API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-25 13:53:52.030702 | 2025-08-26 15:38:33.394761 | 11487679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11487679 | Athletic Physical Therapy Inc | 1965-06-11 | 2025-08-28 | F | PT | MEDINA | XDP628W03244 | RACHEL | 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/2222/5993935/check_11487679_a707440d-9bf4-42ea-886e-2dd13bc4620d.json | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | Preferred Provider Organization (PPO) | CF ENTERTAINMENT INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1965-06-11 | 040 | 282803M001 | N/A | PR | false | MEDINA | N/A | RACHEL | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466956 | N/A | N/A | 5993935 | 2222 | 4802 | 11521148 | N/A | 4642857 | 2025-08-26 15:38:33.394761 | 2025-07-07 14:11:20.082988 |
| 2025-08-25 13:53:51.948834 | 2025-08-26 15:39:17.440572 | 11487675 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11487675 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-08-28 | M | PT | BUCKWALD | XED914061341 | BLAKE | 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/2222/5993926/check_11487675_4f5ce336-6f0c-4c3d-9919-828a2e29df7f.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466955 | N/A | N/A | 5993926 | 2222 | 4802 | 11521279 | N/A | 4642862 | 2025-08-26 15:39:17.440572 | 2025-05-28 20:59:09.029689 |
| 2025-08-25 13:53:51.873836 | 2025-08-26 15:38:35.424798 | 11487671 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11487671 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-08-27 | F | PT | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_11487671_9996a59b-a501-4bdc-a6cf-dd81812b7016.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466954 | N/A | N/A | 5993479 | 2222 | 4801 | 11521154 | N/A | 4219476 | 2025-08-26 15:38:35.424798 | 2025-05-28 20:18:04.039855 |
| 2025-08-25 13:53:44.801885 | 2025-08-26 05:35:20.987096 | 11487408 | N/A | N/A | 60054 | Aetna | 1114042165 | 11487408 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-28 | F | AE | TRUONG | W285894295 | TARA | PT | 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/2222/7458419/check_11487408_ed559802-4f90-493e-b59a-f0dfba134bb3.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637737477 | N/A | N/A | 7458419 | 2222 | 4801 | 11503538 | N/A | 6407374 | 2025-08-26 05:35:20.987096 | 2025-07-25 20:45:12.336863 |
| 2025-08-25 13:53:40.525817 | 2025-08-26 02:15:43.391609 | 11487278 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11487278 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-08-28 | M | AE | CORAY | 00003138358 | KLAUS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170725995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_11487278_7903f08a-bbaf-42b3-b614-a809ddc48d3d.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637725569 | N/A | N/A | 7815883 | 2222 | 4793 | 11418979 | N/A | 6655655 | 2025-08-26 02:15:43.391609 | 2025-09-09 21:32:56.328170 |
| 2025-08-25 13:53:37.196275 | 2025-08-26 05:49:35.780372 | 11487145 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11487145 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-28 | M | AE | GONZALES JR | 1E61CX0GK13 | LEO | PT | 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/2222/7456457/check_11487145_5cd8f250-ac5d-4f96-80d3-be0a1a60d531.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637737461 | N/A | N/A | 7456457 | 2222 | 4793 | 11506468 | N/A | 6405774 | 2025-08-26 05:49:35.780372 | 2026-03-16 21:02:08.525887 |
| 2025-08-25 13:53:29.011450 | 2025-08-26 15:39:20.512449 | 11486827 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11486827 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-08-28 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_11486827_f2647ed3-5f0e-4ecc-aa2b-a165ef3a9c88.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637467265 | N/A | N/A | 5928752 | 2222 | 4802 | 11521288 | N/A | 4583701 | 2025-08-26 15:39:20.512449 | 2025-07-24 17:50:11.805587 |
| 2025-08-25 13:53:23.466307 | 2025-08-26 02:29:22.378001 | 11486608 | N/A | N/A | 60054 | Aetna | 1114042165 | 11486608 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-08-28 | M | AE | MCHALE | W27265070 | MATT | PT | 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/2222/8173116/check_11486608_8a86c872-0ab3-478b-bdc2-fd4ea7dd90d5.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637749823 | N/A | N/A | 8173116 | 2222 | 4802 | 11450715 | N/A | 6939617 | 2025-08-26 02:29:22.378001 | 2025-09-16 00:28:24.457071 |
| 2025-08-25 13:53:12.230868 | 2025-08-26 15:38:12.275787 | 11486160 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11486160 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-08-28 | F | AE | DVORSKY | 000009483838 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_11486160_230a6c79-4728-4ddb-9784-0f61c7781ef3.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467683 | N/A | N/A | 5874461 | 2222 | 4801 | 11521088 | N/A | 4534583 | 2025-08-26 15:38:12.275787 | 2025-05-27 21:59:00.919365 |
| 2025-08-25 13:53:12.150820 | 2025-08-26 15:44:58.377427 | 11486155 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11486155 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-28 | M | AE | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11486155_86583311-31e0-4461-ae48-83cf7d123a5f.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MA | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467682 | N/A | N/A | 5874455 | 2222 | 4801 | 11522052 | N/A | 4534577 | 2025-08-26 15:44:58.377427 | 2025-06-18 18:41:30.608585 |
| 2025-08-25 13:53:12.075515 | 2025-08-26 15:37:34.734334 | 11486152 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11486152 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-28 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_11486152_6a2d9865-615c-4672-a611-02f9570b84bd.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467681 | N/A | N/A | 5874423 | 2222 | 4802 | 11520975 | N/A | 4534552 | 2025-08-26 15:37:34.734334 | 2025-05-30 18:01:03.324126 |
| 2025-08-25 13:53:10.825970 | 2025-08-26 15:38:20.516023 | 11486103 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11486103 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-08-28 | F | AE | FINE | 00000272194 | MICHELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_11486103_f451941f-c7e8-4624-94e3-2a023d5d7db5.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467665 | N/A | N/A | 5858742 | 2222 | 4801 | 11521112 | 2630 | 4219630 | 2025-08-26 15:38:20.516023 | 2025-05-13 04:29:37.230672 |
| 2025-08-25 13:53:09.127240 | 2025-08-26 08:25:56.543316 | 11486037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11486037 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-08-28 | M | PT | Shachory | XEK906003800 | Rafael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6919729/check_11486037_9eef2497-a4c5-4921-9c95-95d8a1d28ee8.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637497640 | N/A | N/A | 6919729 | 2222 | 4793 | 11513723 | N/A | 5950744 | 2025-08-26 08:25:56.543316 | 2025-07-10 00:33:25.010317 |
| 2025-08-25 13:53:08.861384 | 2025-08-26 08:24:22.079312 | 11486027 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11486027 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-08-28 | M | AE | KIM | 96135332F | JOSEPH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_11486027_04cd20ff-c68e-48d3-8231-9f65e8d337ec.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 | 8637497639 | N/A | N/A | 6917652 | 2222 | 4802 | 11513542 | N/A | 5949044 | 2025-08-26 08:24:22.079312 | 2025-07-08 23:15:13.625855 |
| 2025-08-25 13:52:57.907552 | 2025-08-26 05:34:23.453481 | 11485589 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11485589 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-08-28 | F | AE | Dickenson | 91000390H | Linda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_11485589_96747f5d-d724-4fad-9b25-a1842ea078f1.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637737333 | N/A | N/A | 7449889 | 2222 | 4802 | 11503334 | N/A | 6399696 | 2025-08-26 05:34:23.453481 | 2025-07-24 23:24:56.744520 |
| 2025-08-25 13:52:56.503163 | 2025-08-26 05:34:24.475670 | 11485538 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11485538 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-08-28 | M | AE | Thur | 95641377F | Pyi | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_11485538_b720e947-8eee-47a7-b2d5-319a7258a1c0.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637737331 | N/A | N/A | 7449843 | 2222 | 4802 | 11503337 | N/A | 6399635 | 2025-08-26 05:34:24.475670 | 2025-07-29 18:42:47.970149 |
| 2025-08-25 13:52:56.412990 | 2025-08-26 08:19:05.049394 | 11485535 | N/A | N/A | 60054 | Aetna | 1114042165 | 11485535 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-08-28 | M | AE | RAMIREZ | 9537353099 | ROY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.165132209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_11485535_98229cc7-24e4-4773-a10d-1746575a76dc.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 | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637497502 | N/A | N/A | 6865171 | 2222 | 4801 | 11513024 | N/A | 5902840 | 2025-08-26 08:19:05.049394 | 2025-07-28 18:58:27.354873 |
| 2025-08-25 13:52:49.598618 | 2025-08-26 05:49:36.830259 | 11485300 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11485300 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-28 | M | AE | KORNREICH | 7XA1CA4AR01 | DALE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449349/check_11485300_581af4bf-7179-4579-889f-531b7b11552f.json | N/A | N/A | N/A | N/A | N/A | 7XA1CA4AR01 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-03 | S5601 | N/A | N/A | MA | false | KORNREICH | N/A | DALE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637737319 | N/A | N/A | 7449349 | 2222 | 4793 | 11506472 | N/A | 6399188 | 2025-08-26 05:49:36.830259 | 2025-07-24 22:52:42.400774 |
| 2025-08-25 13:52:48.128586 | 2025-08-26 15:37:40.401137 | 11485249 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11485249 | Athletic Physical Therapy Inc | 1933-08-29 | 2025-08-28 | F | AE | MALOLEPSZY | 31048620001 | CHRISTINE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676397/check_11485249_fdf96ae2-6f23-4ef6-ac80-0846164a3eb7.json | N/A | N/A | N/A | N/A | N/A | 31048620001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-08-29 | 2025H5425001 | H5425M | N/A | N/A | false | MALOLEPSZY | N/A | CHRISTINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467106 | N/A | N/A | 5676397 | 2222 | 4801 | 11520992 | N/A | 4343449 | 2025-08-26 15:37:40.401137 | 2025-05-13 04:29:37.230927 |
| 2025-08-25 13:52:48.044554 | 2025-08-26 15:35:31.640945 | 11485248 | N/A | N/A | 60054 | Aetna | 1114042165 | 11485248 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-08-28 | M | AE | ARROW | 101393152200 | PAUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_11485248_82ff1722-d156-4d99-9bbd-42b8895a389c.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467105 | N/A | N/A | 5676385 | 2222 | 4802 | 11520572 | N/A | 4343439 | 2025-08-26 15:35:31.640945 | 2025-05-13 04:29:37.230918 |
| 2025-08-25 13:52:47.954214 | 2025-08-26 15:38:34.752487 | 11485243 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11485243 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-28 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_11485243_a30e5fce-c9f7-449f-b65e-f15bdf4d1066.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637467104 | N/A | N/A | 5676340 | 2222 | 4793 | 11521152 | 4184 | 4210531 | 2025-08-26 15:38:34.752487 | 2025-12-09 17:09:13.960610 |
| 2025-08-25 13:52:35.527271 | 2025-08-26 05:39:16.431678 | 11484848 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484848 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-08-28 | F | PT | MOORE | W2A952W18561 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_11484848_a132e80f-d5a4-44e4-aa27-f643ad49fa82.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637737284 | N/A | N/A | 7447590 | 2222 | 4801 | 11504544 | N/A | 6397797 | 2025-08-26 05:39:16.431678 | 2025-08-12 19:16:58.418300 |
| 2025-08-25 13:52:34.785246 | 2025-08-26 05:34:22.223119 | 11484824 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11484824 | Athletic Physical Therapy Inc | 1996-08-11 | 2025-08-28 | F | AE | ALI HUSSAIN | 99355299D | ZAINEB | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447541/check_11484824_57e082b3-0eec-4a10-af62-c059fd21d054.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 | 8637737282 | N/A | N/A | 7447541 | 2222 | 4793 | 11503329 | N/A | 6397589 | 2025-08-26 05:34:22.223119 | 2025-08-07 01:39:35.357020 |
| 2025-08-25 13:52:33.331653 | 2025-08-26 15:37:34.081463 | 11484772 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11484772 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-28 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11484772_98eb8c64-6689-408d-b5eb-e6ad9dbea73d.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8637467345 | N/A | N/A | 5568076 | 2222 | 4802 | 11520973 | N/A | 4209480 | 2025-08-26 15:37:34.081463 | 2026-04-10 02:05:15.976484 |
| 2025-08-25 13:52:27.883627 | 2025-08-26 05:36:19.136047 | 11484601 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11484601 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-08-28 | F | AE | JENSEN | H8814805300 | ANN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444559/check_11484601_4b6e8a9a-8814-486b-8c13-ab2a6950cff1.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 | 8637737262 | N/A | N/A | 7444559 | 2222 | 4801 | 11503804 | N/A | 6395281 | 2025-08-26 05:36:19.136047 | 2025-07-24 18:22:24.913461 |
| 2025-08-25 13:52:24.494378 | 2025-08-26 05:40:35.057050 | 11484505 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11484505 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-08-28 | F | PT | MCMANUS | XEH909326305 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170847770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444072/check_11484505_f52cfcf1-a8a9-455f-8557-ede0587e2d90.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 | 8637737252 | N/A | N/A | 7444072 | 2222 | 4801 | 11504832 | N/A | 6394822 | 2025-08-26 05:40:35.057050 | 2025-07-24 18:01:25.336701 |
| 2025-08-25 13:52:23.276684 | 2025-08-26 02:37:28.607126 | 11484469 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11484469 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-08-28 | F | AE | BARRE | 4WR8HF0MV28 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.170827897.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_11484469_4597ad0b-faef-43af-bc56-0e6697c7c9ac.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 | 8637734178 | N/A | N/A | 6418037 | 2222 | 4802 | 11470509 | N/A | 5065797 | 2025-08-26 02:37:28.607126 | 2025-07-28 17:08:00.544400 |
| 2025-08-25 13:52:22.368442 | 2025-08-26 15:38:31.609571 | 11484443 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484443 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-28 | F | PT | GALLO LUNA | CQP005A55866 | MARITZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_11484443_8b2e0d88-00ae-4d5f-80b8-ef9e0f9ea3a6.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 | 8637466896 | N/A | N/A | 5550838 | 2222 | 4801 | 11521142 | N/A | 4219709 | 2025-08-26 15:38:31.609571 | 2025-05-13 04:29:37.230752 |
| 2025-08-25 13:52:22.245548 | 2025-08-26 15:39:17.781182 | 11484438 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11484438 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-28 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11484438_df17ef3a-bc36-499e-b661-ed2ab49dc9a3.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466895 | N/A | N/A | 5550827 | 2222 | 4802 | 11521280 | N/A | 4219700 | 2025-08-26 15:39:17.781182 | 2025-05-13 04:29:37.230745 |
| 2025-08-25 13:52:22.103057 | 2025-08-26 15:38:20.187069 | 11484434 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11484434 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-28 | M | AE | ARUJO | 00000223568 | RAMON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11484434_d067cbcb-2fe0-422e-b2c8-c2ad4d95e7b1.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 | 8637466894 | N/A | N/A | 5550751 | 2222 | 4801 | 11521111 | 2630 | 4219640 | 2025-08-26 15:38:20.187069 | 2025-05-13 04:29:37.230682 |
| 2025-08-25 13:52:21.986066 | 2025-08-26 15:35:31.980059 | 11484429 | N/A | N/A | 60054 | Aetna | 1114042165 | 11484429 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-28 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11484429_f705e2a6-bfb4-45cd-905c-907ca4ef8409.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 | 8637466893 | N/A | N/A | 5550743 | 2222 | 4801 | 11520573 | N/A | 4219643 | 2025-08-26 15:35:31.980059 | 2025-05-13 04:29:37.230685 |
| 2025-08-25 13:52:21.876648 | 2025-08-26 15:44:58.003663 | 11484426 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11484426 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-28 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_11484426_fa512550-2d47-4c25-9d33-1aff406fb281.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 | 8637466892 | N/A | N/A | 5549981 | 2222 | 4802 | 11522051 | N/A | 4219436 | 2025-08-26 15:44:58.003663 | 2025-05-13 04:29:37.230471 |
| 2025-08-25 13:52:21.772945 | 2025-08-26 15:38:35.086969 | 11484422 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11484422 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-08-28 | F | PT | SAUCERMAN | XDM288A55735 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_11484422_98c18e1e-b18f-4995-8d3c-d63968a83911.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 | 8637466889 | N/A | N/A | 5549817 | 2222 | 4793 | 11521153 | 4184 | 4211143 | 2025-08-26 15:38:35.086969 | 2025-05-31 20:12:37.092503 |
| 2025-08-25 13:52:21.654344 | 2025-08-26 15:38:33.039716 | 11484421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484421 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-08-27 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250825.164753183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11484421_92c84cd0-1bc1-4de9-b8fb-720743e88391.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 | 8637466888 | N/A | N/A | 5549317 | 2222 | 4801 | 11521147 | N/A | 4219010 | 2025-08-26 15:38:33.039716 | 2026-01-09 18:32:07.618867 |
| 2025-08-25 13:52:21.505796 | 2025-08-26 15:38:13.915299 | 11484413 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11484413 | N/A | 1967-12-23 | 2025-08-28 | F | AE | SOL | U9859952501 | ISABEL | PT | 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/2222/5549212/check_11484413_7fd7bd26-1264-426d-a30d-9de4bfd6e972.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 | 8637466887 | N/A | N/A | 5549212 | 2222 | 4793 | 11521093 | N/A | 4218926 | 2025-08-26 15:38:13.915299 | 2025-07-30 14:07:18.779456 |
| 2025-08-25 13:52:20.581540 | 2025-08-26 15:37:35.357156 | 11484386 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11484386 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-28 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_11484386_87c14eb0-3d79-4829-820a-376de9e86935.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 | 8637466879 | N/A | N/A | 5543425 | 2222 | 4801 | 11520977 | N/A | 4215211 | 2025-08-26 15:37:35.357156 | 2026-04-02 22:30:20.020246 |
| 2025-08-25 13:52:20.418992 | 2025-08-26 15:38:33.719103 | 11484382 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11484382 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-08-28 | M | PT | MEINERT | XEH912496752 | TIM | 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/2222/5543360/check_11484382_7e9fc1da-ed8c-4fc1-b7ac-632a03f761f8.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 | 8637466878 | N/A | N/A | 5543360 | 2222 | 4793 | 11521149 | 4184 | 4215161 | 2025-08-26 15:38:33.719103 | 2025-05-13 04:29:37.229478 |
| 2025-08-25 13:52:20.287267 | 2025-08-26 15:35:11.655473 | 11484376 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11484376 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-08-28 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | 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/2222/5543335/check_11484376_e3600fa2-bffc-4500-b846-75507ad340d5.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 | 8637466877 | N/A | N/A | 5543335 | 2222 | 4802 | 11520511 | N/A | 4215139 | 2025-08-26 15:35:11.655473 | 2025-05-13 21:20:11.455022 |
| 2025-08-25 13:52:20.201281 | 2025-08-26 15:39:19.110493 | 11484374 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11484374 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-08-28 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_11484374_89a260d7-c8b0-44e3-98b2-fc37df07c92f.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 | 8637466875 | N/A | N/A | 5543211 | 2222 | 4801 | 11521284 | N/A | 4215028 | 2025-08-26 15:39:19.110493 | 2025-05-13 04:29:37.229346 |
| 2025-08-25 13:52:20.033683 | 2025-08-26 15:36:49.689531 | 11484368 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11484368 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-08-28 | F | AD | FERRERAS | U6570615702 | PATRICIA | 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/2222/5543171/check_11484368_f4e95c94-17c9-49ff-8f5b-5fe54efff2df.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 | 8637466874 | N/A | N/A | 5543171 | 2222 | 4793 | 11520826 | N/A | 4214998 | 2025-08-26 15:36:49.689531 | 2025-05-13 04:29:37.229318 |
| 2025-08-25 13:52:19.919359 | 2025-08-26 15:38:32.686307 | 11484363 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484363 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-08-28 | F | PT | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_11484363_00b1bb02-2490-4ca1-a71f-71e8465fa0f7.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 | 8637466873 | N/A | N/A | 5543167 | 2222 | 4793 | 11521145 | N/A | 4214995 | 2025-08-26 15:38:32.686307 | 2025-05-13 04:29:37.229315 |
| 2025-08-25 13:52:19.700026 | 2025-08-26 15:38:29.550627 | 11484356 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484356 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-28 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | 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/2222/5543161/check_11484356_a188d5e3-8d5d-4439-a0d6-cc68102c7cb0.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 | 8637466872 | N/A | N/A | 5543161 | 2222 | 4793 | 11521137 | N/A | 4214989 | 2025-08-26 15:38:29.550627 | 2025-05-13 04:29:37.229310 |
| 2025-08-25 13:52:19.514135 | 2025-08-26 15:37:40.712748 | 11484353 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11484353 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-08-28 | M | AE | SHADDY | 40064865601 | STEVE | PT | 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/2222/5543011/check_11484353_7844ee67-b5bf-4106-8e86-fbac51d89376.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 | 8637466871 | N/A | N/A | 5543011 | 2222 | 4801 | 11520993 | N/A | 4214861 | 2025-08-26 15:37:40.712748 | 2026-02-04 19:10:58.526441 |
| 2025-08-25 13:52:19.396008 | 2025-08-26 15:38:31.276808 | 11484348 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484348 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-08-28 | M | PT | DESMET | MBL584M98446 | GRANT | 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/2222/5542900/check_11484348_9fecc805-441f-469a-9f11-c2b007f1b4f3.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 | 8637466870 | N/A | N/A | 5542900 | 2222 | 4801 | 11521141 | N/A | 4214759 | 2025-08-26 15:38:31.276808 | 2025-05-13 04:29:37.229079 |
| 2025-08-25 13:52:19.272616 | 2025-08-26 15:38:30.898445 | 11484345 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11484345 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-08-28 | F | PT | DELOS REYES | JXN688W13372 | JANELLE | 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/2222/5542750/check_11484345_15be23d6-cec7-4d06-ba23-f6088ea42daf.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 | 8637466869 | N/A | N/A | 5542750 | 2222 | 4802 | 11521140 | N/A | 4214623 | 2025-08-26 15:38:30.898445 | 2025-08-28 22:11:32.536994 |
| 2025-08-25 13:52:19.154528 | 2025-08-26 15:38:22.865022 | 11484340 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11484340 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-08-28 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_11484340_48213116-c5c5-4dd4-b5d9-a5b1a91369b6.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 | 8637466868 | N/A | N/A | 5542611 | 2222 | 4802 | 11521119 | N/A | 4214490 | 2025-08-26 15:38:22.865022 | 2025-05-13 04:29:37.228806 |
| 2025-08-25 13:52:19.038522 | 2025-08-26 15:38:14.258382 | 11484337 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11484337 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-08-28 | M | AE | MOSLEY | R02649763MM1 | MICHAEL | PT | 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/2222/5542606/check_11484337_2dbf8ada-e6d4-46a1-b618-5b1d35fc8121.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 | 8637466867 | N/A | N/A | 5542606 | 2222 | 4801 | 11521094 | N/A | 4214496 | 2025-08-26 15:38:14.258382 | 2025-05-13 04:29:37.228812 |
| 2025-08-25 13:52:18.893436 | 2025-08-26 15:44:57.328991 | 11484331 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11484331 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-28 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | 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/2222/5542555/check_11484331_447e1d9f-5405-4afc-907f-a40ba34a70a0.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | 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 | 8637466866 | N/A | N/A | 5542555 | 2222 | 4793 | 11522049 | N/A | 4214447 | 2025-08-26 15:44:57.328991 | 2026-04-23 20:11:34.441054 |
| 2025-08-25 13:52:18.765500 | 2025-08-26 15:39:18.079557 | 11484330 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11484330 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-08-28 | M | PT | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_11484330_76a811bf-ab84-413f-b37a-181ae974919d.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 | 2023-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466865 | N/A | N/A | 5542512 | 2222 | 4793 | 11521281 | N/A | 4214416 | 2025-08-26 15:39:18.079557 | 2025-05-13 04:29:37.228740 |
| 2025-08-25 13:52:18.658017 | 2025-08-26 15:39:18.454860 | 11484324 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11484324 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-08-28 | F | PT | HASERJIAN | XED912403581 | RENEE | 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/2222/5542222/check_11484324_99b200de-17f7-4423-9e2c-5edd51e1cb8e.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 | 2023-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8637466864 | N/A | N/A | 5542222 | 2222 | 4793 | 11521282 | N/A | 4214148 | 2025-08-26 15:39:18.454860 | 2025-05-13 04:29:37.228475 |