | Athletic Physical Therapy Inc | 2009-10-30 | 2025-08-28 | F | PT | N/A | SMITH | XEA911729154 | KAMALA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_11542294_924cd071-7aa3-400a-aaee-854696fb1b9c.json | N/A | N/A | N/A | N/A | N/A | XEA911729154 | Preferred Provider Organization (PPO) | SHANTHA K SMITH BOOKS AND TAX LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-10-30 | 1000VX000103 | W0074149 | N/A | PR | false | SMITH | N/A | SHANTHA | N/A | 9999-12-31 | 2024-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867561 | N/A | N/A | 6162659 | 2222 | 4802 | 11432790 | N/A | 4805243 | 2025-08-26 02:21:52.054070 | 2025-06-23 19:30:24.977468 |
| 2025-08-25 14:25:42.449280 | 2025-08-26 02:13:44.889244 | 11541943 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11541943 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-08-28 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11541943_43c261f0-3445-407f-a3c2-68e6f112e1a8.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637869015 | N/A | N/A | 6124845 | 2222 | 4793 | 11414924 | N/A | 4767293 | 2025-08-26 02:13:44.889244 | 2025-06-06 15:11:48.015692 |
| 2025-08-25 14:25:37.766976 | 2025-08-26 02:21:51.056138 | 11541883 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11541883 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-08-28 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_11541883_ebed16fb-057d-459d-94cf-6a89006a7dc3.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867385 | N/A | N/A | 6121701 | 2222 | 4793 | 11432756 | N/A | 4764460 | 2025-08-26 02:21:51.056138 | 2025-06-04 04:30:06.494155 |
| 2025-08-25 14:25:13.062545 | 2025-08-26 02:26:15.928784 | 11541476 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11541476 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-08-28 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_11541476_aa02cf18-3977-4231-8d27-baf9f8bd1800.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MB | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868921 | N/A | N/A | 6105989 | 2222 | 4802 | 11443648 | N/A | 4750274 | 2025-08-26 02:26:15.928784 | 2025-06-12 22:26:37.845238 |
| 2025-08-25 14:25:06.751791 | 2025-08-26 02:29:30.875664 | 11541383 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11541383 | Athletic Physical Therapy Inc | 1996-12-19 | 2025-08-28 | M | AE | PT | BEMANIAN | U7704317301 | SHANDIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7533828/check_11541383_b0114c06-4932-45e6-9195-b1f7b81e74ab.json | N/A | N/A | N/A | N/A | N/A | U7704317301 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1996-12-19 | N/A | N/A | N/A | N/A | false | BEMANIAN | N/A | SHANDIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895770 | N/A | N/A | 7533828 | 2222 | 4802 | 11451035 | N/A | 4214255 | 2025-08-26 02:29:30.875664 | 2025-05-06 20:16:21.575355 |
| 2025-08-25 14:24:53.825350 | 2025-08-26 02:32:05.745809 | 11541120 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11541120 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-08-28 | F | PT | N/A | LUBOW | XEK906143943 | CAROLINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_11541120_1ec443c8-817b-4342-bde0-39e1e0b6c74a.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637895708 | N/A | N/A | 7516790 | 2222 | 4793 | 11457116 | N/A | 6452743 | 2025-08-26 02:32:05.745809 | 2025-08-06 21:04:56.768115 |
| 2025-08-25 14:24:53.417505 | 2025-08-26 02:17:01.850165 | 11541111 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11541111 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-08-27 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_11541111_2de8c9a2-d9aa-4655-91dd-e8ac51d0e873.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867985 | N/A | N/A | 6079410 | 2222 | 4802 | 11421961 | N/A | 4723300 | 2025-08-26 02:17:01.850165 | 2025-06-04 00:42:43.684276 |
| 2025-08-25 14:24:48.018989 | 2025-08-26 02:18:21.242992 | 11540995 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11540995 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-08-28 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_11540995_3bfd2b7b-e918-4808-b68b-246cd3a437f9.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868658 | N/A | N/A | 6074035 | 2222 | 4801 | 11425309 | N/A | 4718592 | 2025-08-26 02:18:21.242992 | 2025-05-29 20:00:22.627186 |
| 2025-08-25 14:24:27.180863 | 2025-08-26 02:34:18.069144 | 11540276 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11540276 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-08-28 | F | AE | PT | Odate | 96680377F | Keina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171629074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_11540276_d04e9867-146d-4d5c-8364-0dc85a2ee2b7.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637833111 | N/A | N/A | 7295079 | 2222 | 4802 | 11462345 | N/A | 6254701 | 2025-08-26 02:34:18.069144 | 2026-05-21 14:19:15.159394 |
| 2025-08-25 14:24:26.879962 | 2025-08-26 02:39:40.144213 | 11540269 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11540269 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-08-28 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171629074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_11540269_3d3dc0c4-e381-4eee-8498-a1e8d5e4d32c.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637833109 | N/A | N/A | 7294742 | 2222 | 4801 | 11474887 | N/A | 6254569 | 2025-08-26 02:39:40.144213 | 2025-08-12 09:24:43.956957 |
| 2025-08-25 14:24:09.403865 | 2025-08-26 02:38:46.686286 | 11539678 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11539678 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-08-28 | M | PT | N/A | Gast | JQV110W08240 | Eberhard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171629074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_11539678_0d22efad-d074-4792-a366-33128be1ca8b.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637833075 | N/A | N/A | 7258119 | 2222 | 4802 | 11473244 | 4184 | 6223297 | 2025-08-26 02:38:46.686286 | 2025-07-28 18:57:51.679781 |
| 2025-08-25 14:24:03.260883 | 2025-08-26 02:39:40.546021 | 11539493 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11539493 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-08-28 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171629074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_11539493_95170794-0ca3-410d-9847-d91f16191355.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637832794 | N/A | N/A | 7252533 | 2222 | 4802 | 11474897 | N/A | 4214065 | 2025-08-26 02:39:40.546021 | 2025-05-13 04:29:37.228379 |
| 2025-08-25 14:23:57.122846 | 2025-08-26 02:44:21.673219 | 11539292 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11539292 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-08-28 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171629074.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7214829/check_11539292_d2eee431-43f3-4bb5-93ea-a3009074403d.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637832717 | N/A | N/A | 7214829 | 2222 | 4802 | 11482109 | N/A | 4209498 | 2025-08-26 02:44:21.673219 | 2025-09-22 06:46:20.286658 |
| 2025-08-25 14:23:53.550625 | 2025-08-26 02:26:45.349438 | 11539175 | N/A | N/A | 60054 | Aetna | 1114042165 | 11539175 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-28 | F | AE | PT | TRUONG | W285894295 | TARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_11539175_7997daba-f9c0-4994-8ae9-b367d2dcc8f3.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637896014 | N/A | N/A | 7458419 | 2222 | 4801 | 11444683 | N/A | 6407374 | 2025-08-26 02:26:45.349438 | 2025-07-25 20:45:12.336863 |
| 2025-08-25 14:23:49.563075 | 2025-08-26 02:38:15.835668 | 11539036 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11539036 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-28 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172221488.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_11539036_f8c40f80-588e-42f6-9005-9f4d7b843aa1.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MA | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895998 | N/A | N/A | 7456457 | 2222 | 4793 | 11472320 | N/A | 6405774 | 2025-08-26 02:38:15.835668 | 2026-03-16 21:02:08.525887 |
| 2025-08-25 14:23:49.435625 | 2025-08-26 02:20:19.031056 | 11539031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11539031 | Athletic Physical Therapy Inc | 1965-06-11 | 2025-08-28 | F | PT | N/A | MEDINA | XDP628W03244 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_11539031_39632ddb-4c7e-4de2-92fb-2ebd44309add.json | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | Preferred Provider Organization (PPO) | CF ENTERTAINMENT INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1965-06-11 | 040 | 282803M001 | N/A | PR | false | MEDINA | N/A | RACHEL | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637866884 | N/A | N/A | 5993935 | 2222 | 4802 | 11429854 | N/A | 4642857 | 2025-08-26 02:20:19.031056 | 2025-07-07 14:11:20.082988 |
| 2025-08-25 14:23:49.145000 | 2025-08-26 02:21:48.296531 | 11539021 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11539021 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-08-28 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.172028163.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_11539021_535cbca1-7cbd-4aaf-85ab-04c56aab25c1.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637866883 | N/A | N/A | 5993926 | 2222 | 4802 | 11432666 | N/A | 4642862 | 2025-08-26 02:21:48.296531 | 2025-05-28 20:59:09.029689 |