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 13:59:01.387448 | 2025-08-26 02:42:38.389335 | 11503126 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11503126 | Athletic Physical Therapy Inc | 1996-08-11 | 2025-08-28 | F | AE | PT | ALI HUSSAIN | 99355299D | ZAINEB | 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/2222/7447541/check_11503126_07368bf3-f5b4-4e6d-96b3-c3ed0cbaa371.json | N/A | N/A | N/A | N/A | N/A | 99355299D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1996-08-11 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | ALI | N/A | ZAINEB | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793556 | N/A | N/A | 7447541 | 2222 | 4793 | 11479498 | N/A | 6397589 | 2025-08-26 02:42:38.389335 | 2025-08-07 01:39:35.357020 |
| 2025-08-25 13:58:57.658279 | 2025-08-26 02:43:37.558653 | 11502817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11502817 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-28 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | 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/2222/5550838/check_11502817_75599f4a-b872-451b-aa6c-197a084807b2.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793730 | N/A | N/A | 5550838 | 2222 | 4801 | 11481046 | N/A | 4219709 | 2025-08-26 02:43:37.558653 | 2025-05-13 04:29:37.230752 |
| 2025-08-25 13:58:57.072600 | 2025-08-26 02:44:21.064399 | 11502764 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11502764 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-28 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | 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/2222/5550827/check_11502764_947da076-18d3-40fa-8294-9f3c98aa7d5a.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793729 | N/A | N/A | 5550827 | 2222 | 4802 | 11482095 | N/A | 4219700 | 2025-08-26 02:44:21.064399 | 2025-05-13 04:29:37.230745 |
| 2025-08-25 13:58:56.377732 | 2025-08-26 02:43:28.699618 | 11502708 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11502708 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-28 | M | AE | PT | ARUJO | 00000223568 | RAMON | 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/2222/5550751/check_11502708_b52845ef-259c-481c-a939-d9bce709d590.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793728 | N/A | N/A | 5550751 | 2222 | 4801 | 11480831 | 2630 | 4219640 | 2025-08-26 02:43:28.699618 | 2025-05-13 04:29:37.230682 |
| 2025-08-25 13:58:55.768617 | 2025-08-26 02:40:18.658375 | 11502660 | N/A | N/A | 60054 | Aetna | 1114042165 | 11502660 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-28 | F | AE | PT | SANTITORO | W267422430 | SARAH | 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/2222/5550743/check_11502660_37a3374d-c6da-4d37-8ec0-78f040597bcc.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793727 | N/A | N/A | 5550743 | 2222 | 4801 | 11476042 | N/A | 4219643 | 2025-08-26 02:40:18.658375 | 2025-05-13 04:29:37.230685 |
| 2025-08-25 13:58:55.218418 | 2025-08-26 02:48:18.372971 | 11502623 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11502623 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-28 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549981/check_11502623_3591f44e-1037-47d2-a9ef-9e4f5094e42b.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793726 | N/A | N/A | 5549981 | 2222 | 4802 | 11486640 | N/A | 4219436 | 2025-08-26 02:48:18.372971 | 2025-05-13 04:29:37.230471 |
| 2025-08-25 13:58:54.699064 | 2025-08-26 02:43:40.905586 | 11502585 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11502585 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-08-28 | F | PT | N/A | SAUCERMAN | XDM288A55735 | ALEXIS | 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/2222/5549817/check_11502585_3351cd32-b9fd-4ca7-ad5d-01492cd088da.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793725 | N/A | N/A | 5549817 | 2222 | 4793 | 11481127 | 4184 | 4211143 | 2025-08-26 02:43:40.905586 | 2025-05-31 20:12:37.092503 |
| 2025-08-25 13:58:54.228613 | 2025-08-26 02:43:38.918352 | 11502549 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11502549 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-08-27 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_11502549_19ee6a78-fd15-4190-b27a-cad632d90105.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793717 | N/A | N/A | 5549317 | 2222 | 4801 | 11481078 | N/A | 4219010 | 2025-08-26 02:43:38.918352 | 2026-01-09 18:32:07.618867 |
| 2025-08-25 13:58:53.709745 | 2025-08-26 02:43:22.994478 | 11502512 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11502512 | N/A | 1967-12-23 | 2025-08-28 | F | AE | PT | SOL | U9859952501 | ISABEL | 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/2222/5549212/check_11502512_98cf4b4e-5cad-4a89-817c-364865c0ac2a.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1967-12-23 | N/A | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793716 | N/A | N/A | 5549212 | 2222 | 4793 | 11480703 | N/A | 4218926 | 2025-08-26 02:43:22.994478 | 2025-07-30 14:07:18.779456 |
| 2025-08-25 13:58:51.577772 | 2025-08-26 02:44:48.779512 | 11502356 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11502356 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-08-28 | F | AE | PT | JENSEN | H8814805300 | ANN | 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/2222/7444559/check_11502356_e26baf3b-f727-4194-8885-0b8d6f1e44f3.json | N/A | N/A | N/A | N/A | N/A | H88148053 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1946-05-08 | N/A | 0B527001 | N/A | HN | false | JENSEN | N/A | ANN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793342 | N/A | N/A | 7444559 | 2222 | 4801 | 11482739 | N/A | 6395281 | 2025-08-26 02:44:48.779512 | 2025-07-24 18:22:24.913461 |
| 2025-08-25 13:58:50.104484 | 2025-08-26 02:42:47.746550 | 11502250 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11502250 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-28 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_11502250_97f1ee5f-f371-4416-b52f-5d1190d1ff1c.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793696 | N/A | N/A | 5543425 | 2222 | 4801 | 11479765 | N/A | 4215211 | 2025-08-26 02:42:47.746550 | 2026-04-02 22:30:20.020246 |
| 2025-08-25 13:58:49.474356 | 2025-08-26 02:43:39.554407 | 11502205 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11502205 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-08-28 | M | PT | N/A | MEINERT | XEH912496752 | TIM | 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/2222/5543360/check_11502205_b0ee95c8-463e-4fe0-ac81-421d95cde5e6.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793695 | N/A | N/A | 5543360 | 2222 | 4793 | 11481096 | 4184 | 4215161 | 2025-08-26 02:43:39.554407 | 2025-05-13 04:29:37.229478 |
| 2025-08-25 13:58:48.997035 | 2025-08-26 02:39:54.099248 | 11502174 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11502174 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-08-28 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_11502174_7cfc46d4-1cb7-4665-ae1b-c780c574da65.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793694 | N/A | N/A | 5543335 | 2222 | 4802 | 11475321 | N/A | 4215139 | 2025-08-26 02:39:54.099248 | 2025-05-13 21:20:11.455022 |
| 2025-08-25 13:58:48.309803 | 2025-08-26 02:44:22.354770 | 11502130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11502130 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-08-28 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_11502130_14071766-414b-4102-8549-982ad7a23a52.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793693 | N/A | N/A | 5543211 | 2222 | 4801 | 11482129 | N/A | 4215028 | 2025-08-26 02:44:22.354770 | 2025-05-13 04:29:37.229346 |
| 2025-08-25 13:58:47.891434 | 2025-08-26 02:42:04.059690 | 11502102 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11502102 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-08-28 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | 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/2222/5543171/check_11502102_b66fbc73-0173-4024-809c-8fd1a81283fd.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8637793692 | N/A | N/A | 5543171 | 2222 | 4793 | 11478569 | N/A | 4214998 | 2025-08-26 02:42:04.059690 | 2025-05-13 04:29:37.229318 |
| 2025-08-25 13:58:47.195899 | 2025-08-26 02:43:38.580506 | 11502051 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11502051 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-08-28 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_11502051_f9f3e2da-2d74-4d1b-b3ee-1b6d08690a88.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793691 | N/A | N/A | 5543167 | 2222 | 4793 | 11481069 | N/A | 4214995 | 2025-08-26 02:43:38.580506 | 2025-05-13 04:29:37.229315 |
| 2025-08-25 13:58:46.717596 | 2025-08-26 02:43:36.040179 | 11502007 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11502007 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-28 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | 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/2222/5543161/check_11502007_597e790a-51bd-4c10-97a1-5b9a50f66b24.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793690 | N/A | N/A | 5543161 | 2222 | 4793 | 11481007 | N/A | 4214989 | 2025-08-26 02:43:36.040179 | 2025-05-13 04:29:37.229310 |
| 2025-08-25 13:58:46.276723 | 2025-08-26 02:42:52.653782 | 11501969 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11501969 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-08-28 | M | AE | PT | SHADDY | 40064865601 | STEVE | 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/2222/5543011/check_11501969_f4fa9227-077a-4d8d-9e38-7bb65766ae12.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793689 | N/A | N/A | 5543011 | 2222 | 4801 | 11479918 | N/A | 4214861 | 2025-08-26 02:42:52.653782 | 2026-02-04 19:10:58.526441 |
| 2025-08-25 13:58:46.015731 | 2025-08-26 02:48:17.853372 | 11501950 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501950 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-08-28 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | 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/2222/7444072/check_11501950_1e379e7d-656c-4bf7-a8c1-6f68910b8710.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793310 | N/A | N/A | 7444072 | 2222 | 4801 | 11486631 | N/A | 6394822 | 2025-08-26 02:48:17.853372 | 2025-07-24 18:01:25.336701 |
| 2025-08-25 13:58:45.787492 | 2025-08-26 02:43:37.276076 | 11501929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11501929 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-08-28 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | 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/2222/5542900/check_11501929_f1d75467-3152-460e-9ca5-69d40074caec.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793688 | N/A | N/A | 5542900 | 2222 | 4801 | 11481037 | N/A | 4214759 | 2025-08-26 02:43:37.276076 | 2025-05-13 04:29:37.229079 |
| 2025-08-25 13:58:45.258452 | 2025-08-26 02:43:36.970227 | 11501883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11501883 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-08-28 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE | 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/2222/5542750/check_11501883_b268eb7d-233d-46be-b0ce-e48016bb7f85.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793687 | N/A | N/A | 5542750 | 2222 | 4802 | 11481031 | N/A | 4214623 | 2025-08-26 02:43:36.970227 | 2025-08-28 22:11:32.536994 |
| 2025-08-25 13:58:44.839230 | 2025-08-26 02:43:31.339723 | 11501848 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11501848 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-08-28 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_11501848_e95bf6cd-8186-4962-a41e-a7b5218e1d70.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793686 | N/A | N/A | 5542611 | 2222 | 4802 | 11480887 | N/A | 4214490 | 2025-08-26 02:43:31.339723 | 2025-05-13 04:29:37.228806 |
| 2025-08-25 13:58:44.421537 | 2025-08-26 02:43:23.283403 | 11501813 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11501813 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-08-28 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | 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/2222/5542606/check_11501813_4cab1744-cb65-41b1-9663-f93633d0d9ae.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793684 | N/A | N/A | 5542606 | 2222 | 4801 | 11480709 | N/A | 4214496 | 2025-08-26 02:43:23.283403 | 2025-05-13 04:29:37.228812 |
| 2025-08-25 13:58:43.799991 | 2025-08-26 02:48:17.778405 | 11501772 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11501772 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-28 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.171328950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11501772_4de163d9-58ed-4a20-9685-a3fba1eb5bed.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793681 | N/A | N/A | 5542555 | 2222 | 4793 | 11486632 | N/A | 4214447 | 2025-08-26 02:48:17.778405 | 2026-04-23 20:11:34.441054 |
| 2025-08-25 13:58:43.108018 | 2025-08-26 02:44:21.408866 | 11501726 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501726 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-08-28 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_11501726_ad1250a2-8f09-4779-bc8c-60e7eec9f18d.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2025-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793680 | N/A | N/A | 5542512 | 2222 | 4793 | 11482106 | N/A | 4214416 | 2025-08-26 02:44:21.408866 | 2025-05-13 04:29:37.228740 |
| 2025-08-25 13:58:42.420550 | 2025-08-26 02:44:21.722931 | 11501686 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501686 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-08-28 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 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/2222/5542222/check_11501686_78c02182-de00-45e8-8f31-7a9c30bfe6b0.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793679 | N/A | N/A | 5542222 | 2222 | 4793 | 11482111 | N/A | 4214148 | 2025-08-26 02:44:21.722931 | 2025-05-13 04:29:37.228475 |
| 2025-08-25 13:58:42.162384 | 2025-08-26 02:41:05.379632 | 11501670 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501670 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-08-28 | F | AE | PT | McKinnon | XEM913376502 | Dawn | 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/2222/7783106/check_11501670_2a5ff9bf-f020-4267-b327-62c52dc6bc2f.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 | 8637525737 | N/A | N/A | 7783106 | 2222 | 4802 | 11477150 | N/A | 6628331 | 2025-08-26 02:41:05.379632 | 2025-08-22 15:16:03.942743 |
| 2025-08-25 13:58:41.696492 | 2025-08-26 02:43:38.225788 | 11501634 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11501634 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-08-28 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_11501634_71b1dd95-55ce-44fe-b3b0-a12a61ae1174.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793678 | N/A | N/A | 5542207 | 2222 | 4802 | 11481060 | N/A | 4214152 | 2025-08-26 02:43:38.225788 | 2025-05-13 04:29:37.228479 |
| 2025-08-25 13:58:41.021024 | 2025-08-26 02:43:29.332606 | 11501590 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11501590 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-08-28 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | 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/2222/5542046/check_11501590_2eba66fb-28d4-4a85-b69f-20b6b56b8185.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 8637793677 | N/A | N/A | 5542046 | 2222 | 4801 | 11480842 | 2630 | 4214001 | 2025-08-26 02:43:29.332606 | 2025-05-13 04:29:37.228323 |
| 2025-08-25 13:58:40.548994 | 2025-08-26 02:42:48.708721 | 11501552 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11501552 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-08-28 | F | AE | PT | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_11501552_90544711-4f55-46e3-9aa2-abdd7a9bfaaf.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793676 | N/A | N/A | 5541519 | 2222 | 4802 | 11479795 | N/A | 4213530 | 2025-08-26 02:42:48.708721 | 2025-05-13 04:29:37.227860 |
| 2025-08-25 13:58:39.750339 | 2025-08-26 02:44:22.048977 | 11501493 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501493 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-08-28 | F | PT | N/A | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_11501493_b001a35c-cf4c-4ed4-b86c-2851ee8e36ef.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793674 | N/A | N/A | 5541378 | 2222 | 4793 | 11482120 | N/A | 4213405 | 2025-08-26 02:44:22.048977 | 2025-05-13 04:29:37.227726 |
| 2025-08-25 13:58:39.239344 | 2025-08-26 02:44:22.975944 | 11501451 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501451 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-08-28 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | 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/2222/5541240/check_11501451_920f9fa7-c535-4be8-ac33-f84306c996bc.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793673 | N/A | N/A | 5541240 | 2222 | 4801 | 11482145 | N/A | 4213276 | 2025-08-26 02:44:22.975944 | 2025-05-13 04:29:37.227602 |
| 2025-08-25 13:58:38.641438 | 2025-08-26 02:42:47.375233 | 11501404 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11501404 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-08-28 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_11501404_ff6538df-6726-4cfa-9469-646862156980.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793670 | N/A | N/A | 5541163 | 2222 | 4802 | 11479757 | N/A | 4213207 | 2025-08-26 02:42:47.375233 | 2025-05-13 04:29:37.227536 |
| 2025-08-25 13:58:38.017004 | 2025-08-26 02:43:37.848399 | 11501358 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11501358 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-28 | F | PT | N/A | GALVAN GUERRERO | 904W1671720 | MARIA | 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/2222/5541035/check_11501358_49118277-d03c-4e7e-a975-e893138d5a9b.json | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN GUERRERO | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793669 | N/A | N/A | 5541035 | 2222 | 4801 | 11481051 | N/A | 4213091 | 2025-08-26 02:43:37.848399 | 2025-05-13 04:29:37.227417 |
| 2025-08-25 13:58:37.472643 | 2025-08-26 02:43:40.204761 | 11501311 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11501311 | Athletic Physical Therapy Inc | 1971-08-14 | 2025-08-28 | F | PT | N/A | NADELLA | FJB22183182M | SAILAJA | 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/2222/5540468/check_11501311_bea6e806-47d3-42f5-a072-07be68e093a3.json | N/A | N/A | N/A | N/A | N/A | FJB22183182M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1971-08-14 | 101 | 174549M411 | N/A | PR | false | NADELLA | N/A | SAILAJA | N/A | 9999-12-31 | 2023-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793668 | N/A | N/A | 5540468 | 2222 | 4793 | 11481111 | N/A | 4212621 | 2025-08-26 02:43:40.204761 | 2025-08-22 20:49:20.901833 |
| 2025-08-25 13:58:37.091540 | 2025-08-26 02:42:01.595908 | 11501281 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11501281 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-08-27 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_11501281_071c5e8b-d909-4e94-a5c3-045224b15328.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793666 | N/A | N/A | 5540185 | 2222 | 4802 | 11478508 | N/A | 4212381 | 2025-08-26 02:42:01.595908 | 2025-12-17 20:12:42.035054 |
| 2025-08-25 13:58:36.581548 | 2025-08-26 02:40:19.049649 | 11501237 | N/A | N/A | 60054 | Aetna | 1114042165 | 11501237 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-08-28 | F | AE | PT | TUCKER | 101632234800 | EILEEN | 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/2222/5540116/check_11501237_e91cf1a9-6f40-44db-a126-ab0d9fd89c30.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793664 | N/A | N/A | 5540116 | 2222 | 4801 | 11476052 | N/A | 4212312 | 2025-08-26 02:40:19.049649 | 2025-05-13 04:29:37.226651 |
| 2025-08-25 13:58:36.002801 | 2025-08-26 02:42:48.104962 | 11501189 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11501189 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-08-28 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_11501189_77bac35a-a646-489b-b54e-4d8a91fec190.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793662 | N/A | N/A | 5540113 | 2222 | 4801 | 11479776 | N/A | 4212315 | 2025-08-26 02:42:48.104962 | 2025-12-29 21:20:15.158611 |
| 2025-08-25 13:58:35.419238 | 2025-08-26 02:43:36.343316 | 11501147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11501147 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-08-28 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_11501147_01436147-c5c2-480d-a9a3-6f15f0ac1505.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793661 | N/A | N/A | 5540074 | 2222 | 4802 | 11481014 | N/A | 4212282 | 2025-08-26 02:43:36.343316 | 2025-05-13 04:29:37.226623 |
| 2025-08-25 13:58:35.231612 | 2025-08-26 02:29:16.046619 | 11501132 | N/A | N/A | 60054 | Aetna | 1114042165 | 11501132 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-08-28 | M | AE | PT | Hamilton | W292751187 | Kevin | 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/2222/6555606/check_11501132_67f12286-3e95-4394-9d22-8ac43b52c599.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 | 8637579867 | N/A | N/A | 6555606 | 2222 | 4802 | 11450490 | N/A | 5178755 | 2025-08-26 02:29:16.046619 | 2025-07-17 17:42:32.068740 |
| 2025-08-25 13:58:34.815506 | 2025-08-26 02:44:30.703157 | 11501100 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501100 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-08-28 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_11501100_17405b6e-e1af-486a-9e30-8e4a221316b4.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793660 | N/A | N/A | 5539901 | 2222 | 4793 | 11482346 | N/A | 4212134 | 2025-08-26 02:44:30.703157 | 2025-08-05 02:56:55.384378 |
| 2025-08-25 13:58:34.225661 | 2025-08-26 02:44:31.383172 | 11501069 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501069 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-08-28 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_11501069_c5558b24-2bc8-487a-837a-752bdd0c2877.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793659 | N/A | N/A | 5538874 | 2222 | 4801 | 11482362 | N/A | 4211227 | 2025-08-26 02:44:31.383172 | 2025-05-13 04:29:37.225625 |
| 2025-08-25 13:58:34.027626 | 2025-08-26 02:48:17.431816 | 11501052 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501052 | Athletic Physical Therapy Inc | 1971-01-26 | 2025-08-28 | F | PT | N/A | Crandell | XED910548319 | Shelby | 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/2222/7442378/check_11501052_7be9bd36-3893-4385-a5f4-95781d3f89c0.json | N/A | N/A | N/A | N/A | N/A | XED910548319 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-01-26 | 2001ZK002187 | X0001004 | N/A | PR | false | CRANDELL | N/A | SHELBY | N/A | 9999-12-31 | 2021-05-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793262 | N/A | N/A | 7442378 | 2222 | 4801 | 11486627 | N/A | 6393427 | 2025-08-26 02:48:17.431816 | 2025-08-09 23:20:00.870450 |
| 2025-08-25 13:58:33.810872 | 2025-08-26 02:42:52.095763 | 11501036 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11501036 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-08-28 | M | AE | PT | CHADIDA | 40060913601 | DAVID | 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/2222/5538674/check_11501036_c7b62a1b-df02-4aca-93e0-d9e907b020d0.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793658 | N/A | N/A | 5538674 | 2222 | 4793 | 11479899 | N/A | 4211039 | 2025-08-26 02:42:52.095763 | 2025-05-13 04:29:37.225444 |
| 2025-08-25 13:58:33.683020 | 2025-08-26 02:33:44.854039 | 11501028 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11501028 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-08-27 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | 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/2222/6554790/check_11501028_00f45137-7f30-4afa-9a17-2cc7ea3a459b.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 | 8637579859 | N/A | N/A | 6554790 | 2222 | 4793 | 11460865 | N/A | 5177947 | 2025-08-26 02:33:44.854039 | 2026-05-11 21:31:25.186699 |
| 2025-08-25 13:58:33.380862 | 2025-08-26 02:40:17.934893 | 11501003 | N/A | N/A | 60054 | Aetna | 1114042165 | 11501003 | Athletic Physical Therapy Inc | 1972-05-10 | 2025-08-28 | F | AE | PT | ABDULAZIZ | W23644607501 | WAFAA | 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/2222/5538641/check_11501003_8c03e1bc-3a39-45cc-87f9-561ab4d6b5cb.json | N/A | N/A | N/A | N/A | N/A | W236446075 | Preferred Provider Organization (PPO) | MINISTRY OF FOREIGN AFFAIRS KINGDOM | AETNA | N/A | 1972-05-10 | 0706433 | 070643301000001 | N/A | PR | false | ALGHAMDI | N/A | WAFAA ABDULAZIZ | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793650 | N/A | N/A | 5538641 | 2222 | 4802 | 11476024 | N/A | 4211027 | 2025-08-26 02:40:17.934893 | 2025-05-13 04:29:37.225428 |
| 2025-08-25 13:58:32.786101 | 2025-08-26 02:48:19.242794 | 11500958 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11500958 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-08-28 | F | AE | PT | THOMSEN | 1M31KQ8DJ99 | JANET | 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/2222/5537950/check_11500958_02658414-b7bf-4643-a60e-a49707154af0.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793649 | N/A | N/A | 5537950 | 2222 | 4801 | 11486652 | N/A | 4210450 | 2025-08-26 02:48:19.242794 | 2026-05-04 21:51:25.248197 |
| 2025-08-25 13:58:32.300128 | 2025-08-26 02:20:56.915924 | 11500921 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 11500921 | N/A | 1948-05-29 | 2025-08-28 | F | AE | PT | BEGGS | 32842199 | KATHLEEN | 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/2222/5537371/check_11500921_55fe86a9-31d1-451e-a189-b1055d447166.json | N/A | N/A | N/A | N/A | N/A | 32842199 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-05-29 | N/A | N/A | N/A | N/A | false | BEGGS | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793648 | N/A | N/A | 5537371 | 2222 | 4801 | 11430978 | N/A | 4209950 | 2025-08-26 02:20:56.915924 | 2025-05-13 04:29:37.224374 |
| 2025-08-25 13:58:31.956031 | 2025-08-26 02:42:52.937890 | 11500892 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11500892 | N/A | 1957-02-16 | 2025-08-28 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_11500892_8e3aef4e-8ee0-4a57-8843-a2283bddc08d.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637793210 | N/A | N/A | 5537366 | 2222 | 4793 | 11479925 | N/A | 4209945 | 2025-08-26 02:42:52.937890 | 2025-08-13 22:24:17.841096 |
| 2025-08-25 13:58:31.771510 | 2025-08-26 05:13:23.802917 | 11500879 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11500879 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-28 | F | AE | PT | FRITH SMITH | 9M69RM7JM34 | BARBARA | 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/2222/6998367/check_11500879_bc93dffc-4934-471f-b86d-598f8f102297.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MA | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637523511 | N/A | N/A | 6998367 | 2222 | 4801 | 11497798 | N/A | 6017959 | 2025-08-26 05:13:23.802917 | 2025-07-14 18:22:35.995798 |