API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-23 16:14:15.937621 | 2025-08-24 02:27:36.037995 | 11366765 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 11366765 | N/A | 1948-05-29 | 2025-08-26 | F | AE | PT | BEGGS | 32842199 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191117332.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537371/check_11366765_662b0140-f088-47fd-9383-9f9eedca50b9.json | N/A | N/A | N/A | N/A | N/A | 32842199 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-05-29 | N/A | N/A | N/A | N/A | false | BEGGS | 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 | 8627620281 | N/A | N/A | 5537371 | 2222 | 4801 | 11206296 | N/A | 4209950 | 2025-08-24 02:27:36.037995 | 2025-05-13 04:29:37.224374 |
| 2025-08-23 16:14:15.847391 | 2025-08-24 02:30:20.912248 | 11366757 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11366757 | N/A | 1957-02-16 | 2025-08-26 | F | AE | PT | OSE | 40050866601 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191117332.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_11366757_b619b317-843b-4d28-b02d-ce2f1c27e332.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627620280 | N/A | N/A | 5537366 | 2222 | 4793 | 11211869 | N/A | 4209945 | 2025-08-24 02:30:20.912248 | 2025-08-13 22:24:17.841096 |
| 2025-08-23 16:14:15.750054 | 2025-08-24 02:31:07.068795 | 11366751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11366751 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-08-26 | M | PT | N/A | MILES | MBL835W05431 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191117332.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_11366751_dfcf3af0-685a-406d-87c3-19ddef653d84.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627620279 | N/A | N/A | 5536896 | 2222 | 4793 | 11213242 | N/A | 4209567 | 2025-08-24 02:31:07.068795 | 2025-05-13 04:29:37.223990 |
| 2025-08-23 16:14:15.666178 | 2025-08-24 02:13:11.435239 | 11366744 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11366744 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-08-26 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191117332.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_11366744_1c64c0c0-140c-42b3-b54b-4e3258723929.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627620278 | N/A | N/A | 5536162 | 2222 | 4793 | 11170796 | N/A | 4208960 | 2025-08-24 02:13:11.435239 | 2025-07-11 19:38:20.011022 |
| 2025-08-23 16:14:15.592510 | 2025-08-24 02:30:20.565555 | 11366741 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11366741 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-08-26 | F | AE | PT | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191117332.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_11366741_13a693cc-7d08-4736-8c7f-db3e202c14a9.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627620277 | N/A | N/A | 5535455 | 2222 | 4793 | 11211857 | N/A | 4208375 | 2025-08-24 02:30:20.565555 | 2025-08-08 21:08:12.459471 |
| 2025-08-23 16:14:14.745985 | 2025-08-24 02:39:21.391251 | 11366691 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11366691 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-08-26 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11366691_06ab71d4-6cf6-4b99-81b2-9aab95de2e9e.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627644305 | N/A | N/A | 6193751 | 2222 | 4801 | 11231149 | N/A | 4837995 | 2025-08-24 02:39:21.391251 | 2025-06-13 00:15:18.726975 |
| 2025-08-23 16:14:11.698374 | 2025-08-24 02:39:24.565603 | 11366488 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11366488 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-26 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11366488_703d6f6e-c083-42c6-97db-ed8151c2d79a.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 | 8627623407 | N/A | N/A | 7994545 | 2222 | 4802 | 11231292 | N/A | 6802250 | 2025-08-24 02:39:24.565603 | 2025-08-11 23:58:28.358402 |
| 2025-08-23 16:14:00.632331 | 2025-08-24 02:51:31.228540 | 11365738 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11365738 | Athletic Physical Therapy Inc | 1951-11-18 | 2025-08-26 | F | AE | PT | JACOBY | 5VX4HE8NC98 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_11365738_680760b6-4606-4e96-9ec0-850d675bec66.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MB | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643595 | N/A | N/A | 6145941 | 2222 | 4802 | 11249236 | N/A | 4786785 | 2025-08-24 02:51:31.228540 | 2025-06-13 00:55:48.629734 |
| 2025-08-23 16:13:59.899908 | 2025-08-24 02:33:47.645281 | 11365685 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11365685 | Athletic Physical Therapy Inc | 1989-03-23 | 2025-08-26 | F | PT | N/A | Josey | JQU419W05058 | Lauren | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496641/check_11365685_852b16b1-a5fa-49c7-a0d8-ff0a91062d67.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 | 8627634339 | N/A | N/A | 7496641 | 2222 | 4802 | 11218327 | N/A | 6443037 | 2025-08-24 02:33:47.645281 | 2025-07-28 18:50:58.594223 |
| 2025-08-23 16:13:59.801560 | 2025-08-24 03:12:42.296856 | 11365679 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11365679 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-08-26 | M | AE | PT | MEJIA | 40055012201 | RUBEN | 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/2222/6642365/check_11365679_03b690e1-fdbd-40d7-b0ff-2abcbbf9bddf.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 | 8627633135 | N/A | N/A | 6642365 | 2222 | 4801 | 11267491 | N/A | 5249029 | 2025-08-24 03:12:42.296856 | 2025-07-14 01:52:51.387918 |
| 2025-08-23 16:13:59.455608 | 2025-08-24 03:16:51.006189 | 11365658 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11365658 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-26 | F | AE | PT | Tatge | 2DH1CG9VR90 | Glenda | 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/2222/6641936/check_11365658_6cbaa86f-0639-450a-80f6-691f6f8f3ba8.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 | 8627633133 | N/A | N/A | 6641936 | 2222 | 4801 | 11268996 | N/A | 5248742 | 2025-08-24 03:16:51.006189 | 2025-07-16 18:02:25.797343 |
| 2025-08-23 16:13:59.296073 | 2025-08-24 03:13:23.514680 | 11365646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11365646 | Athletic Physical Therapy Inc | 1954-06-04 | 2025-08-26 | F | PT | N/A | Martin | JOQ815W10930 | Lilliane | 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/2222/6641910/check_11365646_607342a1-6d01-4a84-8e93-e7b16d0bdd63.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 | 8627633132 | N/A | N/A | 6641910 | 2222 | 4802 | 11267747 | N/A | 5248673 | 2025-08-24 03:13:23.514680 | 2025-09-03 18:56:09.134332 |
| 2025-08-23 16:13:54.838962 | 2025-08-24 02:44:22.411207 | 11365279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11365279 | Athletic Physical Therapy Inc | 1990-11-27 | 2025-08-25 | M | PT | N/A | HAN | XTS845M18428 | PENGCHENG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191533803.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7689149/check_11365279_ae9ffb35-50e8-4a94-94c0-207393af9a24.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 | 8627659152 | N/A | N/A | 7689149 | 2222 | 4793 | 11240541 | N/A | 6560578 | 2025-08-24 02:44:22.411207 | 2025-08-15 01:36:36.509527 |
| 2025-08-23 16:13:47.878739 | 2025-08-24 02:26:47.328181 | 11364725 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11364725 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-08-26 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11364725_e4c68097-b88b-4b05-802a-d4de5c56d300.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627644461 | N/A | N/A | 6124845 | 2222 | 4793 | 11204309 | N/A | 4767293 | 2025-08-24 02:26:47.328181 | 2025-06-06 15:11:48.015692 |
| 2025-08-23 16:13:46.550322 | 2025-08-24 02:29:35.987009 | 11364630 | N/A | N/A | 60054 | Aetna | 1114042165 | 11364630 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-08-26 | F | AE | PT | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_11364630_3351afc1-4aaa-4867-ab56-30ea04ad7bca.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627644451 | N/A | N/A | 6124049 | 2222 | 4793 | 11210312 | N/A | 4766759 | 2025-08-24 02:29:35.987009 | 2025-06-04 21:51:50.184092 |
| 2025-08-23 16:13:41.986265 | 2025-08-24 02:43:11.646815 | 11364268 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11364268 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-08-26 | M | AE | PT | Weiss | R13448501MS1 | Mark | 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/2222/7661660/check_11364268_21ce6897-7ab3-4828-bee1-0b756f7d2684.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 | 8627658458 | N/A | N/A | 7661660 | 2222 | 4802 | 11238815 | N/A | 6543985 | 2025-08-24 02:43:11.646815 | 2025-08-01 18:30:37.244428 |
| 2025-08-23 16:13:36.399968 | 2025-08-24 02:33:47.970582 | 11363779 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11363779 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-26 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_11363779_7c34c352-e8b1-4389-8840-31d026341a5a.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 | 8627635062 | N/A | N/A | 7458512 | 2222 | 4793 | 11218340 | N/A | 6021448 | 2025-08-24 02:33:47.970582 | 2025-07-14 23:05:51.728886 |
| 2025-08-23 16:13:36.063971 | 2025-08-24 02:29:37.081281 | 11363754 | N/A | N/A | 60054 | Aetna | 1114042165 | 11363754 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-26 | F | AE | PT | TRUONG | W285894295 | TARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_11363754_a7f5df9a-49ee-4168-b331-7346d6d95eed.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 | 8627635060 | N/A | N/A | 7458419 | 2222 | 4801 | 11210354 | N/A | 6407374 | 2025-08-24 02:29:37.081281 | 2025-07-25 20:45:12.336863 |
| 2025-08-23 16:13:34.571643 | 2025-08-24 02:38:25.748545 | 11363617 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11363617 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-26 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_11363617_c816ec7c-6bdf-44d3-ae5f-4d02de9a386e.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627635050 | N/A | N/A | 7456457 | 2222 | 4793 | 11229107 | N/A | 6405774 | 2025-08-24 02:38:25.748545 | 2026-03-16 21:02:08.525887 |
| 2025-08-23 16:13:29.381571 | 2025-08-24 02:51:34.045808 | 11363172 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11363172 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-08-26 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_11363172_4f04bc7a-ef7b-45d7-b776-f6de4343eee2.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643583 | N/A | N/A | 6105989 | 2222 | 4802 | 11249284 | N/A | 4750274 | 2025-08-24 02:51:34.045808 | 2025-06-12 22:26:37.845238 |
| 2025-08-23 16:13:25.513063 | 2025-08-24 03:11:09.514700 | 11362855 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11362855 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-08-26 | M | AE | PT | SHIMOHARA | H7561028700 | STANLEY | 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/2222/6594216/check_11362855_c9c764df-7455-4a4d-a492-a7269b782fd9.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 | 8627632259 | N/A | N/A | 6594216 | 2222 | 4801 | 11266710 | N/A | 5213181 | 2025-08-24 03:11:09.514700 | 2025-07-28 18:07:32.231640 |
| 2025-08-23 16:13:24.843051 | 2025-08-24 02:29:07.098110 | 11362812 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11362812 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-08-26 | M | AE | PT | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_11362812_5867b835-1221-4f99-a0c9-694aa1251aa3.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 | 8627634527 | N/A | N/A | 7449843 | 2222 | 4802 | 11209392 | N/A | 6399635 | 2025-08-24 02:29:07.098110 | 2025-07-29 18:42:47.970149 |
| 2025-08-23 16:13:22.862855 | 2025-08-24 02:38:26.125535 | 11362673 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11362673 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-26 | M | AE | PT | KORNREICH | 7XA1CA4AR01 | DALE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449349/check_11362673_8b3e4665-e674-47d0-a9d4-2a49489c25fd.json | N/A | N/A | N/A | N/A | N/A | 7XA1CA4AR01 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-03 | S5601 | N/A | N/A | MB | 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 | 8627635649 | N/A | N/A | 7449349 | 2222 | 4793 | 11229124 | N/A | 6399188 | 2025-08-24 02:38:26.125535 | 2025-07-24 22:52:42.400774 |
| 2025-08-23 16:13:21.268563 | 2025-08-24 02:42:03.348783 | 11362542 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11362542 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-08-26 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | 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/2222/7019712/check_11362542_2dfe819b-d7b4-42e0-9844-1241fe3081bd.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 | 8627650246 | N/A | N/A | 7019712 | 2222 | 4793 | 11236932 | N/A | 6034714 | 2025-08-24 02:42:03.348783 | 2025-07-15 18:02:59.670156 |
| 2025-08-23 16:13:17.163873 | 2025-08-24 02:33:48.280057 | 11362194 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11362194 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-08-26 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_11362194_623f5a90-6f07-454d-8103-afc53e583697.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 | 8627635621 | N/A | N/A | 7447590 | 2222 | 4801 | 11218350 | N/A | 6397797 | 2025-08-24 02:33:48.280057 | 2025-08-12 19:16:58.418300 |
| 2025-08-23 16:13:15.295840 | 2025-08-24 02:38:52.757849 | 11362043 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11362043 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-08-26 | M | AE | PT | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_11362043_4d127507-80db-4402-86bf-d9d78b901449.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 | 8627644853 | N/A | N/A | 6077164 | 2222 | 4801 | 11230119 | 2630 | 4720748 | 2025-08-24 02:38:52.757849 | 2025-06-11 15:34:07.942696 |
| 2025-08-23 16:12:59.988653 | 2025-08-24 02:16:40.798143 | 11360930 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11360930 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-08-26 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_11360930_9d006529-0057-4843-a33d-d7429f207ce2.json | N/A | N/A | N/A | N/A | N/A | H72206668 | 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627628507 | N/A | N/A | 6221805 | 2222 | 4801 | 11176691 | N/A | 4865742 | 2025-08-24 02:16:40.798143 | 2025-06-11 15:46:59.098537 |
| 2025-08-23 16:12:58.560809 | 2025-08-24 03:13:53.781687 | 11360832 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11360832 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-08-26 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | 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/2222/6577909/check_11360832_2fa9a19f-776e-4c07-ba85-8ac4bc0fd2ea.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 | 2023-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627633020 | N/A | N/A | 6577909 | 2222 | 4802 | 11267935 | N/A | 4766701 | 2025-08-24 03:13:53.781687 | 2025-06-03 21:11:46.573919 |
| 2025-08-23 16:12:55.042530 | 2025-08-24 03:14:00.388948 | 11360574 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11360574 | Athletic Physical Therapy Inc | 1986-05-13 | 2025-08-26 | F | PT | N/A | GUDIEL | ZGP812841152 | LEAH | 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/2222/6573745/check_11360574_3d6ea33d-474e-4d0b-96e1-63dc04b7f10e.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 | 8627633001 | N/A | N/A | 6573745 | 2222 | 4801 | 11267976 | N/A | 5194450 | 2025-08-24 03:14:00.388948 | 2025-07-13 23:50:25.607492 |
| 2025-08-23 16:12:50.671718 | 2025-08-24 02:15:15.952414 | 11360216 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11360216 | Athletic Physical Therapy Inc | 1947-04-03 | 2025-08-26 | F | PT | N/A | HERCEG | JQQ193M82762 | ANDJELKA | 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/2222/7627183/check_11360216_b47635cc-e089-4f0e-a934-ebf901178e53.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 | 8627659823 | N/A | N/A | 7627183 | 2222 | 4793 | 11173558 | N/A | 6526151 | 2025-08-24 02:15:15.952414 | 2025-07-31 16:27:01.412304 |
| 2025-08-23 16:12:46.430012 | 2025-08-24 02:29:06.062501 | 11359872 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11359872 | Athletic Physical Therapy Inc | 1964-01-12 | 2025-08-26 | M | AE | PT | Isensee | 19144221 | Kurt | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7320833/check_11359872_003dbf16-70fd-4537-80ce-ddbb9e1c6005.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 | 8627635493 | N/A | N/A | 7320833 | 2222 | 4802 | 11209358 | N/A | 6276620 | 2025-08-24 02:29:06.062501 | 2025-07-23 21:24:27.901467 |
| 2025-08-23 16:12:46.043988 | 2025-08-24 02:32:17.993426 | 11359833 | N/A | N/A | 60054 | Aetna | 1114042165 | 11359833 | Athletic Physical Therapy Inc | 1973-06-29 | 2025-08-26 | M | AE | PT | PHILIBOSIAN | W278870596 | ROBERT | 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/2222/7000214/check_11359833_440b2106-5b25-4af5-80bc-11b538c4ead3.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 | 8627649828 | N/A | N/A | 7000214 | 2222 | 4801 | 11215085 | N/A | 4219137 | 2025-08-24 02:32:17.993426 | 2025-05-13 04:29:37.230154 |
| 2025-08-23 16:12:45.273167 | 2025-08-24 02:21:20.233141 | 11359761 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 11359761 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-08-26 | M | PT | N/A | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_11359761_2dcf786c-743d-4e46-a0c4-3dbbd27536e7.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627629681 | N/A | N/A | 6210099 | 2222 | 4793 | 11189906 | N/A | 4852857 | 2025-08-24 02:21:20.233141 | 2025-06-17 16:28:13.795457 |
| 2025-08-23 16:12:40.346719 | 2025-08-24 02:55:06.040328 | 11359316 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11359316 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-26 | F | AE | PT | FRITH SMITH | 9M69RM7JM34 | BARBARA | 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/2222/6998367/check_11359316_13957e5e-ce21-46b3-87fe-32994d955fe3.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 | 8627649798 | N/A | N/A | 6998367 | 2222 | 4801 | 11253257 | N/A | 6017959 | 2025-08-24 02:55:06.040328 | 2025-07-14 18:22:35.995798 |
| 2025-08-23 16:12:39.978555 | 2025-08-24 02:29:32.579784 | 11359288 | N/A | N/A | 60054 | Aetna | 1114042165 | 11359288 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-08-26 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11359288_c4b66087-fa33-4c36-96ec-ea07d8d58661.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 | 8627643331 | N/A | N/A | 5993951 | 2222 | 4802 | 11210173 | N/A | 4642884 | 2025-08-24 02:29:32.579784 | 2025-12-02 20:19:19.910444 |
| 2025-08-23 16:12:39.869518 | 2025-08-24 02:25:19.978030 | 11359279 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11359279 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-26 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_11359279_f8e4cb49-617c-4d97-bd13-7ca851ef2428.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627629424 | N/A | N/A | 6203310 | 2222 | 4801 | 11200850 | N/A | 4846213 | 2025-08-24 02:25:19.978030 | 2025-06-10 21:58:09.734801 |
| 2025-08-23 16:12:39.775350 | 2025-08-24 02:36:35.809567 | 11359273 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11359273 | N/A | 1952-08-31 | 2025-08-26 | F | AE | PT | CARRILLO | 40025807501 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993946/check_11359273_870ac642-d6af-4674-a7ea-a19b90420a46.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 | 8627643330 | N/A | N/A | 5993946 | 2222 | 4801 | 11224812 | N/A | 4642883 | 2025-08-24 02:36:35.809567 | 2025-05-30 18:05:44.781764 |
| 2025-08-23 16:12:39.637418 | 2025-08-24 02:51:30.531077 | 11359260 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11359260 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-26 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11359260_1df1bf1b-d49d-4238-aa60-1d6bbc7681fd.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 | 8627643329 | N/A | N/A | 5993912 | 2222 | 4793 | 11249220 | N/A | 4642852 | 2025-08-24 02:51:30.531077 | 2025-11-21 18:38:17.056437 |
| 2025-08-23 16:12:36.646398 | 2025-08-24 02:20:02.444793 | 11359024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11359024 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-08-26 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11359024_5d8fcf03-6d8f-4102-a612-72cef286f31b.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627629412 | N/A | N/A | 6193751 | 2222 | 4801 | 11185917 | N/A | 4837995 | 2025-08-24 02:20:02.444793 | 2025-06-13 00:15:18.726975 |
| 2025-08-23 16:12:36.579231 | 2025-08-24 02:08:47.275376 | 11359016 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11359016 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-26 | M | AE | PT | KORNREICH | JQE348W01443 | DALE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190735237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449401/check_11359016_28b4d540-f388-4803-a83d-4a671bd2d12b.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 | 8627612005 | N/A | N/A | 7449401 | 2222 | 4793 | 11167805 | N/A | 6399188 | 2025-08-24 02:08:47.275376 | 2025-07-24 22:52:42.400774 |
| 2025-08-23 16:12:34.066094 | 2025-08-24 03:10:28.948867 | 11358806 | N/A | N/A | 60054 | Aetna | 1114042165 | 11358806 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-08-26 | M | AE | PT | Hamilton | W292751187 | Kevin | 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/2222/6555606/check_11358806_42f920de-908f-4e75-9858-d34640b41994.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 | 8627632736 | N/A | N/A | 6555606 | 2222 | 4802 | 11266315 | N/A | 5178755 | 2025-08-24 03:10:28.948867 | 2025-07-17 17:42:32.068740 |
| 2025-08-23 16:12:32.037365 | 2025-08-24 03:10:05.971408 | 11358655 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11358655 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-08-26 | F | AE | PT | Ballatore | 90665617F | Chloe | 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/2222/6553125/check_11358655_ef799486-28e4-40b1-9280-e8a1a8886f4b.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 | 8627632503 | N/A | N/A | 6553125 | 2222 | 4802 | 11266131 | N/A | 5176363 | 2025-08-24 03:10:05.971408 | 2025-06-23 23:46:22.182955 |
| 2025-08-23 16:12:30.420192 | 2025-08-24 02:32:48.004427 | 11358514 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11358514 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-08-25 | M | AE | PT | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_11358514_7bcacdc9-57cf-44b8-9e2c-6c272bf471b4.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 | 8627635359 | N/A | N/A | 7315101 | 2222 | 4802 | 11216008 | N/A | 6152454 | 2025-08-24 02:32:48.004427 | 2025-07-17 21:44:04.596080 |
| 2025-08-23 16:12:26.729760 | 2025-08-24 02:47:45.873184 | 11358187 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11358187 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-25 | F | PT | N/A | CHAMBERLIN | CAW905797094 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191533803.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11358187_51331ddd-821a-42af-9588-d22b586b0fba.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 | 8627659436 | N/A | N/A | 7591326 | 2222 | 4801 | 11244921 | N/A | 6499323 | 2025-08-24 02:47:45.873184 | 2025-07-30 18:54:36.603528 |
| 2025-08-23 16:12:25.930731 | 2025-08-24 02:38:16.925103 | 11358101 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11358101 | Athletic Physical Therapy Inc | 1967-10-08 | 2025-08-26 | F | AE | PT | CHAVEZ | 94986484A | RAFAELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7879085/check_11358101_b8935d40-ccae-4a2b-924d-d8c4c5c694c7.json | N/A | N/A | N/A | N/A | N/A | 94986484A | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-10-08 | N/A | N/A | N/A | N/A | false | CHAVEZ | N/A | RAFAELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627623574 | N/A | N/A | 7879085 | 2222 | 4793 | 11228754 | N/A | 6276688 | 2025-08-24 02:38:16.925103 | 2025-08-07 22:51:00.572173 |
| 2025-08-23 16:12:22.349392 | 2025-08-24 02:39:35.444616 | 11357708 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11357708 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-08-26 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_11357708_afd70138-b1c8-4fc2-95d7-830447ca0b0c.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627623552 | N/A | N/A | 7870152 | 2222 | 4802 | 11231746 | N/A | 6698799 | 2025-08-24 02:39:35.444616 | 2025-08-07 18:40:53.120761 |
| 2025-08-23 16:12:18.197793 | 2025-08-24 02:25:20.883139 | 11357267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11357267 | Athletic Physical Therapy Inc | 1951-11-18 | 2025-08-26 | F | AE | PT | JACOBY | 5VX4HE8NC98 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_11357267_f5f3f48f-fb35-4efa-bac7-16bd699dff74.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MA | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627628993 | N/A | N/A | 6145941 | 2222 | 4802 | 11200886 | N/A | 4786785 | 2025-08-24 02:25:20.883139 | 2025-06-13 00:55:48.629734 |
| 2025-08-23 16:12:15.336658 | 2025-08-24 02:51:32.015886 | 11356969 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11356969 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-26 | M | AE | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11356969_e4000f1f-01bd-4ddf-af83-4ccb9c16942b.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MB | 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 | 8627644580 | N/A | N/A | 5874455 | 2222 | 4801 | 11249250 | N/A | 4534577 | 2025-08-24 02:51:32.015886 | 2025-06-18 18:41:30.608585 |
| 2025-08-23 16:12:15.262411 | 2025-08-24 02:39:03.912960 | 11356964 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11356964 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-08-26 | F | AE | PT | PORCELLINI | 623363623 | KYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_11356964_4762976d-a9d1-4eeb-8a85-d2ece88b3779.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 | 8627644579 | N/A | N/A | 5874433 | 2222 | 4802 | 11230520 | N/A | 4534562 | 2025-08-24 02:39:03.912960 | 2025-06-03 16:07:02.060667 |
| 2025-08-23 16:12:15.195563 | 2025-08-24 02:36:15.917522 | 11356958 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11356958 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-26 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_11356958_d34f1e40-82dd-4a4b-8204-be9154a5d52f.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 | 8627644578 | N/A | N/A | 5874423 | 2222 | 4802 | 11224079 | N/A | 4534552 | 2025-08-24 02:36:15.917522 | 2025-05-30 18:01:03.324126 |