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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-22 08:42:49.892638 | 2025-08-23 02:41:48.991744 | 11308810 | N/A | N/A | 60054 | Aetna | 1114042165 | 11308810 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-08-25 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_11308810_18f5a5b4-cb33-46ee-8c5a-98a66b40d95f.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616113330 | N/A | N/A | 6417889 | 2222 | 4793 | 11116729 | N/A | 5065591 | 2025-08-23 02:41:48.991744 | 2025-06-18 18:47:45.179937 |
| 2025-08-22 08:42:15.567919 | 2025-08-23 03:03:37.452347 | 11308132 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11308132 | Athletic Physical Therapy Inc | 1966-11-15 | 2025-08-25 | F | PT | N/A | WILLIAMS | XEH9032731694 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.114122225.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258960/check_11308132_c11d88ae-4b99-4525-9621-6f39e2d7a36e.json | N/A | N/A | N/A | N/A | N/A | XEH9032731694 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1966-11-15 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CYNTHIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616121137 | N/A | N/A | 7258960 | 2222 | 4801 | 11139294 | N/A | 6224768 | 2025-08-23 03:03:37.452347 | 2025-08-08 01:50:02.444196 |
| 2025-08-22 08:42:14.695191 | 2025-08-22 08:42:18.047776 | 11308112 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-08-25 | F | AE | PT | GUEVARA | G45053839 | DIANE | 21981 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_11308112_59f38927-59c0-4098-9425-1ffc0dc1c9ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_11308112_f76bcfda-1e1a-4d25-8c6f-c3c098c6fd36.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616090684 | N/A | N/A | 5550940 | 2222 | N/A | 11049575 | N/A | 4219779 | 2025-08-22 08:42:18.047776 | 2025-05-13 04:29:37.230820 |
| 2025-08-22 08:42:12.979275 | 2025-08-23 03:03:37.098324 | 11308071 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11308071 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-08-25 | F | PT | N/A | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.114122225.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_11308071_63689ab8-e35f-4876-9da5-336923be95d2.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616121129 | N/A | N/A | 7257479 | 2222 | 4802 | 11139289 | N/A | 4210270 | 2025-08-23 03:03:37.098324 | 2025-07-08 18:23:05.596578 |
| 2025-08-22 08:42:11.585253 | 2025-08-22 08:42:14.674294 | 11308045 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-08-25 | F | AE | PT | GUEVARA | G45053839 | DIANE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550940 | 2222 | N/A | N/A | N/A | 4219779 | 2025-08-22 08:42:14.674294 | 2025-05-13 04:29:37.230820 |
| 2025-08-22 08:42:10.102224 | 2025-08-22 08:42:14.813492 | 11308014 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-30 | 2025-08-25 | F | AE | PT | BIERNER | 941921536 | ISABEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543359/check_11308014_0f27fa0b-fdc5-4fb7-bc37-12a5ba0e25dc.json | UHC | N/A | GOOGLE_CLOUD | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_11308014_65a6343b-2eac-4203-9d90-cbd5215d208b.json | N/A | N/A | N/A | N/A | N/A | 941921536 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-07-07 | N/A | 700406 | N/A | N/A | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543359 | 2222 | N/A | 11049569 | N/A | 4215160 | 2025-08-22 08:42:14.813492 | 2025-05-13 04:29:37.229477 |
| 2025-08-22 08:42:08.720968 | 2025-08-23 02:49:43.562896 | 11307986 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307986 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-08-25 | M | PT | N/A | HARDING | XDP157A51099 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_11307986_2602658d-d933-4c9a-ac1a-6e4dd70c7ba3.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 | 1967-08-29 | 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 | 8616112652 | N/A | N/A | 6398773 | 2222 | 4801 | 11125246 | N/A | 5046326 | 2025-08-23 02:49:43.562896 | 2025-06-30 17:04:21.721546 |
| 2025-08-22 08:42:08.289722 | 2025-08-23 02:49:22.245982 | 11307976 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11307976 | Athletic Physical Therapy Inc | 1950-06-14 | 2025-08-25 | F | AE | PT | MIESSNER | 00000302558 | CHERYLL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_11307976_a8db7b3f-a35d-4ba9-8e3b-dee8676c0304.json | N/A | N/A | N/A | N/A | N/A | 00000302558 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-06-14 | H3815028 | N/A | N/A | HM | false | MIESSNER | N/A | CHERYLL | 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 | 8616114308 | N/A | N/A | 6398725 | 2222 | 4801 | 11124973 | N/A | 5046278 | 2025-08-23 02:49:22.245982 | 2025-06-15 19:17:04.043327 |
| 2025-08-22 08:42:07.845648 | 2025-08-23 02:41:49.395721 | 11307968 | N/A | N/A | 60054 | Aetna | 1114042165 | 11307968 | Athletic Physical Therapy Inc | 1963-03-10 | 2025-08-25 | F | AE | PT | HASSHAW | W257198312 | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398687/check_11307968_8f79ce1b-df5a-49ea-9ad6-04a9626dbdbb.json | N/A | N/A | N/A | N/A | N/A | W257198312 | Point of Service (POS) | EXL SERVICE.COM, LLC | AETNA | N/A | 1963-03-10 | 0847788 | 084778801000201 | N/A | PS | false | HASSHAW | N/A | LAURA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616114307 | N/A | N/A | 6398687 | 2222 | 4793 | 11116740 | N/A | 5046244 | 2025-08-23 02:41:49.395721 | 2025-06-20 22:35:45.756703 |
| 2025-08-22 08:41:59.777013 | 2025-08-23 02:55:29.485430 | 11307801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307801 | Athletic Physical Therapy Inc | 1948-03-15 | 2025-08-25 | M | AE | PT | SAMOFF | 9WK1PA8GW14 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_11307801_83e9c583-eb10-452d-bdd5-16033f89397b.json | N/A | N/A | N/A | N/A | N/A | 9WK1PA8GW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-15 | H3815 | N/A | N/A | MA | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616114286 | N/A | N/A | 6236212 | 2222 | 4793 | 11130537 | N/A | 4884170 | 2025-08-23 02:55:29.485430 | 2025-07-09 21:20:43.604452 |
| 2025-08-22 08:41:57.361244 | 2025-08-23 02:41:49.705811 | 11307757 | N/A | N/A | 60054 | Aetna | 1114042165 | 11307757 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-08-25 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_11307757_f32e6c44-8fdb-4e93-8fbe-c53a698f063c.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616114281 | N/A | N/A | 6235883 | 2222 | 4802 | 11116753 | N/A | 4883697 | 2025-08-23 02:41:49.705811 | 2025-07-08 14:55:53.397662 |
| 2025-08-22 08:41:54.229714 | 2025-08-23 02:49:42.235493 | 11307682 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307682 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-25 | F | PT | N/A | AZUCENA | MMA139W21606 | ESPERANZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_11307682_fe17799e-59df-4965-9547-3f4556412df8.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616114272 | N/A | N/A | 6234679 | 2222 | 4801 | 11125222 | N/A | 4213743 | 2025-08-23 02:49:42.235493 | 2025-05-13 04:29:37.228064 |
| 2025-08-22 08:41:51.475938 | 2025-08-23 02:31:34.342146 | 11307617 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307617 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-08-25 | F | PT | N/A | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_11307617_0ae2eb8e-635c-4245-ac95-14cb3208e9fa.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616096049 | N/A | N/A | 5550923 | 2222 | 4801 | 11100261 | N/A | 4219763 | 2025-08-23 02:31:34.342146 | 2025-05-13 04:29:37.230804 |
| 2025-08-22 08:41:51.010983 | 2025-08-23 02:26:55.111261 | 11307607 | N/A | N/A | 60054 | Aetna | 1114042165 | 11307607 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-08-25 | F | AE | PT | CARDINALI | W286606913 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_11307607_fcec6ae4-99dc-4275-8fe0-f7a0680386d9.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096048 | N/A | N/A | 5550850 | 2222 | 4802 | 11093085 | N/A | 4215195 | 2025-08-23 02:26:55.111261 | 2025-05-14 09:08:40.751930 |
| 2025-08-22 08:41:50.808606 | 2025-08-23 02:38:17.946119 | 11307602 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307602 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-08-25 | F | AE | PT | STELLINI | 9PU3FY2MU09 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_11307602_b9dc9773-7987-4015-bc76-660548495a8c.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MA | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096047 | N/A | N/A | 5550849 | 2222 | 4802 | 11111139 | N/A | 4215221 | 2025-08-23 02:38:17.946119 | 2025-05-13 04:29:37.229536 |
| 2025-08-22 08:41:45.999243 | 2025-08-23 02:38:14.950135 | 11307507 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307507 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-25 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_11307507_b16aaf9c-fc28-432c-a995-31d11f8d2de7.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096036 | N/A | N/A | 5543340 | 2222 | 4793 | 11111076 | N/A | 4215147 | 2025-08-23 02:38:14.950135 | 2025-05-13 04:29:37.229464 |
| 2025-08-22 08:41:45.642174 | 2025-08-23 02:29:19.254438 | 11307499 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11307499 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-08-25 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11307499_35245886-9f20-44af-a35e-f4e5382164aa.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8616096035 | N/A | N/A | 5543171 | 2222 | 4793 | 11096469 | N/A | 4214998 | 2025-08-23 02:29:19.254438 | 2025-05-13 04:29:37.229318 |
| 2025-08-22 08:41:45.189650 | 2025-08-23 02:38:16.947373 | 11307489 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307489 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-08-25 | M | AE | PT | STECHER | 4P42WA3QM82 | BRIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_11307489_89bcc1dc-a47e-4784-956a-501564eba67b.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MB | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096034 | N/A | N/A | 5543052 | 2222 | 4802 | 11111120 | N/A | 4214891 | 2025-08-23 02:38:16.947373 | 2025-05-13 04:29:37.229214 |
| 2025-08-22 08:41:44.740312 | 2025-08-23 02:31:31.414077 | 11307479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307479 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-08-25 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_11307479_692af6ba-4a6b-43eb-8221-103d037b6519.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616096033 | N/A | N/A | 5543043 | 2222 | 4801 | 11100142 | N/A | 4214884 | 2025-08-23 02:31:31.414077 | 2025-11-12 00:46:10.301659 |
| 2025-08-22 08:41:44.240967 | 2025-08-23 02:38:14.319254 | 11307462 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307462 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-08-25 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_11307462_ed8c259a-275c-4a4d-ab90-f755cffb5252.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096032 | N/A | N/A | 5542970 | 2222 | 4802 | 11111066 | N/A | 4214820 | 2025-08-23 02:38:14.319254 | 2025-06-30 02:56:23.324592 |
| 2025-08-22 08:41:43.977209 | 2025-08-23 02:38:13.948736 | 11307457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307457 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-08-25 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_11307457_07f529f4-965e-4b1d-9acb-621aaf733150.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | 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 | 8616096031 | N/A | N/A | 5542935 | 2222 | 4802 | 11111058 | N/A | 4214789 | 2025-08-23 02:38:13.948736 | 2025-12-11 23:30:31.319246 |
| 2025-08-22 08:41:43.593019 | 2025-08-23 02:26:55.792737 | 11307451 | N/A | N/A | 60054 | Aetna | 1114042165 | 11307451 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-08-25 | M | AE | PT | TORGAN | W291598583 | SPENCER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_11307451_e48577b4-073a-4fe8-a8bf-76b9656bd061.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096030 | N/A | N/A | 5542863 | 2222 | 4793 | 11093103 | N/A | 4214725 | 2025-08-23 02:26:55.792737 | 2025-05-13 04:29:37.229043 |
| 2025-08-22 08:41:43.163303 | 2025-08-23 02:26:55.436891 | 11307443 | N/A | N/A | 60054 | Aetna | 1114042165 | 11307443 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-08-25 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_11307443_23588432-ae86-48d1-bd69-aa07ab393472.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096029 | N/A | N/A | 5542759 | 2222 | 4793 | 11093093 | N/A | 4214620 | 2025-08-23 02:26:55.436891 | 2025-08-05 22:41:29.756445 |
| 2025-08-22 08:41:42.811968 | 2025-08-23 02:44:20.194768 | 11307434 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11307434 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-08-25 | F | AE | PT | BARCENES | H9209970900 | IRENE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231314/check_11307434_408ea760-3ce3-4209-a9dc-df26f4ed88e6.json | N/A | N/A | N/A | N/A | N/A | H92099709 | 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 | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616113835 | N/A | N/A | 6231314 | 2222 | 4801 | 11119977 | N/A | 4219033 | 2025-08-23 02:44:20.194768 | 2025-05-13 04:29:37.230052 |
| 2025-08-22 08:41:42.425866 | 2025-08-23 02:38:10.277586 | 11307428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307428 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-25 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11307428_35b52f93-8288-4d31-aa39-c20e20149522.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096028 | N/A | N/A | 5542555 | 2222 | 4793 | 11110968 | N/A | 4214447 | 2025-08-23 02:38:10.277586 | 2026-04-23 20:11:34.441054 |
| 2025-08-22 08:41:41.460036 | 2025-08-23 02:31:34.044913 | 11307414 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307414 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-08-25 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11307414_9ee6d5ce-f021-4896-b974-9fcd8ce985f1.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616096027 | N/A | N/A | 5542387 | 2222 | 4801 | 11100248 | N/A | 4214300 | 2025-08-23 02:31:34.044913 | 2025-06-17 13:03:57.252701 |
| 2025-08-22 08:41:40.800647 | 2025-08-23 02:32:22.391918 | 11307402 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11307402 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-08-25 | F | PT | N/A | BAER | XEK905554072 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11307402_3a0d6452-e058-4c52-aa89-5b040b816b6b.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616096026 | N/A | N/A | 5542259 | 2222 | 4802 | 11102011 | N/A | 4214195 | 2025-08-23 02:32:22.391918 | 2025-05-13 04:29:37.228529 |
| 2025-08-22 08:41:40.246467 | 2025-08-23 02:31:33.249481 | 11307394 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307394 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-08-25 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11307394_4d7e644a-985d-4497-b7ff-ac95c651f2f7.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 8616096025 | N/A | N/A | 5542014 | 2222 | 4793 | 11100215 | N/A | 4213977 | 2025-08-23 02:31:33.249481 | 2025-05-13 04:29:37.228294 |
| 2025-08-22 08:41:39.927781 | 2025-08-23 02:31:09.533379 | 11307386 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11307386 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-08-25 | M | AE | PT | YEE | 412922301 | HARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11307386_2e2cfc5e-17f1-43f0-9958-70a02eaee23f.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616096023 | N/A | N/A | 5541972 | 2222 | 4793 | 11099231 | N/A | 4213941 | 2025-08-23 02:31:09.533379 | 2025-05-13 04:29:37.228259 |
| 2025-08-22 08:41:39.567207 | 2025-08-23 02:31:30.591482 | 11307381 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11307381 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-08-25 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_11307381_f0a9e495-77e4-49e6-8c69-964b8d6afb82.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095864 | N/A | N/A | 5541944 | 2222 | 4801 | 11100113 | 4184 | 4213907 | 2025-08-23 02:31:30.591482 | 2025-05-13 04:29:37.228228 |
| 2025-08-22 08:41:39.087129 | 2025-08-23 02:31:32.917786 | 11307372 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307372 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-08-25 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_11307372_cde2a535-d0a2-4382-8413-ebed4681ccd4.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 8616095863 | N/A | N/A | 5541917 | 2222 | 4793 | 11100199 | N/A | 4213891 | 2025-08-23 02:31:32.917786 | 2025-05-13 04:29:37.228207 |
| 2025-08-22 08:41:38.592946 | 2025-08-23 02:31:32.452425 | 11307366 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307366 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-08-25 | M | PT | N/A | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_11307366_390322c6-eb53-49e7-aeb0-744a0c2cd271.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095862 | N/A | N/A | 5541518 | 2222 | 4793 | 11100185 | N/A | 4213526 | 2025-08-23 02:31:32.452425 | 2025-11-13 19:34:43.197819 |
| 2025-08-22 08:41:37.943720 | 2025-08-23 02:32:24.000533 | 11307358 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11307358 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-08-25 | M | PT | N/A | UPSON | XEA909162969 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_11307358_498b0cbb-28b7-4edc-9f1f-e1bb2fa9ecce.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095861 | N/A | N/A | 5541318 | 2222 | 4801 | 11102070 | N/A | 4213349 | 2025-08-23 02:32:24.000533 | 2025-05-13 04:29:37.227671 |
| 2025-08-22 08:41:37.350176 | 2025-08-23 02:32:22.827323 | 11307346 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11307346 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-08-25 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_11307346_eafdc3cb-62e7-4551-80f6-06b9565eea70.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 2025-10-31 | 2024-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095860 | N/A | N/A | 5541315 | 2222 | 4793 | 11102026 | N/A | 4213344 | 2025-08-23 02:32:22.827323 | 2025-05-13 04:29:37.227667 |
| 2025-08-22 08:41:36.541400 | 2025-08-23 02:31:32.103245 | 11307335 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307335 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-08-25 | F | PT | N/A | POWELL | YWP80258506903 | WHITNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540983/check_11307335_c0639ceb-08a5-4bf3-b9e6-c173d3a0f7e7.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095855 | N/A | N/A | 5540983 | 2222 | 4793 | 11100170 | N/A | 4213053 | 2025-08-23 02:31:32.103245 | 2025-08-05 22:50:43.277345 |
| 2025-08-22 08:41:36.137394 | 2025-08-23 02:32:23.221323 | 11307328 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11307328 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-08-25 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_11307328_c232fba1-b8b5-4e31-9833-737a0fac095c.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095854 | N/A | N/A | 5540558 | 2222 | 4801 | 11102042 | N/A | 4212698 | 2025-08-23 02:32:23.221323 | 2025-05-13 04:29:37.227042 |
| 2025-08-22 08:41:35.624603 | 2025-08-23 02:38:18.632833 | 11307319 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307319 | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-25 | F | AE | PT | STOPSKY | 1RY8AR3KR51 | LIDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540229/check_11307319_1d4cb341-d13a-4ee1-81aa-ca0983771d9f.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-03-24 | S5601 | N/A | N/A | MA | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616095853 | N/A | N/A | 5540229 | 2222 | 4802 | 11111149 | N/A | 4212423 | 2025-08-23 02:38:18.632833 | 2025-05-13 04:29:37.226755 |
| 2025-08-22 08:41:35.302956 | 2025-08-23 02:29:17.588293 | 11307312 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11307312 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-08-25 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_11307312_63638e39-a0ea-43b2-ac13-f94e03e1d351.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616095852 | N/A | N/A | 5540185 | 2222 | 4802 | 11096420 | N/A | 4212381 | 2025-08-23 02:29:17.588293 | 2025-12-17 20:12:42.035054 |
| 2025-08-22 08:41:34.925239 | 2025-08-23 02:31:31.032561 | 11307306 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307306 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-08-25 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_11307306_cde0daea-b230-4f2d-b6ab-062f592af066.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 8616095851 | N/A | N/A | 5540074 | 2222 | 4802 | 11100127 | N/A | 4212282 | 2025-08-23 02:31:31.032561 | 2025-05-13 04:29:37.226623 |
| 2025-08-22 08:41:34.578958 | 2025-08-23 02:31:31.780427 | 11307301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307301 | Athletic Physical Therapy Inc | 2007-03-28 | 2025-08-25 | M | PT | N/A | MAGEN | B6YE01199897 | NADAV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539958/check_11307301_5fcbb999-d2ee-4ed7-9a3e-617f8bd6dd99.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 2007-03-28 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095850 | N/A | N/A | 5539958 | 2222 | 4793 | 11100158 | N/A | 4212189 | 2025-08-23 02:31:31.780427 | 2025-05-13 04:29:37.226532 |
| 2025-08-22 08:41:33.972188 | 2025-08-23 02:31:33.707719 | 11307289 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307289 | Athletic Physical Therapy Inc | 1967-09-30 | 2025-08-25 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_11307289_1ae5679c-1176-453b-b314-acf0ca780809.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 9999-12-31 | 2014-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095849 | N/A | N/A | 5539919 | 2222 | 4802 | 11100231 | N/A | 4212155 | 2025-08-23 02:31:33.707719 | 2025-05-13 04:29:37.226493 |
| 2025-08-22 08:41:33.341737 | 2025-08-23 02:30:16.922566 | 11307280 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11307280 | N/A | 1939-12-29 | 2025-08-25 | F | AE | PT | ALESSI | 31019902301 | JEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_11307280_60b7e4fe-78cc-46ff-915f-175ddf353143.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1939-12-29 | N/A | N/A | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616095847 | N/A | N/A | 5539133 | 2222 | 4793 | 11098024 | N/A | 4211471 | 2025-08-23 02:30:16.922566 | 2025-07-09 03:59:33.308587 |
| 2025-08-22 08:41:32.958080 | 2025-08-23 02:32:21.949242 | 11307271 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11307271 | Athletic Physical Therapy Inc | 2009-12-07 | 2025-08-25 | F | PT | N/A | ANDRIKIAN | XEA909649257 | TALYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538962/check_11307271_760fe407-f79b-4a41-93e8-b4f7c079408b.json | N/A | N/A | N/A | N/A | N/A | XEA909649257 | Preferred Provider Organization (PPO) | SOLAR MANAGER LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-12-07 | 1000VX000102 | W0106521 | N/A | PR | false | ANDRIKIAN | N/A | NAZIK | N/A | 9999-12-31 | 2024-06-01 | SILVER DPPO 1500 MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095846 | N/A | N/A | 5538962 | 2222 | 4793 | 11101996 | N/A | 4211290 | 2025-08-23 02:32:21.949242 | 2025-08-05 20:20:14.899611 |
| 2025-08-22 08:41:32.151518 | 2025-08-23 02:58:35.782749 | 11307259 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11307259 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-08-25 | M | PT | N/A | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.114413289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_11307259_89385637-1e92-472b-877c-95f5f4749224.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | 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 | 8616130178 | N/A | N/A | 7626895 | 2222 | 4793 | 11133233 | N/A | 6525917 | 2025-08-23 02:58:35.782749 | 2026-05-08 22:53:13.232007 |
| 2025-08-22 08:41:31.675330 | 2025-08-23 02:32:53.147791 | 11307247 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11307247 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-08-25 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11307247_7ce7b562-6491-44ff-ab8f-f20b4d755bc4.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | 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 | 8616095844 | N/A | N/A | 5538874 | 2222 | 4801 | 11102910 | N/A | 4211227 | 2025-08-23 02:32:53.147791 | 2025-05-13 04:29:37.225625 |
| 2025-08-22 08:41:31.170852 | 2025-08-23 03:01:14.886872 | 11307240 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11307240 | Athletic Physical Therapy Inc | 1992-09-28 | 2025-08-25 | F | AE | PT | Moss | 97177129F | Jasmine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.114413289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7623656/check_11307240_774361c7-5db0-4bc3-a1be-fb91fd6ec8b0.json | N/A | N/A | N/A | N/A | N/A | 97177129F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1992-09-28 | N/A | N/A | N/A | N/A | false | MOSS | N/A | JASMINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616130175 | N/A | N/A | 7623656 | 2222 | 4802 | 11136530 | N/A | 6522888 | 2025-08-23 03:01:14.886872 | 2025-08-01 20:32:35.996430 |
| 2025-08-22 08:41:31.124985 | 2025-08-23 02:38:17.487516 | 11307239 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307239 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-25 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_11307239_6921359e-8c52-4031-8ddf-9c38282ca39e.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616095842 | N/A | N/A | 5538576 | 2222 | 4802 | 11111127 | N/A | 4210984 | 2025-08-23 02:38:17.487516 | 2025-08-15 17:42:50.500189 |
| 2025-08-22 08:41:30.810487 | 2025-08-23 02:38:13.589705 | 11307232 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307232 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-08-25 | F | AE | PT | FERNANDEZ | 7XX5TU4CF61 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_11307232_300b1e05-2f8d-4731-8489-aa9c365e3eb0.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MB | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616095841 | N/A | N/A | 5538194 | 2222 | 4793 | 11111049 | N/A | 4210649 | 2025-08-23 02:38:13.589705 | 2025-06-19 18:43:58.008751 |
| 2025-08-22 08:41:30.152903 | 2025-08-23 02:55:27.781289 | 11307222 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11307222 | Athletic Physical Therapy Inc | 1970-03-23 | 2025-08-25 | F | AE | PT | ADAMSKY | 5AR2R76UH88 | ARLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113920603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222571/check_11307222_63fb8598-6037-4e7a-b0d0-88c61fa88f91.json | N/A | N/A | N/A | N/A | N/A | 5AR2R76UH88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-23 | S4802 | N/A | N/A | MA | false | ADAMSKY | N/A | ARLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616113808 | N/A | N/A | 6222571 | 2222 | 4801 | 11130509 | N/A | 4219835 | 2025-08-23 02:55:27.781289 | 2025-06-11 17:06:07.512166 |
| 2025-08-22 08:41:30.112482 | 2025-08-23 02:31:34.629702 | 11307221 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11307221 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-08-25 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.113748735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_11307221_1c1c5d60-b8ab-4077-bcd1-be8ba5005860.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616095840 | N/A | N/A | 5537881 | 2222 | 4793 | 11100273 | N/A | 4210385 | 2025-08-23 02:31:34.629702 | 2026-03-06 18:49:17.116017 |