API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-25 14:04:26.917371 | 2025-08-26 02:42:47.078319 | 11515895 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11515895 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-28 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | N/A | 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/2222/5874423/check_11515895_672b5efb-2dbc-4179-af66-22b3ca0de9a8.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 | 8637794748 | N/A | N/A | 5874423 | 2222 | 4802 | 11479748 | N/A | 4534552 | 2025-08-26 02:42:47.078319 | 2025-05-30 18:01:03.324126 |
| 2025-08-25 14:04:13.089835 | 2025-08-26 02:43:29.049328 | 11515301 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11515301 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-08-28 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | 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/2222/5858742/check_11515301_4d24ff7b-8fc4-4943-be1e-0ad1cd1c9861.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 | 8637794712 | N/A | N/A | 5858742 | 2222 | 4801 | 11480837 | 2630 | 4219630 | 2025-08-26 02:43:29.049328 | 2025-05-13 04:29:37.230672 |
| 2025-08-25 14:04:12.018772 | 2025-08-26 05:21:36.965752 | 11515253 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11515253 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-08-28 | F | AE | PT | McKinnon | XEM913376502 | Dawn | N/A | 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/2222/7783106/check_11515253_1a289259-44e2-423e-b946-15657c077ccf.json | N/A | N/A | N/A | N/A | N/A | XEM913376502 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-14 | 2002SE000030 | X0001002 | N/A | OT | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637593048 | N/A | N/A | 7783106 | 2222 | 4802 | 11500509 | N/A | 6628331 | 2025-08-26 05:21:36.965752 | 2025-08-22 15:16:03.942743 |
| 2025-08-25 14:04:05.812715 | 2025-08-26 02:24:33.162675 | 11514973 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11514973 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-08-28 | F | AE | PT | CHICAS | 2VE9DX6NU27 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_11514973_532d2611-5a21-481d-8905-55c5ab71081d.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MA | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637639744 | N/A | N/A | 8202975 | 2222 | 4802 | 11439167 | N/A | 6965620 | 2025-08-26 02:24:33.162675 | 2025-09-03 23:20:10.287852 |
| 2025-08-25 14:04:01.490173 | 2025-08-26 02:43:07.511957 | 11514795 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11514795 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-08-28 | M | AE | PT | RANDERIA | 1AY5A41XE81 | BHUPENDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170928322.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420254/check_11514795_a6a86fa6-7387-4c16-afd7-66eab2e445ca.json | N/A | N/A | N/A | N/A | N/A | 1AY5A41XE81 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-05-31 | N/A | N/A | N/A | MB | false | RANDERIA | N/A | BHUPENDRA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637751137 | N/A | N/A | 8420254 | 2222 | 4802 | 11480311 | N/A | 7097664 | 2025-08-26 02:43:07.511957 | 2026-04-30 18:11:14.979451 |
| 2025-08-25 14:04:00.763298 | 2025-08-26 02:32:40.168589 | 11514755 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11514755 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-08-28 | F | AE | PT | TORREY | 00000374205 | JOYCE | N/A | 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/2222/6768717/check_11514755_c8f4fcea-8e5d-4c55-985b-4a80679bc905.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 | 8637577658 | N/A | N/A | 6768717 | 2222 | 4801 | 11458308 | N/A | 5725966 | 2025-08-26 02:32:40.168589 | 2025-07-08 20:19:24.946360 |
| 2025-08-25 14:03:54.899980 | 2025-08-26 05:30:39.658488 | 11514485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11514485 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-08-28 | F | PT | N/A | Schwarz | 6K39DA7XC53 | Linda | N/A | 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/2222/7546108/check_11514485_80081e9d-fed1-42c8-8721-cb988c7fd07d.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Medicare Part A | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-15 | N/A | C18445 1838NJ | N/A | MA | false | SCHWARZ | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637592558 | N/A | N/A | 7546108 | 2222 | 4802 | 11502587 | N/A | 6470898 | 2025-08-26 05:30:39.658488 | 2025-07-29 20:29:16.916703 |
| 2025-08-25 14:03:54.413148 | 2025-08-26 02:37:51.538349 | 11514463 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11514463 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-28 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | 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/2222/6752936/check_11514463_5ba6317b-f5c7-40c8-9f36-feac2162974d.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | 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 | 8637580231 | N/A | N/A | 6752936 | 2222 | 4801 | 11471465 | N/A | 5065602 | 2025-08-26 02:37:51.538349 | 2025-07-01 17:25:13.681724 |
| 2025-08-25 14:03:46.299990 | 2025-08-26 05:20:32.431434 | 11514111 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11514111 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-28 | M | AE | PT | KORNREICH | JQE348W01443 | DALE | N/A | 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/2222/7449401/check_11514111_51fcc84e-a33b-461b-993c-c42a657b728b.json | N/A | N/A | N/A | N/A | N/A | JQE348W01443 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1954-10-03 | 040 | CASUPWP0 | N/A | N/A | false | KORNREICH | N/A | DALE | N/A | 9999-12-31 | 2019-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637591865 | N/A | N/A | 7449401 | 2222 | 4793 | 11500296 | N/A | 6399188 | 2025-08-26 05:20:32.431434 | 2025-07-24 22:52:42.400774 |
| 2025-08-25 14:03:44.901868 | 2025-08-26 02:37:53.469792 | 11514045 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11514045 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-28 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | 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/2222/6751304/check_11514045_8e2facf2-1fdc-4e2b-acf0-16c646350435.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 | 8637580201 | N/A | N/A | 6751304 | 2222 | 4802 | 11471538 | N/A | 5557241 | 2025-08-26 02:37:53.469792 | 2025-07-22 17:08:51.810153 |
| 2025-08-25 14:03:40.205507 | 2025-08-26 02:46:25.617578 | 11513840 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11513840 | Athletic Physical Therapy Inc | 1996-12-19 | 2025-08-28 | M | AE | PT | BEMANIAN | U7704317301 | SHANDIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171251665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7533828/check_11513840_0445e7b0-1da3-48d2-b960-da11db517e7b.json | N/A | N/A | N/A | N/A | N/A | U7704317301 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1996-12-19 | N/A | N/A | N/A | N/A | false | BEMANIAN | N/A | SHANDIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637794855 | N/A | N/A | 7533828 | 2222 | 4802 | 11484722 | N/A | 4214255 | 2025-08-26 02:46:25.617578 | 2025-05-06 20:16:21.575355 |
| 2025-08-25 14:03:36.350456 | 2025-08-26 02:30:46.076151 | 11513679 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11513679 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-28 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.191118612.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_11513679_992a4eea-dd13-4016-8db2-a811813b42cc.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 | 8637663282 | N/A | N/A | 6203312 | 2222 | 4801 | 11454084 | N/A | 4846213 | 2025-08-26 02:30:46.076151 | 2025-06-10 21:58:09.734801 |
| 2025-08-25 14:03:36.291505 | 2025-08-26 02:25:00.239986 | 11513676 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11513676 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-08-27 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_11513676_51c97a7b-a234-4cee-97fc-c1bad48d6862.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637683855 | N/A | N/A | 7877415 | 2222 | 4793 | 11440321 | N/A | 6706226 | 2025-08-26 02:25:00.239986 | 2025-08-19 15:39:56.790206 |
| 2025-08-25 14:03:26.163403 | 2025-08-26 05:21:49.787606 | 11513275 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11513275 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-08-27 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165914349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_11513275_00cc337e-8a57-4d44-baa3-f7fe8a820ed5.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637592635 | N/A | N/A | 7024102 | 2222 | 4801 | 11500561 | N/A | 6038562 | 2025-08-26 05:21:49.787606 | 2025-07-30 21:46:09.369299 |
| 2025-08-25 14:03:22.511784 | 2025-08-26 05:15:18.388019 | 11513137 | N/A | N/A | 60054 | Aetna | 1114042165 | 11513137 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-28 | F | AE | PT | FRITH SMITH | 0AT0025978 | BARBARA | N/A | 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/2222/6998368/check_11513137_883272c2-7aa0-4027-b230-c77fe41cac46.json | N/A | N/A | N/A | N/A | N/A | 0AT0025978 | N/A | N/A | AETNA INC | N/A | 1948-01-06 | N/A | N/A | N/A | N/A | 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 | 8637592519 | N/A | N/A | 6998368 | 2222 | 4801 | 11499013 | N/A | 6017959 | 2025-08-26 05:15:18.388019 | 2025-07-14 18:22:35.995798 |
| 2025-08-25 14:03:05.309622 | 2025-08-26 05:20:31.716029 | 11512551 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11512551 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-28 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165914349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_11512551_e36569d3-9a31-4d0f-b524-e733289b9884.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637592185 | N/A | N/A | 6752939 | 2222 | 4801 | 11500293 | N/A | 5065602 | 2025-08-26 05:20:31.716029 | 2025-07-01 17:25:13.681724 |
| 2025-08-25 14:03:04.610328 | 2025-08-26 05:20:33.768281 | 11512525 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11512525 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-28 | M | AE | PT | Walter | XDO472A63371 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165914349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_11512525_00ebeee0-04ce-4f6c-8cc7-e76597f774d2.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637592175 | N/A | N/A | 6751424 | 2222 | 4802 | 11500299 | N/A | 5557241 | 2025-08-26 05:20:33.768281 | 2025-07-22 17:08:51.810153 |
| 2025-08-25 14:02:43.844335 | 2025-08-26 02:14:53.684768 | 11511735 | N/A | N/A | 60054 | Aetna | 1114042165 | 11511735 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-08-28 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170149754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_11511735_a7d60312-f79e-4a80-babc-818437263776.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637638976 | N/A | N/A | 8173116 | 2222 | 4802 | 11417253 | N/A | 6939617 | 2025-08-26 02:14:53.684768 | 2025-09-16 00:28:24.457071 |
| 2025-08-25 14:02:38.307322 | 2025-08-26 02:48:18.194534 | 11511556 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11511556 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-08-28 | F | PT | N/A | LUBOW | XEK906143943 | CAROLINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171251665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_11511556_fa1fa049-1591-4beb-8dc2-b3cf299b1ed2.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793384 | N/A | N/A | 7516790 | 2222 | 4793 | 11486637 | N/A | 6452743 | 2025-08-26 02:48:18.194534 | 2025-08-06 21:04:56.768115 |
| 2025-08-25 14:02:36.074782 | 2025-08-26 05:40:33.937424 | 11511498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11511498 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-28 | F | PT | N/A | CHAMBERLIN | CAW905797094 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11511498_5e8fd291-2414-4503-8a2e-c64aa98ce9e6.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 | 8637737857 | N/A | N/A | 7591326 | 2222 | 4801 | 11504828 | N/A | 6499323 | 2025-08-26 05:40:33.937424 | 2025-07-30 18:54:36.603528 |
| 2025-08-25 14:02:27.790625 | 2025-08-26 02:12:59.789477 | 11511346 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11511346 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-08-28 | F | AE | PT | LESLIE | 106969238 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7978844/check_11511346_c12ba613-f074-43f3-83c7-085e04beeeaf.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 | 8637727026 | N/A | N/A | 7978844 | 2222 | 4802 | 11414027 | N/A | 6791609 | 2025-08-26 02:12:59.789477 | 2025-08-12 23:25:40.841503 |
| 2025-08-25 14:02:26.325022 | 2025-08-25 14:02:31.249284 | 11511320 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-12-11 | 2025-08-25 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8454587/check_11511320_1e7844be-2cb6-46d2-82ac-57a066755e00.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8454587/check_11511320_9487046c-585a-4180-8a8f-0631e81af76b.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1976-12-11 | 040 | 57AJCA | N/A | HM | false | CHAO NAGATSUKA | N/A | ANGELITA | N/A | 9999-12-31 | 2024-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637539475 | N/A | N/A | 8454587 | 2222 | N/A | 11397771 | N/A | 6653733 | 2025-08-25 14:02:31.249284 | 2025-08-24 22:53:15.351116 |
| 2025-08-25 14:02:22.359084 | 2025-08-26 02:24:43.334405 | 11511269 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11511269 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-08-28 | M | AE | PT | CORAY | 00003138358 | KLAUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170354212.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_11511269_f1838946-ceb1-4ea9-9f68-774a0f64cf8b.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637683158 | N/A | N/A | 7815883 | 2222 | 4793 | 11439612 | N/A | 6655655 | 2025-08-26 02:24:43.334405 | 2025-09-09 21:32:56.328170 |
| 2025-08-25 14:01:13.791925 | 2025-08-26 02:42:52.383563 | 11510059 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11510059 | Athletic Physical Therapy Inc | 1933-08-29 | 2025-08-28 | F | AE | PT | MALOLEPSZY | 31048620001 | CHRISTINE | N/A | 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/2222/5676397/check_11510059_7e76cbef-a9d7-42b5-8fda-584261c1d002.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 | 8637795609 | N/A | N/A | 5676397 | 2222 | 4801 | 11479910 | N/A | 4343449 | 2025-08-26 02:42:52.383563 | 2025-05-13 04:29:37.230927 |
| 2025-08-25 14:01:13.386292 | 2025-08-26 02:40:18.262327 | 11510052 | N/A | N/A | 60054 | Aetna | 1114042165 | 11510052 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-08-28 | M | AE | PT | ARROW | 101393152200 | PAUL | N/A | 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/2222/5676385/check_11510052_4f344fc4-21ee-4c1e-b67e-8f2fe23aa42a.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 | 8637795608 | N/A | N/A | 5676385 | 2222 | 4802 | 11476032 | N/A | 4343439 | 2025-08-26 02:40:18.262327 | 2025-05-13 04:29:37.230918 |
| 2025-08-25 14:01:12.627285 | 2025-08-26 02:43:40.564231 | 11510038 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11510038 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-28 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | N/A | 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/2222/5676340/check_11510038_5637003e-c7f0-4c55-8482-e2a9df89d3de.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 | 8637795607 | N/A | N/A | 5676340 | 2222 | 4793 | 11481119 | 4184 | 4210531 | 2025-08-26 02:43:40.564231 | 2025-12-09 17:09:13.960610 |
| 2025-08-25 14:00:58.759264 | 2025-08-26 02:29:35.844048 | 11509814 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11509814 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-28 | M | AE | PT | KESHAVARZIAN | JQE128W05540 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.191118612.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_11509814_ad3351d5-2d20-4a01-8506-e73cc3bc691a.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 | 8637663616 | N/A | N/A | 5993911 | 2222 | 4801 | 11451244 | N/A | 4534577 | 2025-08-26 02:29:35.844048 | 2025-06-18 18:41:30.608585 |
| 2025-08-25 14:00:48.792143 | 2025-08-26 02:33:39.957852 | 11509655 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11509655 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-08-28 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | 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/2222/6668755/check_11509655_02280b2f-f8fd-422a-9085-013745451e35.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 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637578549 | N/A | N/A | 6668755 | 2222 | 4801 | 11460638 | N/A | 5282877 | 2025-08-26 02:33:39.957852 | 2025-07-01 15:56:36.473431 |
| 2025-08-25 14:00:36.509911 | 2025-08-26 02:24:59.017343 | 11509245 | N/A | N/A | 60054 | Aetna | 1114042165 | 11509245 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-08-28 | M | AE | PT | Hamilton | W292751187 | Kevin | N/A | 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/2222/6555606/check_11509245_b7b71d6e-2602-4bcb-aea3-9172bfcd66f0.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 | 8637735107 | N/A | N/A | 6555606 | 2222 | 4802 | 11440266 | N/A | 5178755 | 2025-08-26 02:24:59.017343 | 2025-07-17 17:42:32.068740 |
| 2025-08-25 14:00:30.968606 | 2025-08-26 02:31:24.369317 | 11508949 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11508949 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-08-27 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | N/A | 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/2222/6554790/check_11508949_25613ce1-a286-450e-8525-ab8180067715.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 | 8637735101 | N/A | N/A | 6554790 | 2222 | 4793 | 11455627 | N/A | 5177947 | 2025-08-26 02:31:24.369317 | 2026-05-11 21:31:25.186699 |
| 2025-08-25 14:00:22.661743 | 2025-08-26 02:40:33.023150 | 11508514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11508514 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-08-28 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_11508514_3c4f7c3f-559f-48a6-baf0-ec9dd2408338.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 | 8637526411 | N/A | N/A | 8420255 | 2222 | 4802 | 11476412 | N/A | 7097664 | 2025-08-26 02:40:33.023150 | 2026-04-30 18:11:14.979451 |
| 2025-08-25 14:00:21.232422 | 2025-08-26 02:24:27.183138 | 11508435 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11508435 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-08-28 | F | AE | PT | Ballatore | 90665617F | Chloe | N/A | 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/2222/6553125/check_11508435_0d122187-7ba8-4fa3-996c-e0436b60dfec.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 | 8637735092 | N/A | N/A | 6553125 | 2222 | 4802 | 11438877 | N/A | 5176363 | 2025-08-26 02:24:27.183138 | 2025-06-23 23:46:22.182955 |
| 2025-08-25 14:00:09.486808 | 2025-08-26 02:37:52.777158 | 11507792 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11507792 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-28 | F | AE | PT | Tatge | 2DH1CG9VR90 | Glenda | N/A | 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/2222/6641936/check_11507792_78ac6d71-fced-4024-9c0c-883c08f4c62d.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MB | 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 | 8637579509 | N/A | N/A | 6641936 | 2222 | 4801 | 11471512 | N/A | 5248742 | 2025-08-26 02:37:52.777158 | 2025-07-16 18:02:25.797343 |
| 2025-08-25 14:00:08.448020 | 2025-08-26 02:43:34.169880 | 11507731 | N/A | N/A | 60054 | Aetna | 1114042165 | 11507731 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-28 | F | AE | PT | TRUONG | W285894295 | TARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171251665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_11507731_aa83740d-6338-49f6-82da-4fa616b8d2dd.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637794524 | N/A | N/A | 7458419 | 2222 | 4801 | 11480952 | N/A | 6407374 | 2025-08-26 02:43:34.169880 | 2025-07-25 20:45:12.336863 |
| 2025-08-25 14:00:07.328255 | 2025-08-26 02:29:12.610725 | 11507670 | N/A | N/A | 44827 | Self Insured Services Company (SISCO) | 1114042165 | 11507670 | N/A | 1978-12-03 | 2025-08-28 | F | AE | PT | PEREZ | 994953372 | MAHSHID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170928322.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8397375/check_11507670_941a58da-41d1-4b98-b930-bef0ab550e6f.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 | 8637750919 | N/A | N/A | 8397375 | 2222 | 4793 | 11450358 | N/A | 6891702 | 2025-08-26 02:29:12.610725 | 2025-08-15 20:26:36.547465 |
| 2025-08-25 14:00:06.387028 | 2025-08-26 02:37:52.134498 | 11507616 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11507616 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-28 | M | AE | PT | Kosec | 7N05DC8JJ95 | Kevin | N/A | 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/2222/6639429/check_11507616_d3481c76-347d-47f1-8306-3dda6cb6615e.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 | 8637579499 | N/A | N/A | 6639429 | 2222 | 4802 | 11471491 | N/A | 5248081 | 2025-08-26 02:37:52.134498 | 2025-07-01 21:08:10.945475 |
| 2025-08-25 14:00:00.631679 | 2025-08-26 05:03:01.279557 | 11507274 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11507274 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-08-28 | F | AE | PT | Odate | 96680377F | Keina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165249531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_11507274_594dbb5a-5dc6-4c5c-b49d-ddf156f9b601.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637522921 | N/A | N/A | 7295079 | 2222 | 4802 | 11492483 | N/A | 6254701 | 2025-08-26 05:03:01.279557 | 2026-05-21 14:19:15.159394 |
| 2025-08-25 14:00:00.436712 | 2025-08-26 05:08:27.924424 | 11507261 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11507261 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-08-28 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165249531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_11507261_c19c8997-27e6-4836-8a96-93dc976f17f7.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637522918 | N/A | N/A | 7294742 | 2222 | 4801 | 11495108 | N/A | 6254569 | 2025-08-26 05:08:27.924424 | 2025-08-12 09:24:43.956957 |
| 2025-08-25 13:59:59.266088 | 2025-08-26 02:53:57.783934 | 11507186 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11507186 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-28 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171251665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_11507186_6807906e-7ece-41fd-a20a-cbeb44f75480.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637794484 | N/A | N/A | 7456457 | 2222 | 4793 | 11490449 | N/A | 6405774 | 2025-08-26 02:53:57.783934 | 2026-03-16 21:02:08.525887 |
| 2025-08-25 13:59:53.409858 | 2025-08-26 02:33:44.534930 | 11506793 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11506793 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-08-27 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190630839.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_11506793_3bd9c1ab-1726-43b2-9353-4c53a3376557.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 | 8637577823 | N/A | N/A | 6621141 | 2222 | 4801 | 11460853 | N/A | 5237460 | 2025-08-26 02:33:44.534930 | 2025-07-24 16:59:54.908041 |
| 2025-08-25 13:59:49.783180 | 2025-08-26 02:32:47.238720 | 11506552 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11506552 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-27 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.190630839.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_11506552_064507d0-033e-4029-af2c-9756ed17a6b0.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 | 8637578518 | N/A | N/A | 6611912 | 2222 | 4793 | 11458557 | N/A | 5230345 | 2025-08-26 02:32:47.238720 | 2025-07-11 20:32:03.183345 |
| 2025-08-25 13:59:43.164787 | 2025-08-26 05:07:24.079017 | 11506099 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11506099 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-08-28 | M | PT | N/A | Gast | JQV110W08240 | Eberhard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165249531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_11506099_747da45c-fa07-4eb6-b5f7-5474a7f85190.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637523586 | N/A | N/A | 7258119 | 2222 | 4802 | 11494485 | 4184 | 6223297 | 2025-08-26 05:07:24.079017 | 2025-07-28 18:57:51.679781 |
| 2025-08-25 13:59:37.762333 | 2025-08-26 02:42:46.490365 | 11505747 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11505747 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-28 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | 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/2222/5568076/check_11505747_70da66c6-9a75-4031-aad5-6ce821c15af6.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 | 8637794509 | N/A | N/A | 5568076 | 2222 | 4802 | 11479731 | N/A | 4209480 | 2025-08-26 02:42:46.490365 | 2026-04-10 02:05:15.976484 |
| 2025-08-25 13:59:37.607150 | 2025-08-26 05:08:28.309412 | 11505735 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11505735 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-08-28 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165249531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_11505735_3af65afc-05e0-471e-97bc-bbb90e240de2.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637523144 | N/A | N/A | 7252533 | 2222 | 4802 | 11495113 | N/A | 4214065 | 2025-08-26 05:08:28.309412 | 2025-05-13 04:29:37.228379 |
| 2025-08-25 13:59:29.961923 | 2025-08-26 05:13:24.161016 | 11505194 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11505194 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-08-28 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165249531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7214829/check_11505194_513cfb6f-e74a-4898-8e3d-fe4cbd40fa85.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637522868 | N/A | N/A | 7214829 | 2222 | 4802 | 11497802 | N/A | 4209498 | 2025-08-26 05:13:24.161016 | 2025-09-22 06:46:20.286658 |
| 2025-08-25 13:59:25.386997 | 2025-08-26 02:42:39.058358 | 11504854 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11504854 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-08-28 | F | AE | PT | Dickenson | 91000390H | Linda | N/A | 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/2222/7449889/check_11504854_092d57d9-5076-4198-8bce-c0f92cd0e99b.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 | 8637793863 | N/A | N/A | 7449889 | 2222 | 4802 | 11479516 | N/A | 6399696 | 2025-08-26 02:42:39.058358 | 2025-07-24 23:24:56.744520 |
| 2025-08-25 13:59:24.498792 | 2025-08-26 02:42:39.718910 | 11504783 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11504783 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-08-28 | M | AE | PT | Thur | 95641377F | Pyi | N/A | 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/2222/7449843/check_11504783_ed60429a-96e6-434d-aeb9-dc68ba963e8e.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 | 8637793861 | N/A | N/A | 7449843 | 2222 | 4802 | 11479538 | N/A | 6399635 | 2025-08-26 02:42:39.718910 | 2025-07-29 18:42:47.970149 |
| 2025-08-25 13:59:18.408085 | 2025-08-26 02:53:58.148748 | 11504326 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11504326 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-28 | M | AE | PT | KORNREICH | 7XA1CA4AR01 | DALE | N/A | 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/2222/7449349/check_11504326_b45cba81-7293-4817-b59e-1abb85a25e42.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 | 8637793643 | N/A | N/A | 7449349 | 2222 | 4793 | 11490452 | N/A | 6399188 | 2025-08-26 02:53:58.148748 | 2025-07-24 22:52:42.400774 |
| 2025-08-25 13:59:08.939304 | 2025-08-26 02:28:14.957263 | 11503689 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11503689 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-08-28 | F | AE | PT | THOMSEN | R12604487 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.191118612.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_11503689_54093084-8ffe-403f-b0fc-125b8079ce37.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 | 8637663791 | N/A | N/A | 5537953 | 2222 | 4801 | 11448055 | N/A | 4210450 | 2025-08-26 02:28:14.957263 | 2026-05-04 21:51:25.248197 |
| 2025-08-25 13:59:02.422456 | 2025-08-26 02:47:35.833571 | 11503209 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11503209 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-08-28 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | N/A | 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/2222/7447590/check_11503209_6e336260-06b0-4c8c-82d7-7ef885a52c2b.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 | 8637793566 | N/A | N/A | 7447590 | 2222 | 4801 | 11485995 | N/A | 6397797 | 2025-08-26 02:47:35.833571 | 2025-08-12 19:16:58.418300 |