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 16:11:12.597259 | 2025-08-24 02:38:06.288912 | 11351560 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11351560 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-08-26 | F | AE | PT | Mullen | 97749132H | Melissa | 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/2222/7799930/check_11351560_b641303c-3c1f-4644-ade1-66e3ad7b472b.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627623795 | N/A | N/A | 7799930 | 2222 | 4802 | 11228329 | N/A | 6641123 | 2025-08-24 02:38:06.288912 | 2025-08-06 00:00:36.528464 |
| 2025-08-23 16:11:11.868425 | 2025-08-24 02:29:06.424470 | 11351529 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11351529 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-08-26 | F | AE | PT | MALTSEVA | 94237973H65017 | YEVHENIIA | 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/2222/7253095/check_11351529_ff223171-80b7-4577-ab0d-c9163c922b8d.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627634496 | N/A | N/A | 7253095 | 2222 | 4802 | 11209367 | N/A | 6219145 | 2025-08-24 02:29:06.424470 | 2025-07-21 16:40:35.276086 |
| 2025-08-23 16:11:09.170206 | 2025-08-24 02:08:45.380578 | 11351381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11351381 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-26 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | 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/2222/6752939/check_11351381_d95b55b9-04c3-467f-a787-b4dd3e4e743d.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627612426 | N/A | N/A | 6752939 | 2222 | 4801 | 11167777 | N/A | 5065602 | 2025-08-24 02:08:45.380578 | 2025-07-01 17:25:13.681724 |
| 2025-08-23 16:11:06.345136 | 2025-08-24 02:19:51.324569 | 11351240 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11351240 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-08-26 | M | AE | PT | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_11351240_df61a2bc-5600-4c21-a901-b7da900ab5e2.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 | 8627629778 | N/A | N/A | 6077164 | 2222 | 4801 | 11185337 | 2630 | 4720748 | 2025-08-24 02:19:51.324569 | 2025-06-11 15:34:07.942696 |
| 2025-08-23 16:10:58.887632 | 2025-08-24 02:08:46.541345 | 11350858 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11350858 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-08-25 | M | AE | PT | Harvey | LFYHC0062508 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190735237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_11350858_0fe96d32-2951-45ff-bbbf-ca3f50e14bdc.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627612376 | N/A | N/A | 6714942 | 2222 | 4802 | 11167793 | N/A | 5316172 | 2025-08-24 02:08:46.541345 | 2025-07-02 15:09:36.678003 |
| 2025-08-23 16:10:58.727797 | 2025-08-24 02:08:46.161877 | 11350851 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11350851 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-08-26 | F | AE | PT | GARRETT | JQE702W20596 | KATHLEEN | 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/2222/6714934/check_11350851_ce54090f-090c-4546-9b73-50f677f954e9.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627612375 | N/A | N/A | 6714934 | 2222 | 4793 | 11167788 | N/A | 5316176 | 2025-08-24 02:08:46.161877 | 2025-07-01 18:44:12.927482 |
| 2025-08-23 16:10:51.267410 | 2025-08-24 02:55:03.378187 | 11350427 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11350427 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-08-26 | F | PT | N/A | MURPHY | NCO398A2329 | DARA | 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/2222/8202094/check_11350427_712c527e-dc56-45a9-af67-839abe0198c6.json | N/A | N/A | N/A | N/A | N/A | NCO398A2329 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1985-01-29 | N/A | N/A | N/A | N/A | false | MURPHY | N/A | DARA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627606937 | N/A | N/A | 8202094 | 2222 | 4793 | 11253206 | N/A | 6964828 | 2025-08-24 02:55:03.378187 | 2025-08-21 15:20:41.432970 |
| 2025-08-23 16:10:44.955916 | 2025-08-24 02:45:16.159663 | 11350070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11350070 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-08-25 | F | AE | PT | McKinnon | 4081VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_11350070_741c448a-87f8-4c25-9e50-edf2eed7d0e8.json | N/A | N/A | N/A | N/A | N/A | 4081VP4NU12 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-08-14 | N/A | N/A | N/A | N/A | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627624468 | N/A | N/A | 7783105 | 2222 | 4802 | 11241877 | N/A | 6628331 | 2025-08-24 02:45:16.159663 | 2025-08-22 15:16:03.942743 |
| 2025-08-23 16:10:19.546901 | 2025-08-24 02:19:58.482646 | 11348627 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11348627 | Athletic Physical Therapy Inc | 1967-05-29 | 2025-08-26 | M | PT | N/A | FINN | JQU683A20101 | PATRICK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938589/check_11348627_65c45d6c-2f11-406b-8368-684b170b7d7c.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1967-05-29 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2024-12-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627602118 | N/A | N/A | 6938589 | 2222 | 4793 | 11185706 | N/A | 5969280 | 2025-08-24 02:19:58.482646 | 2025-07-09 21:37:07.694893 |
| 2025-08-23 16:10:06.791552 | 2025-08-24 02:19:37.398360 | 11347997 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11347997 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-08-26 | M | AE | PT | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_11347997_d7b91961-5811-466d-bf0f-6554b9a26545.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627602455 | N/A | N/A | 6917652 | 2222 | 4802 | 11184815 | N/A | 5949044 | 2025-08-24 02:19:37.398360 | 2025-07-08 23:15:13.625855 |
| 2025-08-23 16:09:59.989393 | 2025-08-24 02:14:39.569356 | 11347616 | N/A | N/A | 60054 | Aetna | 1114042165 | 11347616 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-08-26 | M | AE | PT | RAMIREZ | 9537353099 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_11347616_ac690e82-2f3a-4b85-ac45-8a0ce570172a.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627602044 | N/A | N/A | 6865171 | 2222 | 4801 | 11172687 | N/A | 5902840 | 2025-08-24 02:14:39.569356 | 2025-07-28 18:58:27.354873 |
| 2025-08-23 16:09:54.042718 | 2025-08-24 02:15:52.467218 | 11347276 | N/A | N/A | 60054 | Aetna | 1114042165 | 11347276 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-08-26 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11347276_73c32310-c162-4148-ab17-f5588272f26b.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 | 8627628277 | N/A | N/A | 5993951 | 2222 | 4802 | 11174774 | N/A | 4642884 | 2025-08-24 02:15:52.467218 | 2025-12-02 20:19:19.910444 |
| 2025-08-23 16:09:53.803943 | 2025-08-24 02:18:49.202367 | 11347264 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11347264 | N/A | 1952-08-31 | 2025-08-26 | F | AE | PT | CARRILLO | 40025807501 | LAURA | 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/2222/5993946/check_11347264_bd826b6b-ea02-4828-9c1f-fea8e2170456.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 | 8627628276 | N/A | N/A | 5993946 | 2222 | 4801 | 11182312 | N/A | 4642883 | 2025-08-24 02:18:49.202367 | 2025-05-30 18:05:44.781764 |
| 2025-08-23 16:09:53.456611 | 2025-08-24 02:25:20.552374 | 11347247 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11347247 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-26 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11347247_c78463b0-2c35-4266-ae17-9413f1aebf6f.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627628275 | N/A | N/A | 5993912 | 2222 | 4793 | 11200874 | N/A | 4642852 | 2025-08-24 02:25:20.552374 | 2025-11-21 18:38:17.056437 |
| 2025-08-23 16:09:51.668273 | 2025-08-24 02:33:48.644473 | 11347159 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11347159 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-08-25 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | 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/2222/7173793/check_11347159_e322d7f4-b539-4efd-8e11-909093705cf9.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627634018 | N/A | N/A | 7173793 | 2222 | 4793 | 11218364 | N/A | 6149539 | 2025-08-24 02:33:48.644473 | 2025-07-17 20:34:26.073953 |
| 2025-08-23 16:09:48.664378 | 2025-08-24 02:14:38.825222 | 11347006 | N/A | N/A | 60054 | Aetna | 1114042165 | 11347006 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-08-26 | M | AE | PT | RAFIQI | W291629581 | ROMAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_11347006_d74e00b9-d588-4f93-8ec5-e7655f5e3ff8.json | N/A | N/A | N/A | N/A | N/A | W291506071 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627601978 | N/A | N/A | 6813848 | 2222 | 4801 | 11172667 | N/A | 5856139 | 2025-08-24 02:14:38.825222 | 2025-07-22 03:39:47.404623 |
| 2025-08-23 16:09:38.023877 | 2025-08-24 02:09:35.447351 | 11346422 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11346422 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-26 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | 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/2222/6203312/check_11346422_9890287f-6307-4328-80cb-5fbaa679682f.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627613175 | N/A | N/A | 6203312 | 2222 | 4801 | 11168418 | N/A | 4846213 | 2025-08-24 02:09:35.447351 | 2025-06-10 21:58:09.734801 |
| 2025-08-23 16:09:32.391699 | 2025-08-24 02:16:01.784562 | 11346083 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11346083 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-08-26 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | 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/2222/8088383/check_11346083_3f6e7431-af7a-4174-98f8-cd62f3120743.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627607525 | N/A | N/A | 8088383 | 2222 | 4793 | 11175117 | N/A | 6871702 | 2025-08-24 02:16:01.784562 | 2025-08-14 21:08:52.019264 |
| 2025-08-23 16:09:27.246594 | 2025-08-24 02:19:59.176990 | 11345756 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11345756 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-08-26 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_11345756_980ec943-e5c2-4acc-acd7-d868d9a6f132.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627602320 | N/A | N/A | 6770593 | 2222 | 4793 | 11185724 | N/A | 5788398 | 2025-08-24 02:19:59.176990 | 2025-07-31 22:52:15.686379 |
| 2025-08-23 16:09:25.637576 | 2025-08-24 02:19:35.806532 | 11345648 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11345648 | Athletic Physical Therapy Inc | 1943-06-25 | 2025-08-26 | F | AE | PT | TORREY | 00000374205 | JOYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_11345648_d7f87623-331f-4f24-b627-b93fed305006.json | N/A | N/A | N/A | N/A | N/A | 00000374205 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-06-25 | H3815028 | N/A | N/A | HM | false | TORREY | N/A | JOYCE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627602302 | N/A | N/A | 6768717 | 2222 | 4801 | 11184721 | N/A | 5725966 | 2025-08-24 02:19:35.806532 | 2025-07-08 20:19:24.946360 |
| 2025-08-23 16:09:24.775843 | 2025-08-24 02:20:39.486339 | 11345599 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11345599 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-08-26 | F | PT | N/A | SHELLHORN | XEH903359049 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_11345599_9c5e6cea-11a7-4e30-b02f-34ebf7bdd542.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627602236 | N/A | N/A | 6766432 | 2222 | 4801 | 11187872 | N/A | 5670727 | 2025-08-24 02:20:39.486339 | 2025-08-05 20:04:51.056029 |
| 2025-08-23 16:09:22.906391 | 2025-08-24 02:26:08.854201 | 11345487 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11345487 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-08-26 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_11345487_ea7ba46e-b355-4de2-b80c-d3f661be7213.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627602214 | N/A | N/A | 6752936 | 2222 | 4801 | 11202846 | N/A | 5065602 | 2025-08-24 02:26:08.854201 | 2025-07-01 17:25:13.681724 |
| 2025-08-23 16:09:15.599603 | 2025-08-24 02:15:55.542400 | 11345028 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11345028 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-26 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190735237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_11345028_9a734ce7-3f04-4612-a883-ccaccf6283d7.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627613131 | N/A | N/A | 6068049 | 2222 | 4793 | 11174881 | N/A | 4642852 | 2025-08-24 02:15:55.542400 | 2025-11-21 18:38:17.056437 |
| 2025-08-23 16:09:06.074863 | 2025-08-24 02:26:10.424425 | 11344550 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11344550 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-08-26 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_11344550_45c97f40-50d3-4e01-9e6a-50fac579516c.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MB | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627601686 | N/A | N/A | 6714932 | 2222 | 4793 | 11202919 | N/A | 5316176 | 2025-08-24 02:26:10.424425 | 2025-07-01 18:44:12.927482 |
| 2025-08-23 16:09:05.982500 | 2025-08-24 02:26:11.112417 | 11344544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11344544 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-08-25 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_11344544_72cfc5bb-982d-49d2-917f-c806779fe16e.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627601685 | N/A | N/A | 6714928 | 2222 | 4802 | 11202948 | N/A | 5316172 | 2025-08-24 02:26:11.112417 | 2025-07-02 15:09:36.678003 |
| 2025-08-23 16:09:03.455154 | 2025-08-24 02:08:46.930411 | 11344447 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11344447 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-26 | M | AE | PT | KESHAVARZIAN | JQE128W05540 | AMIR | 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/2222/5993911/check_11344447_4eb2b82a-3032-4e13-aaca-13739df4f81c.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-05-16 | 040 | CASUPWP0 | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | N/A | 9999-12-31 | 2020-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627612891 | N/A | N/A | 5993911 | 2222 | 4801 | 11167799 | N/A | 4534577 | 2025-08-24 02:08:46.930411 | 2025-06-18 18:41:30.608585 |
| 2025-08-23 16:09:02.202175 | 2025-08-24 02:38:24.128168 | 11344378 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11344378 | 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/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7689149/check_11344378_4eea7a52-5fee-491d-9ea4-48d6766478f5.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 | 8627624285 | N/A | N/A | 7689149 | 2222 | 4793 | 11229040 | N/A | 6560578 | 2025-08-24 02:38:24.128168 | 2025-08-15 01:36:36.509527 |
| 2025-08-23 16:08:55.877817 | 2025-08-24 02:25:21.164423 | 11343972 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11343972 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-26 | M | AE | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11343972_7ad45324-a7b8-4b44-b714-5528a39eb258.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MA | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627629288 | N/A | N/A | 5874455 | 2222 | 4801 | 11200897 | N/A | 4534577 | 2025-08-24 02:25:21.164423 | 2025-06-18 18:41:30.608585 |
| 2025-08-23 16:08:55.646591 | 2025-08-24 02:19:55.789546 | 11343954 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11343954 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-08-26 | F | AE | PT | PORCELLINI | 623363623 | KYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_11343954_d46b13a7-6841-49e0-a017-1d5c71d17454.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 | 8627629287 | N/A | N/A | 5874433 | 2222 | 4802 | 11185537 | N/A | 4534562 | 2025-08-24 02:19:55.789546 | 2025-06-03 16:07:02.060667 |
| 2025-08-23 16:08:55.361816 | 2025-08-24 02:18:40.043503 | 11343933 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11343933 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-26 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_11343933_ffb2eee0-c703-4e77-8d07-9a858c744c78.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 | 8627629286 | N/A | N/A | 5874423 | 2222 | 4802 | 11181831 | N/A | 4534552 | 2025-08-24 02:18:40.043503 | 2025-05-30 18:01:03.324126 |
| 2025-08-23 16:08:51.044071 | 2025-08-24 02:20:38.372737 | 11343648 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11343648 | Athletic Physical Therapy Inc | 1966-03-01 | 2025-08-26 | F | PT | N/A | DOUGHERTY | 913987117 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6686939/check_11343648_ea1a0b99-4802-413d-92eb-22fa44676afd.json | N/A | N/A | N/A | N/A | N/A | XEH913987117 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1966-03-01 | 1000HMOX0002 | W0067449 | N/A | HM | false | DOUGHERTY | N/A | JENNIFER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627602283 | N/A | N/A | 6686939 | 2222 | 4801 | 11187825 | N/A | 5295043 | 2025-08-24 02:20:38.372737 | 2025-07-17 01:28:10.581788 |
| 2025-08-23 16:08:48.628023 | 2025-08-24 02:18:53.751386 | 11343480 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11343480 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-08-26 | M | AE | PT | SIMMONS | 40055722801 | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_11343480_e4091370-b7d7-4b90-8df1-868763745525.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627602257 | N/A | N/A | 6685251 | 2222 | 4793 | 11182557 | N/A | 4209868 | 2025-08-24 02:18:53.751386 | 2025-08-15 22:13:56.514261 |
| 2025-08-23 16:08:48.539947 | 2025-08-24 02:38:06.617626 | 11343475 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11343475 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-08-26 | M | AE | PT | Weiss | R13448501MS1 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_11343475_2fe182a0-b0a0-4fa5-be50-3fc612b61c4d.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 | 8627624047 | N/A | N/A | 7661660 | 2222 | 4802 | 11228341 | N/A | 6543985 | 2025-08-24 02:38:06.617626 | 2025-08-01 18:30:37.244428 |
| 2025-08-23 16:08:48.170628 | 2025-08-24 02:33:41.394120 | 11343449 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11343449 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-08-26 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_11343449_bfcbf556-3d07-42c4-9049-4295917f352d.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 | 8627633984 | N/A | N/A | 7019712 | 2222 | 4793 | 11218080 | N/A | 6034714 | 2025-08-24 02:33:41.394120 | 2025-07-15 18:02:59.670156 |
| 2025-08-23 16:08:48.116740 | 2025-08-24 02:50:34.614011 | 11343448 | N/A | N/A | 60054 | Aetna | 1114042165 | 11343448 | Athletic Physical Therapy Inc | 1961-03-09 | 2025-08-26 | F | AE | PT | GRANT | M294377534 | LAUREN | 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/2222/8058114/check_11343448_f3320586-8823-418f-a61f-1f2f93bff3f4.json | N/A | N/A | N/A | N/A | N/A | W294377534 | Point of Service (POS) | GLOBALIZATION PARTNERS | AETNA | N/A | 1961-03-09 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | LAUREN | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627607170 | N/A | N/A | 8058114 | 2222 | 4793 | 11248213 | N/A | 6851112 | 2025-08-24 02:50:34.614011 | 2025-08-20 20:34:53.713264 |
| 2025-08-23 16:08:45.568597 | 2025-08-24 02:53:10.378036 | 11343283 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11343283 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-08-26 | F | AE | PT | TARASEVYCH | 90733231H | VIRA | 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/2222/8050658/check_11343283_0e3c3de8-1d57-406c-ae50-e837acf1712b.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627607129 | N/A | N/A | 8050658 | 2222 | 4793 | 11251050 | N/A | 6845945 | 2025-08-24 02:53:10.378036 | 2025-08-20 15:30:30.230373 |
| 2025-08-23 16:08:37.781623 | 2025-08-24 02:08:47.969059 | 11342785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11342785 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-08-26 | M | AE | PT | NEILSON | 468A54912 | GEORGE | 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/2222/5542625/check_11342785_0af7f821-5860-442c-b672-7b46f945095c.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | 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 | 8627612343 | N/A | N/A | 5542625 | 2222 | 4801 | 11167815 | N/A | 4214511 | 2025-08-24 02:08:47.969059 | 2025-05-13 04:29:37.228826 |
| 2025-08-23 16:08:37.614096 | 2025-08-24 02:08:45.751115 | 11342776 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11342776 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-08-26 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | 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/2222/5539665/check_11342776_705d4d0a-c7a6-4ca8-9ae0-b59323c6d26b.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627612342 | N/A | N/A | 5539665 | 2222 | 4793 | 11167783 | N/A | 4211935 | 2025-08-24 02:08:45.751115 | 2025-05-13 04:29:37.226259 |
| 2025-08-23 16:08:37.525203 | 2025-08-24 02:13:14.840648 | 11342771 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11342771 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-08-26 | M | AE | PT | ROOFEH | 96113754F03034 | NADDER | 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/2222/5538289/check_11342771_e629d09e-5a25-44b9-9db5-ab95ae413b9b.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627612341 | N/A | N/A | 5538289 | 2222 | 4802 | 11170852 | N/A | 4210725 | 2025-08-24 02:13:14.840648 | 2025-06-16 16:15:05.679018 |
| 2025-08-23 16:08:36.569653 | 2025-08-24 02:31:43.140323 | 11342703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11342703 | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-26 | F | AE | PT | Bhavnani | CPT263A59907 | Hoor | 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/2222/7786159/check_11342703_f462fbfb-9418-428b-9b75-b114f02120b2.json | N/A | N/A | N/A | N/A | N/A | 4DV4QD9VE70 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | MEDICARE A | N/A | 1956-11-25 | 040 | C20001M1A2 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2019-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627604092 | N/A | N/A | 7786159 | 2222 | 4802 | 11214193 | N/A | 6630174 | 2025-08-24 02:31:43.140323 | 2025-08-11 13:59:52.049710 |
| 2025-08-23 16:08:33.860606 | 2025-08-24 02:32:09.974915 | 11342524 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11342524 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-08-25 | F | AE | PT | McKinnon | XEM913376502 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190723788.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783106/check_11342524_91e7836f-7244-4922-bbdd-1d48aa8077c7.json | N/A | N/A | N/A | N/A | N/A | XEM913376502 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-14 | 2002SE000030 | X0001002 | N/A | OT | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627604083 | N/A | N/A | 7783106 | 2222 | 4802 | 11214876 | N/A | 6628331 | 2025-08-24 02:32:09.974915 | 2025-08-22 15:16:03.942743 |
| 2025-08-23 16:08:32.739275 | 2025-08-24 02:20:38.837122 | 11342461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11342461 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-08-26 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_11342461_01cf81c0-a004-4465-9fdf-c7041392b3a2.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627600812 | N/A | N/A | 6668755 | 2222 | 4801 | 11187843 | N/A | 5282877 | 2025-08-24 02:20:38.837122 | 2025-07-01 15:56:36.473431 |
| 2025-08-23 16:08:24.541939 | 2025-08-24 02:18:53.274970 | 11341917 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11341917 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-08-26 | M | AE | PT | MEJIA | 40055012201 | RUBEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_11341917_59c6f9c9-d9e1-4e49-9069-d0f7903eb0a2.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 | 8627600736 | N/A | N/A | 6642365 | 2222 | 4801 | 11182539 | N/A | 5249029 | 2025-08-24 02:18:53.274970 | 2025-07-14 01:52:51.387918 |
| 2025-08-23 16:08:24.375213 | 2025-08-24 02:26:11.769793 | 11341906 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11341906 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-26 | F | AE | PT | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11341906_c701146c-2e9e-4532-85f3-1cb2f9a07ba1.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 | 8627600734 | N/A | N/A | 6641936 | 2222 | 4801 | 11202975 | N/A | 5248742 | 2025-08-24 02:26:11.769793 | 2025-07-16 18:02:25.797343 |
| 2025-08-23 16:08:24.295704 | 2025-08-24 02:19:59.710953 | 11341898 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11341898 | 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/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641910/check_11341898_174044a8-3800-4d71-bb9f-446f09c8c615.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 | 8627600733 | N/A | N/A | 6641910 | 2222 | 4802 | 11185766 | N/A | 5248673 | 2025-08-24 02:19:59.710953 | 2025-09-03 18:56:09.134332 |
| 2025-08-23 16:08:15.050417 | 2025-08-24 02:29:37.378149 | 11341219 | N/A | N/A | 60054 | Aetna | 1114042165 | 11341219 | Athletic Physical Therapy Inc | 1973-06-29 | 2025-08-26 | M | AE | PT | PHILIBOSIAN | W278870596 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000214/check_11341219_053346d6-6ca0-4a10-891d-7e58ae9f55dc.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 | 8627634725 | N/A | N/A | 7000214 | 2222 | 4801 | 11210366 | N/A | 4219137 | 2025-08-24 02:29:37.378149 | 2025-05-13 04:29:37.230154 |
| 2025-08-23 16:08:08.946105 | 2025-08-24 02:38:25.179303 | 11340829 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11340829 | 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/272741.20250823.191314676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_11340829_81a4ca98-9f7a-4e2e-ad6a-194063727228.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MB | 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 | 8627634696 | N/A | N/A | 6998367 | 2222 | 4801 | 11229083 | N/A | 6017959 | 2025-08-24 02:38:25.179303 | 2025-07-14 18:22:35.995798 |
| 2025-08-23 16:08:04.115676 | 2025-08-24 02:20:07.346951 | 11340558 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11340558 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-26 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | 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/2222/5676340/check_11340558_003a0d10-0946-422a-b9d6-ef27ee2613ce.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 | 8627628798 | N/A | N/A | 5676340 | 2222 | 4793 | 11186172 | 4184 | 4210531 | 2025-08-24 02:20:07.346951 | 2025-12-09 17:09:13.960610 |
| 2025-08-23 16:08:02.851811 | 2025-08-24 02:34:18.338143 | 11340500 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11340500 | 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/272741.20250823.191136948.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7627183/check_11340500_80542e29-2fb7-4125-8b3e-503b84e2e33d.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 | 8627623669 | N/A | N/A | 7627183 | 2222 | 4793 | 11219483 | N/A | 6526151 | 2025-08-24 02:34:18.338143 | 2025-07-31 16:27:01.412304 |
| 2025-08-23 16:07:57.566189 | 2025-08-24 02:16:22.337085 | 11340284 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11340284 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-08-26 | M | AE | PT | SHIMOHARA | H7561028700 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.190418292.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_11340284_1306b784-e271-4387-87d1-c784ced4b831.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 | 8627601560 | N/A | N/A | 6594216 | 2222 | 4801 | 11175941 | N/A | 5213181 | 2025-08-24 02:16:22.337085 | 2025-07-28 18:07:32.231640 |