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 13:58:31.695517 | 2025-08-26 02:28:54.942590 | 11500870 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11500870 | 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/272741.20250825.190630839.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_11500870_34ce9047-8172-4ad9-b3ed-aabee2a60b93.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 | 8637579850 | N/A | N/A | 6553125 | 2222 | 4802 | 11449633 | N/A | 5176363 | 2025-08-26 02:28:54.942590 | 2025-06-23 23:46:22.182955 |
| 2025-08-25 13:58:31.613573 | 2025-08-26 02:43:39.887243 | 11500865 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11500865 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-08-28 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_11500865_258db2f1-5fed-4756-8828-9c13fa9d3d39.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 8637793209 | N/A | N/A | 5536896 | 2222 | 4793 | 11481103 | N/A | 4209567 | 2025-08-26 02:43:39.887243 | 2025-05-13 04:29:37.223990 |
| 2025-08-25 13:58:31.161345 | 2025-08-26 02:44:31.008103 | 11500824 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11500824 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-08-27 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | N/A | 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/2222/5536323/check_11500824_29b0b43f-6a45-4c02-af34-6278e3e665e5.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793208 | N/A | N/A | 5536323 | 2222 | 4793 | 11482353 | N/A | 4209086 | 2025-08-26 02:44:31.008103 | 2025-05-13 04:29:37.223507 |
| 2025-08-25 13:58:30.748748 | 2025-08-26 02:20:38.373514 | 11500795 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11500795 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-08-28 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | 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/2222/5536162/check_11500795_1d287766-a13a-4ea4-876f-cde01f4e5a13.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637793207 | N/A | N/A | 5536162 | 2222 | 4793 | 11430437 | N/A | 4208960 | 2025-08-26 02:20:38.373514 | 2025-07-11 19:38:20.011022 |
| 2025-08-25 13:58:23.814459 | 2025-08-26 08:17:36.636873 | 11500197 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11500197 | 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/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_11500197_1e916ac2-1beb-40cc-ba71-71d1f2072892.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 | 8637497950 | N/A | N/A | 7295079 | 2222 | 4802 | 11512951 | N/A | 6254701 | 2025-08-26 08:17:36.636873 | 2026-05-21 14:19:15.159394 |
| 2025-08-25 13:58:23.570879 | 2025-08-26 08:25:55.623575 | 11500171 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11500171 | 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/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_11500171_ebd9f456-2be9-47e5-a271-cb8fc9245729.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 | 8637497948 | N/A | N/A | 7294742 | 2222 | 4801 | 11513721 | N/A | 6254569 | 2025-08-26 08:25:55.623575 | 2025-08-12 09:24:43.956957 |
| 2025-08-25 13:58:23.466745 | 2025-08-26 05:07:24.457671 | 11500163 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11500163 | Athletic Physical Therapy Inc | 1957-07-02 | 2025-08-28 | F | PT | N/A | HEET | NCF335A78493 | MARY | 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/2222/6971855/check_11500163_b2e5df7a-5e4d-454a-8357-90bf8df54742.json | N/A | N/A | N/A | N/A | N/A | 9U73KW0FR19 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1957-07-02 | 040 | 280612H004 | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637523187 | N/A | N/A | 6971855 | 2222 | 4793 | 11494490 | N/A | 5993849 | 2025-08-26 05:07:24.457671 | 2025-07-24 01:56:09.463748 |
| 2025-08-25 13:58:21.401618 | 2025-08-26 05:03:32.530337 | 11499978 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11499978 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-08-28 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | 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/2222/6967909/check_11499978_ade954f8-ab4b-4c8f-bdd6-d6a01d3a96b4.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637522432 | N/A | N/A | 6967909 | 2222 | 4793 | 11492708 | N/A | 5990447 | 2025-08-26 05:03:32.530337 | 2025-07-21 18:40:33.917911 |
| 2025-08-25 13:58:14.108272 | 2025-08-26 05:07:14.170789 | 11499365 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11499365 | Athletic Physical Therapy Inc | 1937-09-28 | 2025-08-28 | F | AE | PT | MENDOZA | 00000395455 | LEVIE | 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/2222/6957837/check_11499365_167a7ae8-d5fd-4619-89e5-27b265081cfb.json | N/A | N/A | N/A | N/A | N/A | 00000395455 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1937-09-28 | H3815028 | N/A | N/A | HM | false | MENDOZA | N/A | LEVIE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637523024 | N/A | N/A | 6957837 | 2222 | 4801 | 11494382 | N/A | 5983200 | 2025-08-26 05:07:14.170789 | 2025-07-25 17:28:26.584539 |
| 2025-08-25 13:58:10.913441 | 2025-08-26 02:32:47.901118 | 11499112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11499112 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-08-28 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | 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/2222/6491817/check_11499112_b60ea8b5-fc6e-4f40-8d65-02bbc83afe57.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637578234 | N/A | N/A | 6491817 | 2222 | 4801 | 11458579 | N/A | 5120889 | 2025-08-26 02:32:47.901118 | 2025-06-23 18:24:54.219050 |
| 2025-08-25 13:58:00.613511 | 2025-08-26 02:30:56.465604 | 11498216 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11498216 | Athletic Physical Therapy Inc | 1967-09-02 | 2025-08-28 | F | AE | PT | CASALE | U2155410602 | ALMERINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170928322.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385985/check_11498216_d6fcb76f-7d2f-46f6-a816-8e46c8812e2d.json | N/A | N/A | N/A | N/A | N/A | U2155410602 | N/A | WESTFIELD, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1967-09-02 | N/A | 3346470 | N/A | N/A | false | CASALE | N/A | ALMERINDA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637750546 | N/A | N/A | 8385985 | 2222 | 4802 | 11454486 | N/A | 7065214 | 2025-08-26 02:30:56.465604 | 2025-08-21 00:00:50.875462 |
| 2025-08-25 13:58:00.305701 | 2025-08-26 02:32:47.562427 | 11498184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11498184 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-08-28 | F | PT | N/A | HAZARD | NCF794W22253 | PAULA | 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/2222/6472283/check_11498184_d37cfa4a-cba0-4d95-ba26-0999343da822.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637579353 | N/A | N/A | 6472283 | 2222 | 4801 | 11458567 | N/A | 5105323 | 2025-08-26 02:32:47.562427 | 2025-07-02 18:01:41.077949 |
| 2025-08-25 13:58:00.061753 | 2025-08-26 02:44:43.221282 | 11498157 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11498157 | 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/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7546108/check_11498157_e3b98276-8739-4adb-9e6f-96dfcb308d5e.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Medicare Part B | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-15 | N/A | C18445 1838NJ | N/A | MB | 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 | 8637524616 | N/A | N/A | 7546108 | 2222 | 4802 | 11482636 | N/A | 6470898 | 2025-08-26 02:44:43.221282 | 2025-07-29 20:29:16.916703 |
| 2025-08-25 13:57:58.726320 | 2025-08-26 02:34:03.344733 | 11498031 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11498031 | N/A | 1973-10-19 | 2025-08-28 | F | AE | PT | SAMIGOULINA | 94151397D | ROZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170928322.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8322755/check_11498031_7cf0b98d-fb7f-4bc1-ba8f-4410fa5b0231.json | N/A | N/A | N/A | N/A | N/A | 94151397D | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1973-10-19 | N/A | N/A | N/A | N/A | false | SAMIGOULINA | N/A | ROZA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637750544 | N/A | N/A | 8322755 | 2222 | 4802 | 11461668 | N/A | 7032742 | 2025-08-26 02:34:03.344733 | 2025-08-20 23:12:15.422903 |
| 2025-08-25 13:57:58.364355 | 2025-08-26 05:08:28.655688 | 11497993 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11497993 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-08-28 | M | PT | N/A | Shachory | XEK906003800 | Rafael | 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/2222/6919729/check_11497993_a4bb6dcd-99be-4336-ae59-037f261a93c7.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | N/A | 9999-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637522781 | N/A | N/A | 6919729 | 2222 | 4793 | 11495116 | N/A | 5950744 | 2025-08-26 05:08:28.655688 | 2025-07-10 00:33:25.010317 |
| 2025-08-25 13:57:58.304222 | 2025-08-26 05:07:16.467989 | 11497989 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11497989 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-08-28 | M | AE | PT | KIM | 96135332F | JOSEPH | 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/2222/6917652/check_11497989_4faa8532-8e9e-4f30-868e-2c2d911f24fd.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637522780 | N/A | N/A | 6917652 | 2222 | 4802 | 11494407 | N/A | 5949044 | 2025-08-26 05:07:16.467989 | 2025-07-08 23:15:13.625855 |
| 2025-08-25 13:57:53.998663 | 2025-08-26 02:29:22.755538 | 11497620 | N/A | N/A | 60054 | Aetna | 1114042165 | 11497620 | Athletic Physical Therapy Inc | 2001-09-30 | 2025-08-28 | M | AE | PT | VOLOSHIN | 6567890013 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170928322.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8229177/check_11497620_54094f22-fb35-4235-ac42-52ae52b40675.json | N/A | N/A | N/A | N/A | N/A | 6567889013 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 2001-09-30 | 004 | 16404 | N/A | GP | false | VOLOSHIN | N/A | MOSHE | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637750539 | N/A | N/A | 8229177 | 2222 | 4802 | 11450728 | N/A | 6985402 | 2025-08-26 02:29:22.755538 | 2025-08-28 23:04:18.854159 |
| 2025-08-25 13:57:53.965727 | 2025-08-26 05:03:37.183432 | 11497616 | N/A | N/A | 60054 | Aetna | 1114042165 | 11497616 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-08-28 | M | AE | PT | RAMIREZ | 9537353099 | ROY | 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/2222/6865171/check_11497616_c7417987-375e-4596-99a7-60dbf47b1395.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637522549 | N/A | N/A | 6865171 | 2222 | 4801 | 11492743 | N/A | 5902840 | 2025-08-26 05:03:37.183432 | 2025-07-28 18:58:27.354873 |
| 2025-08-25 13:57:51.102876 | 2025-08-26 08:24:31.217828 | 11497354 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11497354 | 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/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_11497354_b94a69b3-9218-4db3-8cf2-ef4ca8539afd.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 | 8637498301 | N/A | N/A | 7258119 | 2222 | 4802 | 11513561 | 4184 | 6223297 | 2025-08-26 08:24:31.217828 | 2025-07-28 18:57:51.679781 |
| 2025-08-25 13:57:46.162193 | 2025-08-26 05:06:37.116321 | 11496909 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11496909 | Athletic Physical Therapy Inc | 1943-04-23 | 2025-08-28 | F | AE | PT | DONAHUE | 31019908301 | JOANNE | 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/2222/6814715/check_11496909_1306b44d-225b-4e92-950d-3a903dbdc175.json | N/A | N/A | N/A | N/A | N/A | 31019908301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-23 | 2025H5425001 | H5425M | N/A | N/A | false | DONAHUE | N/A | JOANNE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637522189 | N/A | N/A | 6814715 | 2222 | 4801 | 11494098 | N/A | 5857041 | 2025-08-26 05:06:37.116321 | 2025-07-07 18:59:46.175391 |
| 2025-08-25 13:57:43.634487 | 2025-08-26 08:25:56.015823 | 11496678 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11496678 | 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/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_11496678_a1522b7c-19cb-4de3-9b53-0f4496a94b47.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637498677 | N/A | N/A | 7252533 | 2222 | 4802 | 11513722 | N/A | 4214065 | 2025-08-26 08:25:56.015823 | 2025-05-13 04:29:37.228379 |
| 2025-08-25 13:57:34.397566 | 2025-08-26 02:40:32.761341 | 11495912 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11495912 | 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/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449401/check_11495912_62aefec9-8585-4953-b8e0-65874ad10425.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 | 8637526283 | N/A | N/A | 7449401 | 2222 | 4793 | 11476402 | N/A | 6399188 | 2025-08-26 02:40:32.761341 | 2025-07-24 22:52:42.400774 |
| 2025-08-25 13:57:32.542835 | 2025-08-26 08:31:44.537072 | 11495771 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11495771 | 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/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7214829/check_11495771_c2c9f29e-819c-4fa3-894f-e38bd5c2062b.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 | 8637497332 | N/A | N/A | 7214829 | 2222 | 4802 | 11514489 | N/A | 4209498 | 2025-08-26 08:31:44.537072 | 2025-09-22 06:46:20.286658 |
| 2025-08-25 13:57:29.948794 | 2025-08-26 02:37:50.807785 | 11495571 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11495571 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-08-28 | F | AE | PT | BARRE | 4WR8HF0MV28 | RHONDA | 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/2222/6418037/check_11495571_efe6beae-b6c2-4f3c-857a-7debcb8237af.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part A | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MA | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637577800 | N/A | N/A | 6418037 | 2222 | 4802 | 11471439 | N/A | 5065797 | 2025-08-26 02:37:50.807785 | 2025-07-28 17:08:00.544400 |
| 2025-08-25 13:57:19.296277 | 2025-08-26 02:29:16.352311 | 11494777 | N/A | N/A | 60054 | Aetna | 1114042165 | 11494777 | Athletic Physical Therapy Inc | 1963-03-10 | 2025-08-28 | F | AE | PT | HASSHAW | W257198312 | LAURA | 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/2222/6398687/check_11494777_feff51d0-bc5e-496c-8a89-41480c3b77d0.json | N/A | N/A | N/A | N/A | N/A | W257198312 | Point of Service (POS) | EXL SERVICE.COM, LLC | AETNA | N/A | 1963-03-10 | 0847788 | 084778801000201 | N/A | PS | false | HASSHAW | N/A | LAURA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637577472 | N/A | N/A | 6398687 | 2222 | 4793 | 11450501 | N/A | 5046244 | 2025-08-26 02:29:16.352311 | 2025-06-20 22:35:45.756703 |
| 2025-08-25 13:57:17.389708 | 2025-08-26 05:37:48.356733 | 11494664 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11494664 | 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/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7533828/check_11494664_8e8ac760-d3b7-41f7-946b-89494952f341.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 | 8637738539 | N/A | N/A | 7533828 | 2222 | 4802 | 11504204 | N/A | 4214255 | 2025-08-26 05:37:48.356733 | 2025-05-06 20:16:21.575355 |
| 2025-08-25 13:56:41.962169 | 2025-08-26 02:29:52.540471 | 11493080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11493080 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-08-28 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | 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/2222/6491817/check_11493080_2fe28d6f-25c7-49e5-93d1-d9b882518c9e.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637734928 | N/A | N/A | 6491817 | 2222 | 4801 | 11451964 | N/A | 5120889 | 2025-08-26 02:29:52.540471 | 2025-06-23 18:24:54.219050 |
| 2025-08-25 13:56:26.591810 | 2025-08-26 05:40:35.664636 | 11492664 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11492664 | 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/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_11492664_f78933f8-516d-457b-b2d6-28d410ce221b.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637737517 | N/A | N/A | 7516790 | 2222 | 4793 | 11504833 | N/A | 6452743 | 2025-08-26 05:40:35.664636 | 2025-08-06 21:04:56.768115 |
| 2025-08-25 13:56:21.370927 | 2025-08-26 02:41:13.806424 | 11492521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11492521 | 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/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_11492521_69345fd6-c79b-4c76-bc9c-a9143db6b278.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 | 8637526186 | N/A | N/A | 7024102 | 2222 | 4801 | 11477338 | N/A | 6038562 | 2025-08-26 02:41:13.806424 | 2025-07-30 21:46:09.369299 |
| 2025-08-25 13:56:05.397028 | 2025-08-26 02:38:23.180739 | 11492100 | N/A | N/A | 60054 | Aetna | 1114042165 | 11492100 | 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/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998368/check_11492100_b5b9723b-8e0e-41c0-985a-81b02ae6380d.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 | 8637526075 | N/A | N/A | 6998368 | 2222 | 4801 | 11472530 | N/A | 6017959 | 2025-08-26 02:38:23.180739 | 2025-07-14 18:22:35.995798 |
| 2025-08-25 13:56:03.072705 | 2025-08-26 02:16:02.361709 | 11492027 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11492027 | 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/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_11492027_fe6be3c5-9a83-44db-abc0-187738a8bb9b.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 | 8637726261 | N/A | N/A | 7877415 | 2222 | 4793 | 11419618 | N/A | 6706226 | 2025-08-26 02:16:02.361709 | 2025-08-19 15:39:56.790206 |
| 2025-08-25 13:55:40.680332 | 2025-08-26 15:39:17.085687 | 11491374 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 11491374 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-08-28 | M | PT | N/A | ALBA | XEH909330777 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_11491374_863ab54e-e434-47e0-bcc2-416a117d4233.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637467423 | N/A | N/A | 6210099 | 2222 | 4793 | 11521278 | N/A | 4852857 | 2025-08-26 15:39:17.085687 | 2025-06-17 16:28:13.795457 |
| 2025-08-25 13:55:37.284557 | 2025-08-26 15:44:57.666272 | 11491271 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11491271 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-28 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_11491271_e2a63782-d81c-412a-a632-9859932919b0.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467392 | N/A | N/A | 6203310 | 2222 | 4801 | 11522050 | N/A | 4846213 | 2025-08-26 15:44:57.666272 | 2025-06-10 21:58:09.734801 |
| 2025-08-25 13:55:37.057856 | 2025-08-26 15:38:30.405483 | 11491261 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11491261 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-08-28 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11491261_6b404d72-5e01-4120-96d7-30cca5d7a850.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637467387 | N/A | N/A | 6193751 | 2222 | 4801 | 11521139 | N/A | 4837995 | 2025-08-26 15:38:30.405483 | 2025-06-13 00:15:18.726975 |
| 2025-08-25 13:55:36.407610 | 2025-08-25 13:55:38.128424 | 11491241 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11491241_a95b8800-53eb-4149-a41c-255c759e0e84.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11491241_a1e37a62-fe40-4a13-b484-2e6e94c2205f.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 | AE | N/A | N/A | N/A | N/A | N/A | 8637449236 | N/A | N/A | 5538874 | 2222 | N/A | 11396851 | N/A | 4211227 | 2025-08-25 13:55:38.128424 | 2025-05-13 04:29:37.225625 |
| 2025-08-25 13:55:28.217158 | 2025-08-26 02:43:06.759412 | 11490927 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11490927 | 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/272741.20250825.170928322.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_11490927_a27a6bd6-e50a-4ef9-a578-effdc39bb8cd.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637750587 | N/A | N/A | 8202975 | 2222 | 4802 | 11480288 | N/A | 6965620 | 2025-08-26 02:43:06.759412 | 2025-09-03 23:20:10.287852 |
| 2025-08-25 13:55:26.905162 | 2025-08-26 15:39:20.154760 | 11490886 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11490886 | Athletic Physical Therapy Inc | 2009-10-30 | 2025-08-28 | F | PT | N/A | SMITH | XEA911729154 | KAMALA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_11490886_ef18f879-bbc7-4044-a4fc-5c75408c25b1.json | N/A | N/A | N/A | N/A | N/A | XEA911729154 | Preferred Provider Organization (PPO) | SHANTHA K SMITH BOOKS AND TAX LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-10-30 | 1000VX000103 | W0074149 | N/A | PR | false | SMITH | N/A | SHANTHA | N/A | 9999-12-31 | 2024-11-01 | BLUE SHIELD SILVER 70 PPO 2500 55 CHILD DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637467840 | N/A | N/A | 6162659 | 2222 | 4802 | 11521287 | N/A | 4805243 | 2025-08-26 15:39:20.154760 | 2025-06-23 19:30:24.977468 |
| 2025-08-25 13:55:20.958797 | 2025-08-26 02:29:52.099209 | 11490678 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11490678 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-08-28 | F | PT | N/A | HAZARD | NCF794W22253 | PAULA | 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/2222/6472283/check_11490678_7c7ca17d-33e6-4209-94fc-b8f14b150967.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637735503 | N/A | N/A | 6472283 | 2222 | 4801 | 11451946 | N/A | 5105323 | 2025-08-26 02:29:52.099209 | 2025-07-02 18:01:41.077949 |
| 2025-08-25 13:55:14.072916 | 2025-08-26 15:22:53.008319 | 11490437 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11490437 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-08-28 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11490437_4ff756b2-9cb1-485e-8af4-a4a9f986d44a.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637468009 | N/A | N/A | 6124845 | 2222 | 4793 | 11518363 | N/A | 4767293 | 2025-08-26 15:22:53.008319 | 2025-06-06 15:11:48.015692 |
| 2025-08-25 13:55:11.747138 | 2025-08-26 15:39:19.458281 | 11490362 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11490362 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-08-28 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_11490362_574c0630-aaad-43ea-ab6c-b734be33372b.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466165 | N/A | N/A | 6121701 | 2222 | 4793 | 11521285 | N/A | 4764460 | 2025-08-26 15:39:19.458281 | 2025-06-04 04:30:06.494155 |
| 2025-08-25 13:55:04.796184 | 2025-08-25 13:55:06.631155 | 11490129 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11490129_f00b2ef4-bd4f-4d99-aaea-c58de4df8e7b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11490129_6c67de45-56ab-4bc9-ab60-6450981ee149.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 | AE | N/A | N/A | N/A | N/A | N/A | 8637443637 | N/A | N/A | 5538874 | 2222 | N/A | 11396790 | N/A | 4211227 | 2025-08-25 13:55:06.631155 | 2025-05-13 04:29:37.225625 |
| 2025-08-25 13:54:58.925190 | 2025-08-26 15:44:58.698462 | 11489934 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11489934 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-08-28 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_11489934_24a63f80-e83e-4d69-84c5-fcfa901c9478.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467588 | N/A | N/A | 6105989 | 2222 | 4802 | 11522053 | N/A | 4750274 | 2025-08-26 15:44:58.698462 | 2025-06-12 22:26:37.845238 |
| 2025-08-25 13:54:56.950378 | 2025-08-26 08:31:42.819757 | 11489859 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11489859 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-28 | F | AE | PT | FRITH SMITH | 9M69RM7JM34 | BARBARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_11489859_2e8d7201-716a-4a36-93b7-8ce7719e096a.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MB | 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 | 8637497908 | N/A | N/A | 6998367 | 2222 | 4801 | 11514488 | N/A | 6017959 | 2025-08-26 08:31:42.819757 | 2025-07-14 18:22:35.995798 |
| 2025-08-25 13:54:45.691646 | 2025-08-26 15:36:50.025148 | 11489489 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11489489 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-08-27 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_11489489_f0b16038-efac-43c1-a1e3-5ea5894d03ee.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637466044 | N/A | N/A | 6079410 | 2222 | 4802 | 11520827 | N/A | 4723300 | 2025-08-26 15:36:50.025148 | 2025-06-04 00:42:43.684276 |
| 2025-08-25 13:54:40.934066 | 2025-08-26 15:37:35.956343 | 11489353 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11489353 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-08-28 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_11489353_d14da735-b12f-4c77-8d1f-965ace081ec4.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637466456 | N/A | N/A | 6074035 | 2222 | 4801 | 11520979 | N/A | 4718592 | 2025-08-26 15:37:35.956343 | 2025-05-29 20:00:22.627186 |
| 2025-08-25 13:54:20.748255 | 2025-08-26 08:24:31.763903 | 11488717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11488717 | Athletic Physical Therapy Inc | 1957-07-02 | 2025-08-28 | F | PT | N/A | HEET | NCF335A78493 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6971855/check_11488717_5eb2fc42-7a17-4911-986a-a4bd7d0bd8af.json | N/A | N/A | N/A | N/A | N/A | 9U73KW0FR19 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1957-07-02 | 040 | 280612H004 | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637498349 | N/A | N/A | 6971855 | 2222 | 4793 | 11513562 | N/A | 5993849 | 2025-08-26 08:24:31.763903 | 2025-07-24 01:56:09.463748 |
| 2025-08-25 13:54:13.534621 | 2025-08-26 08:18:51.446477 | 11488471 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11488471 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-08-28 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_11488471_b5d19752-2ba4-489b-a704-c0b5112b8040.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637497834 | N/A | N/A | 6967909 | 2222 | 4793 | 11513014 | N/A | 5990447 | 2025-08-26 08:18:51.446477 | 2025-07-21 18:40:33.917911 |
| 2025-08-25 13:53:59.681965 | 2025-08-26 02:40:32.430604 | 11487964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11487964 | 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/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_11487964_516c265b-cbc5-4bab-8a83-ca8d29d4e527.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 | 8637525385 | N/A | N/A | 6752939 | 2222 | 4801 | 11476397 | N/A | 5065602 | 2025-08-26 02:40:32.430604 | 2025-07-01 17:25:13.681724 |
| 2025-08-25 13:53:56.295513 | 2025-08-26 02:40:33.310435 | 11487839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11487839 | 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/272741.20250825.190215456.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_11487839_e231436b-a1bf-4755-8ae4-894f5479992c.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 | 8637525376 | N/A | N/A | 6751424 | 2222 | 4802 | 11476417 | N/A | 5557241 | 2025-08-26 02:40:33.310435 | 2025-07-22 17:08:51.810153 |
| 2025-08-25 13:53:52.109982 | 2025-08-26 08:24:18.979443 | 11487682 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11487682 | Athletic Physical Therapy Inc | 1937-09-28 | 2025-08-28 | F | AE | PT | MENDOZA | 00000395455 | LEVIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6957837/check_11487682_31a771bc-e8b0-4126-99b8-3b9309ce636c.json | N/A | N/A | N/A | N/A | N/A | 00000395455 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1937-09-28 | H3815028 | N/A | N/A | HM | false | MENDOZA | N/A | LEVIE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637498066 | N/A | N/A | 6957837 | 2222 | 4801 | 11513536 | N/A | 5983200 | 2025-08-26 08:24:18.979443 | 2025-07-25 17:28:26.584539 |