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 | 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 14:15:04.037057 | 2025-08-26 02:29:48.158497 | 11527727 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11527727 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-08-28 | F | AE | PT | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_11527727_8732a9c7-59b6-4712-86f4-42d486482d45.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 | 8637735434 | N/A | N/A | 6782227 | 2222 | 4802 | 11451755 | N/A | 5813326 | 2025-08-26 02:29:48.158497 | 2025-07-21 17:21:46.553298 |
| 2025-08-25 14:15:02.785343 | 2025-08-26 02:48:18.939090 | 11527715 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11527715 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-08-28 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_11527715_12614e4f-de9e-4686-9309-a09ce594c702.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | 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 | 8637792937 | N/A | N/A | 6105989 | 2222 | 4802 | 11486648 | N/A | 4750274 | 2025-08-26 02:48:18.939090 | 2025-06-12 22:26:37.845238 |
| 2025-08-25 14:14:11.259277 | 2025-08-26 02:29:42.963930 | 11527097 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11527097 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-08-28 | F | AE | PT | TORREY | 00000374205 | JOYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11527097_e2afba7b-e69e-4cbc-8c89-7b82f5e58251.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 | 8637736186 | N/A | N/A | 6768717 | 2222 | 4801 | 11451545 | N/A | 5725966 | 2025-08-26 02:29:42.963930 | 2025-07-08 20:19:24.946360 |
| 2025-08-25 14:14:02.681081 | 2025-08-26 05:55:35.489928 | 11526995 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11526995 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-08-28 | F | AE | PT | McKinnon | 4081VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_11526995_686de61f-1f88-48c7-a8dd-c3f1215d4aeb.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 | 8637738031 | N/A | N/A | 7783105 | 2222 | 4802 | 11507421 | N/A | 6628331 | 2025-08-26 05:55:35.489928 | 2025-08-22 15:16:03.942743 |
| 2025-08-25 14:13:56.681260 | 2025-08-26 02:37:29.067746 | 11526928 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11526928 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-28 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_11526928_a937deb3-3122-4823-9f2e-7cf5ebe10540.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 | 8637735225 | N/A | N/A | 6752936 | 2222 | 4801 | 11470525 | N/A | 5065602 | 2025-08-26 02:37:29.067746 | 2025-07-01 17:25:13.681724 |
| 2025-08-25 14:13:50.012213 | 2025-08-26 02:42:04.355315 | 11526855 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11526855 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-08-27 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_11526855_7bfd3ef3-9974-4a87-88f4-8275d0763cca.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 | 8637792695 | N/A | N/A | 6079410 | 2222 | 4802 | 11478580 | N/A | 4723300 | 2025-08-26 02:42:04.355315 | 2025-06-04 00:42:43.684276 |
| 2025-08-25 14:13:29.654736 | 2025-08-26 02:42:48.398552 | 11526686 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11526686 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-08-28 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_11526686_dcb338cf-352c-4e07-93d3-85a387bbe958.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 | 8637796461 | N/A | N/A | 6074035 | 2222 | 4801 | 11479784 | N/A | 4718592 | 2025-08-26 02:42:48.398552 | 2025-05-29 20:00:22.627186 |
| 2025-08-25 14:13:23.679251 | 2025-08-26 02:37:30.384027 | 11526622 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11526622 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-28 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_11526622_fb38945d-76ac-452a-9fea-d9ff3a25b9e0.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | 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 | 8637735195 | N/A | N/A | 6751304 | 2222 | 4802 | 11470583 | N/A | 5557241 | 2025-08-26 02:37:30.384027 | 2025-07-22 17:08:51.810153 |
| 2025-08-25 14:12:40.309215 | 2025-08-26 05:35:21.925528 | 11526160 | N/A | N/A | 60054 | Aetna | 1114042165 | 11526160 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-08-28 | M | AE | PT | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_11526160_ad7c70d5-e0a5-431b-979e-d900d96db7a8.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 | 8637737076 | N/A | N/A | 7761496 | 2222 | 4802 | 11503541 | N/A | 6610810 | 2025-08-26 05:35:21.925528 | 2025-08-04 22:41:35.670334 |
| 2025-08-25 14:12:13.403266 | 2025-08-26 05:40:48.939667 | 11525766 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11525766 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-08-28 | M | PT | N/A | Sariri | XDP632A69850 | Darius | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_11525766_a0b73255-6305-4a81-9b54-b8f66b639a80.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 | 8637737419 | N/A | N/A | 7754707 | 2222 | 4802 | 11504870 | N/A | 6605684 | 2025-08-26 05:40:48.939667 | 2025-08-05 01:08:16.312539 |
| 2025-08-25 14:11:38.322547 | 2025-08-26 02:09:24.667962 | 11525284 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11525284 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-08-28 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11525284_baac35ae-3940-41f7-a66e-85b7a8afbb39.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 | 8637725511 | N/A | N/A | 8088383 | 2222 | 4793 | 11411204 | N/A | 6871702 | 2025-08-26 02:09:24.667962 | 2025-08-14 21:08:52.019264 |
| 2025-08-25 14:11:30.160438 | 2025-08-25 14:11:30.964920 | 11525157 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11525157 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-08-28 | F | PT | N/A | HERCEG | JQQ193M82762 | ANDJELKA | N/A | WAYSTAR | N/A | BATCH | 2025-08-28 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7627183 | 2222 | 4793 | N/A | N/A | 6526151 | 2025-08-25 14:11:30.964920 | 2025-07-31 16:27:01.412304 |
| 2025-08-25 14:09:33.244608 | 2025-08-26 02:29:36.236403 | 11523365 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11523365 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-28 | M | AE | PT | Kosec | MBL802W22845 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.191118612.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641037/check_11523365_313d7651-39ef-4c03-b560-431cdd7f2009.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 | 8637662727 | N/A | N/A | 6641037 | 2222 | 4802 | 11451259 | N/A | 5248081 | 2025-08-26 02:29:36.236403 | 2025-07-01 21:08:10.945475 |
| 2025-08-25 14:09:27.047990 | 2025-08-26 05:39:03.382165 | 11523260 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11523260 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-08-28 | M | AE | PT | Weiss | R13448501MS1 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_11523260_e77cc467-db59-431f-9bbc-761729deeb2a.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 | 8637737120 | N/A | N/A | 7661660 | 2222 | 4802 | 11504474 | N/A | 6543985 | 2025-08-26 05:39:03.382165 | 2025-08-01 18:30:37.244428 |
| 2025-08-25 14:09:23.359015 | 2025-08-26 02:18:57.124781 | 11523197 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11523197 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-08-28 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11523197_e7849473-d447-4c9a-bed6-86ca8cc0bb66.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 | 8637684126 | N/A | N/A | 8088383 | 2222 | 4793 | 11426856 | N/A | 6871702 | 2025-08-26 02:18:57.124781 | 2025-08-14 21:08:52.019264 |
| 2025-08-25 14:09:21.509916 | 2025-08-26 02:43:39.241493 | 11523162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11523162 | Athletic Physical Therapy Inc | 1965-06-11 | 2025-08-28 | F | PT | N/A | MEDINA | XDP628W03244 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_11523162_dcfbbc61-ed67-4e47-b6da-c85c5cabeb1e.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 | 8637795375 | N/A | N/A | 5993935 | 2222 | 4802 | 11481087 | N/A | 4642857 | 2025-08-26 02:43:39.241493 | 2025-07-07 14:11:20.082988 |
| 2025-08-25 14:09:20.665451 | 2025-08-26 02:44:20.740361 | 11523148 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11523148 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-08-28 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_11523148_b3701c9c-5d06-41df-a2f0-9df2bc305159.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 | 8637795372 | N/A | N/A | 5993926 | 2222 | 4802 | 11482086 | N/A | 4642862 | 2025-08-26 02:44:20.740361 | 2025-05-28 20:59:09.029689 |
| 2025-08-25 14:09:19.958605 | 2025-08-26 02:43:41.221721 | 11523134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11523134 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-08-27 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_11523134_c7899f90-0972-46e3-a8ff-8a82a5e23d15.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 | 8637795369 | N/A | N/A | 5993479 | 2222 | 4801 | 11481135 | N/A | 4219476 | 2025-08-26 02:43:41.221721 | 2025-05-28 20:18:04.039855 |
| 2025-08-25 14:08:54.627943 | 2025-08-26 02:48:17.070416 | 11522699 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11522699 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-28 | F | PT | N/A | CHAMBERLIN | CAW905797094 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171251665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11522699_2457d97d-28cc-4f5e-8544-318147d397d0.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 | 8637793133 | N/A | N/A | 7591326 | 2222 | 4801 | 11486621 | N/A | 6499323 | 2025-08-26 02:48:17.070416 | 2025-07-30 18:54:36.603528 |
| 2025-08-25 14:08:48.111082 | 2025-08-26 02:31:17.945019 | 11522579 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11522579 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-08-28 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_11522579_fbc7ac16-ab89-4aa0-85a8-b919c7ed4f41.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 | 8637735312 | N/A | N/A | 6668755 | 2222 | 4801 | 11455366 | N/A | 5282877 | 2025-08-26 02:31:17.945019 | 2025-07-01 15:56:36.473431 |
| 2025-08-25 14:08:43.050629 | 2025-08-26 02:17:26.281234 | 11522486 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11522486 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-08-27 | M | PT | N/A | BOWMAN | UMG354W05421 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11522486_9dd78c77-4dcb-4075-bdec-20810fe3aaac.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 | 8637726978 | N/A | N/A | 8073830 | 2222 | 4802 | 11423083 | N/A | 6858276 | 2025-08-26 02:17:26.281234 | 2025-08-14 00:02:33.736728 |
| 2025-08-25 14:08:30.270318 | 2025-08-26 02:26:34.532663 | 11522266 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11522266 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-08-27 | M | PT | N/A | BOWMAN | UMG354W05421 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11522266_655932d7-27ff-48c6-aeb4-a06f598263f6.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 | 8637683465 | N/A | N/A | 8073830 | 2222 | 4802 | 11444297 | N/A | 6858276 | 2025-08-26 02:26:34.532663 | 2025-08-14 00:02:33.736728 |
| 2025-08-25 14:08:17.572912 | 2025-08-26 02:25:00.674301 | 11522053 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11522053 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-08-28 | F | PT | N/A | Schwarz | LDU982A72978 | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048304/check_11522053_3e12cfe6-ad3a-4f79-a6d3-97f7ecfa4abf.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 | 8637684368 | N/A | N/A | 8048304 | 2222 | 4802 | 11440345 | N/A | 6470898 | 2025-08-26 02:25:00.674301 | 2025-07-29 20:29:16.916703 |
| 2025-08-25 14:07:48.005519 | 2025-08-26 02:16:03.151622 | 11521424 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11521424 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-08-28 | F | PT | N/A | Schwarz | LDU982A72978 | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048304/check_11521424_37242540-62cc-47e8-9ca3-7255a6ac8ee7.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 | 8637725753 | N/A | N/A | 8048304 | 2222 | 4802 | 11419643 | N/A | 6470898 | 2025-08-26 02:16:03.151622 | 2025-07-29 20:29:16.916703 |
| 2025-08-25 14:07:45.010751 | 2025-08-26 02:26:35.200862 | 11521346 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11521346 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-27 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_11521346_a8a7d1d0-fc0c-41b5-a6b4-d3d1fb1610a9.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 | 8637684056 | N/A | N/A | 8026951 | 2222 | 4801 | 11444320 | N/A | 6828511 | 2025-08-26 02:26:35.200862 | 2025-08-14 00:23:35.929152 |
| 2025-08-25 14:07:23.129465 | 2025-08-26 02:20:22.049623 | 11521062 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11521062 | N/A | 1960-06-14 | 2025-08-28 | F | PT | N/A | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_11521062_34c13024-f1c5-43e4-bdec-52d3a9713869.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 | 8637684038 | N/A | N/A | 8025542 | 2222 | 4801 | 11429949 | N/A | 6826965 | 2025-08-26 02:20:22.049623 | 2025-08-13 02:28:19.717631 |
| 2025-08-25 14:07:13.251566 | 2025-08-26 02:22:27.166306 | 11520818 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11520818 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-28 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.191118612.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_11520818_bbb37c05-1d14-4dfd-b677-a9b2e1e708d5.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 | 8637662960 | N/A | N/A | 6528155 | 2222 | 4793 | 11433926 | N/A | 4214447 | 2025-08-26 02:22:27.166306 | 2026-04-23 20:11:34.441054 |
| 2025-08-25 14:07:09.127459 | 2025-08-26 02:37:29.903381 | 11520718 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11520718 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-28 | F | AE | PT | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11520718_735e4af8-6c09-40ca-926f-01a18266d50e.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 | 8637736009 | N/A | N/A | 6641936 | 2222 | 4801 | 11470562 | N/A | 5248742 | 2025-08-26 02:37:29.903381 | 2025-07-16 18:02:25.797343 |
| 2025-08-25 14:07:01.625882 | 2025-08-26 02:37:29.503089 | 11520544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11520544 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-28 | M | AE | PT | Kosec | 7N05DC8JJ95 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6639429/check_11520544_40203c74-41db-432c-85b9-a1d7b6ed4f58.json | N/A | N/A | N/A | N/A | N/A | 7N05DC8JJ95 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-21 | H4036 | N/A | N/A | MA | 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 | 8637735999 | N/A | N/A | 6639429 | 2222 | 4802 | 11470547 | N/A | 5248081 | 2025-08-26 02:37:29.503089 | 2025-07-01 21:08:10.945475 |
| 2025-08-25 14:06:55.103782 | 2025-08-26 02:36:17.214530 | 11520382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11520382 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-28 | M | AE | PT | Kosec | MBL802W22845 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190818916.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641037/check_11520382_62543959-277f-4c1f-849a-85f3ea6bb68c.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 | 8637622522 | N/A | N/A | 6641037 | 2222 | 4802 | 11467345 | N/A | 5248081 | 2025-08-26 02:36:17.214530 | 2025-07-01 21:08:10.945475 |
| 2025-08-25 14:06:41.400855 | 2025-08-26 02:44:23.593633 | 11519958 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11519958 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-08-28 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_11519958_51a97774-ddd9-4578-bff2-5bfb30e4d08b.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 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637795760 | N/A | N/A | 5928752 | 2222 | 4802 | 11482163 | N/A | 4583701 | 2025-08-26 02:44:23.593633 | 2025-07-24 17:50:11.805587 |
| 2025-08-25 14:06:34.019390 | 2025-08-26 02:30:08.978150 | 11519749 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11519749 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-28 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190818916.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_11519749_f34a1ac5-d9b5-4595-9329-c5a7cc94e574.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 | 8637622993 | N/A | N/A | 6528155 | 2222 | 4793 | 11452623 | N/A | 4214447 | 2025-08-26 02:30:08.978150 | 2026-04-23 20:11:34.441054 |
| 2025-08-25 14:06:16.901819 | 2025-08-26 02:31:23.947461 | 11519306 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11519306 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-08-27 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_11519306_0cf648b8-5e41-49b7-9d01-680e10a2a82d.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 | 8637735125 | N/A | N/A | 6621141 | 2222 | 4801 | 11455610 | N/A | 5237460 | 2025-08-26 02:31:23.947461 | 2025-07-24 16:59:54.908041 |
| 2025-08-25 14:06:07.979026 | 2025-08-26 02:29:51.732907 | 11519037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11519037 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-27 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_11519037_0743cc00-6bcd-47e2-896b-00560256fafb.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 | 8637735984 | N/A | N/A | 6611912 | 2222 | 4793 | 11451931 | N/A | 5230345 | 2025-08-26 02:29:51.732907 | 2025-07-11 20:32:03.183345 |
| 2025-08-25 14:06:00.759238 | 2025-08-26 02:22:19.400203 | 11518816 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11518816 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-08-28 | F | AE | PT | LESLIE | 106969238 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7978844/check_11518816_1b1d33ee-938f-43a4-ae2c-ef8110b64bba.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 | 8637682325 | N/A | N/A | 7978844 | 2222 | 4802 | 11433671 | N/A | 6791609 | 2025-08-26 02:22:19.400203 | 2025-08-12 23:25:40.841503 |
| 2025-08-25 14:06:00.433468 | 2025-08-26 02:37:19.180605 | 11518808 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11518808 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-28 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190818916.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_11518808_2f561ca2-968d-468c-9c8c-c080c948dab5.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 | 8637624083 | N/A | N/A | 6203312 | 2222 | 4801 | 11470080 | N/A | 4846213 | 2025-08-26 02:37:19.180605 | 2025-06-10 21:58:09.734801 |
| 2025-08-25 14:05:54.814676 | 2025-08-26 02:24:33.619882 | 11518619 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11518619 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-08-28 | M | AE | PT | RANDERIA | 1AY5A41XE81 | BHUPENDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420254/check_11518619_57925d83-e08d-4d93-8aac-f505562cc869.json | N/A | N/A | N/A | N/A | N/A | 1AY5A41XE81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-05-31 | N/A | N/A | N/A | MA | 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 | 8637640543 | N/A | N/A | 8420254 | 2222 | 4802 | 11439184 | N/A | 7097664 | 2025-08-26 02:24:33.619882 | 2026-04-30 18:11:14.979451 |
| 2025-08-25 14:05:34.948895 | 2025-08-26 05:07:12.913436 | 11518076 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11518076 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-08-28 | F | PT | N/A | HERCEG | JQQ193M82762 | ANDJELKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7627183/check_11518076_c65943a9-0166-4fc4-933d-bb1469578f07.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 | 8637738689 | N/A | N/A | 7627183 | 2222 | 4793 | 11494370 | N/A | 6526151 | 2025-08-26 05:07:12.913436 | 2025-07-31 16:27:01.412304 |
| 2025-08-25 14:05:33.294031 | 2025-08-26 02:17:27.201119 | 11518037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11518037 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-27 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_11518037_fd07d8cd-ec17-4ac2-be88-c1120f1cf67d.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 | 8637726750 | N/A | N/A | 8026951 | 2222 | 4801 | 11423103 | N/A | 6828511 | 2025-08-26 02:17:27.201119 | 2025-08-14 00:23:35.929152 |
| 2025-08-25 14:05:32.014267 | 2025-08-26 02:36:16.910310 | 11518001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11518001 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-28 | M | AE | PT | KESHAVARZIAN | JQE128W05540 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190818916.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_11518001_26748bd1-1bac-495b-ade4-049fe13c3db1.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 | 8637623461 | N/A | N/A | 5993911 | 2222 | 4801 | 11467330 | N/A | 4534577 | 2025-08-26 02:36:16.910310 | 2025-06-18 18:41:30.608585 |
| 2025-08-25 14:05:25.168891 | 2025-08-26 02:14:46.349591 | 11517821 | N/A | N/A | 44827 | Self Insured Services Company (SISCO) | 1114042165 | 11517821 | N/A | 1978-12-03 | 2025-08-28 | F | AE | PT | PEREZ | 994953372 | MAHSHID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8397375/check_11517821_70af39c4-c655-474b-a577-e874e2082f50.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 | 8637639318 | N/A | N/A | 8397375 | 2222 | 4793 | 11416971 | N/A | 6891702 | 2025-08-26 02:14:46.349591 | 2025-08-15 20:26:36.547465 |
| 2025-08-25 14:05:21.629793 | 2025-08-26 02:10:37.544927 | 11517732 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11517732 | N/A | 1960-06-14 | 2025-08-28 | F | PT | N/A | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_11517732_f7eeed81-ee02-4c85-9006-75d06313863e.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 | 8637726731 | N/A | N/A | 8025542 | 2222 | 4801 | 11412020 | N/A | 6826965 | 2025-08-26 02:10:37.544927 | 2025-08-13 02:28:19.717631 |
| 2025-08-25 14:04:57.297019 | 2025-08-26 05:20:33.127944 | 11517101 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11517101 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-08-28 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165914349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_11517101_9a90efa3-c252-444c-b28e-c22479965f2a.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637593362 | N/A | N/A | 8420255 | 2222 | 4802 | 11500298 | N/A | 7097664 | 2025-08-26 05:20:33.127944 | 2026-04-30 18:11:14.979451 |
| 2025-08-25 14:04:55.720551 | 2025-08-26 02:16:27.827814 | 11517037 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11517037 | Athletic Physical Therapy Inc | 1967-09-02 | 2025-08-28 | F | AE | PT | CASALE | U2155410602 | ALMERINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385985/check_11517037_39739e6d-b853-4453-8c37-2a403a25893b.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 | 8637639827 | N/A | N/A | 8385985 | 2222 | 4802 | 11420417 | N/A | 7065214 | 2025-08-26 02:16:27.827814 | 2025-08-21 00:00:50.875462 |
| 2025-08-25 14:04:55.311574 | 2025-08-26 02:18:57.532206 | 11517019 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11517019 | N/A | 1973-10-19 | 2025-08-28 | F | AE | PT | SAMIGOULINA | 94151397D | ROZA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8322755/check_11517019_0727ba99-7bc5-48ec-a1f0-21e462f9d99b.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 | 8637639824 | N/A | N/A | 8322755 | 2222 | 4802 | 11426884 | N/A | 7032742 | 2025-08-26 02:18:57.532206 | 2025-08-20 23:12:15.422903 |
| 2025-08-25 14:04:54.763689 | 2025-08-26 02:34:57.566572 | 11517002 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11517002 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-08-28 | F | AE | PT | THOMSEN | R12604487 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190818916.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_11517002_2ecb3b9a-a5d6-4d06-b2dc-dbb2c8782186.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 | 8637623852 | N/A | N/A | 5537953 | 2222 | 4801 | 11464011 | N/A | 4210450 | 2025-08-26 02:34:57.566572 | 2026-05-04 21:51:25.248197 |
| 2025-08-25 14:04:54.517456 | 2025-08-26 02:14:53.990667 | 11516989 | N/A | N/A | 60054 | Aetna | 1114042165 | 11516989 | Athletic Physical Therapy Inc | 2001-09-30 | 2025-08-28 | M | AE | PT | VOLOSHIN | 6567890013 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8229177/check_11516989_8a01dc25-0ec4-464a-9850-76c11fff5442.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 | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637639819 | N/A | N/A | 8229177 | 2222 | 4802 | 11417267 | N/A | 6985402 | 2025-08-26 02:14:53.990667 | 2025-08-28 23:04:18.854159 |
| 2025-08-25 14:04:30.898480 | 2025-08-26 02:32:43.991671 | 11516069 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11516069 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-08-28 | F | AE | PT | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190630839.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_11516069_f1cfbacc-18e3-418b-ac27-84ddcc5e79fc.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 | 8637580324 | N/A | N/A | 6782227 | 2222 | 4802 | 11458433 | N/A | 5813326 | 2025-08-26 02:32:43.991671 | 2025-07-21 17:21:46.553298 |
| 2025-08-25 14:04:28.627220 | 2025-08-26 02:43:21.480554 | 11515970 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11515970 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-08-28 | F | AE | PT | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_11515970_7ff2bc4f-ddee-431f-aa21-64c20591dfc3.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 | SEARS HOLDINGS CORPORATION SEARS EARLY RETIREES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637794750 | N/A | N/A | 5874461 | 2222 | 4801 | 11480669 | N/A | 4534583 | 2025-08-26 02:43:21.480554 | 2025-05-27 21:59:00.919365 |
| 2025-08-25 14:04:27.764024 | 2025-08-26 02:48:18.666456 | 11515929 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11515929 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-28 | M | AE | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11515929_855deb78-8573-4427-bb46-65ccc1d10086.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MB | 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 | 8637794749 | N/A | N/A | 5874455 | 2222 | 4801 | 11486644 | N/A | 4534577 | 2025-08-26 02:48:18.666456 | 2025-06-18 18:41:30.608585 |