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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 14:23:48.837856 | 2025-08-26 02:20:23.942310 | 11539010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11539010 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-08-27 | F | PT | WORDEN | ORU910469318 | SARAH | 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/2222/5993479/check_11539010_36447e9f-e78f-4f69-8f07-474ac176323e.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637866882 | N/A | N/A | 5993479 | 2222 | 4801 | 11430002 | N/A | 4219476 | 2025-08-26 02:20:23.942310 | 2025-05-28 20:18:04.039855 |
| 2025-08-25 14:23:25.918155 | 2025-08-26 02:26:10.155056 | 11538396 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11538396 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-08-28 | F | AE | Dickenson | 91000390H | Linda | PT | 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/2222/7449889/check_11538396_08261b1c-1834-4e84-8652-c8ae3baf3ec8.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895631 | N/A | N/A | 7449889 | 2222 | 4802 | 11443465 | N/A | 6399696 | 2025-08-26 02:26:10.155056 | 2025-07-24 23:24:56.744520 |
| 2025-08-25 14:23:21.467045 | 2025-08-26 02:26:10.701134 | 11538376 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11538376 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-08-28 | M | AE | Thur | 95641377F | Pyi | PT | 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/2222/7449843/check_11538376_7b0ae53f-6d3b-4c76-9a8f-9a0ab30429b2.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895629 | N/A | N/A | 7449843 | 2222 | 4802 | 11443483 | N/A | 6399635 | 2025-08-26 02:26:10.701134 | 2025-07-29 18:42:47.970149 |
| 2025-08-25 14:23:06.958703 | 2025-08-26 02:38:16.157636 | 11538285 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11538285 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-28 | M | AE | KORNREICH | 7XA1CA4AR01 | DALE | PT | 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/2222/7449349/check_11538285_97b725af-0b90-46e6-ba45-e39cf7f4e6a5.json | N/A | N/A | N/A | N/A | N/A | 7XA1CA4AR01 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-03 | S5601 | N/A | N/A | MA | false | KORNREICH | N/A | DALE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895254 | N/A | N/A | 7449349 | 2222 | 4793 | 11472329 | N/A | 6399188 | 2025-08-26 02:38:16.157636 | 2025-07-24 22:52:42.400774 |
| 2025-08-25 14:22:58.093310 | 2025-08-26 02:30:59.801673 | 11537985 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11537985 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-08-28 | F | PT | MOORE | W2A952W18561 | YOLANDA | 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/2222/7447590/check_11537985_8165653f-bcd4-4f68-9538-5b9ebaa23a5c.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637895186 | N/A | N/A | 7447590 | 2222 | 4801 | 11454591 | N/A | 6397797 | 2025-08-26 02:30:59.801673 | 2025-08-12 19:16:58.418300 |
| 2025-08-25 14:22:57.726474 | 2025-08-26 02:26:09.665700 | 11537971 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11537971 | Athletic Physical Therapy Inc | 1996-08-11 | 2025-08-28 | F | AE | ALI HUSSAIN | 99355299D | ZAINEB | PT | 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/2222/7447541/check_11537971_a515e416-4941-4361-bdbb-81d63694af5b.json | N/A | N/A | N/A | N/A | N/A | 99355299D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1996-08-11 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | ALI | N/A | ZAINEB | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895184 | N/A | N/A | 7447541 | 2222 | 4793 | 11443445 | N/A | 6397589 | 2025-08-26 02:26:09.665700 | 2025-08-07 01:39:35.357020 |
| 2025-08-25 14:22:56.429293 | 2025-08-26 02:33:10.797438 | 11537920 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11537920 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-08-28 | F | AE | NAZERALI | 95517882H | SHAHEEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_11537920_7726663b-e177-46e5-8bff-ec30512fc7d5.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1984-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811009 | N/A | N/A | 6782227 | 2222 | 4802 | 11459378 | N/A | 5813326 | 2025-08-26 02:33:10.797438 | 2025-07-21 17:21:46.553298 |
| 2025-08-25 14:22:55.541950 | 2025-08-26 02:21:52.476637 | 11537878 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11537878 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-08-28 | F | PT | TAKEMOTO | XED906098170 | NICOLE | 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/2222/5928752/check_11537878_49001d20-93b5-42fd-bef8-0fa557e5431f.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | 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 | 8637868436 | N/A | N/A | 5928752 | 2222 | 4802 | 11432809 | N/A | 4583701 | 2025-08-26 02:21:52.476637 | 2025-07-24 17:50:11.805587 |
| 2025-08-25 14:22:53.348222 | 2025-08-26 02:27:53.964338 | 11537761 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11537761 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-08-28 | F | AE | JENSEN | H8814805300 | ANN | PT | 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/2222/7444559/check_11537761_c5a69756-8e83-466a-aff2-e44a42faff70.json | N/A | N/A | N/A | N/A | N/A | H88148053 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1946-05-08 | N/A | 0B527001 | N/A | HN | false | JENSEN | N/A | ANN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637895503 | N/A | N/A | 7444559 | 2222 | 4801 | 11447226 | N/A | 6395281 | 2025-08-26 02:27:53.964338 | 2025-07-24 18:22:24.913461 |
| 2025-08-25 14:22:51.217160 | 2025-08-26 02:32:05.074708 | 11537671 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11537671 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-08-28 | F | PT | MCMANUS | XEH909326305 | SUSAN | 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/2222/7444072/check_11537671_ceeedb50-b2bf-4eea-90d0-e35c55b9935a.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637895493 | N/A | N/A | 7444072 | 2222 | 4801 | 11457094 | N/A | 6394822 | 2025-08-26 02:32:05.074708 | 2025-07-24 18:01:25.336701 |
| 2025-08-25 14:22:45.421926 | 2025-08-26 02:33:08.038872 | 11537455 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11537455 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-08-28 | F | AE | TORREY | 00000374205 | JOYCE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11537455_32872228-9948-4af9-a804-d3d7506de2b8.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637812597 | N/A | N/A | 6768717 | 2222 | 4801 | 11459267 | N/A | 5725966 | 2025-08-26 02:33:08.038872 | 2025-07-08 20:19:24.946360 |
| 2025-08-25 14:22:45.084724 | 2025-08-26 02:32:04.369490 | 11537439 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11537439 | Athletic Physical Therapy Inc | 1971-01-26 | 2025-08-28 | F | PT | Crandell | XED910548319 | Shelby | 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/2222/7442378/check_11537439_9fe61c76-81d6-4545-988e-0ec1f3cfc2c0.json | N/A | N/A | N/A | N/A | N/A | XED910548319 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-01-26 | 2001ZK002187 | X0001004 | N/A | PR | false | CRANDELL | N/A | SHELBY | N/A | 9999-12-31 | 2021-05-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637895467 | N/A | N/A | 7442378 | 2222 | 4801 | 11457063 | N/A | 6393427 | 2025-08-26 02:32:04.369490 | 2025-08-09 23:20:00.870450 |
| 2025-08-25 14:22:40.855939 | 2025-08-26 02:37:42.525885 | 11537335 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11537335 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-28 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_11537335_39cdef1b-c403-4997-97dc-e6485cc3302a.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811807 | N/A | N/A | 6752936 | 2222 | 4801 | 11471101 | N/A | 5065602 | 2025-08-26 02:37:42.525885 | 2025-07-01 17:25:13.681724 |
| 2025-08-25 14:22:38.447268 | 2025-08-26 02:37:43.606194 | 11537228 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11537228 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-28 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_11537228_e6749832-aa4b-42a4-97d3-bcd034b5e5cf.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811775 | N/A | N/A | 6751304 | 2222 | 4802 | 11471150 | N/A | 5557241 | 2025-08-26 02:37:43.606194 | 2025-07-22 17:08:51.810153 |
| 2025-08-25 14:22:32.792711 | 2025-08-26 02:44:21.318636 | 11536963 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11536963 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-28 | F | AE | FRITH SMITH | 9M69RM7JM34 | BARBARA | PT | 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/2222/6998367/check_11536963_853df931-69c9-469c-b01a-99ed94490188.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MA | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637830960 | N/A | N/A | 6998367 | 2222 | 4801 | 11482102 | N/A | 6017959 | 2025-08-26 02:44:21.318636 | 2025-07-14 18:22:35.995798 |
| 2025-08-25 14:22:22.090643 | 2025-08-26 02:38:47.031297 | 11536490 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11536490 | Athletic Physical Therapy Inc | 1957-07-02 | 2025-08-28 | F | PT | HEET | NCF335A78493 | MARY | 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/2222/6971855/check_11536490_a1fb8b0d-7fda-4a4a-a457-8ea31be75e8b.json | N/A | N/A | N/A | N/A | N/A | 9U73KW0FR19 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1957-07-02 | 040 | 280612H004 | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637832419 | N/A | N/A | 6971855 | 2222 | 4793 | 11473252 | N/A | 5993849 | 2025-08-26 02:38:47.031297 | 2025-07-24 01:56:09.463748 |
| 2025-08-25 14:22:20.074768 | 2025-08-26 02:34:53.432439 | 11536389 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11536389 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-08-28 | M | PT | MARTIN | XEH906532391003 | CHRISTOPHER | 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/2222/6967909/check_11536389_b0213b35-ac61-423d-aa63-85e7248a937b.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637831553 | N/A | N/A | 6967909 | 2222 | 4793 | 11463825 | N/A | 5990447 | 2025-08-26 02:34:53.432439 | 2025-07-21 18:40:33.917911 |
| 2025-08-25 14:22:11.869100 | 2025-08-26 02:38:38.086398 | 11536041 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11536041 | Athletic Physical Therapy Inc | 1937-09-28 | 2025-08-28 | F | AE | MENDOZA | 00000395455 | LEVIE | PT | 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/2222/6957837/check_11536041_1aef9ada-b98e-466b-b38e-b34e1dd24d60.json | N/A | N/A | N/A | N/A | N/A | 00000395455 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1937-09-28 | H3815028 | N/A | N/A | HM | false | MENDOZA | N/A | LEVIE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637832867 | N/A | N/A | 6957837 | 2222 | 4801 | 11472975 | N/A | 5983200 | 2025-08-26 02:38:38.086398 | 2025-07-25 17:28:26.584539 |
| 2025-08-25 14:22:08.554409 | 2025-08-26 02:19:34.748430 | 11535931 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11535931 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-08-28 | F | AE | DVORSKY | 000009483838 | LINDA | PT | 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/2222/5874461/check_11535931_95ac9af0-0b2a-4a5e-a776-30e93971683e.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868418 | N/A | N/A | 5874461 | 2222 | 4801 | 11428465 | N/A | 4534583 | 2025-08-26 02:19:34.748430 | 2025-05-27 21:59:00.919365 |
| 2025-08-25 14:22:08.287881 | 2025-08-26 02:26:15.674062 | 11535919 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11535919 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-28 | M | AE | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | PT | 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/2222/5874455/check_11535919_b0cd2da7-8bba-4cd3-a591-3faa6f677be3.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MA | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868417 | N/A | N/A | 5874455 | 2222 | 4801 | 11443639 | N/A | 4534577 | 2025-08-26 02:26:15.674062 | 2025-06-18 18:41:30.608585 |
| 2025-08-25 14:22:08.029099 | 2025-08-26 02:18:18.569362 | 11535908 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11535908 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-28 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | 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/2222/5874423/check_11535908_65a2687b-e9ca-4e01-a59c-2b00f3c62ad7.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868416 | N/A | N/A | 5874423 | 2222 | 4802 | 11425214 | N/A | 4534552 | 2025-08-26 02:18:18.569362 | 2025-05-30 18:01:03.324126 |
| 2025-08-25 14:22:05.258871 | 2025-08-26 02:19:53.665714 | 11535772 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11535772 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-08-28 | F | AE | FINE | 00000272194 | MICHELLE | PT | 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/2222/5858742/check_11535772_21273c0f-201d-4b4e-9fb0-ba2823aa0c93.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637868402 | N/A | N/A | 5858742 | 2222 | 4801 | 11429090 | 2630 | 4219630 | 2025-08-26 02:19:53.665714 | 2025-05-13 04:29:37.230672 |
| 2025-08-25 14:21:56.346941 | 2025-08-26 02:34:01.937808 | 11535535 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11535535 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-08-28 | F | PT | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_11535535_eef2ebd8-9ca4-4625-8dd7-20f6c4894a59.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | 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 | 8637813072 | N/A | N/A | 6668755 | 2222 | 4801 | 11461603 | N/A | 5282877 | 2025-08-26 02:34:01.937808 | 2025-07-01 15:56:36.473431 |
| 2025-08-25 14:21:42.677496 | 2025-08-26 02:39:40.898348 | 11535165 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11535165 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-08-28 | M | PT | Shachory | XEK906003800 | Rafael | 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/2222/6919729/check_11535165_244ab90d-9724-4514-a367-0f542a872b29.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | 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 | 8637832189 | N/A | N/A | 6919729 | 2222 | 4793 | 11474912 | N/A | 5950744 | 2025-08-26 02:39:40.898348 | 2025-07-10 00:33:25.010317 |
| 2025-08-25 14:21:42.598747 | 2025-08-26 02:38:40.194366 | 11535162 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11535162 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-08-28 | M | AE | KIM | 96135332F | JOSEPH | PT | 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/2222/6917652/check_11535162_a4ee5ca4-6c5b-4884-8651-9afd2cc9cb4e.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637832188 | N/A | N/A | 6917652 | 2222 | 4802 | 11473040 | N/A | 5949044 | 2025-08-26 02:38:40.194366 | 2025-07-08 23:15:13.625855 |
| 2025-08-25 14:21:41.411250 | 2025-08-26 02:37:43.232101 | 11535109 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11535109 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-28 | F | AE | Tatge | 2DH1CG9VR90 | Glenda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11535109_7454c8af-471f-4b31-a5bf-44a3fc221e76.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811246 | N/A | N/A | 6641936 | 2222 | 4801 | 11471133 | N/A | 5248742 | 2025-08-26 02:37:43.232101 | 2025-07-16 18:02:25.797343 |
| 2025-08-25 14:21:40.710726 | 2025-08-26 02:37:42.854674 | 11535071 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11535071 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-28 | M | AE | Kosec | 7N05DC8JJ95 | Kevin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6639429/check_11535071_9dded495-a8a6-42e2-8d01-3a8260731844.json | N/A | N/A | N/A | N/A | N/A | 7N05DC8JJ95 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-21 | H4036 | N/A | N/A | MB | false | KOSEC | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811235 | N/A | N/A | 6639429 | 2222 | 4802 | 11471119 | N/A | 5248081 | 2025-08-26 02:37:42.854674 | 2025-07-01 21:08:10.945475 |
| 2025-08-25 14:21:37.825411 | 2025-08-26 02:34:56.799552 | 11534935 | N/A | N/A | 60054 | Aetna | 1114042165 | 11534935 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-08-28 | M | AE | RAMIREZ | 9537353099 | ROY | PT | 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/2222/6865171/check_11534935_5012e767-d6d0-4411-b19a-08023f7d0e04.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | 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 | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637832065 | N/A | N/A | 6865171 | 2222 | 4801 | 11463979 | N/A | 5902840 | 2025-08-26 02:34:56.799552 | 2025-07-28 18:58:27.354873 |
| 2025-08-25 14:21:36.684806 | 2025-08-26 02:34:06.145928 | 11534888 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11534888 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-08-27 | F | PT | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_11534888_c30dd990-3d31-4fc3-a3e8-6fe057be77fe.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637811591 | N/A | N/A | 6621141 | 2222 | 4801 | 11461799 | N/A | 5237460 | 2025-08-26 02:34:06.145928 | 2025-07-24 16:59:54.908041 |
| 2025-08-25 14:21:35.682287 | 2025-08-26 02:33:13.603078 | 11534841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11534841 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-27 | F | PT | BARRERA | XEH903389121 | LOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_11534841_dfbe00f7-4bcf-49d6-9291-356e765869c1.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637810958 | N/A | N/A | 6611912 | 2222 | 4793 | 11459493 | N/A | 5230345 | 2025-08-26 02:33:13.603078 | 2025-07-11 20:32:03.183345 |
| 2025-08-25 14:21:21.394805 | 2025-08-26 02:38:05.042275 | 11534491 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11534491 | Athletic Physical Therapy Inc | 1943-04-23 | 2025-08-28 | F | AE | DONAHUE | 31019908301 | JOANNE | PT | 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/2222/6814715/check_11534491_bac7ee9d-ef78-4904-9358-ef65cb1bbe4e.json | N/A | N/A | N/A | N/A | N/A | 31019908301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-23 | 2025H5425001 | H5425M | N/A | N/A | false | DONAHUE | N/A | JOANNE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637831487 | N/A | N/A | 6814715 | 2222 | 4801 | 11471955 | N/A | 5857041 | 2025-08-26 02:38:05.042275 | 2025-07-07 18:59:46.175391 |
| 2025-08-25 14:20:56.233729 | 2025-08-26 02:30:21.481972 | 11533707 | N/A | N/A | 60054 | Aetna | 1114042165 | 11533707 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-08-28 | M | AE | Hamilton | W292751187 | Kevin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_11533707_c6b1cdb1-7527-46d6-811f-873dd452c852.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637812507 | N/A | N/A | 6555606 | 2222 | 4802 | 11453125 | N/A | 5178755 | 2025-08-26 02:30:21.481972 | 2025-07-17 17:42:32.068740 |
| 2025-08-25 14:20:55.813630 | 2025-08-26 02:34:06.479320 | 11533693 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11533693 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-08-27 | F | PT | MANALO LAMANNA | GSC134174111001 | ISADORE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_11533693_9a3280cc-133a-4978-ac7c-506143f8467b.json | N/A | N/A | N/A | N/A | N/A | 01765049801 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637812501 | N/A | N/A | 6554790 | 2222 | 4793 | 11461816 | N/A | 5177947 | 2025-08-26 02:34:06.479320 | 2026-05-11 21:31:25.186699 |
| 2025-08-25 14:20:55.103614 | 2025-08-26 02:30:02.126420 | 11533669 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11533669 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-08-28 | F | AE | Ballatore | 90665617F | Chloe | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_11533669_3ac35ce4-5b9a-43d5-b66b-844c9e7faeb6.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637812492 | N/A | N/A | 6553125 | 2222 | 4802 | 11452355 | N/A | 5176363 | 2025-08-26 02:30:02.126420 | 2025-06-23 23:46:22.182955 |
| 2025-08-25 14:20:54.733940 | 2025-08-26 02:18:29.740040 | 11533656 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11533656 | Athletic Physical Therapy Inc | 1933-08-29 | 2025-08-28 | F | AE | MALOLEPSZY | 31048620001 | CHRISTINE | PT | 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/2222/5676397/check_11533656_911e33d3-3f53-443c-a698-8ad3f249dd26.json | N/A | N/A | N/A | N/A | N/A | 31048620001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-08-29 | 2025H5425001 | H5425M | N/A | N/A | false | MALOLEPSZY | N/A | CHRISTINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867075 | N/A | N/A | 5676397 | 2222 | 4801 | 11425730 | N/A | 4343449 | 2025-08-26 02:18:29.740040 | 2025-05-13 04:29:37.230927 |
| 2025-08-25 14:20:54.268572 | 2025-08-26 02:15:00.740778 | 11533647 | N/A | N/A | 60054 | Aetna | 1114042165 | 11533647 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-08-28 | M | AE | ARROW | 101393152200 | PAUL | PT | 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/2222/5676385/check_11533647_146d0d6e-6f27-48b5-9e2a-e650e98c6429.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867074 | N/A | N/A | 5676385 | 2222 | 4802 | 11417533 | N/A | 4343439 | 2025-08-26 02:15:00.740778 | 2025-05-13 04:29:37.230918 |
| 2025-08-25 14:20:53.861484 | 2025-08-26 02:20:22.345986 | 11533638 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11533638 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-28 | F | PT | OBLINGER | JQS491M78254 | MARIA | 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/2222/5676340/check_11533638_2dc64837-c72a-41c9-8fff-923050389ccd.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867073 | N/A | N/A | 5676340 | 2222 | 4793 | 11429951 | 4184 | 4210531 | 2025-08-26 02:20:22.345986 | 2025-12-09 17:09:13.960610 |
| 2025-08-25 14:20:34.899177 | 2025-08-26 02:33:14.230239 | 11533093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11533093 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-08-28 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_11533093_0a3efe38-e4a5-4b23-ba13-09a80957231e.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637812446 | N/A | N/A | 6491817 | 2222 | 4801 | 11459512 | N/A | 5120889 | 2025-08-26 02:33:14.230239 | 2025-06-23 18:24:54.219050 |
| 2025-08-25 14:20:31.498743 | 2025-08-26 02:45:39.731572 | 11532989 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11532989 | Athletic Physical Therapy Inc | 1979-01-26 | 2025-08-27 | F | AE | Khona | 11097423700 | Bhumika | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171251665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796115/check_11532989_fb22eb8e-e3a8-419c-8aef-6f03b53e6465.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 | 8637796016 | N/A | N/A | 7796115 | 2222 | 4802 | 11483848 | N/A | 6638261 | 2025-08-26 02:45:39.731572 | 2025-08-05 22:53:03.080537 |
| 2025-08-25 14:20:23.594094 | 2025-08-26 02:33:13.883440 | 11532722 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11532722 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-08-28 | F | PT | HAZARD | NCF794W22253 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_11532722_4089ee71-433d-4267-9e92-7dcdd4f50a54.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637812678 | N/A | N/A | 6472283 | 2222 | 4801 | 11459505 | N/A | 5105323 | 2025-08-26 02:33:13.883440 | 2025-07-02 18:01:41.077949 |
| 2025-08-25 14:20:04.504558 | 2025-08-26 02:18:17.449703 | 11532086 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11532086 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-28 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | 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/2222/5568076/check_11532086_85791642-75e7-4eb5-9b11-1a7daf2bbf67.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867750 | N/A | N/A | 5568076 | 2222 | 4802 | 11425173 | N/A | 4209480 | 2025-08-26 02:18:17.449703 | 2026-04-10 02:05:15.976484 |
| 2025-08-25 14:19:52.785609 | 2025-08-26 02:37:42.101223 | 11531625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11531625 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-08-28 | F | AE | BARRE | 4WR8HF0MV28 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_11531625_b665253d-49a1-4ade-9a17-a087584529a2.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part A | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MA | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811398 | N/A | N/A | 6418037 | 2222 | 4802 | 11471085 | N/A | 5065797 | 2025-08-26 02:37:42.101223 | 2025-07-28 17:08:00.544400 |
| 2025-08-25 14:19:43.589549 | 2025-08-26 02:30:21.763255 | 11531321 | N/A | N/A | 60054 | Aetna | 1114042165 | 11531321 | Athletic Physical Therapy Inc | 1963-03-10 | 2025-08-28 | F | AE | HASSHAW | W257198312 | LAURA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171426008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398687/check_11531321_cf12b57d-f802-41eb-a595-42e74c1ccaba.json | N/A | N/A | N/A | N/A | N/A | W257198312 | Point of Service (POS) | EXL SERVICE.COM, LLC | AETNA | N/A | 1963-03-10 | 0847788 | 084778801000201 | N/A | PS | false | HASSHAW | N/A | LAURA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637811048 | N/A | N/A | 6398687 | 2222 | 4793 | 11453139 | N/A | 5046244 | 2025-08-26 02:30:21.763255 | 2025-06-20 22:35:45.756703 |
| 2025-08-25 14:19:41.520421 | 2025-08-26 02:20:15.003107 | 11531265 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11531265 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-28 | F | PT | GALLO LUNA | CQP005A55866 | MARITZA | 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/2222/5550838/check_11531265_fc3392a2-1970-4c34-8d50-21c580482f32.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867455 | N/A | N/A | 5550838 | 2222 | 4801 | 11429729 | N/A | 4219709 | 2025-08-26 02:20:15.003107 | 2025-05-13 04:29:37.230752 |
| 2025-08-25 14:19:41.369315 | 2025-08-26 02:21:48.764429 | 11531258 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11531258 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-28 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | 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/2222/5550827/check_11531258_adc3a488-09a9-49a3-9d03-57ddc83e9299.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867454 | N/A | N/A | 5550827 | 2222 | 4802 | 11432687 | N/A | 4219700 | 2025-08-26 02:21:48.764429 | 2025-05-13 04:29:37.230745 |
| 2025-08-25 14:19:41.150093 | 2025-08-26 02:19:52.997723 | 11531253 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11531253 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-28 | M | AE | ARUJO | 00000223568 | RAMON | PT | 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/2222/5550751/check_11531253_d13c6d96-626f-4068-8b41-51d3f9606acc.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867453 | N/A | N/A | 5550751 | 2222 | 4801 | 11429066 | 2630 | 4219640 | 2025-08-26 02:19:52.997723 | 2025-05-13 04:29:37.230682 |
| 2025-08-25 14:19:40.911964 | 2025-08-26 02:15:01.185176 | 11531248 | N/A | N/A | 60054 | Aetna | 1114042165 | 11531248 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-28 | F | AE | SANTITORO | W267422430 | SARAH | PT | 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/2222/5550743/check_11531248_e9b1c3aa-ce3c-4f70-913d-4c95d7894602.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867452 | N/A | N/A | 5550743 | 2222 | 4801 | 11417551 | N/A | 4219643 | 2025-08-26 02:15:01.185176 | 2025-05-13 04:29:37.230685 |
| 2025-08-25 14:19:40.699762 | 2025-08-26 02:26:15.356640 | 11531239 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11531239 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-28 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | 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/2222/5549981/check_11531239_58a4cdc2-cd94-4ec5-ba9e-24b78fb1dadc.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637867451 | N/A | N/A | 5549981 | 2222 | 4802 | 11443630 | N/A | 4219436 | 2025-08-26 02:26:15.356640 | 2025-05-13 04:29:37.230471 |
| 2025-08-25 14:19:40.511119 | 2025-08-26 02:20:23.239422 | 11531237 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11531237 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-08-28 | F | PT | SAUCERMAN | XDM288A55735 | ALEXIS | 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/2222/5549817/check_11531237_e7e8b495-a407-461c-a416-197f4ac4fd6c.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867450 | N/A | N/A | 5549817 | 2222 | 4793 | 11429974 | 4184 | 4211143 | 2025-08-26 02:20:23.239422 | 2025-05-31 20:12:37.092503 |
| 2025-08-25 14:19:40.368725 | 2025-08-26 02:20:18.371014 | 11531232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11531232 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-08-27 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_11531232_f26877d7-4718-44e8-9320-018b64a0ea74.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637867449 | N/A | N/A | 5549317 | 2222 | 4801 | 11429831 | N/A | 4219010 | 2025-08-26 02:20:18.371014 | 2026-01-09 18:32:07.618867 |