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 08:35:12.156397 | 2025-08-23 02:55:28.813430 | 11299174 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11299174 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-08-25 | F | AE | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | 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/2222/5676388/check_11299174_a3cfe4db-daaa-4d13-86f4-3796f15183bf.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MA | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616112473 | N/A | N/A | 5676388 | 2222 | 4793 | 11130528 | N/A | 4343445 | 2025-08-23 02:55:28.813430 | 2025-05-14 09:06:09.407736 |
| 2025-08-22 08:35:11.875430 | 2025-08-23 02:41:48.342982 | 11299170 | N/A | N/A | 60054 | Aetna | 1114042165 | 11299170 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-08-25 | M | AE | PT | ARROW | 101393152200 | PAUL | 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/2222/5676385/check_11299170_da9f846c-7ea6-4799-920e-cc974bd63911.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616112472 | N/A | N/A | 5676385 | 2222 | 4802 | 11116712 | N/A | 4343439 | 2025-08-23 02:41:48.342982 | 2025-05-13 04:29:37.230918 |
| 2025-08-22 08:35:11.503474 | 2025-08-23 02:51:44.051491 | 11299167 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11299167 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-08-25 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | 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/2222/5676380/check_11299167_f541b97e-e0e4-4c4d-a9ae-9791619298f5.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616112471 | N/A | N/A | 5676380 | 2222 | 4793 | 11127143 | N/A | 4343435 | 2025-08-23 02:51:44.051491 | 2025-05-13 04:29:37.230915 |
| 2025-08-22 08:29:45.437924 | 2025-08-22 08:29:54.046908 | 11297979 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-01 | 2025-08-25 | M | AE | PT | IMPELLIZZERI | 154-46-1677 | ROBERT | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535554/check_11297979_87ab4c95-abce-4f86-b0de-e9f85ef15520.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535554/check_11297979_f63e6e86-a67c-494a-b264-a800bb1bde04.json | N/A | N/A | N/A | N/A | N/A | 154461677 | Group Policy | N/A | TRICARE FOR LIFE | N/A | 1952-10-01 | N/A | N/A | N/A | GP | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | TRICARE FOR LIFE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535554 | 2222 | N/A | 11048241 | N/A | 4208460 | 2025-08-22 08:29:54.046908 | 2026-01-01 00:19:01.120151 |
| 2025-08-22 08:23:45.617566 | 2025-08-23 02:57:32.914612 | 11297171 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11297171 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-08-25 | F | PT | N/A | GUASTELLA | 911M7843220 | ROSE ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_11297171_ba314a1b-144e-4891-9e98-c612e266382e.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616050731 | N/A | N/A | 7458753 | 2222 | 4801 | 11132143 | N/A | 6407685 | 2025-08-23 02:57:32.914612 | 2025-08-12 18:01:47.141909 |
| 2025-08-22 08:23:41.205857 | 2025-08-23 02:52:47.094217 | 11297113 | N/A | N/A | 60054 | Aetna | 1114042165 | 11297113 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-08-25 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_11297113_bb29b17b-c624-44a8-9318-5c825b492883.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | PR | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050331 | N/A | N/A | 7444723 | 2222 | 4802 | 11128106 | N/A | 6395498 | 2025-08-23 02:52:47.094217 | 2026-02-18 02:38:35.073779 |
| 2025-08-22 08:23:37.588568 | 2025-08-23 03:01:28.937356 | 11297071 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11297071 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-08-25 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_11297071_c85187a2-4a85-4d38-af57-ab927ce47a1a.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050306 | N/A | N/A | 7321767 | 2222 | 4793 | 11136809 | N/A | 6037802 | 2025-08-23 03:01:28.937356 | 2025-07-22 17:48:16.997014 |
| 2025-08-22 08:23:17.132679 | 2025-08-23 02:57:32.506059 | 11296881 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11296881 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-08-25 | F | AE | PT | FERTSCHNEIDER | JQE833W19120 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204596/check_11296881_279308d5-9072-4dcc-a1d7-39523ff86906.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050649 | N/A | N/A | 7204596 | 2222 | 4801 | 11132138 | N/A | 6175435 | 2025-08-23 02:57:32.506059 | 2025-08-05 19:05:08.506352 |
| 2025-08-22 08:22:56.752277 | 2025-08-23 02:58:47.608158 | 11296731 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11296731 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-08-25 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_11296731_cc500ae0-09fb-414c-a56d-50a2d518bec0.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | BLUEEDGE HCA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050908 | N/A | N/A | 7024102 | 2222 | 4801 | 11133499 | N/A | 6038562 | 2025-08-23 02:58:47.608158 | 2025-07-30 21:46:09.369299 |
| 2025-08-22 08:22:00.595157 | 2025-08-23 02:57:34.095904 | 11296221 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11296221 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-25 | M | AE | PT | Walter | XDO472A63371 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_11296221_f999093f-5952-4cc0-bf7f-c2c1de4a2f63.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049037 | N/A | N/A | 6751424 | 2222 | 4802 | 11132162 | N/A | 5557241 | 2025-08-23 02:57:34.095904 | 2025-07-22 17:08:51.810153 |
| 2025-08-22 08:21:18.672353 | 2025-08-23 02:57:33.625452 | 11295908 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11295908 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-25 | M | AE | PT | Kosec | MBL802W22845 | Kevin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641037/check_11295908_891d4b02-4203-4467-88aa-21575b23e84f.json | N/A | N/A | N/A | N/A | N/A | MBL802W22845 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-05-21 | 040 | CAEGR002 | N/A | N/A | false | KOSEC | N/A | KEVIN | N/A | 9999-12-31 | 2025-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049642 | N/A | N/A | 6641037 | 2222 | 4802 | 11132156 | N/A | 5248081 | 2025-08-23 02:57:33.625452 | 2025-07-01 21:08:10.945475 |
| 2025-08-22 08:21:06.801969 | 2025-08-23 02:41:13.998624 | 11295742 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11295742 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-08-25 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111544341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_11295742_f4ec878e-9f72-4062-8284-4fd652ba86dd.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616043598 | N/A | N/A | 7513987 | 2222 | 4802 | 11115663 | N/A | 6451061 | 2025-08-23 02:41:13.998624 | 2025-07-28 22:43:26.605856 |
| 2025-08-22 08:20:53.208426 | 2025-08-23 02:47:37.921270 | 11295370 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11295370 | 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/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_11295370_d33b2042-960b-4cec-832d-f4dad7ed830f.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050189 | N/A | N/A | 6528155 | 2222 | 4793 | 11123270 | N/A | 4214447 | 2025-08-23 02:47:37.921270 | 2026-04-23 20:11:34.441054 |
| 2025-08-22 08:20:41.973979 | 2025-08-23 02:49:27.171631 | 11295060 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11295060 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-08-25 | M | AE | PT | WALDEN | 33405035111 | REGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_11295060_8b518036-eccd-4d4e-b617-ce7a8cadd835.json | N/A | N/A | N/A | N/A | N/A | 33405035111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1957-03-29 | N/A | N/A | N/A | SP | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050008 | N/A | N/A | 6472487 | 2222 | 4801 | 11125031 | N/A | 5105545 | 2025-08-23 02:49:27.171631 | 2025-07-07 15:29:01.484955 |
| 2025-08-22 08:20:16.972069 | 2025-08-23 03:03:50.874813 | 11294428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11294428 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-25 | F | PT | N/A | AZUCENA | 1YT9RR4MX51 | ESPERANZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_11294428_aff37a88-0ba9-49af-9e81-cead7bf31878.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616050413 | N/A | N/A | 6235090 | 2222 | 4801 | 11139533 | N/A | 4213743 | 2025-08-23 03:03:50.874813 | 2025-05-13 04:29:37.228064 |
| 2025-08-22 08:20:07.087026 | 2025-08-23 02:58:32.849593 | 11294202 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11294202 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-08-25 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_11294202_c0d3474c-2573-4fee-8195-7e8235f15343.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616048940 | N/A | N/A | 6194938 | 2222 | 4802 | 11133167 | N/A | 4214889 | 2025-08-23 02:58:32.849593 | 2025-05-13 04:29:37.229212 |
| 2025-08-22 08:20:01.086307 | 2025-08-23 02:58:33.131985 | 11294050 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11294050 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-25 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_11294050_2dbf9c16-445c-4d1e-99d9-ea02f7517260.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049285 | N/A | N/A | 6145898 | 2222 | 4801 | 11133175 | N/A | 4786709 | 2025-08-23 02:58:33.131985 | 2025-06-20 18:28:02.399027 |
| 2025-08-22 08:19:56.970765 | 2025-08-23 02:38:06.329612 | 11293926 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11293926 | Athletic Physical Therapy Inc | 1949-09-08 | 2025-08-25 | F | AE | PT | DRATLER | 40069518001 | LILLIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111544341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7459515/check_11293926_ab4f42dc-1ea2-43bd-b6ff-bb0aa9a1d351.json | N/A | N/A | N/A | N/A | N/A | 40069518001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-09-08 | 2025H5425001 | H5425M | N/A | N/A | false | DRATLER | N/A | LILLIAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616043282 | N/A | N/A | 7459515 | 2222 | 4801 | 11110894 | N/A | 6408333 | 2025-08-23 02:38:06.329612 | 2025-08-25 14:29:09.086491 |
| 2025-08-22 08:19:49.454545 | 2025-08-23 02:57:31.608574 | 11293649 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11293649 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-08-25 | F | AE | PT | DAVIS | JQE893M95444 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104723/check_11293649_0e730832-1dc1-421c-bc56-8e630d88eb8f.json | N/A | N/A | N/A | N/A | N/A | JQE893M95444 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-02-13 | 040 | CASUPWP0 | N/A | N/A | false | DAVIS | N/A | HOLLY | N/A | 9999-12-31 | 2018-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616050366 | N/A | N/A | 6104723 | 2222 | 4802 | 11132124 | N/A | 4713002 | 2025-08-23 02:57:31.608574 | 2025-06-03 01:39:13.971712 |
| 2025-08-22 08:19:48.010160 | 2025-08-23 02:15:09.302734 | 11293588 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11293588 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-08-25 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111432070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_11293588_5641016d-dba5-4bfb-a61e-cbff7f28f087.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616033909 | N/A | N/A | 7561654 | 2222 | 4802 | 11074708 | N/A | 6395498 | 2025-08-23 02:15:09.302734 | 2026-02-18 02:38:35.073779 |
| 2025-08-22 08:19:46.526016 | 2025-08-23 02:13:57.773978 | 11293521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11293521 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-08-25 | F | PT | N/A | SOHRAB | XED914080628 | VIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111432070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537456/check_11293521_65420cd6-caff-40ca-a8de-16563f5c1120.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | 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 | 8616033894 | N/A | N/A | 5537456 | 2222 | 4793 | 11073089 | N/A | 4210007 | 2025-08-23 02:13:57.773978 | 2025-05-13 04:29:37.224426 |
| 2025-08-22 08:19:38.358017 | 2025-08-23 02:13:25.335876 | 11293128 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11293128 | N/A | 1937-03-24 | 2025-08-25 | F | AE | PT | STOPSKY | 98440536C | LIDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111432070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8226227/check_11293128_4ab30baa-c0a4-451e-b6c3-ffc8d726e687.json | N/A | N/A | N/A | N/A | N/A | 98440536C | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | 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 | 8616033498 | N/A | N/A | 8226227 | 2222 | 4802 | 11072390 | N/A | 4212423 | 2025-08-23 02:13:25.335876 | 2025-05-13 04:29:37.226755 |
| 2025-08-22 08:19:31.590099 | 2025-08-23 02:44:06.695583 | 11292822 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11292822 | Athletic Physical Therapy Inc | 1948-11-30 | 2025-08-25 | M | AE | PT | DOUGLAS | H9212884400 | ROGELIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202027/check_11292822_cb15e8de-469f-4067-bda4-35f268a397fb.json | N/A | N/A | N/A | N/A | N/A | H9212884400 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-11-30 | N/A | N/A | N/A | N/A | false | DOUGLAS | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616036285 | N/A | N/A | 8202027 | 2222 | 4793 | 11119660 | N/A | 6964774 | 2025-08-23 02:44:06.695583 | 2025-08-24 16:04:34.721594 |
| 2025-08-22 08:19:27.148629 | 2025-08-23 02:46:00.863023 | 11292631 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11292631 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-08-25 | F | AE | PT | SHERRY | H7159538300 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_11292631_1039fd48-1d91-45a7-b8d8-ef36ac56946c.json | N/A | N/A | N/A | N/A | N/A | H71595383 | 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 | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616035685 | N/A | N/A | 8193020 | 2222 | 4801 | 11121896 | N/A | 4214141 | 2025-08-23 02:46:00.863023 | 2025-05-13 04:29:37.228469 |
| 2025-08-22 08:19:26.891105 | 2025-08-23 03:01:28.376090 | 11292620 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11292620 | Athletic Physical Therapy Inc | 1941-09-20 | 2025-08-25 | U | AE | PT | ANWAR | MISSINGPOLICYNUMBER | KAWKY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928922/check_11292620_0489d5bf-bc5d-4ded-b90a-695bd7dd5a42.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1941-09-20 | N/A | N/A | N/A | N/A | false | ANWAR | N/A | KAWKY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616048890 | N/A | N/A | 5928922 | 2222 | 4801 | 11136799 | N/A | 4210127 | 2025-08-23 03:01:28.376090 | 2026-04-16 20:03:01.426999 |
| 2025-08-22 08:19:13.002600 | 2025-08-23 02:52:27.322241 | 11292053 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11292053 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-08-25 | F | PT | N/A | GUASTELLA | 5V49H98DH38 | ROSE ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_11292053_82940fe3-a12f-4327-9329-3f6bd01b1db6.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MB | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616036670 | N/A | N/A | 8167484 | 2222 | 4801 | 11127883 | N/A | 6407685 | 2025-08-23 02:52:27.322241 | 2025-08-12 18:01:47.141909 |
| 2025-08-22 08:19:12.041153 | 2025-08-23 02:57:32.121484 | 11292006 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11292006 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-08-25 | F | AE | PT | FERNANDEZ | JQC95483183F | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_11292006_05017232-a599-4aed-8e9d-54f328b7af1d.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049997 | N/A | N/A | 5858692 | 2222 | 4793 | 11132132 | N/A | 4210649 | 2025-08-23 02:57:32.121484 | 2025-06-19 18:43:58.008751 |
| 2025-08-22 08:19:04.433884 | 2025-08-23 02:48:21.810328 | 11291689 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11291689 | Athletic Physical Therapy Inc | 1951-07-04 | 2025-08-25 | M | PT | N/A | MALATY | MNL507W09347 | FADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8113030/check_11291689_9abdd336-95f6-426b-82fb-edbc626a47bd.json | N/A | N/A | N/A | N/A | N/A | MNL507W09347 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-07-04 | 040 | CAMCRWP0 | N/A | MP | false | MALATY | N/A | FADY | N/A | 9999-12-31 | 2024-08-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616035159 | N/A | N/A | 8113030 | 2222 | 4802 | 11123955 | N/A | 6890159 | 2025-08-23 02:48:21.810328 | 2025-08-25 15:54:41.055320 |
| 2025-08-22 08:19:03.664441 | 2025-08-23 02:33:01.130340 | 11291656 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11291656 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-08-25 | F | AE | PT | Dickenson | 91000390H | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111544341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_11291656_841b3cd1-5f30-40e3-a187-ed185e1fe74e.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616041914 | N/A | N/A | 7449889 | 2222 | 4802 | 11103232 | N/A | 6399696 | 2025-08-23 02:33:01.130340 | 2025-07-24 23:24:56.744520 |
| 2025-08-22 08:19:02.042833 | 2025-08-23 02:46:42.300000 | 11291592 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11291592 | Athletic Physical Therapy Inc | 1981-10-10 | 2025-08-25 | F | AE | PT | FARAHAT | 101956430 | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8108868/check_11291592_976367ae-40f5-4965-ba91-238b2b3ee65b.json | N/A | N/A | N/A | N/A | N/A | 10195643000 | N/A | FINN PARTNERS, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1981-10-10 | N/A | 00610764 | N/A | N/A | false | FARAHAT | N/A | LAURA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616036961 | N/A | N/A | 8108868 | 2222 | 4802 | 11122392 | N/A | 4213812 | 2025-08-23 02:46:42.300000 | 2025-05-13 04:29:37.228133 |
| 2025-08-22 08:18:44.896939 | 2025-08-23 02:13:38.799125 | 11290877 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11290877 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-08-25 | M | AE | PT | LEYDERMAN | IH2417651 | BORIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111432070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7817928/check_11290877_05e5957b-e06e-4b32-b9bb-572ecff04dd0.json | N/A | N/A | N/A | N/A | N/A | IH2417651 | N/A | PASC-SEIU BENEFIT PLAN | LA CARE HEALTH PLAN | N/A | 1954-12-21 | PASC | PASC | N/A | N/A | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | PASC-SEIU PLAN (PASC) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616033634 | N/A | N/A | 7817928 | 2222 | 4793 | 11072675 | N/A | 6656900 | 2025-08-23 02:13:38.799125 | 2025-08-17 17:40:08.050078 |
| 2025-08-22 08:18:41.029724 | 2025-08-23 02:45:06.612280 | 11290725 | N/A | N/A | 60054 | Aetna | 1114042165 | 11290725 | Athletic Physical Therapy Inc | 1992-10-08 | 2025-08-25 | M | AE | PT | Fegale | IDW235676319 | Shay | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050123/check_11290725_ba098686-704a-47c0-8caf-b4f209635dd7.json | N/A | N/A | N/A | N/A | N/A | IDW235676319 | N/A | N/A | AETNA INC | N/A | 1992-10-08 | N/A | N/A | N/A | N/A | false | FEGALE | N/A | SHAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616036617 | N/A | N/A | 8050123 | 2222 | 4802 | 11120865 | N/A | 6845522 | 2025-08-23 02:45:06.612280 | 2025-08-26 00:01:22.784762 |
| 2025-08-22 08:18:38.856808 | 2025-08-23 02:47:26.116220 | 11290633 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11290633 | N/A | 1960-02-19 | 2025-08-25 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_11290633_32865542-f1c6-4690-b018-24fed7de6bd9.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1960-02-19 | N/A | N/A | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616036587 | N/A | N/A | 8048674 | 2222 | 4801 | 11123081 | N/A | 6844466 | 2025-08-23 02:47:26.116220 | 2025-08-13 17:29:27.130257 |
| 2025-08-22 08:18:36.570784 | 2025-08-23 02:13:42.001042 | 11290530 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11290530 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-08-25 | M | AE | PT | STAGNITTA | MBL690W21411 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111432070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784381/check_11290530_a7ff48b8-ab4d-4c19-ac4a-de519bfc3d27.json | N/A | N/A | N/A | N/A | N/A | MBL690W21411 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1955-06-14 | 040 | CA039GRS | N/A | N/A | false | STAGNITTA | N/A | ROBERT | N/A | 9999-12-31 | 2024-10-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616033411 | N/A | N/A | 7784381 | 2222 | 4793 | 11072746 | N/A | 4212542 | 2025-08-23 02:13:42.001042 | 2025-08-05 17:22:00.318869 |
| 2025-08-22 08:18:35.782041 | 2025-08-23 02:49:26.576256 | 11290492 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11290492 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-08-25 | F | AE | PT | STELLINI | 08533317011 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550852/check_11290492_e34ee6d4-6113-42b6-8dfb-f58f751da9e6.json | N/A | N/A | N/A | N/A | N/A | 08533317011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-14 | N/A | N/A | N/A | SP | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049573 | N/A | N/A | 5550852 | 2222 | 4802 | 11125020 | N/A | 4215221 | 2025-08-23 02:49:26.576256 | 2025-05-13 04:29:37.229536 |
| 2025-08-22 08:18:35.359556 | 2025-08-23 02:57:33.301046 | 11290472 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11290472 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-25 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_11290472_92b443d3-5d3b-46b2-957e-ed4e78e46d90.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049571 | N/A | N/A | 5543352 | 2222 | 4793 | 11132149 | N/A | 4215147 | 2025-08-23 02:57:33.301046 | 2025-05-13 04:29:37.229464 |
| 2025-08-22 08:18:35.132369 | 2025-08-23 02:49:25.772180 | 11290462 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11290462 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-08-25 | M | AE | PT | STECHER | 34232537512 | BRIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_11290462_1945313b-6e6b-4f0a-b054-ddf0b4f482e0.json | N/A | N/A | N/A | N/A | N/A | 34232537512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-18 | N/A | N/A | N/A | SP | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049570 | N/A | N/A | 5543053 | 2222 | 4802 | 11125010 | N/A | 4214891 | 2025-08-23 02:49:25.772180 | 2025-05-13 04:29:37.229214 |
| 2025-08-22 08:18:34.899422 | 2025-08-23 02:54:30.495635 | 11290450 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11290450 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-08-25 | M | AE | PT | GOLDBERG | U5126496602 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_11290450_3b939354-efdb-4744-9375-56f894ae8d7b.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049569 | N/A | N/A | 5542973 | 2222 | 4802 | 11129689 | N/A | 4214820 | 2025-08-23 02:54:30.495635 | 2025-06-30 02:56:23.324592 |
| 2025-08-22 08:18:34.633731 | 2025-08-23 02:54:29.981848 | 11290439 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11290439 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-08-25 | F | AE | PT | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_11290439_43a72583-2c7d-43c4-bfb3-1fe4c2aedcee.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049568 | N/A | N/A | 5542937 | 2222 | 4802 | 11129678 | N/A | 4214789 | 2025-08-23 02:54:29.981848 | 2025-12-11 23:30:31.319246 |
| 2025-08-22 08:18:34.159705 | 2025-08-23 02:49:24.672212 | 11290420 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11290420 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-08-25 | F | AE | PT | DRIMMER | 33360295512 | NADIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_11290420_ec9c63b3-4769-410e-9004-0a33d2ca3705.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049566 | N/A | N/A | 5537832 | 2222 | 4802 | 11125005 | N/A | 4210338 | 2025-08-23 02:49:24.672212 | 2025-05-13 04:29:37.224744 |
| 2025-08-22 08:18:34.019038 | 2025-08-23 02:49:43.382818 | 11290413 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11290413 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-08-25 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111544341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_11290413_39430ca5-186b-4aee-869f-a94bcadcc578.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616043088 | N/A | N/A | 7444722 | 2222 | 4802 | 11125248 | N/A | 6395498 | 2025-08-23 02:49:43.382818 | 2026-02-18 02:38:35.073779 |
| 2025-08-22 08:18:33.905795 | 2025-08-23 02:49:24.017168 | 11290409 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11290409 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-08-25 | F | AE | PT | CHADORCHI | 33261790711 | JAFFA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_11290409_47e19954-ef55-4084-b394-fe5afbdd678d.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049565 | N/A | N/A | 5537483 | 2222 | 4802 | 11124998 | N/A | 4210038 | 2025-08-23 02:49:24.017168 | 2025-06-02 14:57:36.820684 |
| 2025-08-22 08:18:33.546961 | 2025-08-23 02:58:32.534934 | 11290393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11290393 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-08-25 | M | AE | PT | MELVILLE | XEMJ06188527 | LANNING | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111840495.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_11290393_5666cfe4-fdbd-409d-9e5a-aa594e5d86df.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616049564 | N/A | N/A | 5535731 | 2222 | 4802 | 11133159 | N/A | 4208598 | 2025-08-23 02:58:32.534934 | 2025-09-11 00:56:25.554348 |
| 2025-08-22 08:18:32.628610 | 2025-08-23 02:39:38.525196 | 11290346 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11290346 | Athletic Physical Therapy Inc | 1977-07-01 | 2025-08-25 | M | PT | N/A | FENERTY | XDMOE0145837 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111544341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444452/check_11290346_93048756-3c2f-4465-a0d3-b9c8914c84bf.json | N/A | N/A | N/A | N/A | N/A | XDMOE0145837 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1977-07-01 | 040 | 278671H001 | N/A | HM | false | FENERTY | N/A | STEPHEN | N/A | 9999-12-31 | 2015-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616043082 | N/A | N/A | 7444452 | 2222 | 4801 | 11113170 | N/A | 6395187 | 2025-08-23 02:39:38.525196 | 2025-07-25 17:43:45.394385 |
| 2025-08-22 08:18:30.842236 | 2025-08-23 02:40:43.561734 | 11290268 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11290268 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-08-25 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111544341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444072/check_11290268_5ff48d48-a082-4de3-9988-773765564a06.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616042681 | N/A | N/A | 7444072 | 2222 | 4801 | 11114853 | N/A | 6394822 | 2025-08-23 02:40:43.561734 | 2025-07-24 18:01:25.336701 |
| 2025-08-22 08:18:29.954898 | 2025-08-23 02:48:21.526767 | 11290225 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11290225 | Athletic Physical Therapy Inc | 2014-03-21 | 2025-08-25 | M | PT | N/A | CHYNAWEDH | JQU148M89680 | DAMIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_11290225_12c28ae1-b37b-4375-a042-23d36473aff9.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-03-21 | N/A | N/A | N/A | N/A | false | CHYNAWEDH | N/A | DAMIAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616036511 | N/A | N/A | 8027485 | 2222 | 4793 | 11123950 | N/A | 6828971 | 2025-08-23 02:48:21.526767 | 2025-09-02 17:27:57.794692 |
| 2025-08-22 08:18:29.539034 | 2025-08-23 02:49:23.318303 | 11290207 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11290207 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-25 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_11290207_95b3a0ef-e5d7-43e5-8105-8009ea886c47.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616036448 | N/A | N/A | 8026951 | 2222 | 4801 | 11124991 | N/A | 6828511 | 2025-08-23 02:49:23.318303 | 2025-08-14 00:23:35.929152 |
| 2025-08-22 08:18:19.757194 | 2025-08-23 07:32:42.569261 | 11289810 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11289810 | Athletic Physical Therapy Inc | 1971-04-16 | 2025-08-25 | M | PT | N/A | BEESLEY | NSA00849903H | MAX | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111619009.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8399628/check_11289810_800e62cf-dad4-45a3-8882-bf9c3ae39eb4.json | N/A | N/A | N/A | N/A | N/A | NSA00849903H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1971-04-16 | 040 | L05927A001 | N/A | PR | false | BEESLEY | N/A | MAX | N/A | 9999-12-31 | 2025-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616039644 | N/A | N/A | 8399628 | 2222 | 4802 | 11157380 | N/A | 7078831 | 2025-08-23 07:32:42.569261 | 2025-08-21 20:47:55.409456 |
| 2025-08-22 08:18:09.710344 | 2025-08-23 02:49:06.664101 | 11289489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11289489 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-25 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111423980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11289489_d6c9faf5-1efc-4dd3-9cda-b5096fcd5805.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616034892 | N/A | N/A | 7994545 | 2222 | 4802 | 11124762 | N/A | 6802250 | 2025-08-23 02:49:06.664101 | 2025-08-11 23:58:28.358402 |
| 2025-08-22 08:18:05.868537 | 2025-08-23 02:41:07.531213 | 11289372 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11289372 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-08-25 | M | AE | PT | WALDEN | 5AF5PY3HV89 | REGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111242200.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_11289372_a3a863a1-1f87-4704-bacd-8b44c0021a99.json | N/A | N/A | N/A | N/A | N/A | 5AF5PY3HV89 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-29 | S5921 | N/A | N/A | MA | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616029756 | N/A | N/A | 6472393 | 2222 | 4801 | 11115469 | N/A | 5105545 | 2025-08-23 02:41:07.531213 | 2025-07-07 15:29:01.484955 |