API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-23 16:12:15.117150 | 2025-08-24 02:38:24.490192 | 11356949 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11356949 | Athletic Physical Therapy Inc | 2008-11-20 | 2025-08-26 | M | PT | RAJAN | WLU550A72985 | HARSHITH | N/A | 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/2222/7853287/check_11356949_374fef00-4759-43e8-a12d-186f9b06f2ca.json | N/A | N/A | N/A | N/A | N/A | WLU550A72985 | Preferred Provider Organization (PPO) | ANTHEM HSA PLUS FIDELITY | ANTHEM BLUE CROSS | N/A | 2008-11-20 | 130 | 1880KQ | N/A | PR | false | NARAYANAN | N/A | RAJAN | N/A | 9999-12-31 | 2025-01-01 | CDHP HSA PLUS PPO INDIANA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627622935 | N/A | N/A | 7853287 | 2222 | 4801 | 11229059 | N/A | 6687324 | 2025-08-24 02:38:24.490192 | 2025-09-10 03:05:54.378777 |
| 2025-08-23 16:12:09.358511 | 2025-08-24 02:31:55.239470 | 11356395 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11356395 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-08-26 | M | PT | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_11356395_7eabc30f-25a4-4a40-bb89-aea8c7b11b7d.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627649350 | N/A | N/A | 6967909 | 2222 | 4793 | 11214484 | N/A | 5990447 | 2025-08-24 02:31:55.239470 | 2025-07-21 18:40:33.917911 |
| 2025-08-23 16:12:07.626828 | 2025-08-24 03:16:49.985669 | 11356218 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11356218 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-08-26 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191130466.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_11356218_e92c9584-f7b9-4562-b766-459f19d0c341.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627632236 | N/A | N/A | 6522947 | 2222 | 4802 | 11268990 | N/A | 5146127 | 2025-08-24 03:16:49.985669 | 2025-06-20 17:58:23.371130 |
| 2025-08-23 16:12:05.227911 | 2025-08-24 02:54:15.657041 | 11355972 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11355972 | Athletic Physical Therapy Inc | 1971-01-23 | 2025-08-26 | M | PT | SOBONSOHN | CBZ3HZN50757900 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190636666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420206/check_11355972_32b5a4dd-62d5-4a68-9f15-2ab5d05082c0.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 | 8627606642 | N/A | N/A | 8420206 | 2222 | 4793 | 11252293 | N/A | 7097626 | 2025-08-24 02:54:15.657041 | 2025-08-29 17:02:22.120876 |
| 2025-08-23 16:11:55.401877 | 2025-08-24 02:15:05.723985 | 11354960 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11354960 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-08-26 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | 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/2222/6124845/check_11354960_9e209ae8-9a8e-49cf-a811-4812fee05fb5.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 | 8627629172 | N/A | N/A | 6124845 | 2222 | 4793 | 11173265 | N/A | 4767293 | 2025-08-24 02:15:05.723985 | 2025-06-06 15:11:48.015692 |
| 2025-08-23 16:11:54.452020 | 2025-08-24 02:39:31.273358 | 11354857 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11354857 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-26 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_11354857_e77e7989-cfdd-48db-8c00-2ed78c886c73.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643913 | N/A | N/A | 5676340 | 2222 | 4793 | 11231544 | 4184 | 4210531 | 2025-08-24 02:39:31.273358 | 2025-12-09 17:09:13.960610 |
| 2025-08-23 16:11:54.034549 | 2025-08-24 02:15:53.692401 | 11354815 | N/A | N/A | 60054 | Aetna | 1114042165 | 11354815 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-08-26 | F | AE | Taylor | 0322952413 | Vienna | PT | 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/2222/6124049/check_11354815_a3ffc028-af2c-40b8-8c64-6151a9b8c7d3.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 | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627629162 | N/A | N/A | 6124049 | 2222 | 4793 | 11174819 | N/A | 4766759 | 2025-08-24 02:15:53.692401 | 2025-06-04 21:51:50.184092 |
| 2025-08-23 16:11:50.586915 | 2025-08-24 02:08:47.624117 | 11354473 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11354473 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-26 | M | PT | MARSHALL | AGSAH0066119 | THOMAS | N/A | 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/2222/7003223/check_11354473_2d0c4b54-de98-4d3e-815a-7fec732f6bc9.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 | 8627612123 | N/A | N/A | 7003223 | 2222 | 4793 | 11167810 | N/A | 6021448 | 2025-08-24 02:08:47.624117 | 2025-07-14 23:05:51.728886 |
| 2025-08-23 16:11:48.978363 | 2025-08-24 03:13:23.786070 | 11354284 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11354284 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-08-26 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191130466.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_11354284_8e9ef130-b2a5-4cac-b690-ecf769823156.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627632094 | N/A | N/A | 6491817 | 2222 | 4801 | 11267748 | N/A | 5120889 | 2025-08-24 03:13:23.786070 | 2025-06-23 18:24:54.219050 |
| 2025-08-23 16:11:48.189790 | 2025-08-24 02:05:58.134315 | 11354203 | N/A | N/A | 60054 | Aetna | 1114042165 | 11354203 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-08-26 | F | AE | FRITH SMITH | 0AT0025978 | BARBARA | PT | 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/2222/6998368/check_11354203_20313d91-9b54-485b-8241-e9bd9f02b1a9.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 | 8627612109 | N/A | N/A | 6998368 | 2222 | 4801 | 11166719 | N/A | 6017959 | 2025-08-24 02:05:58.134315 | 2025-07-14 18:22:35.995798 |
| 2025-08-23 16:11:43.779193 | 2025-08-24 02:41:53.492819 | 11353685 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11353685 | Athletic Physical Therapy Inc | 1937-09-28 | 2025-08-26 | F | AE | MENDOZA | 00000395455 | LEVIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191417047.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6957837/check_11353685_1b4b023f-9f04-44a5-9a1e-07b17a750859.json | N/A | N/A | N/A | N/A | N/A | 00000395455 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1937-09-28 | H3815028 | N/A | N/A | HM | false | MENDOZA | N/A | LEVIE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627648862 | N/A | N/A | 6957837 | 2222 | 4801 | 11236660 | N/A | 5983200 | 2025-08-24 02:41:53.492819 | 2025-07-25 17:28:26.584539 |
| 2025-08-23 16:11:41.437527 | 2025-08-24 02:38:53.876130 | 11353449 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11353449 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-08-26 | M | AE | HACKBARTH | 00000294758 | HAROLD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_11353449_b008a156-8fd4-433c-915f-84ebf95eaad5.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643249 | N/A | N/A | 5568081 | 2222 | 4801 | 11230140 | N/A | 4212656 | 2025-08-24 02:38:53.876130 | 2025-08-12 21:09:57.607033 |
| 2025-08-23 16:11:41.354058 | 2025-08-24 02:36:14.713354 | 11353443 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11353443 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-26 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11353443_efc931a2-25f7-4060-8bd1-32d2c9184dec.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643248 | N/A | N/A | 5568076 | 2222 | 4802 | 11224015 | N/A | 4209480 | 2025-08-24 02:36:14.713354 | 2026-04-10 02:05:15.976484 |
| 2025-08-23 16:11:40.860887 | 2025-08-24 02:52:17.083644 | 11353391 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11353391 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-08-26 | M | AE | KE | QVVKND00 | JACK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190636666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_11353391_0b657eb7-def2-4f28-ba1f-e43f954f8f8c.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 | 8627607322 | N/A | N/A | 8405192 | 2222 | 4802 | 11250046 | N/A | 7083453 | 2025-08-24 02:52:17.083644 | 2025-08-26 19:33:12.586504 |
| 2025-08-23 16:11:37.041836 | 2025-08-24 02:38:04.849096 | 11353065 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11353065 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-08-26 | M | AE | CORAY | 00003138358 | KLAUS | PT | 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/2222/7815883/check_11353065_0f9d32af-ed3d-4700-9c79-d53eba7b4f22.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627623228 | N/A | N/A | 7815883 | 2222 | 4793 | 11228272 | N/A | 6655655 | 2025-08-24 02:38:04.849096 | 2025-09-09 21:32:56.328170 |
| 2025-08-23 16:11:36.220024 | 2025-08-24 02:34:09.813414 | 11352986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11352986 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-26 | M | AE | KORY | MISSINGPOLICYNUMBER | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190723788.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_11352986_a553dcbd-0712-4463-b89e-bfec8b575e37.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 | 8627604413 | N/A | N/A | 5858721 | 2222 | 4793 | 11219165 | N/A | 4214732 | 2025-08-24 02:34:09.813414 | 2025-06-24 20:13:53.579048 |
| 2025-08-23 16:11:35.210255 | 2025-08-24 02:39:32.443441 | 11352883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352883 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-08-25 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_11352883_3f189774-9318-4fab-9e67-e105f6e69d44.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643074 | N/A | N/A | 5550993 | 2222 | 4793 | 11231587 | N/A | 4219817 | 2025-08-24 02:39:32.443441 | 2025-05-13 04:29:37.230864 |
| 2025-08-23 16:11:35.146948 | 2025-08-24 02:39:26.133276 | 11352880 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352880 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-08-26 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11352880_cb106626-1741-4cb0-a99a-51ea66fe1fd0.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643073 | N/A | N/A | 5550953 | 2222 | 4801 | 11231346 | N/A | 4219788 | 2025-08-24 02:39:26.133276 | 2025-06-06 22:01:46.271450 |
| 2025-08-23 16:11:35.066246 | 2025-08-24 02:42:35.276676 | 11352871 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11352871 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-26 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11352871_00b5ae25-d5d7-4eb0-b190-de0c4668ecff.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643072 | N/A | N/A | 5550827 | 2222 | 4802 | 11237788 | N/A | 4219700 | 2025-08-24 02:42:35.276676 | 2025-05-13 04:29:37.230745 |
| 2025-08-23 16:11:34.995607 | 2025-08-24 02:38:51.928109 | 11352865 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11352865 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-26 | M | AE | ARUJO | 00000223568 | RAMON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11352865_0c51c4bc-fd95-41c5-ae7e-355d30176fdb.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643071 | N/A | N/A | 5550751 | 2222 | 4801 | 11230085 | 2630 | 4219640 | 2025-08-24 02:38:51.928109 | 2025-05-13 04:29:37.230682 |
| 2025-08-23 16:11:34.921416 | 2025-08-24 02:29:35.370113 | 11352856 | N/A | N/A | 60054 | Aetna | 1114042165 | 11352856 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-26 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11352856_932758b6-e15d-49ee-bba5-5c4ab4cf2e17.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643070 | N/A | N/A | 5550743 | 2222 | 4801 | 11210286 | N/A | 4219643 | 2025-08-24 02:29:35.370113 | 2025-05-13 04:29:37.230685 |
| 2025-08-23 16:11:34.856473 | 2025-08-24 02:51:29.712258 | 11352849 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11352849 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-26 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_11352849_d67f92af-c320-4449-a67a-312e7d24e880.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643069 | N/A | N/A | 5549981 | 2222 | 4802 | 11249196 | N/A | 4219436 | 2025-08-24 02:51:29.712258 | 2025-05-13 04:29:37.230471 |
| 2025-08-23 16:11:34.782423 | 2025-08-24 02:38:24.557893 | 11352845 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11352845 | N/A | 1967-12-23 | 2025-08-26 | F | AE | SOL | U9859952501 | ISABEL | PT | 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/2222/5549212/check_11352845_f57f4229-6e42-4776-87ee-81260f75a424.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1967-12-23 | N/A | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643068 | N/A | N/A | 5549212 | 2222 | 4793 | 11229052 | N/A | 4218926 | 2025-08-24 02:38:24.557893 | 2025-07-30 14:07:18.779456 |
| 2025-08-23 16:11:34.245920 | 2025-08-24 02:36:17.205180 | 11352796 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11352796 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-26 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_11352796_fbea8ac5-352d-404e-a01f-d306c625feed.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643059 | N/A | N/A | 5543425 | 2222 | 4801 | 11224117 | N/A | 4215211 | 2025-08-24 02:36:17.205180 | 2026-04-02 22:30:20.020246 |
| 2025-08-23 16:11:34.175941 | 2025-08-24 02:39:29.389706 | 11352791 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11352791 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-08-26 | M | PT | MEINERT | XEH912496752 | TIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_11352791_f9eb505a-bc3a-4744-a898-f86ce81184b3.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643057 | N/A | N/A | 5543360 | 2222 | 4793 | 11231450 | 4184 | 4215161 | 2025-08-24 02:39:29.389706 | 2025-05-13 04:29:37.229478 |
| 2025-08-23 16:11:34.115735 | 2025-08-24 02:39:22.434516 | 11352785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352785 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-08-26 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_11352785_d646670c-60d4-4ac7-941f-1c7efee73e29.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643053 | N/A | N/A | 5543355 | 2222 | 4793 | 11231195 | N/A | 4215158 | 2025-08-24 02:39:22.434516 | 2025-05-13 04:29:37.229475 |
| 2025-08-23 16:11:34.038131 | 2025-08-24 02:28:25.654189 | 11352778 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11352778 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-08-26 | M | AE | AZIM | 627771249 | FAIYAZ | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_11352778_f2562182-be10-4771-814b-4522e34ff994.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627643052 | N/A | N/A | 5543304 | 2222 | 4802 | 11208095 | N/A | 4215118 | 2025-08-24 02:28:25.654189 | 2025-06-02 01:41:59.668874 |
| 2025-08-23 16:11:33.970268 | 2025-08-24 02:42:38.347398 | 11352771 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11352771 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-08-26 | F | PT | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191340125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_11352771_226585b5-3c37-44ae-87d3-2e8f7627be31.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643050 | N/A | N/A | 5543211 | 2222 | 4801 | 11237893 | N/A | 4215028 | 2025-08-24 02:42:38.347398 | 2025-05-13 04:29:37.229346 |
| 2025-08-23 16:11:33.907227 | 2025-08-24 02:39:29.943923 | 11352762 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352762 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-08-26 | F | PT | MICHAEL | JXN531M63256 | JUNITHA | N/A | 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/2222/5543190/check_11352762_f76fc52a-3366-407e-8869-ce6983c4a0fa.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 | 8627643049 | N/A | N/A | 5543190 | 2222 | 4793 | 11231502 | N/A | 4215014 | 2025-08-24 02:39:29.943923 | 2025-06-01 22:57:55.386960 |
| 2025-08-23 16:11:33.823930 | 2025-08-24 02:39:19.783850 | 11352753 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352753 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-26 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | 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/2222/5543161/check_11352753_61829909-c944-4a37-954b-64740edd4dc8.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 | 8627643048 | N/A | N/A | 5543161 | 2222 | 4793 | 11231112 | N/A | 4214989 | 2025-08-24 02:39:19.783850 | 2025-05-13 04:29:37.229310 |
| 2025-08-23 16:11:33.683793 | 2025-08-24 02:42:35.998531 | 11352737 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11352737 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-08-26 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | 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/2222/5542952/check_11352737_6199cf4d-d8f6-4b1d-a4c9-bf82c9fe9aae.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 | 8627643046 | N/A | N/A | 5542952 | 2222 | 4802 | 11237835 | N/A | 4214804 | 2025-08-24 02:42:35.998531 | 2025-05-13 20:09:53.786482 |
| 2025-08-23 16:11:33.552952 | 2025-08-24 02:39:23.269572 | 11352728 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352728 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-08-26 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | 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/2222/5542900/check_11352728_7f3e7af0-09cc-4ae5-a5c3-fdfd029d6609.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 | 8627643045 | N/A | N/A | 5542900 | 2222 | 4801 | 11231227 | N/A | 4214759 | 2025-08-24 02:39:23.269572 | 2025-05-13 04:29:37.229079 |
| 2025-08-23 16:11:33.425538 | 2025-08-24 02:42:36.953211 | 11352717 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11352717 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-08-26 | M | PT | MATTHEWS | KTP903824736 | LARRY | N/A | 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/2222/5542899/check_11352717_f2fee672-ea51-4cec-bef0-058d0f16767e.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 | 8627643044 | N/A | N/A | 5542899 | 2222 | 4793 | 11237857 | N/A | 4214758 | 2025-08-24 02:42:36.953211 | 2025-05-13 04:29:37.229078 |
| 2025-08-23 16:11:33.275108 | 2025-08-24 02:29:37.492063 | 11352707 | N/A | N/A | 60054 | Aetna | 1114042165 | 11352707 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-08-26 | M | AE | VELASQUEZ | W290801184 | EVAN | PT | 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/2222/5542874/check_11352707_c249a7ad-aef7-42c8-b079-f3e86b97a80c.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 | 8627643043 | N/A | N/A | 5542874 | 2222 | 4802 | 11210340 | N/A | 4214737 | 2025-08-24 02:29:37.492063 | 2025-05-13 04:29:37.229056 |
| 2025-08-23 16:11:33.145181 | 2025-08-24 02:29:33.399825 | 11352694 | N/A | N/A | 60054 | Aetna | 1114042165 | 11352694 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-26 | M | AE | KORY | 102161581800 | MICHAEL | PT | 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/2222/5542870/check_11352694_12fce6ed-28fa-49ed-b2e9-7f151c22ff59.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 | 8627643042 | N/A | N/A | 5542870 | 2222 | 4793 | 11210220 | N/A | 4214732 | 2025-08-24 02:29:33.399825 | 2025-06-24 20:13:53.579048 |
| 2025-08-23 16:11:33.041610 | 2025-08-24 02:29:34.389328 | 11352685 | N/A | N/A | 60054 | Aetna | 1114042165 | 11352685 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-08-26 | M | AE | MEADOWS | 101352892200 | STANLEY | PT | 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/2222/5542634/check_11352685_3bed421a-1c8e-4fc3-ba31-23256a2a9e26.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 | 8627643041 | N/A | N/A | 5542634 | 2222 | 4801 | 11210252 | N/A | 4214520 | 2025-08-24 02:29:34.389328 | 2025-07-28 19:32:04.879318 |
| 2025-08-23 16:11:32.950987 | 2025-08-24 02:43:08.072257 | 11352680 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11352680 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-26 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | 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/2222/5542628/check_11352680_5de95f95-add0-4f7c-a7de-725e623b30cd.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 | 8627643040 | N/A | N/A | 5542628 | 2222 | 4793 | 11238710 | N/A | 4214508 | 2025-08-24 02:43:08.072257 | 2025-06-04 00:05:22.392827 |
| 2025-08-23 16:11:32.691310 | 2025-08-24 02:51:33.254320 | 11352655 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11352655 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-08-26 | M | AE | NEILSON | 2VG5XR5CT78 | GEORGE | PT | 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/2222/5542623/check_11352655_d6b41f0c-a56e-40ea-bbba-6ff006b09d8c.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 | 8627643039 | N/A | N/A | 5542623 | 2222 | 4801 | 11249263 | N/A | 4214511 | 2025-08-24 02:51:33.254320 | 2025-05-13 04:29:37.228826 |
| 2025-08-23 16:11:32.552599 | 2025-08-24 02:39:27.731452 | 11352646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352646 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-08-26 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | 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/2222/5542207/check_11352646_214cc9bd-7689-4893-b5db-1854d36f0dce.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 | 8627643037 | N/A | N/A | 5542207 | 2222 | 4802 | 11231407 | N/A | 4214152 | 2025-08-24 02:39:27.731452 | 2025-05-13 04:29:37.228479 |
| 2025-08-23 16:11:32.451202 | 2025-08-24 02:39:24.132496 | 11352640 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352640 | Athletic Physical Therapy Inc | 1992-06-25 | 2025-08-26 | F | PT | FONSECA | XDP457W18823 | NICOLE | N/A | 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/2222/5541789/check_11352640_6fbfa5be-480c-4fcd-8fdb-275cdc5a6fc3.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 | 8627643036 | N/A | N/A | 5541789 | 2222 | 4802 | 11231260 | N/A | 4213775 | 2025-08-24 02:39:24.132496 | 2025-05-13 04:29:37.228095 |
| 2025-08-23 16:11:32.387304 | 2025-08-24 02:33:58.097477 | 11352635 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11352635 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-08-26 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_11352635_aa76884a-4138-4163-a870-9f597de51607.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 | 8627643035 | N/A | N/A | 5541552 | 2222 | 4802 | 11218702 | N/A | 4213562 | 2025-08-24 02:33:58.097477 | 2025-05-13 04:29:37.227895 |
| 2025-08-23 16:11:32.311959 | 2025-08-24 02:36:18.512900 | 11352629 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11352629 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-08-26 | F | AE | SHEPHERD | 93180838F | EMILY | PT | 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/2222/5541519/check_11352629_7f85f9d4-72bd-47ed-a8c3-3e92666aaf01.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 | 8627643034 | N/A | N/A | 5541519 | 2222 | 4802 | 11224181 | N/A | 4213530 | 2025-08-24 02:36:18.512900 | 2025-05-13 04:29:37.227860 |
| 2025-08-23 16:11:32.228376 | 2025-08-24 02:42:39.263237 | 11352623 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11352623 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-08-26 | F | PT | TRUJILLO | XED914492685 | ADRIENNE | N/A | 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/2222/5541269/check_11352623_3e5e3200-108b-42a4-adcb-76fa24cd5dec.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 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627643033 | N/A | N/A | 5541269 | 2222 | 4793 | 11237930 | N/A | 4213302 | 2025-08-24 02:42:39.263237 | 2025-05-13 04:29:37.227624 |
| 2025-08-23 16:11:32.153512 | 2025-08-24 02:39:25.550652 | 11352617 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352617 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-26 | F | PT | GALVAN GUERRERO | 904W1671720 | MARIA | N/A | 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/2222/5541035/check_11352617_2ede0125-02ce-470e-ba90-97e88943c0b7.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 | 8627643032 | N/A | N/A | 5541035 | 2222 | 4801 | 11231294 | N/A | 4213091 | 2025-08-24 02:39:25.550652 | 2025-05-13 04:29:37.227417 |
| 2025-08-23 16:11:32.029244 | 2025-08-24 02:39:30.405558 | 11352612 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11352612 | Athletic Physical Therapy Inc | 1971-08-14 | 2025-08-26 | F | PT | NADELLA | FJB22183182M | SAILAJA | N/A | 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/2222/5540468/check_11352612_e67567ac-1507-41ab-bd86-d798ce679596.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 | 8627643031 | N/A | N/A | 5540468 | 2222 | 4793 | 11231525 | N/A | 4212621 | 2025-08-24 02:39:30.405558 | 2025-08-22 20:49:20.901833 |
| 2025-08-23 16:11:31.851894 | 2025-08-24 02:36:17.832817 | 11352598 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11352598 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-08-26 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_11352598_4dd942b1-3bf5-4031-83b0-fe0ca4553586.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 | 8627643030 | N/A | N/A | 5540113 | 2222 | 4801 | 11224159 | N/A | 4212315 | 2025-08-24 02:36:17.832817 | 2025-12-29 21:20:15.158611 |
| 2025-08-23 16:11:31.764645 | 2025-08-24 02:34:18.036381 | 11352593 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11352593 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-08-26 | F | AE | BASS | 101139629800 | NADINE | PT | 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/2222/7813006/check_11352593_496f75e7-bc8c-4838-be10-ef82be2a47b8.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627623199 | N/A | N/A | 7813006 | 2222 | 4802 | 11219469 | N/A | 6653186 | 2025-08-24 02:34:18.036381 | 2025-08-06 14:30:41.257679 |
| 2025-08-23 16:11:30.345735 | 2025-08-24 02:25:21.734435 | 11352474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11352474 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-08-26 | M | AE | SCOTT | 2F27FV6KJ47 | GEORGE | PT | 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/2222/6105989/check_11352474_dc7915ac-5ab3-45dd-800b-716605339112.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MB | 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 | 8627629543 | N/A | N/A | 6105989 | 2222 | 4802 | 11200923 | N/A | 4750274 | 2025-08-24 02:25:21.734435 | 2025-06-12 22:26:37.845238 |
| 2025-08-23 16:11:20.222321 | 2025-08-24 02:33:47.331608 | 11351979 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11351979 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-08-26 | M | PT | Gast | JQV110W08240 | Eberhard | N/A | 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/2222/7258119/check_11351979_941ddf31-bc3e-4c61-aa86-f48a6d1b24bc.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627634928 | N/A | N/A | 7258119 | 2222 | 4802 | 11218317 | 4184 | 6223297 | 2025-08-24 02:33:47.331608 | 2025-07-28 18:57:51.679781 |
| 2025-08-23 16:11:15.434510 | 2025-08-24 02:55:03.044440 | 11351713 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11351713 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-08-26 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190636666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11351713_0a119f31-7efc-4b3d-a0f7-6299ac5b7341.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 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627607046 | N/A | N/A | 8224045 | 2222 | 4802 | 11253198 | N/A | 6981160 | 2025-08-24 02:55:03.044440 | 2025-08-26 21:16:15.557856 |