API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-24 08:09:11.740026 | 2025-08-25 02:39:58.948304 | 11436118 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11436118 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-08-27 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_11436118_f0fe1487-cd7f-456c-b36e-411f4fe740ba.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MB | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630982800 | N/A | N/A | 7204595 | 2222 | 4801 | 11362501 | N/A | 6175435 | 2025-08-25 02:39:58.948304 | 2025-08-05 19:05:08.506352 |
| 2025-08-24 08:09:09.048920 | 2025-08-25 02:31:28.711705 | 11435951 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11435951 | Athletic Physical Therapy Inc | 1977-10-24 | 2025-08-27 | F | PT | N/A | PEREZ | XDM112A72123 | NANNETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7200407/check_11435951_02a20a26-3c96-41fc-ad3b-7d8fd859cf80.json | N/A | N/A | N/A | N/A | N/A | XDM112A72123 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-10-24 | 040 | 57ARJB | N/A | HM | false | PEREZ | N/A | NANNETTE | 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 | 8630982774 | N/A | N/A | 7200407 | 2222 | 4801 | 11346356 | N/A | 6171391 | 2025-08-25 02:31:28.711705 | 2025-08-05 00:30:25.659527 |
| 2025-08-24 08:08:59.355954 | 2025-08-25 02:31:27.963040 | 11435347 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11435347 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-08-27 | M | PT | N/A | MIRANDA | NCF728A24383 | ERICK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173834/check_11435347_12824bd8-3814-4cce-9b51-1a259414b2c3.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630984466 | N/A | N/A | 7173834 | 2222 | 4801 | 11346331 | N/A | 6149607 | 2025-08-25 02:31:27.963040 | 2025-07-17 18:34:10.184195 |
| 2025-08-24 08:08:59.137453 | 2025-08-25 02:31:29.698257 | 11435337 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11435337 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-08-27 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173793/check_11435337_a186bfd6-18aa-4f83-a892-47ea1f673ddd.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630984463 | N/A | N/A | 7173793 | 2222 | 4793 | 11346396 | N/A | 6149539 | 2025-08-25 02:31:29.698257 | 2025-07-17 20:34:26.073953 |
| 2025-08-24 08:08:55.031380 | 2025-08-25 02:27:47.632023 | 11435107 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11435107 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-08-27 | M | AE | PT | Aldana | 95423949E | George | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_11435107_79a1432d-78ef-42eb-a96d-78d6bfaa8d84.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631018237 | N/A | N/A | 6568645 | 2222 | 4802 | 11336648 | N/A | 5190481 | 2025-08-25 02:27:47.632023 | 2025-06-24 17:29:30.756528 |
| 2025-08-24 08:08:49.070861 | 2025-08-25 02:40:05.937582 | 11434767 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11434767 | Athletic Physical Therapy Inc | 1952-06-10 | 2025-08-27 | F | AE | PT | NGUYEN | 4RN2FT7MY90 | DIEM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7039866/check_11434767_cae7a9b7-3cdd-4f3d-8867-f7c8c7e53db4.json | N/A | N/A | N/A | N/A | N/A | 4RN2FT7MY90 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-06-10 | S4802 | N/A | N/A | MA | false | NGUYEN | N/A | DIEM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630982428 | N/A | N/A | 7039866 | 2222 | 4801 | 11362668 | N/A | 6051960 | 2025-08-25 02:40:05.937582 | 2025-07-16 20:09:14.193919 |
| 2025-08-24 08:08:47.913356 | 2025-08-25 02:28:37.303283 | 11434695 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11434695 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-08-27 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_11434695_5f4074b3-b80b-4caf-aadc-e5107ef99f8a.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631017703 | N/A | N/A | 6554790 | 2222 | 4793 | 11339056 | N/A | 5177947 | 2025-08-25 02:28:37.303283 | 2026-05-11 21:31:25.186699 |
| 2025-08-24 08:08:47.235959 | 2025-08-25 02:32:23.487861 | 11434650 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11434650 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-08-27 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_11434650_e565c088-4cdc-4255-b89d-45c87bd525b0.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631017696 | N/A | N/A | 6553930 | 2222 | 4801 | 11348240 | N/A | 5177091 | 2025-08-25 02:32:23.487861 | 2025-06-23 20:23:14.340232 |
| 2025-08-24 08:08:40.122080 | 2025-08-25 02:40:05.080034 | 11434205 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11434205 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-08-27 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_11434205_f1bfbaca-be8f-400c-a514-19566891de8b.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MB | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630983993 | N/A | N/A | 7024101 | 2222 | 4801 | 11362653 | N/A | 6038562 | 2025-08-25 02:40:05.080034 | 2025-07-30 21:46:09.369299 |
| 2025-08-24 08:08:39.077272 | 2025-08-25 02:31:18.194780 | 11434140 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11434140 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-08-27 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_11434140_73a22759-139b-4701-896e-75a9f861b957.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630983975 | N/A | N/A | 7022680 | 2222 | 4793 | 11345980 | N/A | 6037802 | 2025-08-25 02:31:18.194780 | 2025-07-22 17:48:16.997014 |
| 2025-08-24 08:08:37.541992 | 2025-08-25 02:31:10.877602 | 11434036 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11434036 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-08-27 | F | AE | PT | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_11434036_588b0e70-4917-44eb-bba1-4e81c9d7ba01.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630982747 | N/A | N/A | 7019836 | 2222 | 4802 | 11345743 | 2630 | 4214064 | 2025-08-25 02:31:10.877602 | 2025-07-15 17:36:25.711810 |
| 2025-08-24 08:08:37.495763 | 2025-08-25 02:28:02.658293 | 11434033 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11434033 | Athletic Physical Therapy Inc | 2008-01-30 | 2025-08-27 | F | PT | N/A | NICCOL | WRXA12977807 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528022/check_11434033_81f8f7bc-ef1b-4fc8-90fe-d30f022b7095.json | N/A | N/A | N/A | N/A | N/A | A12977807 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 2008-01-30 | 040 | 277242M002 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631018177 | N/A | N/A | 6528022 | 2222 | 4793 | 11337377 | N/A | 5148860 | 2025-08-25 02:28:02.658293 | 2025-06-30 14:56:45.395723 |
| 2025-08-24 08:08:36.696232 | 2025-08-25 02:29:52.335730 | 11433980 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11433980 | Athletic Physical Therapy Inc | 1954-05-18 | 2025-08-27 | F | AE | PT | BONDARTSEVA | 99071240H | PARIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7018394/check_11433980_60414c5b-e255-47b7-9d36-6f561da94c60.json | N/A | N/A | N/A | N/A | N/A | 99071240H | N/A | N/A | HEALTH NET, LLC | N/A | 1954-05-18 | N/A | N/A | N/A | N/A | false | BONDARTSEVA | N/A | PARIDA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630982737 | N/A | N/A | 7018394 | 2222 | 4802 | 11342437 | N/A | 6033705 | 2025-08-25 02:29:52.335730 | 2025-07-30 00:53:11.021022 |
| 2025-08-24 08:08:30.185828 | 2025-08-25 02:40:03.880089 | 11433600 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11433600 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-08-27 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_11433600_940745a8-b995-41eb-b720-34738da67233.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MB | false | JIMENEZ LOPEZ | 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 | 8630985079 | N/A | N/A | 7000055 | 2222 | 4801 | 11362524 | N/A | 6019507 | 2025-08-25 02:40:03.880089 | 2025-07-14 20:23:06.646459 |
| 2025-08-24 08:08:22.456363 | 2025-08-25 02:12:31.882059 | 11433113 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11433113 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-08-27 | M | AE | PT | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_11433113_f207862f-e9e3-4e05-85b9-bee844f73619.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631005642 | N/A | N/A | 5676415 | 2222 | 4801 | 11289648 | 2630 | 4343470 | 2025-08-25 02:12:31.882059 | 2025-05-13 04:29:37.230947 |
| 2025-08-24 08:08:22.221389 | 2025-08-25 02:12:30.358730 | 11433097 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11433097 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-08-27 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_11433097_f1cf1f38-9a0f-47a7-9714-b64f647c97aa.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8631005641 | N/A | N/A | 5676399 | 2222 | 4793 | 11289587 | 2630 | 4343454 | 2025-08-25 02:12:30.358730 | 2025-05-13 04:29:37.230932 |
| 2025-08-24 08:08:22.079896 | 2025-08-25 02:17:31.593206 | 11433090 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11433090 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-08-27 | F | AE | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_11433090_a42d697f-667f-40f2-ae2a-82b21f115a11.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MA | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631005640 | N/A | N/A | 5676388 | 2222 | 4793 | 11306096 | N/A | 4343445 | 2025-08-25 02:17:31.593206 | 2025-05-14 09:06:09.407736 |
| 2025-08-24 08:08:12.004751 | 2025-08-25 02:13:00.879821 | 11432383 | N/A | N/A | 60054 | Aetna | 1114042165 | 11432383 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-08-27 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11432383_a88dde05-6f1c-45da-8517-10be772a1b13.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630988566 | N/A | N/A | 5993951 | 2222 | 4802 | 11290892 | N/A | 4642884 | 2025-08-25 02:13:00.879821 | 2025-12-02 20:19:19.910444 |
| 2025-08-24 08:08:11.707148 | 2025-08-25 02:14:53.448958 | 11432366 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11432366 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-08-27 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_11432366_9ae86519-e4f3-4a57-8e0d-430e99548e52.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8630988565 | N/A | N/A | 5993940 | 2222 | 4802 | 11296831 | N/A | 4642877 | 2025-08-25 02:14:53.448958 | 2025-12-23 23:49:16.627667 |
| 2025-08-24 08:08:11.372120 | 2025-08-25 02:15:49.080314 | 11432346 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11432346 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-08-27 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_11432346_d69ff073-54a5-4ee8-bee4-3164aa703470.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988564 | N/A | N/A | 5993920 | 2222 | 4793 | 11300059 | 4184 | 4642859 | 2025-08-25 02:15:49.080314 | 2026-04-10 21:27:25.225083 |
| 2025-08-24 08:08:10.935859 | 2025-08-25 02:16:08.235021 | 11432316 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11432316 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-08-27 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_11432316_87f886ef-eb44-498f-9875-eb2aaf4520cb.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1996-01-20 | N/A | N/A | N/A | N/A | false | WORDEN | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630988563 | N/A | N/A | 5993479 | 2222 | 4801 | 11301245 | N/A | 4219476 | 2025-08-25 02:16:08.235021 | 2025-05-28 20:18:04.039855 |
| 2025-08-24 08:08:06.243040 | 2025-08-25 02:31:11.974777 | 11431979 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11431979 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-08-27 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_11431979_6fa96e8d-749b-47ea-91b4-ed31f1bfb22e.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 8630984285 | N/A | N/A | 6958289 | 2222 | 4793 | 11345766 | N/A | 5983606 | 2025-08-25 02:31:11.974777 | 2025-07-18 18:03:17.155924 |
| 2025-08-24 08:08:05.834716 | 2025-08-25 02:32:23.784743 | 11431949 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11431949 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-08-27 | M | AE | PT | WALDEN | 5AF5PY3HV89 | REGAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_11431949_fcb54fa2-6d8e-4ded-ba25-c14521e01f64.json | N/A | N/A | N/A | N/A | N/A | 5AF5PY3HV89 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-29 | S5921 | N/A | N/A | MA | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631017305 | N/A | N/A | 6472393 | 2222 | 4801 | 11348252 | N/A | 5105545 | 2025-08-25 02:32:23.784743 | 2025-07-07 15:29:01.484955 |
| 2025-08-24 08:08:04.498370 | 2025-08-25 02:31:27.097446 | 11431850 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11431850 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-08-27 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6956492/check_11431850_b18e150a-629e-418d-8860-325f4c624c14.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-23 | 040 | CAMCRWP0 | N/A | MP | false | BURNS | N/A | MARY | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630984262 | N/A | N/A | 6956492 | 2222 | 4801 | 11346307 | N/A | 4209247 | 2025-08-25 02:31:27.097446 | 2025-07-22 18:58:10.876206 |
| 2025-08-24 08:07:56.692274 | 2025-08-25 02:31:29.250947 | 11431298 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11431298 | Athletic Physical Therapy Inc | 1994-01-04 | 2025-08-27 | M | PT | N/A | Sanker | XDP261W22399 | Stacy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938269/check_11431298_3a3a5152-5974-4546-9c7f-8c5f78881ddb.json | N/A | N/A | N/A | N/A | N/A | XDP261W22399 | Preferred Provider Organization (PPO) | ORANGE COUNTY PROFESSIONAL FIREFIGHTERS | ANTHEM BLUE CROSS | N/A | 1994-01-04 | 040 | 1826RP | N/A | PR | false | SANKER | N/A | STACY | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630983479 | N/A | N/A | 6938269 | 2222 | 4802 | 11346378 | N/A | 5968994 | 2025-08-25 02:31:29.250947 | 2025-08-06 15:28:51.698909 |
| 2025-08-24 08:07:46.600366 | 2025-08-25 02:27:21.168695 | 11430593 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11430593 | N/A | 1949-01-04 | 2025-08-27 | F | AE | PT | MARTINEZ | 40031653001 | CONSUELO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_11430593_a7cdedfe-6625-40e0-9e92-8b69124e5913.json | N/A | N/A | N/A | N/A | N/A | 40031653001 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1949-01-04 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | CONSUELO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631017111 | N/A | N/A | 6442609 | 2222 | 4801 | 11335373 | N/A | 5083714 | 2025-08-25 02:27:21.168695 | 2025-07-18 18:00:26.722024 |
| 2025-08-24 08:07:45.204354 | 2025-08-25 02:27:18.115193 | 11430479 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11430479 | Athletic Physical Therapy Inc | 1998-01-12 | 2025-08-27 | M | AE | PT | GUTIERREZ DE LA TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.132214443.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_11430479_692d2900-1784-4279-9b23-ead757e4a92c.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | HEALTH NET, LLC | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORR | N/A | JOEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631016929 | N/A | N/A | 6436444 | 2222 | 4802 | 11335237 | N/A | 5082110 | 2025-08-25 02:27:18.115193 | 2025-06-24 20:17:03.860413 |
| 2025-08-24 08:07:44.594917 | 2025-08-25 02:31:27.453672 | 11430433 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430433 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-08-27 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131115585.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_11430433_608ca69a-34c8-46c8-ae9f-05157621d10e.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8630982874 | N/A | N/A | 6917703 | 2222 | 4793 | 11346320 | N/A | 5949095 | 2025-08-25 02:31:27.453672 | 2025-07-28 22:15:30.266976 |
| 2025-08-24 08:07:44.398488 | 2025-08-25 02:12:46.600205 | 11430418 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430418 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-08-27 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_11430418_877b38ba-7889-49bc-8cc6-8f1d24928936.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004817 | N/A | N/A | 5550993 | 2222 | 4793 | 11290282 | N/A | 4219817 | 2025-08-25 02:12:46.600205 | 2025-05-13 04:29:37.230864 |
| 2025-08-24 08:07:44.273803 | 2025-08-25 02:12:44.130610 | 11430409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430409 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-08-27 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_11430409_3d39a73d-e136-4bda-b766-3975c18258b3.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004816 | N/A | N/A | 5550973 | 2222 | 4793 | 11290174 | N/A | 4219803 | 2025-08-25 02:12:44.130610 | 2025-05-13 04:29:37.230842 |
| 2025-08-24 08:07:44.199428 | 2025-08-25 02:12:48.772097 | 11430401 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430401 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-08-27 | F | PT | N/A | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_11430401_85dbcf90-45f1-4bad-ba60-ea04b40d1545.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004815 | N/A | N/A | 5550923 | 2222 | 4801 | 11290367 | N/A | 4219763 | 2025-08-25 02:12:48.772097 | 2025-05-13 04:29:37.230804 |
| 2025-08-24 08:07:44.105815 | 2025-08-25 02:08:36.377745 | 11430395 | N/A | N/A | 60054 | Aetna | 1114042165 | 11430395 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-08-27 | F | AE | PT | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_11430395_9288a4f6-94cf-4494-a2a7-ed1fdd1ddb8d.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004814 | N/A | N/A | 5550850 | 2222 | 4802 | 11282288 | N/A | 4215195 | 2025-08-25 02:08:36.377745 | 2025-05-14 09:08:40.751930 |
| 2025-08-24 08:07:44.012377 | 2025-08-25 02:12:37.528683 | 11430386 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11430386 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-08-27 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_11430386_c59d8aec-3b16-4943-a816-9368674f3a24.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004813 | N/A | N/A | 5550102 | 2222 | 4802 | 11289879 | N/A | 4212176 | 2025-08-25 02:12:37.528683 | 2025-05-13 04:29:37.226514 |
| 2025-08-24 08:07:43.926906 | 2025-08-25 02:12:48.194942 | 11430382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430382 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-08-27 | F | PT | N/A | VALDIVIA | JQW088W14517 | CRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_11430382_f1bc4520-b54b-4cbc-adf9-9bd39beb1a1e.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004812 | N/A | N/A | 5549398 | 2222 | 4801 | 11290342 | N/A | 4219064 | 2025-08-25 02:12:48.194942 | 2025-06-06 15:26:44.406275 |
| 2025-08-24 08:07:43.807392 | 2025-08-25 02:13:09.165473 | 11430372 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430372 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-08-27 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_11430372_1883ef34-5ab5-4f38-9b8f-92e9d50d3cbe.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004811 | N/A | N/A | 5549317 | 2222 | 4801 | 11291234 | N/A | 4219010 | 2025-08-25 02:13:09.165473 | 2026-01-09 18:32:07.618867 |
| 2025-08-24 08:07:41.716241 | 2025-08-25 02:12:19.874929 | 11430229 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11430229 | N/A | 1962-06-19 | 2025-08-27 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_11430229_524c1fc0-6c6b-4225-b63e-d662c64259af.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004733 | N/A | N/A | 5543555 | 2222 | 4802 | 11289115 | N/A | 4215332 | 2025-08-25 02:12:19.874929 | 2025-08-06 16:15:15.716322 |
| 2025-08-24 08:07:41.518455 | 2025-08-25 02:13:35.091185 | 11430214 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11430214 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-08-27 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11430214_6a5e2bbc-3ce5-4d77-937b-2784a71c84e8.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004732 | N/A | N/A | 5543343 | 2222 | 4793 | 11292435 | N/A | 4215143 | 2025-08-25 02:13:35.091185 | 2025-05-13 04:29:37.229456 |
| 2025-08-24 08:07:41.343871 | 2025-08-25 02:17:30.720917 | 11430201 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11430201 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-27 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_11430201_53ec738c-c53b-46bb-b23a-225866b3e6e0.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004731 | N/A | N/A | 5543340 | 2222 | 4793 | 11306053 | N/A | 4215147 | 2025-08-25 02:17:30.720917 | 2025-05-13 04:29:37.229464 |
| 2025-08-24 08:07:41.112176 | 2025-08-25 02:08:16.015701 | 11430187 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11430187 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-08-27 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_11430187_891fa199-0e2f-4eda-bf1b-5399e902d352.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 | 8631004730 | N/A | N/A | 5543335 | 2222 | 4802 | 11281808 | N/A | 4215139 | 2025-08-25 02:08:16.015701 | 2025-05-13 21:20:11.455022 |
| 2025-08-24 08:07:40.731034 | 2025-08-25 02:12:36.874924 | 11430161 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11430161 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-08-27 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11430161_9f628ed5-a223-4d14-b343-089690c6c318.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004729 | N/A | N/A | 5543270 | 2222 | 4793 | 11289859 | N/A | 4215086 | 2025-08-25 02:12:36.874924 | 2025-05-13 04:29:37.229401 |
| 2025-08-24 08:07:40.408789 | 2025-08-25 02:13:37.485435 | 11430142 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11430142 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-08-27 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_11430142_cbd1a37e-8a59-4746-b772-525611ab064e.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ENHANCED DENTAL PPO 25 500 JAN21 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004728 | N/A | N/A | 5543237 | 2222 | 4802 | 11292558 | N/A | 4215054 | 2025-08-25 02:13:37.485435 | 2025-05-13 04:29:37.229375 |
| 2025-08-24 08:07:40.086277 | 2025-08-25 02:12:45.788791 | 11430121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430121 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-08-27 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_11430121_0d331ab0-c44c-4232-b7de-b1a3fbafcec7.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 2025-09-22 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004727 | N/A | N/A | 5543178 | 2222 | 4802 | 11290232 | N/A | 4215006 | 2025-08-25 02:12:45.788791 | 2025-05-13 04:29:37.229325 |
| 2025-08-24 08:07:39.823863 | 2025-08-25 02:08:38.164628 | 11430103 | N/A | N/A | 60054 | Aetna | 1114042165 | 11430103 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-08-27 | M | AE | PT | TORGAN | W291598583 | SPENCER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_11430103_6aab079f-e69b-45f8-aa91-54a407008ec0.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004726 | N/A | N/A | 5542863 | 2222 | 4793 | 11282333 | N/A | 4214725 | 2025-08-25 02:08:38.164628 | 2025-05-13 04:29:37.229043 |
| 2025-08-24 08:07:39.667052 | 2025-08-25 02:12:36.525999 | 11430094 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11430094 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-08-27 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_11430094_920209c3-c7db-410b-be84-8abf502f68e0.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 | 8631004725 | N/A | N/A | 5542611 | 2222 | 4802 | 11289842 | N/A | 4214490 | 2025-08-25 02:12:36.525999 | 2025-05-13 04:29:37.228806 |
| 2025-08-24 08:07:39.528453 | 2025-08-25 02:12:35.016822 | 11430084 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11430084 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-08-27 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_11430084_0b8d5546-c2fb-48e9-94cd-014fb5fff8e3.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004724 | N/A | N/A | 5542513 | 2222 | 4793 | 11289772 | N/A | 4214418 | 2025-08-25 02:12:35.016822 | 2025-07-03 18:12:11.075357 |
| 2025-08-24 08:07:39.433301 | 2025-08-25 02:12:47.755092 | 11430078 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430078 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-08-27 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11430078_73c0f112-f8cd-41ab-8e47-4963807addd9.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004723 | N/A | N/A | 5542387 | 2222 | 4801 | 11290324 | N/A | 4214300 | 2025-08-25 02:12:47.755092 | 2025-06-17 13:03:57.252701 |
| 2025-08-24 08:07:39.310371 | 2025-08-25 02:12:47.346384 | 11430070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11430070 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-08-27 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11430070_03ce84da-6ce0-4dc1-a44b-82145b6da448.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 8631004722 | N/A | N/A | 5542014 | 2222 | 4793 | 11290311 | N/A | 4213977 | 2025-08-25 02:12:47.346384 | 2025-05-13 04:29:37.228294 |
| 2025-08-24 08:07:39.136853 | 2025-08-25 02:12:10.932328 | 11430060 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11430060 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-08-27 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11430060_27561f3f-b099-4e92-9a92-d694253de193.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8631004721 | N/A | N/A | 5541972 | 2222 | 4793 | 11288700 | N/A | 4213941 | 2025-08-25 02:12:10.932328 | 2025-05-13 04:29:37.228259 |
| 2025-08-24 08:07:39.026339 | 2025-08-25 02:12:42.359126 | 11430054 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11430054 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-08-27 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131717552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_11430054_275cd5e4-f018-4227-9cbe-271482e4585b.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8631004720 | N/A | N/A | 5541944 | 2222 | 4801 | 11290090 | 4184 | 4213907 | 2025-08-25 02:12:42.359126 | 2025-05-13 04:29:37.228228 |
| 2025-08-24 08:07:38.994725 | 2025-08-25 02:16:27.604813 | 11430052 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11430052 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-08-27 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250824.131215633.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_11430052_2c1ba2e0-e798-4969-b3aa-9a6472829b64.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 | 8630988976 | N/A | N/A | 5928752 | 2222 | 4802 | 11302391 | N/A | 4583701 | 2025-08-25 02:16:27.604813 | 2025-07-24 17:50:11.805587 |