API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-22 08:15:12.673265 | 2025-08-23 02:17:03.365021 | 11286265 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11286265 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-08-25 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_11286265_7585ce95-1ab0-460d-ba96-e3e989b62d99.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 | 8616020041 | N/A | N/A | 5540185 | 2222 | 4802 | 11078032 | N/A | 4212381 | 2025-08-23 02:17:03.365021 | 2025-12-17 20:12:42.035054 |
| 2025-08-22 08:15:12.424872 | 2025-08-23 02:19:38.000752 | 11286262 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11286262 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-08-25 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_11286262_54bf65df-820a-457d-bf54-973003bfdc26.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 | 8616020040 | N/A | N/A | 5540074 | 2222 | 4802 | 11082454 | N/A | 4212282 | 2025-08-23 02:19:38.000752 | 2025-05-13 04:29:37.226623 |
| 2025-08-22 08:15:12.133644 | 2025-08-23 02:19:39.420181 | 11286256 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11286256 | Athletic Physical Therapy Inc | 2007-03-28 | 2025-08-25 | M | PT | N/A | MAGEN | B6YE01199897 | NADAV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539958/check_11286256_7bea028d-dcf1-4fce-9fcf-73bc3ef03610.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 | 8616020039 | N/A | N/A | 5539958 | 2222 | 4793 | 11082480 | N/A | 4212189 | 2025-08-23 02:19:39.420181 | 2025-05-13 04:29:37.226532 |
| 2025-08-22 08:15:11.816991 | 2025-08-23 02:19:43.416626 | 11286251 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11286251 | Athletic Physical Therapy Inc | 1967-09-30 | 2025-08-25 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_11286251_1f3793ce-5f47-497a-875a-4e4eb2b9397d.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 | 8616020037 | N/A | N/A | 5539919 | 2222 | 4802 | 11082585 | N/A | 4212155 | 2025-08-23 02:19:43.416626 | 2025-05-13 04:29:37.226493 |
| 2025-08-22 08:15:11.591788 | 2025-08-23 02:18:23.187754 | 11286244 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11286244 | N/A | 1939-12-29 | 2025-08-25 | F | AE | PT | ALESSI | 31019902301 | JEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_11286244_7b520f5a-d6ce-4980-be0e-6ba60ee987c0.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 | 8616020035 | N/A | N/A | 5539133 | 2222 | 4793 | 11080397 | N/A | 4211471 | 2025-08-23 02:18:23.187754 | 2025-07-09 03:59:33.308587 |
| 2025-08-22 08:15:11.256039 | 2025-08-23 02:20:42.282388 | 11286236 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11286236 | Athletic Physical Therapy Inc | 2009-12-07 | 2025-08-25 | F | PT | N/A | ANDRIKIAN | XEA909649257 | TALYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538962/check_11286236_12c6a35a-c3c3-4a4d-90d0-fa7697be607d.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 | 8616020033 | N/A | N/A | 5538962 | 2222 | 4793 | 11084324 | N/A | 4211290 | 2025-08-23 02:20:42.282388 | 2025-08-05 20:20:14.899611 |
| 2025-08-22 08:15:10.655180 | 2025-08-23 02:21:15.848123 | 11286226 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11286226 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-08-25 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11286226_cc190fe5-00e5-428e-904e-926ed0a5b70c.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 | 8616020029 | N/A | N/A | 5538874 | 2222 | 4801 | 11085358 | N/A | 4211227 | 2025-08-23 02:21:15.848123 | 2025-05-13 04:29:37.225625 |
| 2025-08-22 08:15:10.457774 | 2025-08-23 02:25:49.751410 | 11286220 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286220 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-25 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_11286220_357b1945-8fe2-42f5-bb45-03f0f69b2e8f.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part B | 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 | MB | 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 | 8616020027 | N/A | N/A | 5538576 | 2222 | 4802 | 11091544 | N/A | 4210984 | 2025-08-23 02:25:49.751410 | 2025-08-15 17:42:50.500189 |
| 2025-08-22 08:15:10.189041 | 2025-08-23 02:25:46.178454 | 11286214 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286214 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-08-25 | F | AE | PT | FERNANDEZ | 7XX5TU4CF61 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_11286214_d16e082e-d74d-4bab-8e5e-4424d534d2c7.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MA | 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 | 8616020026 | N/A | N/A | 5538194 | 2222 | 4793 | 11091454 | N/A | 4210649 | 2025-08-23 02:25:46.178454 | 2025-06-19 18:43:58.008751 |
| 2025-08-22 08:15:09.856927 | 2025-08-23 02:19:45.892862 | 11286205 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11286205 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-08-25 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_11286205_ff4940a5-d79e-44ba-8107-32e1a11c3f96.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 | 8616020024 | N/A | N/A | 5537881 | 2222 | 4793 | 11082651 | N/A | 4210385 | 2025-08-23 02:19:45.892862 | 2026-03-06 18:49:17.116017 |
| 2025-08-22 08:15:09.682045 | 2025-08-23 02:32:22.761577 | 11286204 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11286204 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-08-25 | M | AE | PT | MATHEU | 00000270336 | CARLOS | 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/2222/6189737/check_11286204_a7610326-ed62-40a5-a884-63887f07d82e.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 8616030148 | N/A | N/A | 6189737 | 2222 | 4801 | 11102023 | N/A | 4209126 | 2025-08-23 02:32:22.761577 | 2025-05-13 04:29:37.223551 |
| 2025-08-22 08:15:09.515865 | 2025-08-23 02:25:45.575015 | 11286198 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286198 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-08-25 | F | AE | PT | DRIMMER | 8E03WF9AM78 | NADIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537826/check_11286198_0d068a3d-bebc-4153-9af0-c6ba87f2cc27.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MA | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616020023 | N/A | N/A | 5537826 | 2222 | 4802 | 11091445 | N/A | 4210338 | 2025-08-23 02:25:45.575015 | 2025-05-13 04:29:37.224744 |
| 2025-08-22 08:15:09.040419 | 2025-08-23 02:25:44.398653 | 11286189 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286189 | Athletic Physical Therapy Inc | 1941-09-20 | 2025-08-25 | U | AE | PT | ANWAR | 1Q84U28KD79 | KAWKY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537590/check_11286189_692df59b-d9a5-401d-9ca7-0425aab84c17.json | N/A | N/A | N/A | N/A | N/A | 1Q84U28KD79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-09-20 | S4802 | N/A | N/A | MA | false | ANWAR | N/A | KAWKY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616020022 | N/A | N/A | 5537590 | 2222 | 4801 | 11091418 | N/A | 4210127 | 2025-08-23 02:25:44.398653 | 2026-04-16 20:03:01.426999 |
| 2025-08-22 08:15:08.761310 | 2025-08-23 02:25:45.261272 | 11286183 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286183 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-08-25 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_11286183_25cf8eda-4d5b-43e0-833a-0e13081e8a9a.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616020021 | N/A | N/A | 5537480 | 2222 | 4802 | 11091436 | N/A | 4210038 | 2025-08-23 02:25:45.261272 | 2025-06-02 14:57:36.820684 |
| 2025-08-22 08:15:08.240698 | 2025-08-23 02:20:44.335303 | 11286174 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11286174 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-08-25 | F | PT | N/A | SOHRAB | XED911148613 | VIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537452/check_11286174_0f8ffb9e-663e-4ae4-9013-1b1e3ef545d1.json | N/A | N/A | N/A | N/A | N/A | XED911148613 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZI002184 | 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 | 8616020020 | N/A | N/A | 5537452 | 2222 | 4793 | 11084392 | N/A | 4210007 | 2025-08-23 02:20:44.335303 | 2025-05-13 04:29:37.224426 |
| 2025-08-22 08:15:07.873812 | 2025-08-23 02:19:21.291743 | 11286168 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11286168 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-08-25 | M | AE | PT | GOMES | 00000285293 | NEMESIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_11286168_29296b37-b8e3-422a-9b53-f7739b9bf1b6.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 8616020019 | N/A | N/A | 5537439 | 2222 | 4801 | 11082011 | 2630 | 4210001 | 2025-08-23 02:19:21.291743 | 2025-05-13 04:29:37.224421 |
| 2025-08-22 08:15:07.479748 | 2025-08-23 02:14:28.803522 | 11286163 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11286163 | N/A | 2008-04-07 | 2025-08-25 | M | PT | N/A | HERRERA | LCB831759896 | JAIRO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537418/check_11286163_6640f505-2f52-4b85-bc57-51474ea60925.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2008-04-07 | N/A | N/A | N/A | N/A | false | HERRERA | N/A | JAIRO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616020018 | N/A | N/A | 5537418 | 2222 | 4801 | 11073680 | N/A | 4209986 | 2025-08-23 02:14:28.803522 | 2025-05-13 04:29:37.224406 |
| 2025-08-22 08:15:07.201098 | 2025-08-23 02:21:15.455514 | 11286158 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11286158 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-08-25 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_11286158_2d81c260-a781-42e6-b42d-23ee1fb1a82c.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616020017 | N/A | N/A | 5536323 | 2222 | 4793 | 11085344 | N/A | 4209086 | 2025-08-23 02:21:15.455514 | 2025-05-13 04:29:37.223507 |
| 2025-08-22 08:15:06.807518 | 2025-08-23 02:19:20.893197 | 11286150 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11286150 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-08-25 | M | AE | PT | CHISARI | 00000386684 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_11286150_1bf0ef4f-7fa4-4b79-8a55-5df028ca79af.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 8616020016 | N/A | N/A | 5536007 | 2222 | 4793 | 11081998 | N/A | 4208829 | 2025-08-23 02:19:20.893197 | 2025-06-03 01:05:45.663969 |
| 2025-08-22 08:15:06.557760 | 2025-08-23 02:25:48.555858 | 11286143 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286143 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-08-25 | M | AE | PT | MELVILLE | 5K84YN1FD09 | LANNING | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535728/check_11286143_752515de-b605-45df-bb23-f91c959f6b51.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MB | 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 | 8616020010 | N/A | N/A | 5535728 | 2222 | 4802 | 11091512 | N/A | 4208598 | 2025-08-23 02:25:48.555858 | 2025-09-11 00:56:25.554348 |
| 2025-08-22 08:15:06.211371 | 2025-08-23 02:25:48.048316 | 11286136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11286136 | Athletic Physical Therapy Inc | 1952-10-01 | 2025-08-25 | M | AE | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.111126618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_11286136_128913c3-8656-4cf0-8828-3241bb8b45a0.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616020008 | N/A | N/A | 5535551 | 2222 | 4801 | 11091506 | N/A | 4208460 | 2025-08-23 02:25:48.048316 | 2026-01-01 00:19:01.120151 |
| 2025-08-22 08:15:01.644684 | 2025-08-23 02:50:49.411414 | 11286034 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11286034 | Athletic Physical Therapy Inc | 1998-01-12 | 2025-08-25 | M | AE | PT | GUTIERREZ DE LA TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_11286034_4e630af7-8810-4500-8c38-fc473bb73901.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | HEALTH NET, LLC | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORR | N/A | JOEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616018405 | N/A | N/A | 6436444 | 2222 | 4802 | 11126205 | N/A | 5082110 | 2025-08-23 02:50:49.411414 | 2025-06-24 20:17:03.860413 |
| 2025-08-22 08:14:50.977986 | 2025-08-23 02:34:21.558165 | 11285794 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11285794 | Athletic Physical Therapy Inc | 2009-10-30 | 2025-08-25 | F | PT | N/A | SMITH | XEA911729154 | KAMALA | 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/2222/6162659/check_11285794_e8236382-b856-400c-a650-a971c79dcb60.json | N/A | N/A | N/A | N/A | N/A | XEA911729154 | Preferred Provider Organization (PPO) | SHANTHA K SMITH BOOKS AND TAX LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-10-30 | 1000VX000103 | W0074149 | N/A | PR | false | SMITH | N/A | SHANTHA | N/A | 9999-12-31 | 2024-11-01 | BLUE SHIELD SILVER 70 PPO 2500 55 CHILD DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616029090 | N/A | N/A | 6162659 | 2222 | 4802 | 11105397 | N/A | 4805243 | 2025-08-23 02:34:21.558165 | 2025-06-23 19:30:24.977468 |
| 2025-08-22 08:14:47.031325 | 2025-08-23 02:41:07.131350 | 11285740 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11285740 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-25 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | 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/2222/6145897/check_11285740_67a9df9b-58b4-42db-b409-dfbaed237642.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MA | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616029080 | N/A | N/A | 6145897 | 2222 | 4801 | 11115456 | N/A | 4786709 | 2025-08-23 02:41:07.131350 | 2025-06-20 18:28:02.399027 |
| 2025-08-22 08:14:46.349949 | 2025-08-23 02:49:38.787784 | 11285728 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11285728 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-08-25 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | 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/2222/7204595/check_11285728_3d3745b3-623a-49ab-9732-379b856fe90b.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MB | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616042054 | N/A | N/A | 7204595 | 2222 | 4801 | 11125176 | N/A | 6175435 | 2025-08-23 02:49:38.787784 | 2025-08-05 19:05:08.506352 |
| 2025-08-22 08:14:33.334916 | 2025-08-23 02:36:03.341435 | 11285384 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11285384 | Athletic Physical Therapy Inc | 1969-02-14 | 2025-08-25 | M | PT | N/A | Shachory | XEK906003800 | Rafael | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110819079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6919729/check_11285384_a3b8ed40-ee72-4271-8274-28eae86122c0.json | N/A | N/A | N/A | N/A | N/A | XEK906003800 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-02-14 | 2001ZJ002648 | X0001000 | N/A | PR | false | SHACHORY | N/A | RAFAEL | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616013556 | N/A | N/A | 6919729 | 2222 | 4793 | 11107979 | N/A | 5950744 | 2025-08-23 02:36:03.341435 | 2025-07-10 00:33:25.010317 |
| 2025-08-22 08:14:33.276301 | 2025-08-23 02:34:23.088874 | 11285382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11285382 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-08-25 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110819079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_11285382_4bef9a26-79ce-406a-9ca3-37ca7993f36c.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 | 1972-01-12 | 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 | 8616013555 | N/A | N/A | 6917703 | 2222 | 4793 | 11105443 | N/A | 5949095 | 2025-08-23 02:34:23.088874 | 2025-07-28 22:15:30.266976 |
| 2025-08-22 08:14:18.589262 | 2025-08-23 02:29:02.941912 | 11285012 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 11285012 | Athletic Physical Therapy Inc | 1959-10-10 | 2025-08-25 | F | AE | PT | AV | H6124714500 | KOUI | 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/2222/6123813/check_11285012_454ee168-9aa1-450c-96b3-dcfeaa025bb9.json | N/A | N/A | N/A | N/A | N/A | H61247145 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 1959-10-10 | N/A | 0B666001 | N/A | HN | false | AV | N/A | KOUI | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616030358 | N/A | N/A | 6123813 | 2222 | 4801 | 11096143 | N/A | 4766544 | 2025-08-23 02:29:02.941912 | 2025-06-03 20:39:17.779681 |
| 2025-08-22 08:14:14.379749 | 2025-08-23 02:34:21.246949 | 11284906 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11284906 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-08-25 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | 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/2222/6121701/check_11284906_a230defc-46e9-4e1d-9fcb-65a84025266c.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616030344 | N/A | N/A | 6121701 | 2222 | 4793 | 11105388 | N/A | 4764460 | 2025-08-23 02:34:21.246949 | 2025-06-04 04:30:06.494155 |
| 2025-08-22 08:14:14.046807 | 2025-08-23 02:59:49.339461 | 11284897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11284897 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-08-25 | F | AE | PT | BARRE | 4WR8HF0MV28 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_11284897_a76b8c95-7da2-4fb9-ab80-cea07a466f93.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MB | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616018347 | N/A | N/A | 6418037 | 2222 | 4802 | 11134750 | N/A | 5065797 | 2025-08-23 02:59:49.339461 | 2025-07-28 17:08:00.544400 |
| 2025-08-22 08:14:12.987942 | 2025-08-23 02:45:42.641689 | 11284871 | N/A | N/A | 60054 | Aetna | 1114042165 | 11284871 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-08-25 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_11284871_22b9b01c-1988-4232-b995-6e2fdecd1571.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 | 8616018338 | N/A | N/A | 6417889 | 2222 | 4793 | 11121545 | N/A | 5065591 | 2025-08-23 02:45:42.641689 | 2025-06-18 18:47:45.179937 |
| 2025-08-22 08:13:54.307971 | 2025-08-23 02:41:13.581725 | 11284421 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11284421 | Athletic Physical Therapy Inc | 1980-09-20 | 2025-08-25 | F | PT | N/A | Carpio | R60757848 | Jennifer | 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/2222/7175544/check_11284421_dfec79f2-885b-4d99-b586-516d29351e3c.json | N/A | N/A | N/A | N/A | N/A | R60757848 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-20 | N/A | 113 | N/A | PR | false | CARPIO | N/A | JENNIFER | N/A | 9999-12-31 | 2017-07-23 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616042938 | N/A | N/A | 7175544 | 2222 | 4802 | 11115650 | N/A | 5993712 | 2025-08-23 02:41:13.581725 | 2025-07-28 16:11:32.377707 |
| 2025-08-22 08:13:54.249866 | 2025-08-23 02:24:21.245673 | 11284419 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11284419 | Athletic Physical Therapy Inc | 2005-06-10 | 2025-08-25 | F | PT | N/A | Kassi | 957A5554370 | Keira | 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/2222/6113467/check_11284419_cff909e4-06ce-42da-84e1-d02b15958d68.json | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616029314 | N/A | N/A | 6113467 | 2222 | 4801 | 11089618 | N/A | 4756194 | 2025-08-23 02:24:21.245673 | 2025-06-02 23:03:52.087356 |
| 2025-08-22 08:13:52.226705 | 2025-08-23 02:36:01.772870 | 11284362 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11284362 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-08-25 | M | PT | N/A | Lane | XEK904721388 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110819079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_11284362_71b75a08-8b15-4b7e-8382-ded5d3bc7632.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616013411 | N/A | N/A | 6814774 | 2222 | 4802 | 11107944 | N/A | 5857104 | 2025-08-23 02:36:01.772870 | 2025-07-08 17:08:11.593095 |
| 2025-08-22 08:13:51.851078 | 2025-08-23 02:36:02.764027 | 11284353 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11284353 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-08-25 | F | PT | N/A | PERLOV | XEA905216171 | MERA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110819079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_11284353_bf95bfcd-a973-48fd-bdd4-4017243d80eb.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616013409 | N/A | N/A | 6814311 | 2222 | 4793 | 11107953 | N/A | 5856694 | 2025-08-23 02:36:02.764027 | 2025-07-07 18:45:06.287504 |
| 2025-08-22 08:13:49.608756 | 2025-08-23 02:34:22.715008 | 11284307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11284307 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-08-25 | F | PT | N/A | FARRUKH | JXN208M92481 | ANBARIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110819079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_11284307_8b9691af-df25-4c93-ac25-89eb863e2e5e.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616013394 | N/A | N/A | 6811878 | 2222 | 4793 | 11105429 | N/A | 5854231 | 2025-08-23 02:34:22.715008 | 2025-07-07 16:52:38.056680 |
| 2025-08-22 08:13:43.246043 | 2025-08-23 02:49:41.813797 | 11284150 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11284150 | Athletic Physical Therapy Inc | 1948-09-24 | 2025-08-25 | F | AE | PT | LEVINE | 3FG2E80TN04 | HAZEL | 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/2222/7172811/check_11284150_9987d2d3-068e-4c9f-9129-9674d396f9b4.json | N/A | N/A | N/A | N/A | N/A | 3FG2E80TN04 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-24 | S5617 | N/A | N/A | MB | false | LEVINE | N/A | HAZEL | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616042344 | N/A | N/A | 7172811 | 2222 | 4801 | 11125218 | N/A | 6148732 | 2025-08-23 02:49:41.813797 | 2026-05-13 23:37:52.352629 |
| 2025-08-22 08:13:34.686918 | 2025-08-23 02:52:06.963086 | 11283967 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11283967 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-08-25 | M | PT | N/A | HARDING | XDP157A51099 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_11283967_7035c410-cf77-4890-a4a8-57c05fdfc084.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 | 8616021615 | N/A | N/A | 6398773 | 2222 | 4801 | 11127567 | N/A | 5046326 | 2025-08-23 02:52:06.963086 | 2025-06-30 17:04:21.721546 |
| 2025-08-22 08:13:34.462441 | 2025-08-23 02:51:54.256181 | 11283961 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11283961 | Athletic Physical Therapy Inc | 1950-06-14 | 2025-08-25 | F | AE | PT | MIESSNER | 00000302558 | CHERYLL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_11283961_d2513d8c-e882-4a18-971d-38ac85cf06f5.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 | 8616020090 | N/A | N/A | 6398725 | 2222 | 4801 | 11127341 | N/A | 5046278 | 2025-08-23 02:51:54.256181 | 2025-06-15 19:17:04.043327 |
| 2025-08-22 08:13:34.234429 | 2025-08-23 02:45:43.004951 | 11283955 | N/A | N/A | 60054 | Aetna | 1114042165 | 11283955 | Athletic Physical Therapy Inc | 1963-03-10 | 2025-08-25 | F | AE | PT | HASSHAW | W257198312 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398687/check_11283955_7af40b02-a296-4c74-a1df-7d4a96d2cc81.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 | 8616020088 | N/A | N/A | 6398687 | 2222 | 4793 | 11121559 | N/A | 5046244 | 2025-08-23 02:45:43.004951 | 2025-06-20 22:35:45.756703 |
| 2025-08-22 08:13:28.872936 | 2025-08-23 02:34:20.290281 | 11283839 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11283839 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-08-25 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | 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/2222/6104970/check_11283839_4596dce7-2d53-448d-83a7-3dd71260b02a.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616030555 | N/A | N/A | 6104970 | 2222 | 4802 | 11105363 | N/A | 4749447 | 2025-08-23 02:34:20.290281 | 2025-06-06 23:16:09.869339 |
| 2025-08-22 08:13:24.608159 | 2025-08-23 02:59:51.645439 | 11283737 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11283737 | Athletic Physical Therapy Inc | 1948-03-15 | 2025-08-25 | M | AE | PT | SAMOFF | 9WK1PA8GW14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_11283737_9baba38c-2ee8-4164-852c-c30ea0acc888.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 | 8616020013 | N/A | N/A | 6236212 | 2222 | 4793 | 11134794 | N/A | 4884170 | 2025-08-23 02:59:51.645439 | 2025-07-09 21:20:43.604452 |
| 2025-08-22 08:13:22.649134 | 2025-08-23 02:45:43.341812 | 11283692 | N/A | N/A | 60054 | Aetna | 1114042165 | 11283692 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-08-25 | M | AE | PT | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_11283692_f2ea97c4-78c6-4ac5-aab2-0b9faa0418fa.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 | 8616020003 | N/A | N/A | 6235883 | 2222 | 4802 | 11121569 | N/A | 4883697 | 2025-08-23 02:45:43.341812 | 2025-07-08 14:55:53.397662 |
| 2025-08-22 08:13:19.291001 | 2025-08-23 02:52:05.850646 | 11283609 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11283609 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-25 | F | PT | N/A | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_11283609_fc45a3c3-110b-4d86-b214-b217a60a5c75.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 | 8616019977 | N/A | N/A | 6234679 | 2222 | 4801 | 11127545 | N/A | 4213743 | 2025-08-23 02:52:05.850646 | 2025-05-13 04:29:37.228064 |
| 2025-08-22 08:13:15.926717 | 2025-08-23 02:32:24.344507 | 11283540 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11283540 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-08-25 | F | AE | PT | ROBERTS | 00000402630 | DEBRA | 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/2222/6085762/check_11283540_b12f771c-7ee9-49cb-bc17-e8c9d264d87d.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | 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 | 8616030684 | N/A | N/A | 6085762 | 2222 | 4793 | 11102082 | N/A | 4729138 | 2025-08-23 02:32:24.344507 | 2025-05-31 14:20:56.156252 |
| 2025-08-22 08:13:15.117177 | 2025-08-23 02:32:33.858049 | 11283521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11283521 | Athletic Physical Therapy Inc | 1991-01-16 | 2025-08-25 | F | PT | N/A | LI | XTS845M84428 | ZHANMEI | 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/2222/6085650/check_11283521_90e32ad6-3475-4f6b-bb06-5cbdf136e4f7.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 1991-01-16 | 040 | 277405M037 | N/A | PR | false | HAN | N/A | PENGCHENG | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616030682 | N/A | N/A | 6085650 | 2222 | 4793 | 11102421 | N/A | 4728966 | 2025-08-23 02:32:33.858049 | 2025-06-09 22:35:38.956800 |
| 2025-08-22 08:13:04.797677 | 2025-08-23 02:48:19.475572 | 11283291 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11283291 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-08-25 | F | AE | PT | BARCENES | H9209970900 | IRENE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231314/check_11283291_1eef4451-6784-4a75-b11b-3a71f16ffc4e.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 | 8616018900 | N/A | N/A | 6231314 | 2222 | 4801 | 11123921 | N/A | 4219033 | 2025-08-23 02:48:19.475572 | 2025-05-13 04:29:37.230052 |
| 2025-08-22 08:12:59.110931 | 2025-08-23 02:49:42.956485 | 11283177 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11283177 | Athletic Physical Therapy Inc | 1952-06-10 | 2025-08-25 | F | AE | PT | NGUYEN | 4RN2FT7MY90 | DIEM | 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/2222/7039866/check_11283177_617ea1ef-33ed-49d7-9a09-913dc2af1486.json | N/A | N/A | N/A | N/A | N/A | 4RN2FT7MY90 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-06-10 | S4802 | N/A | N/A | MB | false | NGUYEN | N/A | DIEM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616041843 | N/A | N/A | 7039866 | 2222 | 4801 | 11125239 | N/A | 6051960 | 2025-08-23 02:49:42.956485 | 2025-07-16 20:09:14.193919 |
| 2025-08-22 08:12:51.561671 | 2025-08-23 02:42:24.048649 | 11283021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11283021 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-08-25 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110819079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_11283021_6b993540-3394-4010-8503-6542834139c0.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616013014 | N/A | N/A | 6751304 | 2222 | 4802 | 11117645 | N/A | 5557241 | 2025-08-23 02:42:24.048649 | 2025-07-22 17:08:51.810153 |
| 2025-08-22 08:12:50.520446 | 2025-08-23 02:59:48.987554 | 11282990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11282990 | Athletic Physical Therapy Inc | 1970-03-23 | 2025-08-25 | F | AE | PT | ADAMSKY | 5AR2R76UH88 | ARLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222571/check_11282990_f74c1de3-11d0-46c3-9fa1-83877742bc5b.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 | 8616018852 | N/A | N/A | 6222571 | 2222 | 4801 | 11134739 | N/A | 4219835 | 2025-08-23 02:59:48.987554 | 2025-06-11 17:06:07.512166 |