API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-23 16:07:44.633382 | 2025-08-24 02:20:38.021000 | 11339732 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11339732 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-08-26 | F | PT | Deschatres | XED912070650 | Nathalie | N/A | N/A | 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/2222/6577909/check_11339732_c96a3cd8-883b-42de-80b1-cf6210b02702.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627600910 | N/A | N/A | 6577909 | 2222 | 4802 | 11187800 | N/A | 4766701 | 2025-08-24 02:20:38.021000 | 2025-06-03 21:11:46.573919 |
| 2025-08-23 16:07:43.541546 | 2025-08-24 02:39:24.248150 | 11339683 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11339683 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-25 | F | PT | CHAMBERLIN | CAW905797094 | JULIE | N/A | N/A | 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/2222/7591326/check_11339683_20eb037e-e575-4a78-bf39-affe5dec7018.json | N/A | N/A | N/A | N/A | N/A | CAW905797094 | Preferred Provider Organization (PPO) | CSEBA BEAR VALLEY UNIFIED SCHOOL DISTRICT | BLUE SHIELD CALIFORNIA | N/A | 1960-09-02 | 1001PPOX0001 | W0064554 | N/A | PR | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | CSEBA ASO PPO GOLD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627623432 | N/A | N/A | 7591326 | 2222 | 4801 | 11231272 | N/A | 6499323 | 2025-08-24 02:39:24.248150 | 2025-07-30 18:54:36.603528 |
| 2025-08-23 16:07:42.947928 | 2025-08-24 02:20:46.949633 | 11339652 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11339652 | Athletic Physical Therapy Inc | 1986-05-13 | 2025-08-26 | F | PT | GUDIEL | ZGP812841152 | LEAH | N/A | N/A | 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/2222/6573745/check_11339652_35907a64-09ed-4451-a79b-bcf57332686e.json | N/A | N/A | N/A | N/A | N/A | ZGP812841152 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-13 | N/A | 279469 | N/A | PR | false | GUDIEL | N/A | LEAH | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627601303 | N/A | N/A | 6573745 | 2222 | 4801 | 11188287 | N/A | 5194450 | 2025-08-24 02:20:46.949633 | 2025-07-13 23:50:25.607492 |
| 2025-08-23 16:07:31.817111 | 2025-08-24 02:14:37.816630 | 11339210 | N/A | N/A | 60054 | Aetna | 1114042165 | 11339210 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-08-26 | M | AE | Hamilton | W292751187 | Kevin | PT | N/A | 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/2222/6555606/check_11339210_89e98687-6c41-463b-a763-cdc9c4ebfec4.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627601094 | N/A | N/A | 6555606 | 2222 | 4802 | 11172643 | N/A | 5178755 | 2025-08-24 02:14:37.816630 | 2025-07-17 17:42:32.068740 |
| 2025-08-23 16:07:31.019207 | 2025-08-24 02:13:53.234655 | 11339171 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11339171 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-08-26 | F | AE | Ballatore | 90665617F | Chloe | PT | N/A | 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/2222/6553125/check_11339171_0e8768e4-8f9c-4312-a874-6b7c8c904e3a.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8627601083 | N/A | N/A | 6553125 | 2222 | 4802 | 11171616 | N/A | 5176363 | 2025-08-24 02:13:53.234655 | 2025-06-23 23:46:22.182955 |
| 2025-08-23 16:07:30.600521 | 2025-08-24 02:29:30.942265 | 11339145 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11339145 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-08-26 | M | PT | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | 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/2222/6967909/check_11339145_c2f453ec-3fe2-4321-b79f-6b5ede35a81d.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 | 2029-03-31 | 2018-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627634060 | N/A | N/A | 6967909 | 2222 | 4793 | 11210150 | N/A | 5990447 | 2025-08-24 02:29:30.942265 | 2025-07-21 18:40:33.917911 |
| 2025-08-23 16:07:28.948877 | 2025-08-24 02:19:51.641739 | 11339062 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11339062 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-08-26 | M | AE | HACKBARTH | 00000294758 | HAROLD | PT | 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/2222/5568081/check_11339062_4c7a4d7b-c3f4-4910-9327-4b2cf809f41b.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 | 8627628249 | N/A | N/A | 5568081 | 2222 | 4801 | 11185347 | N/A | 4212656 | 2025-08-24 02:19:51.641739 | 2025-08-12 21:09:57.607033 |
| 2025-08-23 16:07:28.732561 | 2025-08-24 02:18:39.276752 | 11339052 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11339052 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-26 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | 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/2222/5568076/check_11339052_605e7d8c-179f-4d32-88b3-6db04f399c89.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 | 8627628248 | N/A | N/A | 5568076 | 2222 | 4802 | 11181795 | N/A | 4209480 | 2025-08-24 02:18:39.276752 | 2026-04-10 02:05:15.976484 |
| 2025-08-23 16:07:19.776960 | 2025-08-24 02:26:09.691598 | 11338627 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11338627 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-08-26 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | 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/2222/6522947/check_11338627_4262302a-7953-435d-aa16-c02ecc35f6d9.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 | 8627600894 | N/A | N/A | 6522947 | 2222 | 4802 | 11202888 | N/A | 5146127 | 2025-08-24 02:26:09.691598 | 2025-06-20 17:58:23.371130 |
| 2025-08-23 16:07:13.513120 | 2025-08-24 02:20:07.776478 | 11338301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338301 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-08-25 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_11338301_59e20474-e64f-4006-a704-8287dcbaaac5.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 | 8627628110 | N/A | N/A | 5550993 | 2222 | 4793 | 11186192 | N/A | 4219817 | 2025-08-24 02:20:07.776478 | 2025-05-13 04:29:37.230864 |
| 2025-08-23 16:07:13.390913 | 2025-08-24 02:20:04.673365 | 11338293 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338293 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-08-26 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | 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/2222/5550953/check_11338293_e6c8f730-265a-41ac-8000-ae59e99b7880.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 | 8627628109 | N/A | N/A | 5550953 | 2222 | 4801 | 11186039 | N/A | 4219788 | 2025-08-24 02:20:04.673365 | 2025-06-06 22:01:46.271450 |
| 2025-08-23 16:07:13.216312 | 2025-08-24 02:21:21.021981 | 11338286 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11338286 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-26 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | 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/2222/5550827/check_11338286_292bf513-c087-494f-bc88-2303e4a4ec8f.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 | 8627628108 | N/A | N/A | 5550827 | 2222 | 4802 | 11189941 | N/A | 4219700 | 2025-08-24 02:21:21.021981 | 2025-05-13 04:29:37.230745 |
| 2025-08-23 16:07:13.083650 | 2025-08-24 02:19:51.002191 | 11338279 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11338279 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-26 | M | AE | ARUJO | 00000223568 | RAMON | PT | 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/2222/5550751/check_11338279_bb1d17f7-8ae2-4b2d-a064-e0916ceb60bf.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 | 8627628107 | N/A | N/A | 5550751 | 2222 | 4801 | 11185325 | 2630 | 4219640 | 2025-08-24 02:19:51.002191 | 2025-05-13 04:29:37.230682 |
| 2025-08-23 16:07:12.970930 | 2025-08-24 02:15:53.379766 | 11338273 | N/A | N/A | 60054 | Aetna | 1114042165 | 11338273 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-26 | F | AE | SANTITORO | W267422430 | SARAH | PT | 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/2222/5550743/check_11338273_fa89d9f1-aab6-428c-96d9-87be077c5f50.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 | 8627628106 | N/A | N/A | 5550743 | 2222 | 4801 | 11174811 | N/A | 4219643 | 2025-08-24 02:15:53.379766 | 2025-05-13 04:29:37.230685 |
| 2025-08-23 16:07:12.846857 | 2025-08-24 02:25:20.252986 | 11338267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11338267 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-26 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | 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/2222/5549981/check_11338267_7ad025db-43c5-426c-88e9-fbeda47ff90e.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | 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 | MA | 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 | 8627628105 | N/A | N/A | 5549981 | 2222 | 4802 | 11200860 | N/A | 4219436 | 2025-08-24 02:25:20.252986 | 2025-05-13 04:29:37.230471 |
| 2025-08-23 16:07:12.648766 | 2025-08-24 02:19:39.988497 | 11338258 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11338258 | N/A | 1967-12-23 | 2025-08-26 | F | AE | SOL | U9859952501 | ISABEL | PT | 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/2222/5549212/check_11338258_aeacfd98-ca8f-4af2-898f-af0e351d7f70.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 | 8627628104 | N/A | N/A | 5549212 | 2222 | 4793 | 11184949 | N/A | 4218926 | 2025-08-24 02:19:39.988497 | 2025-07-30 14:07:18.779456 |
| 2025-08-23 16:07:11.742713 | 2025-08-24 02:20:00.128114 | 11338225 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338225 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-08-26 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | N/A | 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/2222/6491817/check_11338225_dac62f6e-2ae2-4415-bb07-d798e576ddd4.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 | 8627600521 | N/A | N/A | 6491817 | 2222 | 4801 | 11185787 | N/A | 5120889 | 2025-08-24 02:20:00.128114 | 2025-06-23 18:24:54.219050 |
| 2025-08-23 16:07:10.819215 | 2025-08-24 02:18:40.427752 | 11338186 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11338186 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-26 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_11338186_1338667a-5a37-401a-9485-1369a4ed909b.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 | 8627628096 | N/A | N/A | 5543425 | 2222 | 4801 | 11181850 | N/A | 4215211 | 2025-08-24 02:18:40.427752 | 2026-04-02 22:30:20.020246 |
| 2025-08-23 16:07:10.641772 | 2025-08-24 02:20:06.072145 | 11338177 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11338177 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-08-26 | M | PT | MEINERT | XEH912496752 | TIM | N/A | 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/2222/5543360/check_11338177_cd5e5ec5-2019-4e54-b320-2fecc3681137.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 | 8627628095 | N/A | N/A | 5543360 | 2222 | 4793 | 11186106 | 4184 | 4215161 | 2025-08-24 02:20:06.072145 | 2025-05-13 04:29:37.229478 |
| 2025-08-23 16:07:10.535767 | 2025-08-24 02:20:03.088965 | 11338172 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338172 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-08-26 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | 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/2222/5543355/check_11338172_a80cca05-7903-41ed-822b-b6e08e5ec649.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 | 8627628094 | N/A | N/A | 5543355 | 2222 | 4793 | 11185945 | N/A | 4215158 | 2025-08-24 02:20:03.088965 | 2025-05-13 04:29:37.229475 |
| 2025-08-23 16:07:10.345663 | 2025-08-24 02:15:32.967503 | 11338161 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11338161 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-08-26 | M | AE | AZIM | 627771249 | FAIYAZ | PT | 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/2222/5543304/check_11338161_555dad16-86e4-44c9-8bee-1029a8a982a4.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 | 8627628093 | N/A | N/A | 5543304 | 2222 | 4802 | 11174127 | N/A | 4215118 | 2025-08-24 02:15:32.967503 | 2025-06-02 01:41:59.668874 |
| 2025-08-23 16:07:10.079466 | 2025-08-24 02:21:23.353857 | 11338147 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11338147 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-08-26 | F | PT | PAUL | XEK914147727 | SARA | N/A | 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/2222/5543211/check_11338147_4a9487e9-67dd-4266-85dc-83f5fd965123.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627628092 | N/A | N/A | 5543211 | 2222 | 4801 | 11190052 | N/A | 4215028 | 2025-08-24 02:21:23.353857 | 2025-05-13 04:29:37.229346 |
| 2025-08-23 16:07:09.806859 | 2025-08-24 02:20:06.473965 | 11338137 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338137 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-08-26 | F | PT | MICHAEL | JXN531M63256 | JUNITHA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_11338137_40ab02e7-ccb9-4d09-894f-1e6097cf39f1.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 | 8627628091 | N/A | N/A | 5543190 | 2222 | 4793 | 11186132 | N/A | 4215014 | 2025-08-24 02:20:06.473965 | 2025-06-01 22:57:55.386960 |
| 2025-08-23 16:07:09.586034 | 2025-08-24 02:20:02.019882 | 11338128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338128 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-26 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_11338128_d40c5950-e3f6-42cc-8bfb-2c040678687a.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 | 8627628090 | N/A | N/A | 5543161 | 2222 | 4793 | 11185892 | N/A | 4214989 | 2025-08-24 02:20:02.019882 | 2025-05-13 04:29:37.229310 |
| 2025-08-23 16:07:09.322033 | 2025-08-24 02:21:21.710266 | 11338121 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11338121 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-08-26 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_11338121_7e79d011-3e85-4b46-9207-1e4c1801e18f.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627628089 | N/A | N/A | 5542952 | 2222 | 4802 | 11189971 | N/A | 4214804 | 2025-08-24 02:21:21.710266 | 2025-05-13 20:09:53.786482 |
| 2025-08-23 16:07:08.966756 | 2025-08-24 02:20:03.603096 | 11338106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338106 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-08-26 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_11338106_adb216bb-6dbd-47c4-b141-cc09b1b230ea.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 | 8627628088 | N/A | N/A | 5542900 | 2222 | 4801 | 11185982 | N/A | 4214759 | 2025-08-24 02:20:03.603096 | 2025-05-13 04:29:37.229079 |
| 2025-08-23 16:07:08.929383 | 2025-08-24 02:33:37.681971 | 11338102 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11338102 | Athletic Physical Therapy Inc | 1937-09-28 | 2025-08-26 | F | AE | MENDOZA | 00000395455 | LEVIE | PT | 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/2222/6957837/check_11338102_91cc3f20-29c2-4116-8396-799f5781db79.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 | 8627633784 | N/A | N/A | 6957837 | 2222 | 4801 | 11217925 | N/A | 5983200 | 2025-08-24 02:33:37.681971 | 2025-07-25 17:28:26.584539 |
| 2025-08-23 16:07:08.552950 | 2025-08-24 02:21:22.605811 | 11338088 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11338088 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-08-26 | M | PT | MATTHEWS | KTP903824736 | LARRY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_11338088_adfb7278-a8c3-419e-bdc0-e559c9c24ca4.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 | 8627628087 | N/A | N/A | 5542899 | 2222 | 4793 | 11190011 | N/A | 4214758 | 2025-08-24 02:21:22.605811 | 2025-05-13 04:29:37.229078 |
| 2025-08-23 16:07:08.317381 | 2025-08-24 02:15:53.997294 | 11338078 | N/A | N/A | 60054 | Aetna | 1114042165 | 11338078 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-08-26 | M | AE | VELASQUEZ | W290801184 | EVAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_11338078_e7355612-a1f4-487b-b920-b078fc72347e.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 | 8627628086 | N/A | N/A | 5542874 | 2222 | 4802 | 11174831 | N/A | 4214737 | 2025-08-24 02:15:53.997294 | 2025-05-13 04:29:37.229056 |
| 2025-08-23 16:07:07.878108 | 2025-08-24 02:15:52.780744 | 11338063 | N/A | N/A | 60054 | Aetna | 1114042165 | 11338063 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-26 | M | AE | KORY | 102161581800 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_11338063_dd6db190-8d3d-4d2a-aa43-6b23102357a5.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 | 8627628085 | N/A | N/A | 5542870 | 2222 | 4793 | 11174788 | N/A | 4214732 | 2025-08-24 02:15:52.780744 | 2025-06-24 20:13:53.579048 |
| 2025-08-23 16:07:07.543221 | 2025-08-24 02:15:53.110195 | 11338047 | N/A | N/A | 60054 | Aetna | 1114042165 | 11338047 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-08-26 | M | AE | MEADOWS | 101352892200 | STANLEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_11338047_7f922f7b-b290-46f4-b8f7-430bb24d5e46.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 | 8627628084 | N/A | N/A | 5542634 | 2222 | 4801 | 11174798 | N/A | 4214520 | 2025-08-24 02:15:53.110195 | 2025-07-28 19:32:04.879318 |
| 2025-08-23 16:07:07.015485 | 2025-08-24 02:21:40.414602 | 11338031 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11338031 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-26 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_11338031_ae6f0af0-95c6-402c-bfdd-5aab19728700.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 | 8627628083 | N/A | N/A | 5542628 | 2222 | 4793 | 11190837 | N/A | 4214508 | 2025-08-24 02:21:40.414602 | 2025-06-04 00:05:22.392827 |
| 2025-08-23 16:07:06.685441 | 2025-08-24 02:25:21.443330 | 11338020 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11338020 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-08-26 | M | AE | NEILSON | 2VG5XR5CT78 | GEORGE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_11338020_7b8bbb58-e192-4689-8230-46fd81c4ff71.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MA | 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 | 8627628082 | N/A | N/A | 5542623 | 2222 | 4801 | 11200910 | N/A | 4214511 | 2025-08-24 02:25:21.443330 | 2025-05-13 04:29:37.228826 |
| 2025-08-23 16:07:06.408672 | 2025-08-24 02:20:05.614455 | 11338011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338011 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-08-26 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_11338011_c967b1c5-2ced-4ea9-b860-c0893e79a9c6.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 | 8627628081 | N/A | N/A | 5542207 | 2222 | 4802 | 11186085 | N/A | 4214152 | 2025-08-24 02:20:05.614455 | 2025-05-13 04:29:37.228479 |
| 2025-08-23 16:07:06.155178 | 2025-08-24 02:20:03.891437 | 11338001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11338001 | Athletic Physical Therapy Inc | 1992-06-25 | 2025-08-26 | F | PT | FONSECA | XDP457W18823 | NICOLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541789/check_11338001_abeeb672-017c-4ce2-b3ef-6b917222acab.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 | 8627628079 | N/A | N/A | 5541789 | 2222 | 4802 | 11186006 | N/A | 4213775 | 2025-08-24 02:20:03.891437 | 2025-05-13 04:29:37.228095 |
| 2025-08-23 16:07:05.944480 | 2025-08-24 02:17:23.578188 | 11337993 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11337993 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-08-26 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_11337993_b3bff9b6-e064-47d2-a75c-ff681e70e9df.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 | 8627628078 | N/A | N/A | 5541552 | 2222 | 4802 | 11178540 | N/A | 4213562 | 2025-08-24 02:17:23.578188 | 2025-05-13 04:29:37.227895 |
| 2025-08-23 16:07:05.728989 | 2025-08-24 02:18:41.514311 | 11337982 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11337982 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-08-26 | F | AE | SHEPHERD | 93180838F | EMILY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_11337982_2d2fdfd4-911e-4176-a74b-063c30e8e6b1.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 | 8627628077 | N/A | N/A | 5541519 | 2222 | 4802 | 11181899 | N/A | 4213530 | 2025-08-24 02:18:41.514311 | 2025-05-13 04:29:37.227860 |
| 2025-08-23 16:07:05.357062 | 2025-08-24 02:21:24.314785 | 11337972 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11337972 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-08-26 | F | PT | TRUJILLO | XED914492685 | ADRIENNE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541269/check_11337972_42093b03-ee29-45fe-990d-18348be8626b.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8627628076 | N/A | N/A | 5541269 | 2222 | 4793 | 11190086 | N/A | 4213302 | 2025-08-24 02:21:24.314785 | 2025-05-13 04:29:37.227624 |
| 2025-08-23 16:07:05.040936 | 2025-08-24 02:20:04.304504 | 11337962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11337962 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-26 | F | PT | GALVAN GUERRERO | 904W1671720 | MARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_11337962_10016f6e-4b42-4c16-bd4b-14e94b72cf6d.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 | 8627628075 | N/A | N/A | 5541035 | 2222 | 4801 | 11186019 | N/A | 4213091 | 2025-08-24 02:20:04.304504 | 2025-05-13 04:29:37.227417 |
| 2025-08-23 16:07:04.624792 | 2025-08-24 02:20:06.872721 | 11337949 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11337949 | Athletic Physical Therapy Inc | 1971-08-14 | 2025-08-26 | F | PT | NADELLA | FJB22183182M | SAILAJA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540468/check_11337949_7974955c-d8fc-4a93-9f94-5b9014db571f.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 | 8627628074 | N/A | N/A | 5540468 | 2222 | 4793 | 11186152 | N/A | 4212621 | 2025-08-24 02:20:06.872721 | 2025-08-22 20:49:20.901833 |
| 2025-08-23 16:07:03.638357 | 2025-08-24 02:18:40.940618 | 11337932 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11337932 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-08-26 | M | AE | HERMAN | 95836743G | BRETT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250823.191346053.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_11337932_f2386e33-ce93-4727-8736-da97125da121.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 | 8627628073 | N/A | N/A | 5540113 | 2222 | 4801 | 11181870 | N/A | 4212315 | 2025-08-24 02:18:40.940618 | 2025-12-29 21:20:15.158611 |
| 2025-08-23 04:26:04.399355 | 2025-08-23 04:26:06.199269 | 11337370 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-18 | N/A | PT | STOPSKY | 1RY8AR3KR51 | LIDIA | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540229/check_11337370_11b746b0-af4f-4af1-b6cb-475f0477ef85.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540229/check_11337370_9c67baed-3c7b-485b-92a7-9db2ed9fdfbc.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-03-24 | S5601 | N/A | N/A | MB | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8625218341 | 1275 | N/A | 5540229 | 2222 | N/A | 11144140 | N/A | 4212423 | 2025-08-23 04:26:06.199269 | 2025-05-13 04:29:37.226755 |
| 2025-08-23 04:16:26.343602 | 2025-08-23 04:16:36.474768 | 11337181 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | Yiannakakis | 913624039 | Kathy | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11337181_d55fffd3-68c4-4bee-bfd2-4b5d618d1694.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_11337181_809db56d-ebd3-437b-b0c0-6dac2c1dedb3.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | 11143952 | N/A | 4766950 | 2025-08-23 04:16:36.474768 | 2025-06-03 22:10:54.646473 |
| 2025-08-23 04:16:23.584829 | 2025-08-23 04:16:26.337857 | 11337179 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | Yiannakakis | 913624039 | Kathy | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11337179_6e4aeb66-756e-4799-85e6-0fb6e4d81c0a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-08-23 04:16:26.337857 | 2025-06-03 22:10:54.646473 |
| 2025-08-23 03:36:41.353541 | 2025-08-23 03:36:44.279928 | 11336799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-19 | N/A | PT | WEBER | JQU141A54789 | MADELINE | AE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8079333/check_11336799_eea234e2-0291-40dc-8f7d-4f31f6a6ba6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8079333/check_11336799_de3a652d-388b-4c84-bff2-119e0ef7e4d0.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | ANTHEM BLUE CROSS | 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 | AE | N/A | N/A | N/A | N/A | N/A | 8624783815 | 1275 | N/A | 8079333 | 2222 | N/A | 11143571 | N/A | 4214508 | 2025-08-23 03:36:44.279928 | 2025-06-04 00:05:22.392827 |
| 2025-08-23 03:35:36.273549 | 2025-08-23 03:35:47.232465 | 11336763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-04-07 | 2025-08-18 | N/A | PT | HERRERA | LCB831759896 | JAIRO | AE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8037219/check_11336763_d5ef1768-3a3c-4480-819d-ffe3e322169c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8037219/check_11336763_ef13b441-d42c-4e2b-b397-b0315f3b076e.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | Preferred Provider Organization (PPO) | LINE CONSTRUCTION BENEFIT FUND | LINECO | N/A | 2008-04-07 | N/A | P14602 | N/A | PR | false | TATUM | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-04-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8624772667 | 1275 | N/A | 8037219 | 2222 | N/A | 11143539 | N/A | 4209986 | 2025-08-23 03:35:47.232465 | 2025-05-13 04:29:37.224406 |
| 2025-08-23 03:35:33.342392 | 2025-08-23 03:35:36.429765 | 11336761 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-10-26 | 2025-08-18 | N/A | PT | Knight | XEA913358013 | Sean | AE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8159274/check_11336761_0b1b10b5-73c6-41e6-96ef-be9152c83591.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8159274/check_11336761_c22da976-7bda-42c1-86dc-805c4779c7d5.json | N/A | N/A | N/A | N/A | N/A | XEA913358013 | Preferred Provider Organization (PPO) | VINTAGE CHURCH OF LOS ANGELES | BLUE SHIELD CALIFORNIA | N/A | 1971-10-26 | 1000VX000102 | W0111372 | N/A | PR | false | KNIGHT | N/A | HANNAH | N/A | 9999-12-31 | 2025-03-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8624772140 | 1275 | N/A | 8159274 | 2222 | N/A | 11143533 | N/A | 6634901 | 2025-08-23 03:35:36.429765 | 2025-08-05 20:39:10.530593 |
| 2025-08-23 03:34:32.308598 | 2025-08-23 03:34:34.052788 | 11336668 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-06-10 | N/A | PT | Yiannakakis | 913624039 | Kathy | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11336668_4a5c7aa9-3438-431c-ad1b-128a323df59a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_11336668_a68ae915-15a3-4257-bab4-5345a5bf2248.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | 11143447 | N/A | 4766950 | 2025-08-23 03:34:34.052788 | 2025-06-03 22:10:54.646473 |
| 2025-08-23 03:34:30.534093 | 2025-08-23 03:34:32.305253 | 11336663 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-06-10 | N/A | PT | Yiannakakis | 913624039 | Kathy | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11336663_201af3ba-0188-444c-86df-1b84e1f1c8a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-08-23 03:34:32.305253 | 2025-06-03 22:10:54.646473 |
| 2025-08-23 03:32:24.207624 | 2025-08-23 03:32:26.082022 | 11336501 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-01 | N/A | PT | Yiannakakis | 913624039 | Kathy | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11336501_fb4478c3-f329-4d05-95b8-6aa3840f79e5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_11336501_a0d54a1a-45a4-4c82-aa3d-c0fe5ef326bd.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | 11143284 | N/A | 4766950 | 2025-08-23 03:32:26.082022 | 2025-06-03 22:10:54.646473 |