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 08:12:49.927488 | 2025-08-23 02:30:07.190879 | 11282977 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11282977 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-08-25 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | 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/2222/6078312/check_11282977_ebc7d378-0c81-4695-843f-eaab47ffbd47.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | 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 | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616029640 | N/A | N/A | 6078312 | 2222 | 4802 | 11097726 | N/A | 4722569 | 2025-08-23 02:30:07.190879 | 2025-08-26 00:16:35.895658 |
| 2025-08-22 08:12:49.004216 | 2025-08-23 02:51:53.658409 | 11282955 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11282955 | Athletic Physical Therapy Inc | 1946-12-21 | 2025-08-25 | F | AE | PT | MCMAHON | 00000165136 | JUDITH | 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/2222/6222083/check_11282955_02880517-be16-4a2c-abde-99068b7a2dc2.json | N/A | N/A | N/A | N/A | N/A | 00000165136 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1946-12-21 | H3815028 | N/A | N/A | HM | false | MCMAHON | N/A | JUDITH | 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 | 8616018845 | N/A | N/A | 6222083 | 2222 | 4801 | 11127331 | N/A | 4215353 | 2025-08-23 02:51:53.658409 | 2025-05-13 04:29:37.229674 |
| 2025-08-22 08:12:45.132504 | 2025-08-23 02:40:55.091936 | 11282866 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11282866 | Athletic Physical Therapy Inc | 1964-11-16 | 2025-08-25 | M | PT | N/A | Mendelson | XEK913483846 | Simon | 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/2222/7035802/check_11282866_39113732-5b8d-4830-b672-be72b70d0dec.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-11-16 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616043171 | N/A | N/A | 7035802 | 2222 | 4802 | 11114880 | N/A | 6048583 | 2025-08-23 02:40:55.091936 | 2025-07-16 16:04:33.625747 |
| 2025-08-22 08:12:36.064089 | 2025-08-23 02:50:50.093718 | 11282620 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11282620 | Athletic Physical Therapy Inc | 1975-07-10 | 2025-08-25 | F | AE | PT | LAYTON | 97111265F | KARLEE | 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/2222/6213233/check_11282620_49762b16-9f07-4bce-bf34-b03a7dfd5b28.json | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | HEALTH NET, LLC | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616018114 | N/A | N/A | 6213233 | 2222 | 4793 | 11126215 | N/A | 4856954 | 2025-08-23 02:50:50.093718 | 2025-06-10 23:10:17.499139 |
| 2025-08-22 08:12:36.016490 | 2025-08-23 02:41:05.205432 | 11282618 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11282618 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-08-25 | F | AE | PT | DAVIS | 3M07R08AX76 | HOLLY | 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/2222/6068062/check_11282618_89f29396-71a4-44b0-b4ed-1a1018582970.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616030491 | N/A | N/A | 6068062 | 2222 | 4802 | 11115403 | N/A | 4713002 | 2025-08-23 02:41:05.205432 | 2025-06-03 01:39:13.971712 |
| 2025-08-22 08:12:19.147703 | 2025-08-23 02:49:42.569275 | 11282256 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11282256 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-08-25 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | 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/2222/7024101/check_11282256_4e70b632-a9b1-4e40-b8cb-ed82f276ca17.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616042546 | N/A | N/A | 7024101 | 2222 | 4801 | 11125230 | N/A | 6038562 | 2025-08-23 02:49:42.569275 | 2025-07-30 21:46:09.369299 |
| 2025-08-22 08:12:18.827229 | 2025-08-23 02:33:00.731624 | 11282250 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11282250 | Athletic Physical Therapy Inc | 2003-10-23 | 2025-08-25 | M | AE | PT | SMIT DUYZENTKUNST | 934202236 | JAMES | 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/2222/7024081/check_11282250_aad2fd03-812a-4bbe-a621-1fa2e4002ebe.json | N/A | N/A | N/A | N/A | N/A | 934202236 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 2003-10-23 | N/A | N/A | N/A | N/A | false | SMIT DUYZENTKUNST | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616042545 | N/A | N/A | 7024081 | 2222 | 4793 | 11103219 | N/A | 6038528 | 2025-08-23 02:33:00.731624 | 2025-07-24 19:34:35.056005 |
| 2025-08-22 08:12:14.997440 | 2025-08-23 02:39:32.600185 | 11282155 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11282155 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-08-25 | M | AE | PT | SMITH | 99688004H | MATTHEW | 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/2222/7022680/check_11282155_cdd99b2b-15ff-4ea7-b826-4b1dfc21400f.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | 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 | 8616042535 | N/A | N/A | 7022680 | 2222 | 4793 | 11113009 | N/A | 6037802 | 2025-08-23 02:39:32.600185 | 2025-07-22 17:48:16.997014 |
| 2025-08-22 08:12:13.031485 | 2025-08-23 02:27:15.921504 | 11282109 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 11282109 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-08-25 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_11282109_8dafef4b-d391-4449-941b-9504528cfefa.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616012793 | N/A | N/A | 6711965 | 2222 | 4793 | 11093516 | 6798 | 4210430 | 2025-08-23 02:27:15.921504 | 2025-05-13 04:29:37.224841 |
| 2025-08-22 08:12:09.823374 | 2025-08-23 02:52:07.466817 | 11282030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11282030 | Athletic Physical Therapy Inc | 1995-02-20 | 2025-08-25 | M | AE | PT | SCHILLER | HXA967579440 | STEPHEN | 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/2222/6196387/check_11282030_ddd5a588-ebf1-4f5c-91e9-65ca1d81d9ac.json | N/A | N/A | N/A | N/A | N/A | HXA967579440 | Preferred Provider Organization (PPO) | HALEY & ALDRICH INC | ANTHEM BLUE CROSS | N/A | 1995-02-20 | N/A | 002328322 | N/A | PR | false | SCHILLER | N/A | STEPHEN | N/A | 9999-12-31 | 2022-10-17 | PPO - BLUE CARE ELECT PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616020794 | N/A | N/A | 6196387 | 2222 | 4802 | 11127573 | N/A | 4840193 | 2025-08-23 02:52:07.466817 | 2025-06-30 14:26:07.993992 |
| 2025-08-22 08:12:08.635404 | 2025-08-23 02:59:51.095438 | 11281999 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11281999 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-08-25 | F | AE | PT | NAFTZGER | 3NW9CG6WM45 | 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/2222/6194923/check_11281999_c4a32336-c149-4bca-bfe6-d4397a082aac.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616020790 | N/A | N/A | 6194923 | 2222 | 4802 | 11134783 | N/A | 4214889 | 2025-08-23 02:59:51.095438 | 2025-05-13 04:29:37.229212 |
| 2025-08-22 08:11:57.223084 | 2025-08-23 02:51:52.630678 | 11281707 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11281707 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-08-25 | M | AE | PT | MATHEU | 00000270336 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_11281707_b506c683-6921-4898-8aa9-15846bc49ca8.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 | 8616019402 | N/A | N/A | 6189737 | 2222 | 4801 | 11127312 | N/A | 4209126 | 2025-08-23 02:51:52.630678 | 2025-05-13 04:29:37.223551 |
| 2025-08-22 08:11:53.564369 | 2025-08-23 02:38:03.542480 | 11281628 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11281628 | Athletic Physical Therapy Inc | 1954-05-18 | 2025-08-25 | F | AE | PT | BONDARTSEVA | 99071240H | PARIDA | 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/2222/7018394/check_11281628_8337c773-f77b-4ff5-a755-ab42b0fe9c65.json | N/A | N/A | N/A | N/A | N/A | 99071240H | N/A | N/A | HEALTH NET, LLC | N/A | 1954-05-18 | N/A | N/A | N/A | N/A | false | BONDARTSEVA | N/A | PARIDA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616041804 | N/A | N/A | 7018394 | 2222 | 4802 | 11110829 | N/A | 6033705 | 2025-08-23 02:38:03.542480 | 2025-07-30 00:53:11.021022 |
| 2025-08-22 08:11:34.887873 | 2025-08-23 02:15:59.669593 | 11281188 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11281188 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-08-25 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_11281188_38f9ed19-2cda-4060-b81a-5e322cda743b.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616005507 | N/A | N/A | 7877415 | 2222 | 4793 | 11076174 | N/A | 6706226 | 2025-08-23 02:15:59.669593 | 2025-08-19 15:39:56.790206 |
| 2025-08-22 08:11:22.646065 | 2025-08-23 02:32:35.470775 | 11280757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11280757 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-08-25 | M | PT | N/A | SPENCE | SGEFW1503472 | STEPHEN | 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/2222/5993917/check_11280757_c53e2f19-7b14-4e6d-bc84-9ec3a4ae5ac1.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616029224 | N/A | N/A | 5993917 | 2222 | 4793 | 11102472 | N/A | 4642854 | 2025-08-23 02:32:35.470775 | 2025-05-28 20:57:05.075130 |
| 2025-08-22 08:11:22.479340 | 2025-08-23 02:32:35.984211 | 11280751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11280751 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-08-25 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | 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/2222/5993479/check_11280751_97f2f5dd-dc79-4e09-ba5c-d5a9f08c15ab.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616029223 | N/A | N/A | 5993479 | 2222 | 4801 | 11102494 | N/A | 4219476 | 2025-08-23 02:32:35.984211 | 2025-05-28 20:18:04.039855 |
| 2025-08-22 08:11:18.774705 | 2025-08-23 02:15:43.358592 | 11280614 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11280614 | Athletic Physical Therapy Inc | 1954-08-05 | 2025-08-25 | F | AE | PT | HORLAND | 20663702 | IVEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7825428/check_11280614_00f97f3e-21e8-4a10-86bb-22d5935e8edd.json | N/A | N/A | N/A | N/A | N/A | 20663702 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-08-05 | N/A | N/A | N/A | N/A | false | HORLAND | N/A | IVEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616004354 | N/A | N/A | 7825428 | 2222 | 4793 | 11075662 | N/A | 6663392 | 2025-08-23 02:15:43.358592 | 2025-08-06 23:29:48.431578 |
| 2025-08-22 08:11:14.854627 | 2025-08-23 02:20:00.115844 | 11280457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11280457 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-08-25 | M | AE | PT | LEYDERMAN | 8C40J87HK31 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7817911/check_11280457_3e66c564-981e-445f-9686-312d76d0a3fe.json | N/A | N/A | N/A | N/A | N/A | 8C40J87HK31 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-21 | N/A | N/A | N/A | MA | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616005654 | N/A | N/A | 7817911 | 2222 | 4793 | 11083108 | N/A | 6656900 | 2025-08-23 02:20:00.115844 | 2025-08-17 17:40:08.050078 |
| 2025-08-22 08:11:11.141195 | 2025-08-23 02:49:40.477200 | 11280323 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11280323 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-08-25 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | 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/2222/7000055/check_11280323_ecc56937-ca00-418f-8933-9b60d1d3ec03.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MA | false | JIMENEZ LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616042892 | N/A | N/A | 7000055 | 2222 | 4801 | 11125203 | N/A | 6019507 | 2025-08-23 02:49:40.477200 | 2025-07-14 20:23:06.646459 |
| 2025-08-22 08:11:11.061087 | 2025-08-23 02:15:45.390113 | 11280318 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11280318 | N/A | 1976-12-11 | 2025-08-25 | M | AE | PT | NAGATSUKA | R06971566MM1 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813417/check_11280318_dd1f8340-f52d-46dc-99fe-3ebbbd09c2c3.json | N/A | N/A | N/A | N/A | N/A | R06971566MM1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616005602 | N/A | N/A | 7813417 | 2222 | 4801 | 11075727 | N/A | 6653733 | 2025-08-23 02:15:45.390113 | 2025-08-24 22:53:15.351116 |
| 2025-08-22 08:11:00.848944 | 2025-08-23 02:33:31.784057 | 11279950 | N/A | N/A | 60054 | Aetna | 1114042165 | 11279950 | Athletic Physical Therapy Inc | 2006-09-03 | 2025-08-25 | M | AE | PT | WARD | W264086653 | LEE | 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/2222/6996539/check_11279950_e92bdd79-459d-4c5e-bc23-d9316fcb0763.json | N/A | N/A | N/A | N/A | N/A | W264086653 | Point of Service (POS) | HASA, INC. | AETNA | N/A | 2006-09-03 | 0170664 | 017066401300008 | N/A | PS | false | WARD | N/A | KENNETH | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616042864 | N/A | N/A | 6996539 | 2222 | 4801 | 11104292 | N/A | 6016721 | 2025-08-23 02:33:31.784057 | 2025-07-23 14:06:47.503419 |
| 2025-08-22 08:11:00.070311 | 2025-08-23 02:13:57.584958 | 11279922 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11279922 | Athletic Physical Therapy Inc | 1953-01-18 | 2025-08-25 | F | AE | PT | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_11279922_75a11202-1047-4a97-952d-7c75fa343813.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 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 | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616004125 | N/A | N/A | 7796425 | 2222 | 4801 | 11073086 | N/A | 6638534 | 2025-08-23 02:13:57.584958 | 2025-08-05 23:10:54.464587 |
| 2025-08-22 08:10:53.476184 | 2025-08-23 02:20:00.413143 | 11279666 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11279666 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-08-25 | M | AE | PT | STAGNITTA | 1XD8E47RR64 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784368/check_11279666_47d493d7-3cc1-472a-acb3-f79f157aa823.json | N/A | N/A | N/A | N/A | N/A | 1XD8E47RR64 | Medicare Part A | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-14 | H4036 | 280612 280612M004 | N/A | MA | false | STAGNITTA | 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 | 8616005228 | N/A | N/A | 7784368 | 2222 | 4793 | 11083120 | N/A | 4212542 | 2025-08-23 02:20:00.413143 | 2025-08-05 17:22:00.318869 |
| 2025-08-22 08:10:47.710161 | 2025-08-23 02:54:19.227658 | 11279465 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11279465 | 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/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_11279465_8b5bd19d-b4d0-4c16-86de-0a55b131e81c.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 | 2028-10-31 | 2022-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616018226 | N/A | N/A | 6162659 | 2222 | 4802 | 11129514 | N/A | 4805243 | 2025-08-23 02:54:19.227658 | 2025-06-23 19:30:24.977468 |
| 2025-08-22 08:10:42.585911 | 2025-08-23 02:13:15.926329 | 11279294 | N/A | N/A | 60054 | Aetna | 1114042165 | 11279294 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-08-25 | M | AE | PT | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_11279294_e4285349-1375-4fed-8399-aef2528c6bca.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616005683 | N/A | N/A | 7761496 | 2222 | 4802 | 11072193 | N/A | 6610810 | 2025-08-23 02:13:15.926329 | 2025-08-04 22:41:35.670334 |
| 2025-08-22 08:10:42.259651 | 2025-08-23 02:15:17.860454 | 11279288 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11279288 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-08-25 | F | AE | PT | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_11279288_ba3d8122-e126-4da5-809b-855a02c097a4.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616005680 | N/A | N/A | 7761229 | 2222 | 4793 | 11074956 | N/A | 6610550 | 2025-08-23 02:15:17.860454 | 2025-08-29 21:18:14.924057 |
| 2025-08-22 08:10:40.710451 | 2025-08-23 02:59:51.992864 | 11279240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11279240 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-25 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110942260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_11279240_221c3429-9320-4e0c-8e46-dc6c15230a87.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MB | 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 | 8616018208 | N/A | N/A | 6145897 | 2222 | 4801 | 11134804 | N/A | 4786709 | 2025-08-23 02:59:51.992864 | 2025-06-20 18:28:02.399027 |
| 2025-08-22 08:10:38.272916 | 2025-08-23 02:16:45.333791 | 11279160 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11279160 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-08-25 | M | PT | N/A | Sariri | XDP632A69850 | Darius | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_11279160_adfa1a7a-d427-4e0e-a5f8-61ff261d8180.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616003723 | N/A | N/A | 7754707 | 2222 | 4802 | 11077467 | N/A | 6605684 | 2025-08-23 02:16:45.333791 | 2025-08-05 01:08:16.312539 |
| 2025-08-22 08:10:37.497018 | 2025-08-23 02:13:57.882836 | 11279136 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 11279136 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-08-25 | F | AE | PT | TOY | H77237018 | NELDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_11279136_d71c494f-5443-45aa-9058-c0b6ce6581c4.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 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 | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616003715 | N/A | N/A | 7754038 | 2222 | 4793 | 11073093 | N/A | 6605178 | 2025-08-23 02:13:57.882836 | 2025-08-12 21:10:43.412607 |
| 2025-08-22 08:10:37.373413 | 2025-08-23 02:34:23.511669 | 11279134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11279134 | Athletic Physical Therapy Inc | 1954-06-04 | 2025-08-25 | F | PT | N/A | Martin | JOQ815W10930 | Lilliane | 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/2222/6641910/check_11279134_fce3f61d-e638-4315-90f3-4276eee6ef1e.json | N/A | N/A | N/A | N/A | N/A | JOQ815W10930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-06-04 | N/A | N/A | N/A | N/A | false | MARTIN | N/A | LILLIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616012531 | N/A | N/A | 6641910 | 2222 | 4802 | 11105455 | N/A | 5248673 | 2025-08-23 02:34:23.511669 | 2025-09-03 18:56:09.134332 |
| 2025-08-22 08:10:36.428984 | 2025-08-23 02:42:22.906747 | 11279103 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11279103 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-25 | M | AE | PT | Kosec | 7N05DC8JJ95 | Kevin | 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/2222/6639429/check_11279103_dbac11ca-b930-47ef-a438-789ad557df01.json | N/A | N/A | N/A | N/A | N/A | 7N05DC8JJ95 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-21 | H4036 | N/A | N/A | MA | false | KOSEC | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616012527 | N/A | N/A | 6639429 | 2222 | 4802 | 11117616 | N/A | 5248081 | 2025-08-23 02:42:22.906747 | 2025-07-01 21:08:10.945475 |
| 2025-08-22 08:10:36.148309 | 2025-08-23 02:15:58.906744 | 11279093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11279093 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-08-25 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110318458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_11279093_745185ab-7d41-4b4c-be35-edf830589098.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616003685 | N/A | N/A | 7752768 | 2222 | 4802 | 11076157 | N/A | 6604326 | 2025-08-23 02:15:58.906744 | 2025-08-06 18:06:11.137864 |
| 2025-08-22 08:10:26.921869 | 2025-08-23 02:36:13.741616 | 11278794 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11278794 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-08-25 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | 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/2222/6621141/check_11278794_9a6f522a-5afb-480b-b5ad-9c85202f69cd.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616011778 | N/A | N/A | 6621141 | 2222 | 4801 | 11108241 | N/A | 5237460 | 2025-08-23 02:36:13.741616 | 2025-07-24 16:59:54.908041 |
| 2025-08-22 08:10:25.534242 | 2025-08-23 02:34:22.204675 | 11278738 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11278738 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-25 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 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/2222/6611912/check_11278738_cbb66ee0-c781-4158-91ac-e14a8a24f3be.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616011766 | N/A | N/A | 6611912 | 2222 | 4793 | 11105415 | N/A | 5230345 | 2025-08-23 02:34:22.204675 | 2025-07-11 20:32:03.183345 |
| 2025-08-22 08:10:08.654829 | 2025-08-23 02:20:00.189803 | 11277963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11277963 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-08-25 | F | PT | N/A | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_11277963_b9fa7f01-8673-448d-b5d2-c3fae078964f.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616000178 | N/A | N/A | 5550923 | 2222 | 4801 | 11083111 | N/A | 4219763 | 2025-08-23 02:20:00.189803 | 2025-05-13 04:29:37.230804 |
| 2025-08-22 08:10:08.587968 | 2025-08-23 02:15:19.196633 | 11277959 | N/A | N/A | 60054 | Aetna | 1114042165 | 11277959 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-08-25 | F | AE | PT | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_11277959_ae8a5994-fa67-48a8-bb45-14d33c109e52.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000177 | N/A | N/A | 5550850 | 2222 | 4802 | 11074999 | N/A | 4215195 | 2025-08-23 02:15:19.196633 | 2025-05-14 09:08:40.751930 |
| 2025-08-22 08:10:08.522599 | 2025-08-23 02:26:09.255830 | 11277956 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11277956 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-08-25 | F | AE | PT | STELLINI | 9PU3FY2MU09 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_11277956_5aaf31a0-5fe8-4b6e-b88c-0e7e6378f0dc.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MA | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000176 | N/A | N/A | 5550849 | 2222 | 4802 | 11092105 | N/A | 4215221 | 2025-08-23 02:26:09.255830 | 2025-05-13 04:29:37.229536 |
| 2025-08-22 08:10:07.479660 | 2025-08-23 02:26:06.799487 | 11277908 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11277908 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-25 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_11277908_ce553cd3-5417-4077-9971-a54591f0c667.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000165 | N/A | N/A | 5543340 | 2222 | 4793 | 11092036 | N/A | 4215147 | 2025-08-23 02:26:06.799487 | 2025-05-13 04:29:37.229464 |
| 2025-08-22 08:10:07.385545 | 2025-08-23 02:17:31.539367 | 11277904 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11277904 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-08-25 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11277904_6e1eb918-ee91-4a34-ac12-64a06671b059.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8616000164 | N/A | N/A | 5543171 | 2222 | 4793 | 11078892 | N/A | 4214998 | 2025-08-23 02:17:31.539367 | 2025-05-13 04:29:37.229318 |
| 2025-08-22 08:10:07.308717 | 2025-08-23 02:26:08.195478 | 11277898 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11277898 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-08-25 | M | AE | PT | STECHER | 4P42WA3QM82 | BRIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_11277898_a41ce361-4eb2-42de-8a22-058883a010d3.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MB | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000163 | N/A | N/A | 5543052 | 2222 | 4802 | 11092069 | N/A | 4214891 | 2025-08-23 02:26:08.195478 | 2025-05-13 04:29:37.229214 |
| 2025-08-22 08:10:07.226091 | 2025-08-23 02:19:56.308832 | 11277893 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11277893 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-08-25 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_11277893_89a2b94e-f9a7-4b9a-8521-21b4717289c3.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616000162 | N/A | N/A | 5543043 | 2222 | 4801 | 11082960 | N/A | 4214884 | 2025-08-23 02:19:56.308832 | 2025-11-12 00:46:10.301659 |
| 2025-08-22 08:10:07.148136 | 2025-08-23 02:26:06.327579 | 11277889 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11277889 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-08-25 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_11277889_031fd345-00b1-4e6d-8a7b-02b57107d378.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000161 | N/A | N/A | 5542970 | 2222 | 4802 | 11092020 | N/A | 4214820 | 2025-08-23 02:26:06.327579 | 2025-06-30 02:56:23.324592 |
| 2025-08-22 08:10:07.073515 | 2025-08-23 02:26:05.846496 | 11277886 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11277886 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-08-25 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_11277886_b30720b9-7078-48aa-8e85-77c333b33195.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000160 | N/A | N/A | 5542935 | 2222 | 4802 | 11092009 | N/A | 4214789 | 2025-08-23 02:26:05.846496 | 2025-12-11 23:30:31.319246 |
| 2025-08-22 08:10:06.989348 | 2025-08-23 02:15:19.963844 | 11277880 | N/A | N/A | 60054 | Aetna | 1114042165 | 11277880 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-08-25 | M | AE | PT | TORGAN | W291598583 | SPENCER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_11277880_86f12878-db60-49de-86a4-29bd641d5f0a.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000159 | N/A | N/A | 5542863 | 2222 | 4793 | 11075019 | N/A | 4214725 | 2025-08-23 02:15:19.963844 | 2025-05-13 04:29:37.229043 |
| 2025-08-22 08:10:06.924164 | 2025-08-23 02:15:19.580700 | 11277876 | N/A | N/A | 60054 | Aetna | 1114042165 | 11277876 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-08-25 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_11277876_35b5e46e-c002-44b6-8699-0b47a322728b.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000158 | N/A | N/A | 5542759 | 2222 | 4793 | 11075008 | N/A | 4214620 | 2025-08-23 02:15:19.580700 | 2025-08-05 22:41:29.756445 |
| 2025-08-22 08:10:06.858890 | 2025-08-23 02:26:04.387864 | 11277874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11277874 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-25 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11277874_960e57d7-d2b0-46b5-a944-192cc75eba0a.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000157 | N/A | N/A | 5542555 | 2222 | 4793 | 11091964 | N/A | 4214447 | 2025-08-23 02:26:04.387864 | 2026-04-23 20:11:34.441054 |
| 2025-08-22 08:10:06.730973 | 2025-08-23 02:19:59.841932 | 11277868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11277868 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-08-25 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_11277868_802f832c-af06-4f44-afad-4da2f2f4b1fd.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616000156 | N/A | N/A | 5542387 | 2222 | 4801 | 11083098 | N/A | 4214300 | 2025-08-23 02:19:59.841932 | 2025-06-17 13:03:57.252701 |
| 2025-08-22 08:10:06.622024 | 2025-08-23 02:21:06.820496 | 11277863 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11277863 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-08-25 | F | PT | N/A | BAER | XEK905554072 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_11277863_99fc8dc5-8cea-46f8-bb4a-57a8a190c83f.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616000155 | N/A | N/A | 5542259 | 2222 | 4802 | 11085059 | N/A | 4214195 | 2025-08-23 02:21:06.820496 | 2025-05-13 04:29:37.228529 |
| 2025-08-22 08:10:06.495665 | 2025-08-23 02:19:59.041991 | 11277856 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11277856 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-08-25 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_11277856_37d32b8a-8e64-4461-8b66-f973d1a18335.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8616000154 | N/A | N/A | 5542014 | 2222 | 4793 | 11083065 | N/A | 4213977 | 2025-08-23 02:19:59.041991 | 2025-05-13 04:29:37.228294 |
| 2025-08-22 08:10:06.401049 | 2025-08-23 02:19:27.492901 | 11277852 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 11277852 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-08-25 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110428540.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_11277852_458f8add-1177-422a-a5c7-5ae5cb59ea4f.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616000153 | N/A | N/A | 5541972 | 2222 | 4793 | 11082192 | N/A | 4213941 | 2025-08-23 02:19:27.492901 | 2025-05-13 04:29:37.228259 |