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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-23 16:29:11.721149 | 2025-08-24 02:23:42.069517 | 11389770 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11389770 | Athletic Physical Therapy Inc | 1990-11-27 | 2025-08-25 | M | PT | HAN | XTS845M18428 | PENGCHENG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192915058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7689149/check_11389770_cd592e88-3e72-475c-bf51-6474611b2791.json | N/A | N/A | N/A | N/A | N/A | XTS845M18428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-11-27 | N/A | N/A | N/A | N/A | false | HAN | N/A | PENGCHENG | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627696993 | N/A | N/A | 7689149 | 2222 | 4793 | 11196460 | N/A | 6560578 | 2025-08-24 02:23:42.069517 | 2025-08-15 01:36:36.509527 |
| 2025-08-23 16:29:09.023706 | 2025-08-24 02:22:04.903451 | 11389660 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11389660 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-08-26 | M | AE | BECKLEY | 00000375188 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_11389660_b6063bd4-4cd8-45c5-b0be-2c3bd6eaf70b.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 8627693642 | N/A | N/A | 6077164 | 2222 | 4801 | 11192084 | 2630 | 4720748 | 2025-08-24 02:22:04.903451 | 2025-06-11 15:34:07.942696 |
| 2025-08-23 16:28:57.603851 | 2025-08-24 02:35:38.318563 | 11389115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11389115 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-08-26 | F | PT | MAGHSOUDLOO | XEA913772161 | FARIBAB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_11389115_bfebf639-4f66-43e7-95f4-0d1790925bc2.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | 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 | 8627682680 | N/A | N/A | 6770593 | 2222 | 4793 | 11222686 | N/A | 5788398 | 2025-08-24 02:35:38.318563 | 2025-07-31 22:52:15.686379 |
| 2025-08-23 16:28:56.946721 | 2025-08-24 02:23:15.920587 | 11389086 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11389086 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-08-26 | M | AE | Weiss | R13448501MS1 | Mark | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192915058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_11389086_ad36ec80-670a-415a-b607-c91e3d043ea6.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627698305 | N/A | N/A | 7661660 | 2222 | 4802 | 11195240 | N/A | 6543985 | 2025-08-24 02:23:15.920587 | 2025-08-01 18:30:37.244428 |
| 2025-08-23 16:28:56.326153 | 2025-08-24 02:35:28.484723 | 11389057 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11389057 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-08-26 | F | AE | TORREY | 00000374205 | JOYCE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11389057_f3be0e6f-c22c-47a1-a6e1-fd2323769a6f.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627682662 | N/A | N/A | 6768717 | 2222 | 4801 | 11222305 | N/A | 5725966 | 2025-08-24 02:35:28.484723 | 2025-07-08 20:19:24.946360 |
| 2025-08-23 16:28:55.601643 | 2025-08-24 02:36:14.235610 | 11389028 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11389028 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-08-26 | F | PT | SHELLHORN | XEH903359049 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_11389028_ad4c6f99-268e-47ac-8ab1-9b64bdb14918.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627684170 | N/A | N/A | 6766432 | 2222 | 4801 | 11224011 | N/A | 5670727 | 2025-08-24 02:36:14.235610 | 2025-08-05 20:04:51.056029 |
| 2025-08-23 16:28:52.831897 | 2025-08-24 02:39:34.505066 | 11388908 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11388908 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-26 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_11388908_c41ef2e7-b837-4540-886f-d70e56ece734.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627684148 | N/A | N/A | 6752936 | 2222 | 4801 | 11231703 | N/A | 5065602 | 2025-08-24 02:39:34.505066 | 2025-07-01 17:25:13.681724 |
| 2025-08-23 16:28:41.475342 | 2025-08-24 02:12:57.457457 | 11388375 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11388375 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-08-26 | F | AE | KLOSSOWSKI | 98920892C | TRESSA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192837974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_11388375_32229ac4-f480-445d-91b2-0f22b207bdd2.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-12-06 | N/A | N/A | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627692082 | N/A | N/A | 7019712 | 2222 | 4793 | 11170581 | N/A | 6034714 | 2025-08-24 02:12:57.457457 | 2025-07-15 18:02:59.670156 |
| 2025-08-23 16:28:36.650043 | 2025-08-24 02:39:35.203512 | 11388148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11388148 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-08-26 | F | AE | GARRETT | 3EJ1R73ND18 | KATHLEEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_11388148_00a2d21d-2a5f-4914-846c-813117ce42f6.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MB | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627684411 | N/A | N/A | 6714932 | 2222 | 4793 | 11231733 | N/A | 5316176 | 2025-08-24 02:39:35.203512 | 2025-07-01 18:44:12.927482 |
| 2025-08-23 16:28:36.549387 | 2025-08-24 02:39:35.542663 | 11388141 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11388141 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-08-25 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_11388141_33450147-1ce9-45da-bb77-02029f71fe8b.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627684410 | N/A | N/A | 6714928 | 2222 | 4802 | 11231750 | N/A | 5316172 | 2025-08-24 02:39:35.542663 | 2025-07-02 15:09:36.678003 |
| 2025-08-23 16:28:22.452174 | 2025-08-24 02:09:07.770125 | 11387434 | N/A | N/A | 60054 | Aetna | 1114042165 | 11387434 | Athletic Physical Therapy Inc | 1973-06-29 | 2025-08-26 | M | AE | PHILIBOSIAN | W278870596 | ROBERT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192837974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000214/check_11387434_f7b6bb51-3e7a-432b-9eda-8aca44063fd0.json | N/A | N/A | N/A | N/A | N/A | W278870596 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1973-06-29 | 0232494 | 023249401700556 | N/A | PS | false | PHILIBOSIAN | N/A | ROBERT | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627691587 | N/A | N/A | 7000214 | 2222 | 4801 | 11168088 | N/A | 4219137 | 2025-08-24 02:09:07.770125 | 2025-05-13 04:29:37.230154 |
| 2025-08-23 16:28:18.404170 | 2025-08-24 02:36:13.472821 | 11387226 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11387226 | Athletic Physical Therapy Inc | 1966-03-01 | 2025-08-26 | F | PT | DOUGHERTY | 913987117 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6686939/check_11387226_51725f5a-a69d-4bb8-8b5f-46b09f06e836.json | N/A | N/A | N/A | N/A | N/A | XEH913987117 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1966-03-01 | 1000HMOX0002 | W0067449 | N/A | HM | false | DOUGHERTY | N/A | JENNIFER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627683093 | N/A | N/A | 6686939 | 2222 | 4801 | 11223985 | N/A | 5295043 | 2025-08-24 02:36:13.472821 | 2025-07-17 01:28:10.581788 |
| 2025-08-23 16:28:17.640216 | 2025-08-24 02:18:19.977147 | 11387194 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11387194 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-26 | F | AE | FRITH SMITH | 9M69RM7JM34 | BARBARA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192837974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_11387194_bb75ecb5-9607-4fec-b1d2-3930986b13cc.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MA | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627691558 | N/A | N/A | 6998367 | 2222 | 4801 | 11181037 | N/A | 6017959 | 2025-08-24 02:18:19.977147 | 2025-07-14 18:22:35.995798 |
| 2025-08-23 16:28:15.982738 | 2025-08-24 02:34:52.129009 | 11387117 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11387117 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-08-26 | M | AE | SIMMONS | 40055722801 | J | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_11387117_af3ae4fa-d963-4462-9a9f-727d150fe21e.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627683067 | N/A | N/A | 6685251 | 2222 | 4793 | 11220881 | N/A | 4209868 | 2025-08-24 02:34:52.129009 | 2025-08-15 22:13:56.514261 |
| 2025-08-23 16:28:09.980265 | 2025-08-24 02:18:16.334442 | 11386864 | N/A | N/A | 60054 | Aetna | 1114042165 | 11386864 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-08-26 | F | AE | DAVIS | W258779471 | MARTINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11386864_a5aefcca-7d8e-4992-861e-82f5e046aa05.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 | 8627693608 | N/A | N/A | 5993951 | 2222 | 4802 | 11180878 | N/A | 4642884 | 2025-08-24 02:18:16.334442 | 2025-12-02 20:19:19.910444 |
| 2025-08-23 16:28:09.673091 | 2025-08-24 02:21:06.378941 | 11386851 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11386851 | N/A | 1952-08-31 | 2025-08-26 | F | AE | CARRILLO | 40025807501 | LAURA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993946/check_11386851_b2280997-3046-4ad5-babd-2b45aa562aba.json | N/A | N/A | N/A | N/A | N/A | 40025807501 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1952-08-31 | N/A | N/A | N/A | N/A | false | CARRILLO | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693607 | N/A | N/A | 5993946 | 2222 | 4801 | 11189254 | N/A | 4642883 | 2025-08-24 02:21:06.378941 | 2025-05-30 18:05:44.781764 |
| 2025-08-23 16:28:09.472675 | 2025-08-24 02:26:53.002228 | 11386843 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11386843 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-26 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11386843_89294cdf-4a4d-4274-8063-e8f7e653f9f1.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693606 | N/A | N/A | 5993912 | 2222 | 4793 | 11204540 | N/A | 4642852 | 2025-08-24 02:26:53.002228 | 2025-11-21 18:38:17.056437 |
| 2025-08-23 16:27:57.383432 | 2025-08-24 02:36:13.756928 | 11386368 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11386368 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-08-26 | F | PT | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_11386368_5b58ef16-27ad-476e-89a6-019b6530e46a.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627683025 | N/A | N/A | 6668755 | 2222 | 4801 | 11223998 | N/A | 5282877 | 2025-08-24 02:36:13.756928 | 2025-07-01 15:56:36.473431 |
| 2025-08-23 16:27:55.379007 | 2025-08-24 02:18:08.069189 | 11386276 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11386276 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-08-26 | F | PT | HERCEG | JQQ193M82762 | ANDJELKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192915058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7627183/check_11386276_44ced7af-d09e-4e23-95e2-c0e64e1ea542.json | N/A | N/A | N/A | N/A | N/A | JQQ193M82762 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-04-03 | N/A | N/A | N/A | N/A | false | HERCEG | N/A | ANDJELKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627698163 | N/A | N/A | 7627183 | 2222 | 4793 | 11180510 | N/A | 6526151 | 2025-08-24 02:18:08.069189 | 2025-07-31 16:27:01.412304 |
| 2025-08-23 16:27:51.284249 | 2025-08-24 02:09:01.694777 | 11386103 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11386103 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-08-26 | M | PT | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192837974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_11386103_022b8f28-2362-4185-b12d-8b3d5b1fffd5.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2025-06-01 | PLATINUM ACCESS HMO R 0 20 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627691280 | N/A | N/A | 6967909 | 2222 | 4793 | 11168012 | N/A | 5990447 | 2025-08-24 02:09:01.694777 | 2025-07-21 18:40:33.917911 |
| 2025-08-23 16:27:46.343415 | 2025-08-24 02:34:51.815495 | 11385896 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11385896 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-08-26 | M | AE | MEJIA | 40055012201 | RUBEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_11385896_11d231b6-bc21-4c2d-87d2-f206c0b65a58.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1937-09-14 | 2025H5425001 | H5425M | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627682375 | N/A | N/A | 6642365 | 2222 | 4801 | 11220868 | N/A | 5249029 | 2025-08-24 02:34:51.815495 | 2025-07-14 01:52:51.387918 |
| 2025-08-23 16:27:46.202735 | 2025-08-24 02:39:35.860220 | 11385888 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11385888 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-26 | F | AE | Tatge | 2DH1CG9VR90 | Glenda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11385888_10914e2f-03a7-4c58-8a93-eaed96f900a4.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627682373 | N/A | N/A | 6641936 | 2222 | 4801 | 11231763 | N/A | 5248742 | 2025-08-24 02:39:35.860220 | 2025-07-16 18:02:25.797343 |
| 2025-08-23 16:27:46.126630 | 2025-08-24 02:35:38.654096 | 11385884 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11385884 | Athletic Physical Therapy Inc | 1954-06-04 | 2025-08-26 | F | PT | Martin | JOQ815W10930 | Lilliane | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641910/check_11385884_425feed2-5584-43ca-8ff1-dfe7c7311d4a.json | N/A | N/A | N/A | N/A | N/A | JOQ815W10930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-06-04 | N/A | N/A | N/A | N/A | false | MARTIN | N/A | LILLIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627682372 | N/A | N/A | 6641910 | 2222 | 4802 | 11222699 | N/A | 5248673 | 2025-08-24 02:35:38.654096 | 2025-09-03 18:56:09.134332 |
| 2025-08-23 16:27:33.236926 | 2025-08-24 02:12:54.102822 | 11385331 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11385331 | Athletic Physical Therapy Inc | 1937-09-28 | 2025-08-26 | F | AE | MENDOZA | 00000395455 | LEVIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192837974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6957837/check_11385331_127527e4-58bc-4277-8df2-c6d9602079f9.json | N/A | N/A | N/A | N/A | N/A | 00000395455 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1937-09-28 | H3815028 | N/A | N/A | HM | false | MENDOZA | N/A | LEVIE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627690936 | N/A | N/A | 6957837 | 2222 | 4801 | 11170533 | N/A | 5983200 | 2025-08-24 02:12:54.102822 | 2025-07-25 17:28:26.584539 |
| 2025-08-23 16:27:25.686904 | 2025-08-24 02:24:55.533415 | 11385042 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11385042 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-25 | F | PT | CHAMBERLIN | CAW905797094 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192915058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11385042_52d19ff6-f394-4760-9344-dadf4b8b6e0e.json | N/A | N/A | N/A | N/A | N/A | CAW905797094 | Preferred Provider Organization (PPO) | CSEBA BEAR VALLEY UNIFIED SCHOOL DISTRICT | BLUE SHIELD CALIFORNIA | N/A | 1960-09-02 | 1001PPOX0001 | W0064554 | N/A | PR | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | CSEBA ASO PPO GOLD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627697693 | N/A | N/A | 7591326 | 2222 | 4801 | 11199788 | N/A | 6499323 | 2025-08-24 02:24:55.533415 | 2025-07-30 18:54:36.603528 |
| 2025-08-23 16:27:18.323847 | 2025-08-24 02:32:59.962880 | 11384753 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11384753 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-08-26 | M | AE | SHIMOHARA | H7561028700 | STANLEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_11384753_542a4781-3c86-4148-9b1c-dbc4c60e7102.json | N/A | N/A | N/A | N/A | N/A | H75610287 | 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 | 1947-09-20 | N/A | 0B527001 | N/A | HN | false | SHIMOHARA | N/A | STANLEY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627683852 | N/A | N/A | 6594216 | 2222 | 4801 | 11216449 | N/A | 5213181 | 2025-08-24 02:32:59.962880 | 2025-07-28 18:07:32.231640 |
| 2025-08-23 16:27:14.504314 | 2025-08-24 02:26:53.715277 | 11384595 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11384595 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-26 | M | AE | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11384595_a6ce79e2-e6b3-4679-a2d0-5ee79d2ca1ff.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 | 8627693884 | N/A | N/A | 5874455 | 2222 | 4801 | 11204576 | N/A | 4534577 | 2025-08-24 02:26:53.715277 | 2025-06-18 18:41:30.608585 |
| 2025-08-23 16:27:14.232551 | 2025-08-24 02:22:10.015260 | 11384585 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11384585 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-08-26 | F | AE | PORCELLINI | 623363623 | KYLA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_11384585_a671945a-bc2f-4e38-a8f6-075518d80882.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693883 | N/A | N/A | 5874433 | 2222 | 4802 | 11192324 | N/A | 4534562 | 2025-08-24 02:22:10.015260 | 2025-06-03 16:07:02.060667 |
| 2025-08-23 16:27:13.968096 | 2025-08-24 02:20:58.718325 | 11384574 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11384574 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-26 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_11384574_f6c47373-2bd9-4c34-8fee-a5590a8dac76.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 | 8627693882 | N/A | N/A | 5874423 | 2222 | 4802 | 11188880 | N/A | 4534552 | 2025-08-24 02:20:58.718325 | 2025-05-30 18:01:03.324126 |
| 2025-08-23 16:27:02.819983 | 2025-08-24 02:36:13.127042 | 11384130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11384130 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-08-26 | F | PT | Deschatres | XED912070650 | Nathalie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_11384130_f87b7ffc-9d35-4a55-9420-cd7cdbb98e08.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627682947 | N/A | N/A | 6577909 | 2222 | 4802 | 11223972 | N/A | 4766701 | 2025-08-24 02:36:13.127042 | 2025-06-03 21:11:46.573919 |
| 2025-08-23 16:27:00.690791 | 2025-08-24 02:36:20.914918 | 11384037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11384037 | Athletic Physical Therapy Inc | 1986-05-13 | 2025-08-26 | F | PT | GUDIEL | ZGP812841152 | LEAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6573745/check_11384037_52df2542-b96d-41a5-89cd-c89d25634759.json | N/A | N/A | N/A | N/A | N/A | ZGP812841152 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-13 | N/A | 279469 | N/A | PR | false | GUDIEL | N/A | LEAH | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627683811 | N/A | N/A | 6573745 | 2222 | 4801 | 11224284 | N/A | 5194450 | 2025-08-24 02:36:20.914918 | 2025-07-13 23:50:25.607492 |
| 2025-08-23 16:26:45.948112 | 2025-08-24 02:32:04.474058 | 11383385 | N/A | N/A | 60054 | Aetna | 1114042165 | 11383385 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-08-26 | M | AE | Hamilton | W292751187 | Kevin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_11383385_0617f258-84eb-408e-8e68-3d5945ba349f.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627683586 | N/A | N/A | 6555606 | 2222 | 4802 | 11214738 | N/A | 5178755 | 2025-08-24 02:32:04.474058 | 2025-07-17 17:42:32.068740 |
| 2025-08-23 16:26:45.288283 | 2025-08-24 02:31:34.985054 | 11383354 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11383354 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-08-26 | F | AE | Ballatore | 90665617F | Chloe | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_11383354_796bf00c-9842-42c7-ba79-14f1786935cd.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627683517 | N/A | N/A | 6553125 | 2222 | 4802 | 11213992 | N/A | 5176363 | 2025-08-24 02:31:34.985054 | 2025-06-23 23:46:22.182955 |
| 2025-08-23 16:26:38.017631 | 2025-08-24 02:22:20.785922 | 11382994 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11382994 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-26 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_11382994_022e3d2b-c86b-42a5-9d39-a40f47bd8959.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 | 8627694240 | N/A | N/A | 5676340 | 2222 | 4793 | 11192846 | 4184 | 4210531 | 2025-08-24 02:22:20.785922 | 2025-12-09 17:09:13.960610 |
| 2025-08-23 16:26:36.646862 | 2025-08-24 02:39:34.866947 | 11382904 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11382904 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-08-26 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_11382904_239e2f52-3c02-41b4-ae19-e41d3630a098.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627682933 | N/A | N/A | 6522947 | 2222 | 4802 | 11231716 | N/A | 5146127 | 2025-08-24 02:39:34.866947 | 2025-06-20 17:58:23.371130 |
| 2025-08-23 16:26:23.286317 | 2025-08-24 02:35:39.167541 | 11382264 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11382264 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-08-26 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192415766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_11382264_5314ec5c-c26d-4300-96f8-9610336ced87.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627682733 | N/A | N/A | 6491817 | 2222 | 4801 | 11222709 | N/A | 5120889 | 2025-08-24 02:35:39.167541 | 2025-06-23 18:24:54.219050 |
| 2025-08-23 16:26:18.919472 | 2025-08-24 02:22:05.320911 | 11382030 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11382030 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-08-26 | M | AE | HACKBARTH | 00000294758 | HAROLD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_11382030_3ea98129-a4d9-4e62-b8b4-64756015c88b.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693809 | N/A | N/A | 5568081 | 2222 | 4801 | 11192101 | N/A | 4212656 | 2025-08-24 02:22:05.320911 | 2025-08-12 21:09:57.607033 |
| 2025-08-23 16:26:18.859641 | 2025-08-24 02:20:58.024492 | 11382026 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11382026 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-26 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11382026_efd10b68-e7d1-42ae-ae8d-a5221ca2b650.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 | 8627693808 | N/A | N/A | 5568076 | 2222 | 4802 | 11188848 | N/A | 4209480 | 2025-08-24 02:20:58.024492 | 2026-04-10 02:05:15.976484 |
| 2025-08-23 16:26:10.084518 | 2025-08-24 02:22:21.146291 | 11381634 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381634 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-08-25 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_11381634_e7f72fff-5259-4c89-8610-ced544f182ff.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 | 8627693563 | N/A | N/A | 5550993 | 2222 | 4793 | 11192864 | N/A | 4219817 | 2025-08-24 02:22:21.146291 | 2025-05-13 04:29:37.230864 |
| 2025-08-23 16:26:09.935778 | 2025-08-24 02:22:18.046423 | 11381632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381632 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-08-26 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11381632_fef5e751-9d65-4a81-b4d8-d7430fee14d5.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693562 | N/A | N/A | 5550953 | 2222 | 4801 | 11192720 | N/A | 4219788 | 2025-08-24 02:22:18.046423 | 2025-06-06 22:01:46.271450 |
| 2025-08-23 16:26:09.751230 | 2025-08-24 02:23:19.452044 | 11381627 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11381627 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-26 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11381627_07993a7e-c94f-451c-b0aa-4199ed7498c3.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693561 | N/A | N/A | 5550827 | 2222 | 4802 | 11195422 | N/A | 4219700 | 2025-08-24 02:23:19.452044 | 2025-05-13 04:29:37.230745 |
| 2025-08-23 16:26:09.623349 | 2025-08-24 02:22:04.455014 | 11381623 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11381623 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-26 | M | AE | ARUJO | 00000223568 | RAMON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11381623_6a56da77-59a8-4881-8b11-18b015b700f7.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 | 8627693560 | N/A | N/A | 5550751 | 2222 | 4801 | 11192050 | 2630 | 4219640 | 2025-08-24 02:22:04.455014 | 2025-05-13 04:29:37.230682 |
| 2025-08-23 16:26:09.397244 | 2025-08-24 02:18:17.360611 | 11381618 | N/A | N/A | 60054 | Aetna | 1114042165 | 11381618 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-26 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11381618_a826e221-46e6-433c-bc57-1e44f88ac7ed.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 | 8627693559 | N/A | N/A | 5550743 | 2222 | 4801 | 11180932 | N/A | 4219643 | 2025-08-24 02:18:17.360611 | 2025-05-13 04:29:37.230685 |
| 2025-08-23 16:26:09.223678 | 2025-08-24 02:26:52.613421 | 11381610 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11381610 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-26 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_11381610_65a2181c-f507-4dbe-8527-5e1701d5d51a.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 | 8627693558 | N/A | N/A | 5549981 | 2222 | 4802 | 11204527 | N/A | 4219436 | 2025-08-24 02:26:52.613421 | 2025-05-13 04:29:37.230471 |
| 2025-08-23 16:26:09.073739 | 2025-08-24 02:21:53.300767 | 11381606 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11381606 | N/A | 1967-12-23 | 2025-08-26 | F | AE | SOL | U9859952501 | ISABEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_11381606_e1579646-e00f-4d7e-8fba-254d065cc979.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 | 8627693557 | N/A | N/A | 5549212 | 2222 | 4793 | 11191495 | N/A | 4218926 | 2025-08-24 02:21:53.300767 | 2025-07-30 14:07:18.779456 |
| 2025-08-23 16:26:07.876992 | 2025-08-24 02:20:59.180627 | 11381575 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11381575 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-26 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_11381575_1a6415f4-1ea8-4b9a-88c0-9e473ec5741f.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 | 8627693549 | N/A | N/A | 5543425 | 2222 | 4801 | 11188897 | N/A | 4215211 | 2025-08-24 02:20:59.180627 | 2026-04-02 22:30:20.020246 |
| 2025-08-23 16:26:07.808756 | 2025-08-24 02:22:19.489574 | 11381573 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11381573 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-08-26 | M | PT | MEINERT | XEH912496752 | TIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_11381573_0b9cb18f-fb28-4a80-9ce8-6d5313ee4688.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 | 8627693548 | N/A | N/A | 5543360 | 2222 | 4793 | 11192775 | 4184 | 4215161 | 2025-08-24 02:22:19.489574 | 2025-05-13 04:29:37.229478 |
| 2025-08-23 16:26:07.733682 | 2025-08-24 02:22:16.604690 | 11381571 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381571 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-08-26 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11381571_f8b630ef-baee-494e-aae9-437731458b30.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693547 | N/A | N/A | 5543355 | 2222 | 4793 | 11192653 | N/A | 4215158 | 2025-08-24 02:22:16.604690 | 2025-05-13 04:29:37.229475 |
| 2025-08-23 16:26:07.652867 | 2025-08-24 02:17:54.286664 | 11381569 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11381569 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-08-26 | M | AE | AZIM | 627771249 | FAIYAZ | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_11381569_089655c7-41c4-4c16-a57a-83d407f52c8b.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693546 | N/A | N/A | 5543304 | 2222 | 4802 | 11180006 | N/A | 4215118 | 2025-08-24 02:17:54.286664 | 2025-06-02 01:41:59.668874 |
| 2025-08-23 16:26:07.447035 | 2025-08-24 02:23:20.935433 | 11381561 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11381561 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-08-26 | F | PT | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.192839400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_11381561_0f0d3358-8106-49c1-b75b-58554fe1385d.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 | 8627693545 | N/A | N/A | 5543211 | 2222 | 4801 | 11195493 | N/A | 4215028 | 2025-08-24 02:23:20.935433 | 2025-05-13 04:29:37.229346 |