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 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-23 16:26:07.295146 | 2025-08-24 02:22:20.045075 | 11381556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381556 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-08-26 | F | PT | MICHAEL | JXN531M63256 | JUNITHA | N/A | 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/2222/5543190/check_11381556_41a09afc-76bc-4bd0-9dd6-012288400fc6.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693544 | N/A | N/A | 5543190 | 2222 | 4793 | 11192807 | N/A | 4215014 | 2025-08-24 02:22:20.045075 | 2025-06-01 22:57:55.386960 |
| 2025-08-23 16:26:07.204477 | 2025-08-24 02:22:15.759375 | 11381551 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381551 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-26 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | 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/2222/5543161/check_11381551_dd3d366d-e75e-4ba0-8afd-b1b9300bf3f4.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693543 | N/A | N/A | 5543161 | 2222 | 4793 | 11192615 | N/A | 4214989 | 2025-08-24 02:22:15.759375 | 2025-05-13 04:29:37.229310 |
| 2025-08-23 16:26:07.102348 | 2025-08-24 02:23:20.276457 | 11381548 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11381548 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-08-26 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | 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/2222/5542952/check_11381548_d02bb344-22fc-4e1d-b5ac-ac3a90220427.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693542 | N/A | N/A | 5542952 | 2222 | 4802 | 11195440 | N/A | 4214804 | 2025-08-24 02:23:20.276457 | 2025-05-13 20:09:53.786482 |
| 2025-08-23 16:26:07.008011 | 2025-08-24 02:22:16.993004 | 11381544 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381544 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-08-26 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | 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/2222/5542900/check_11381544_95822957-b353-40a6-9a19-bfccac397945.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693541 | N/A | N/A | 5542900 | 2222 | 4801 | 11192677 | N/A | 4214759 | 2025-08-24 02:22:16.993004 | 2025-05-13 04:29:37.229079 |
| 2025-08-23 16:26:06.913511 | 2025-08-24 02:23:20.608150 | 11381541 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11381541 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-08-26 | M | PT | MATTHEWS | KTP903824736 | LARRY | N/A | 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/2222/5542899/check_11381541_3fee901d-d873-4ae1-99b4-48c6d7b79bdd.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693540 | N/A | N/A | 5542899 | 2222 | 4793 | 11195478 | N/A | 4214758 | 2025-08-24 02:23:20.608150 | 2025-05-13 04:29:37.229078 |
| 2025-08-23 16:26:06.769064 | 2025-08-24 02:18:18.024840 | 11381534 | N/A | N/A | 60054 | Aetna | 1114042165 | 11381534 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-08-26 | M | AE | VELASQUEZ | W290801184 | EVAN | PT | 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/2222/5542874/check_11381534_4fb12490-66f8-4403-a452-3250b21ea300.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693539 | N/A | N/A | 5542874 | 2222 | 4802 | 11180963 | N/A | 4214737 | 2025-08-24 02:18:18.024840 | 2025-05-13 04:29:37.229056 |
| 2025-08-23 16:26:06.680205 | 2025-08-24 02:18:16.686550 | 11381532 | N/A | N/A | 60054 | Aetna | 1114042165 | 11381532 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-26 | M | AE | KORY | 102161581800 | MICHAEL | PT | 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/2222/5542870/check_11381532_5f35b96b-032d-4c0f-abe4-aaac7f0f9ad1.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693538 | N/A | N/A | 5542870 | 2222 | 4793 | 11180894 | N/A | 4214732 | 2025-08-24 02:18:16.686550 | 2025-06-24 20:13:53.579048 |
| 2025-08-23 16:26:06.593189 | 2025-08-24 02:18:17.039130 | 11381530 | N/A | N/A | 60054 | Aetna | 1114042165 | 11381530 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-08-26 | M | AE | MEADOWS | 101352892200 | STANLEY | PT | 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/2222/5542634/check_11381530_9312fd8d-7f66-43de-970f-97dd8da33759.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693537 | N/A | N/A | 5542634 | 2222 | 4801 | 11180915 | N/A | 4214520 | 2025-08-24 02:18:17.039130 | 2025-07-28 19:32:04.879318 |
| 2025-08-23 16:26:06.466432 | 2025-08-24 02:23:30.051317 | 11381523 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11381523 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-26 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | 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/2222/5542628/check_11381523_3f4a30e5-1a6f-4693-ab0e-2cc0ee6c40a1.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | BLUE SHIELD OF CALIFORNIA | N/A | 2009-08-14 | 040 | U49858 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693536 | N/A | N/A | 5542628 | 2222 | 4793 | 11195897 | N/A | 4214508 | 2025-08-24 02:23:30.051317 | 2025-06-04 00:05:22.392827 |
| 2025-08-23 16:26:06.362367 | 2025-08-24 02:26:54.054727 | 11381519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11381519 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-08-26 | M | AE | NEILSON | 2VG5XR5CT78 | GEORGE | PT | 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/2222/5542623/check_11381519_cb8be5c2-8c39-42ae-bbdf-4cb6e010b44a.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MB | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693535 | N/A | N/A | 5542623 | 2222 | 4801 | 11204590 | N/A | 4214511 | 2025-08-24 02:26:54.054727 | 2025-05-13 04:29:37.228826 |
| 2025-08-23 16:26:06.287645 | 2025-08-24 02:22:18.749553 | 11381517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381517 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-08-26 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | 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/2222/5542207/check_11381517_a188e06f-ec01-4999-9748-26ebda39e668.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693534 | N/A | N/A | 5542207 | 2222 | 4802 | 11192754 | N/A | 4214152 | 2025-08-24 02:22:18.749553 | 2025-05-13 04:29:37.228479 |
| 2025-08-23 16:26:06.186498 | 2025-08-24 02:22:17.337045 | 11381514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381514 | Athletic Physical Therapy Inc | 1992-06-25 | 2025-08-26 | F | PT | FONSECA | XDP457W18823 | NICOLE | N/A | 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/2222/5541789/check_11381514_5ad388b6-3f2c-4845-9d59-23a4a785ed33.json | N/A | N/A | N/A | N/A | N/A | XDP457W18823 | Preferred Provider Organization (PPO) | TRLG HOLDINGS LLC | ANTHEM BLUE CROSS | N/A | 1992-06-25 | 040 | 165681M046 | N/A | PR | false | FONSECA | N/A | NICOLE | N/A | 9999-12-31 | 2025-02-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693533 | N/A | N/A | 5541789 | 2222 | 4802 | 11192694 | N/A | 4213775 | 2025-08-24 02:22:17.337045 | 2025-05-13 04:29:37.228095 |
| 2025-08-23 16:26:06.054586 | 2025-08-24 02:19:55.405553 | 11381510 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11381510 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-08-26 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_11381510_d25a2832-69de-45f4-9c92-772b4c25f6c8.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8627693532 | N/A | N/A | 5541552 | 2222 | 4802 | 11185526 | N/A | 4213562 | 2025-08-24 02:19:55.405553 | 2025-05-13 04:29:37.227895 |
| 2025-08-23 16:26:05.970530 | 2025-08-24 02:20:59.794798 | 11381507 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11381507 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-08-26 | F | AE | SHEPHERD | 93180838F | EMILY | PT | 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/2222/5541519/check_11381507_486905ee-cab4-453d-81cf-181017c18120.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693531 | N/A | N/A | 5541519 | 2222 | 4802 | 11188932 | N/A | 4213530 | 2025-08-24 02:20:59.794798 | 2025-05-13 04:29:37.227860 |
| 2025-08-23 16:26:05.888934 | 2025-08-24 02:23:21.359868 | 11381505 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11381505 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-08-26 | F | PT | TRUJILLO | XED914492685 | ADRIENNE | N/A | 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/2222/5541269/check_11381505_5fabab0a-5558-41cb-b52a-7d75a9d07509.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | 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 | 8627693530 | N/A | N/A | 5541269 | 2222 | 4793 | 11195505 | N/A | 4213302 | 2025-08-24 02:23:21.359868 | 2025-05-13 04:29:37.227624 |
| 2025-08-23 16:26:05.768837 | 2025-08-24 02:22:17.665960 | 11381500 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381500 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-26 | F | PT | GALVAN GUERRERO | 904W1671720 | MARIA | N/A | 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/2222/5541035/check_11381500_e0ae4b0b-5c55-4c4d-85b2-ac90120cccc2.json | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN GUERRERO | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693529 | N/A | N/A | 5541035 | 2222 | 4801 | 11192708 | N/A | 4213091 | 2025-08-24 02:22:17.665960 | 2025-05-13 04:29:37.227417 |
| 2025-08-23 16:26:05.685981 | 2025-08-24 02:22:20.449450 | 11381499 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11381499 | Athletic Physical Therapy Inc | 1971-08-14 | 2025-08-26 | F | PT | NADELLA | FJB22183182M | SAILAJA | N/A | 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/2222/5540468/check_11381499_1c6cc5d4-89a7-4a2c-9491-0dd7a0529f0d.json | N/A | N/A | N/A | N/A | N/A | FJB22183182M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1971-08-14 | 101 | 174549M411 | N/A | PR | false | NADELLA | N/A | SAILAJA | N/A | 9999-12-31 | 2023-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627693528 | N/A | N/A | 5540468 | 2222 | 4793 | 11192829 | N/A | 4212621 | 2025-08-24 02:22:20.449450 | 2025-08-22 20:49:20.901833 |
| 2025-08-23 16:26:05.608427 | 2025-08-24 02:20:59.495384 | 11381495 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11381495 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-08-26 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_11381495_f01c5e9e-65fa-4f1b-92c2-69b74e350c99.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627693527 | N/A | N/A | 5540113 | 2222 | 4801 | 11188917 | N/A | 4212315 | 2025-08-24 02:20:59.495384 | 2025-12-29 21:20:15.158611 |
| 2025-08-23 16:19:38.068400 | 2025-08-24 02:58:56.420032 | 11380693 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11380693 | Athletic Physical Therapy Inc | 1971-01-23 | 2025-08-26 | M | PT | SOBONSOHN | CBZ3HZN50757900 | DANIEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420206/check_11380693_0bff2140-9006-4508-aca1-a20655be170f.json | N/A | N/A | N/A | N/A | N/A | CBZ3HZN50757900 | Preferred Provider Organization (PPO) | N/A | ANTHEM | COPAY APPLIES TO OOP DEDUCTIBLE APPLIES TO OOP COINSURANCE APPLIES TO OOP FOURTH QUARTER CARRYOVER BENEFIT DOES NOT APPLY | 1971-01-23 | N/A | 00762010001 | N/A | PR | false | SOBELSOHN | N/A | DANIEL | N/A | 9999-12-31 | 2023-11-01 | PREFERRED PROVIDER ORGANIZATION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627661913 | N/A | N/A | 8420206 | 2222 | 4793 | 11258292 | N/A | 7097626 | 2025-08-24 02:58:56.420032 | 2025-08-29 17:02:22.120876 |
| 2025-08-23 16:19:10.282717 | 2025-08-24 02:57:08.620011 | 11380062 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11380062 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-08-26 | M | AE | KE | QVVKND00 | JACK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_11380062_78acf0c4-c43a-4b1b-bff3-ff88e0fe60e7.json | N/A | N/A | N/A | N/A | N/A | QVVKND00 | N/A | N/A | ZELIS HEALTHCARE | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627660942 | N/A | N/A | 8405192 | 2222 | 4802 | 11255942 | N/A | 7083453 | 2025-08-24 02:57:08.620011 | 2025-08-26 19:33:12.586504 |
| 2025-08-23 16:18:49.066562 | 2025-08-24 02:21:08.423221 | 11379425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11379425 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-26 | M | AE | KORNREICH | JQE348W01443 | DALE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449401/check_11379425_2555831e-1689-4189-b322-996a1caa0818.json | N/A | N/A | N/A | N/A | N/A | JQE348W01443 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1954-10-03 | 040 | CASUPWP0 | N/A | N/A | false | KORNREICH | N/A | DALE | N/A | 9999-12-31 | 2019-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627665801 | N/A | N/A | 7449401 | 2222 | 4793 | 11189364 | N/A | 6399188 | 2025-08-24 02:21:08.423221 | 2025-07-24 22:52:42.400774 |
| 2025-08-23 16:18:48.109395 | 2025-08-24 02:59:38.358160 | 11379392 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11379392 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-08-26 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11379392_9ddbb03b-ea4a-44cd-8d9c-f7cc73556d46.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627662578 | N/A | N/A | 8224045 | 2222 | 4802 | 11259178 | N/A | 6981160 | 2025-08-24 02:59:38.358160 | 2025-08-26 21:16:15.557856 |
| 2025-08-23 16:18:27.547719 | 2025-08-24 02:59:38.687722 | 11378863 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11378863 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-08-26 | F | PT | MURPHY | NCO398A2329 | DARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_11378863_0c5a0280-76d0-4433-9d55-8974e97d25b2.json | N/A | N/A | N/A | N/A | N/A | NCO398A2329 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1985-01-29 | N/A | N/A | N/A | N/A | false | MURPHY | N/A | DARA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627662483 | N/A | N/A | 8202094 | 2222 | 4793 | 11259186 | N/A | 6964828 | 2025-08-24 02:59:38.687722 | 2025-08-21 15:20:41.432970 |
| 2025-08-23 16:18:04.420954 | 2025-08-24 02:21:08.696693 | 11378303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11378303 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-26 | M | PT | MARSHALL | AGSAH0066119 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_11378303_8e8b1993-c71d-481a-a0b7-8a7998aac4b7.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627666101 | N/A | N/A | 7003223 | 2222 | 4793 | 11189374 | N/A | 6021448 | 2025-08-24 02:21:08.696693 | 2025-07-14 23:05:51.728886 |
| 2025-08-23 16:18:01.529921 | 2025-08-24 02:18:44.360963 | 11378239 | N/A | N/A | 60054 | Aetna | 1114042165 | 11378239 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-26 | F | AE | FRITH SMITH | 0AT0025978 | BARBARA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998368/check_11378239_7bb63b77-b7fc-45e4-a91d-8895784379ae.json | N/A | N/A | N/A | N/A | N/A | 0AT0025978 | N/A | N/A | AETNA INC | N/A | 1948-01-06 | N/A | N/A | N/A | N/A | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627666087 | N/A | N/A | 6998368 | 2222 | 4801 | 11182059 | N/A | 6017959 | 2025-08-24 02:18:44.360963 | 2025-07-14 18:22:35.995798 |
| 2025-08-23 16:17:40.309160 | 2025-08-24 02:21:06.995059 | 11377577 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11377577 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-26 | M | AE | CICCIARI | JQE123W23890 | LOUIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_11377577_5f5bebbd-31aa-45b2-a97c-39883004bbdc.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627665143 | N/A | N/A | 6752939 | 2222 | 4801 | 11189295 | N/A | 5065602 | 2025-08-24 02:21:06.995059 | 2025-07-01 17:25:13.681724 |
| 2025-08-23 16:17:38.580269 | 2025-08-24 02:44:59.975205 | 11377533 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11377533 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-08-26 | F | PT | LUBOW | XEK906143943 | CAROLINE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_11377533_0894a1e3-a1e0-473e-896a-ba1b0a8c38be.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627649779 | N/A | N/A | 7516790 | 2222 | 4793 | 11241473 | N/A | 6452743 | 2025-08-24 02:44:59.975205 | 2025-08-06 21:04:56.768115 |
| 2025-08-23 16:17:37.539297 | 2025-08-24 02:45:34.399702 | 11377503 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11377503 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-08-26 | M | PT | Guzzo | JQU895W23533 | Aaron | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_11377503_fcbdf977-bca5-4531-b67d-60fdbc7c7ada.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627649770 | N/A | N/A | 7513987 | 2222 | 4802 | 11242294 | N/A | 6451061 | 2025-08-24 02:45:34.399702 | 2025-07-28 22:43:26.605856 |
| 2025-08-23 16:17:33.461780 | 2025-08-24 02:21:07.894337 | 11377386 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11377386 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-08-25 | M | AE | Harvey | LFYHC0062508 | Roy | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_11377386_e34b121a-5625-4538-94be-3f62684e07b2.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627665093 | N/A | N/A | 6714942 | 2222 | 4802 | 11189339 | N/A | 5316172 | 2025-08-24 02:21:07.894337 | 2025-07-02 15:09:36.678003 |
| 2025-08-23 16:17:33.379739 | 2025-08-24 02:21:07.583572 | 11377385 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11377385 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-08-26 | F | AE | GARRETT | JQE702W20596 | KATHLEEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_11377385_49dab44b-7d9c-4ffb-8a33-2326f73a5bab.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627665092 | N/A | N/A | 6714934 | 2222 | 4793 | 11189326 | N/A | 5316176 | 2025-08-24 02:21:07.583572 | 2025-07-01 18:44:12.927482 |
| 2025-08-23 16:17:25.908024 | 2025-08-24 02:42:27.548763 | 11377104 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11377104 | Athletic Physical Therapy Inc | 1989-03-23 | 2025-08-26 | F | PT | Josey | JQU419W05058 | Lauren | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496641/check_11377104_eaf36095-1749-40f2-a4a2-8f298b7337ba.json | N/A | N/A | N/A | N/A | N/A | JQU419W05058 | Preferred Provider Organization (PPO) | BREAD & BUTTER PUBLIC RELATIONS INC | ANTHEM BLUE CROSS | N/A | 1989-03-23 | 040 | J34360 | N/A | PR | false | JOSEY | N/A | LAUREN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627648849 | N/A | N/A | 7496641 | 2222 | 4802 | 11237598 | N/A | 6443037 | 2025-08-24 02:42:27.548763 | 2025-07-28 18:50:58.594223 |
| 2025-08-23 16:17:08.029056 | 2025-08-24 02:42:29.000968 | 11376422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11376422 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-26 | M | PT | MARSHALL | JQU309W24257 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_11376422_b3ed37ba-f42d-41f6-960b-5772b59055e6.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627649487 | N/A | N/A | 7458512 | 2222 | 4793 | 11237632 | N/A | 6021448 | 2025-08-24 02:42:29.000968 | 2025-07-14 23:05:51.728886 |
| 2025-08-23 16:17:07.634735 | 2025-08-24 02:32:16.852107 | 11376407 | N/A | N/A | 60054 | Aetna | 1114042165 | 11376407 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-26 | F | AE | TRUONG | W285894295 | TARA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_11376407_d905f45d-e591-403e-b401-a24785132e7b.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627649485 | N/A | N/A | 7458419 | 2222 | 4801 | 11215060 | N/A | 6407374 | 2025-08-24 02:32:16.852107 | 2025-07-25 20:45:12.336863 |
| 2025-08-23 16:17:07.590878 | 2025-08-24 02:26:56.283627 | 11376403 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11376403 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-08-26 | F | AE | DURAN DE PANTOJA | 43649326 | ROSA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11376403_fef218c3-ab76-43e7-96b8-d8a34778e7ff.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627662407 | N/A | N/A | 8088383 | 2222 | 4793 | 11204674 | N/A | 6871702 | 2025-08-24 02:26:56.283627 | 2025-08-14 21:08:52.019264 |
| 2025-08-23 16:17:06.439087 | 2025-08-24 02:55:06.860236 | 11376342 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11376342 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-26 | M | AE | GONZALES JR | 1E61CX0GK13 | LEO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_11376342_32117b30-8fab-4282-a734-8149af163372.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MA | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627649475 | N/A | N/A | 7456457 | 2222 | 4793 | 11253286 | N/A | 6405774 | 2025-08-24 02:55:06.860236 | 2026-03-16 21:02:08.525887 |
| 2025-08-23 16:17:00.268358 | 2025-08-24 02:30:41.119808 | 11376028 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11376028 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-08-26 | M | AE | Thur | 95641377F | Pyi | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_11376028_88df5d70-8fac-4bb3-9681-9293a1b6d7c3.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627648737 | N/A | N/A | 7449843 | 2222 | 4802 | 11212502 | N/A | 6399635 | 2025-08-24 02:30:41.119808 | 2025-07-29 18:42:47.970149 |
| 2025-08-23 16:16:59.635433 | 2025-08-24 02:55:08.027991 | 11375992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11375992 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-26 | M | AE | KORNREICH | 7XA1CA4AR01 | DALE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449349/check_11375992_fc3b5b0f-7146-4094-a355-7d58bd04a152.json | N/A | N/A | N/A | N/A | N/A | 7XA1CA4AR01 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-03 | S5601 | N/A | N/A | MA | false | KORNREICH | N/A | DALE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627650140 | N/A | N/A | 7449349 | 2222 | 4793 | 11253308 | N/A | 6399188 | 2025-08-24 02:55:08.027991 | 2025-07-24 22:52:42.400774 |
| 2025-08-23 16:16:58.804929 | 2025-08-24 02:47:47.756916 | 11375941 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11375941 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-26 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191533803.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11375941_ac3fe63a-f93a-4bda-b5e3-2d0183b6705b.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627659020 | N/A | N/A | 7994545 | 2222 | 4802 | 11244938 | N/A | 6802250 | 2025-08-24 02:47:47.756916 | 2025-08-11 23:58:28.358402 |
| 2025-08-23 16:16:57.286423 | 2025-08-24 02:42:29.943340 | 11375853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11375853 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-08-26 | F | PT | MOORE | W2A952W18561 | YOLANDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_11375853_e3751b2f-ef13-4f3d-ab1f-fea8b9c2dfcb.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627650110 | N/A | N/A | 7447590 | 2222 | 4801 | 11237660 | N/A | 6397797 | 2025-08-24 02:42:29.943340 | 2025-08-12 19:16:58.418300 |
| 2025-08-23 16:16:51.169250 | 2025-08-24 02:40:57.961098 | 11375514 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11375514 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-26 | M | AE | KORY | MISSINGPOLICYNUMBER | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191324511.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_11375514_32ff14cd-e3bc-43c5-a509-6ff5e00cd6d8.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627654515 | N/A | N/A | 5858721 | 2222 | 4793 | 11234873 | N/A | 4214732 | 2025-08-24 02:40:57.961098 | 2025-06-24 20:13:53.579048 |
| 2025-08-23 16:16:47.753900 | 2025-08-24 02:55:32.383743 | 11375278 | N/A | N/A | 60054 | Aetna | 1114042165 | 11375278 | Athletic Physical Therapy Inc | 1961-03-09 | 2025-08-26 | F | AE | GRANT | M294377534 | LAUREN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8058114/check_11375278_b2fd8375-4880-4673-a0b0-1ba8fe4ed383.json | N/A | N/A | N/A | N/A | N/A | W294377534 | Point of Service (POS) | GLOBALIZATION PARTNERS | AETNA | N/A | 1961-03-09 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | LAUREN | 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 | 8627662298 | N/A | N/A | 8058114 | 2222 | 4793 | 11253849 | N/A | 6851112 | 2025-08-24 02:55:32.383743 | 2025-08-20 20:34:53.713264 |
| 2025-08-23 16:16:46.325855 | 2025-08-23 16:16:54.548733 | 11375184 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-05-14 | 2025-08-26 | M | AE | Torian | 011836255-00 | Keason | PT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8063625/check_11375184_36d7753f-ce1b-4cdf-a0d1-9892d235972d.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8063625/check_11375184_59fcbb4a-0bff-43cf-a8d1-9bbab36dd6ce.json | N/A | N/A | N/A | N/A | N/A | 01183625500 | N/A | N/A | TRIWEST - TRICARE | N/A | 1989-05-14 | N/A | N/A | N/A | N/A | false | TORIAN | N/A | KEASON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8063625 | 2222 | N/A | 11161459 | N/A | 6853458 | 2025-08-23 16:16:54.548733 | 2025-08-19 16:08:37.293894 |
| 2025-08-23 16:16:46.317112 | 2025-08-24 02:30:37.999867 | 11375183 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11375183 | Athletic Physical Therapy Inc | 1964-01-12 | 2025-08-26 | M | AE | Isensee | 19144221 | Kurt | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7320833/check_11375183_5a2ada68-3439-48b6-af20-2b6a0c56ad53.json | N/A | N/A | N/A | N/A | N/A | 19144221 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1964-01-12 | N/A | N/A | N/A | N/A | false | ISENSEE | N/A | KURT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627648681 | N/A | N/A | 7320833 | 2222 | 4802 | 11212409 | N/A | 6276620 | 2025-08-24 02:30:37.999867 | 2025-07-23 21:24:27.901467 |
| 2025-08-23 16:16:44.295025 | 2025-08-24 02:57:57.315877 | 11375057 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11375057 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-08-26 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191616728.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_11375057_370dd553-1e13-40bf-b2bc-dba0ccf1c8db.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627662257 | N/A | N/A | 8050658 | 2222 | 4793 | 11257047 | N/A | 6845945 | 2025-08-24 02:57:57.315877 | 2025-08-20 15:30:30.230373 |
| 2025-08-23 16:16:39.601783 | 2025-08-24 02:21:46.823796 | 11374738 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11374738 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-26 | F | AE | CAVELLA | XEA913628752 | EMIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_11374738_3d6eda74-98b9-4898-94b6-c9f2d3726328.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627665629 | N/A | N/A | 6203312 | 2222 | 4801 | 11191169 | N/A | 4846213 | 2025-08-24 02:21:46.823796 | 2025-06-10 21:58:09.734801 |
| 2025-08-23 16:16:38.830939 | 2025-08-24 02:39:13.549702 | 11374681 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11374681 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-08-25 | M | AE | Cohn | R06589895MM1 | David | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_11374681_8a8a8215-da0a-4e67-8792-dec8f844e20e.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627649275 | N/A | N/A | 7315101 | 2222 | 4802 | 11230901 | N/A | 6152454 | 2025-08-24 02:39:13.549702 | 2025-07-17 21:44:04.596080 |
| 2025-08-23 16:16:27.391990 | 2025-08-24 02:27:24.524914 | 11373973 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11373973 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-26 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_11373973_9aee017b-097a-492d-a3c7-46f30156f157.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | 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 | MA | 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 | 8627665583 | N/A | N/A | 6068049 | 2222 | 4793 | 11205801 | N/A | 4642852 | 2025-08-24 02:27:24.524914 | 2025-11-21 18:38:17.056437 |
| 2025-08-23 16:16:20.836106 | 2025-08-24 02:21:08.169164 | 11373543 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11373543 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-26 | M | AE | KESHAVARZIAN | JQE128W05540 | AMIR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191712765.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_11373543_37dd9da1-c9a3-4a67-af68-4920ea4653e0.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-05-16 | 040 | CASUPWP0 | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | N/A | 9999-12-31 | 2020-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627665440 | N/A | N/A | 5993911 | 2222 | 4801 | 11189350 | N/A | 4534577 | 2025-08-24 02:21:08.169164 | 2025-06-18 18:41:30.608585 |
| 2025-08-23 16:16:16.808348 | 2025-08-24 03:13:22.948940 | 11373286 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11373286 | Athletic Physical Therapy Inc | 1967-05-29 | 2025-08-26 | M | PT | FINN | JQU683A20101 | PATRICK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191130466.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938589/check_11373286_b9b5c897-62a0-4430-acbf-38ab0f70e0f5.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1967-05-29 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627632946 | N/A | N/A | 6938589 | 2222 | 4793 | 11267743 | N/A | 5969280 | 2025-08-24 03:13:22.948940 | 2025-07-09 21:37:07.694893 |
| 2025-08-23 16:16:06.526040 | 2025-08-24 03:13:16.509595 | 11372590 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11372590 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-08-26 | M | AE | KIM | 96135332F | JOSEPH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191130466.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_11372590_81ca9f0f-b533-4c95-8b9b-cb7843ac9ceb.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627633338 | N/A | N/A | 6917652 | 2222 | 4802 | 11267703 | N/A | 5949044 | 2025-08-24 03:13:16.509595 | 2025-07-08 23:15:13.625855 |