API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 08:04:02.606630 | 2025-08-23 02:38:15.345484 | 11263814 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11263814 | Athletic Physical Therapy Inc | 1966-11-15 | 2025-08-25 | F | PT | WILLIAMS | XEH9032731694 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258960/check_11263814_16c71184-aae0-44b7-a63e-35ff95fcaff2.json | N/A | N/A | N/A | N/A | N/A | XEH9032731694 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1966-11-15 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CYNTHIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615961338 | N/A | N/A | 7258960 | 2222 | 4801 | 11111084 | N/A | 6224768 | 2025-08-23 02:38:15.345484 | 2025-08-08 01:50:02.444196 |
| 2025-08-22 08:04:01.723485 | 2025-08-23 02:38:14.924223 | 11263733 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11263733 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-08-25 | F | PT | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_11263733_2e317545-c8d8-46ed-8005-53d1d9904887.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615961329 | N/A | N/A | 7257479 | 2222 | 4802 | 11111080 | N/A | 4210270 | 2025-08-23 02:38:14.924223 | 2025-07-08 18:23:05.596578 |
| 2025-08-22 08:03:59.168849 | 2025-08-23 02:13:03.695710 | 11263510 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11263510 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-08-25 | M | AE | WALDEN | 33405035111 | REGAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_11263510_10291efc-ab8d-4389-953f-05e3e3cd9701.json | N/A | N/A | N/A | N/A | N/A | 33405035111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1957-03-29 | N/A | N/A | N/A | SP | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: [LOGIN] Authentication failed: InvalidSignatureException | N/A | N/A | 8615969640 | N/A | N/A | 6472487 | 2222 | 4801 | 11071958 | N/A | 5105545 | 2025-08-23 02:13:03.695710 | 2025-07-07 15:29:01.484955 |
| 2025-08-22 08:03:49.974511 | 2025-08-23 02:22:21.110901 | 11262693 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11262693 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-25 | F | PT | AZUCENA | 1YT9RR4MX51 | ESPERANZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_11262693_f60109cf-4079-4eb0-bb31-6a300cbecf63.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615970581 | N/A | N/A | 6235090 | 2222 | 4801 | 11086874 | N/A | 4213743 | 2025-08-23 02:22:21.110901 | 2025-05-13 04:29:37.228064 |
| 2025-08-22 08:03:45.912423 | 2025-08-23 02:17:25.976079 | 11262361 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11262361 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-08-25 | F | AE | NAFTZGER | XEM914412859 | SANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_11262361_197c5ded-352c-486c-974e-c5eeae3d20ef.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969387 | N/A | N/A | 6194938 | 2222 | 4802 | 11078720 | N/A | 4214889 | 2025-08-23 02:17:25.976079 | 2025-05-13 04:29:37.229212 |
| 2025-08-22 08:03:42.796565 | 2025-08-23 02:31:45.296734 | 11262097 | N/A | N/A | 60054 | Aetna | 1114042165 | 11262097 | Athletic Physical Therapy Inc | 1992-10-08 | 2025-08-25 | M | AE | Fegale | IDW235676319 | Shay | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050123/check_11262097_d452c77a-630d-4d97-8def-bd283143104d.json | N/A | N/A | N/A | N/A | N/A | IDW235676319 | N/A | N/A | AETNA INC | N/A | 1992-10-08 | N/A | N/A | N/A | N/A | false | FEGALE | N/A | SHAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615943947 | N/A | N/A | 8050123 | 2222 | 4802 | 11100713 | N/A | 6845522 | 2025-08-23 02:31:45.296734 | 2025-08-26 00:01:22.784762 |
| 2025-08-22 08:03:42.773732 | 2025-08-23 02:17:26.239363 | 11262096 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11262096 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-25 | F | AE | SHETH | XEA914147448 | SHAIVALINI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_11262096_f2c3ad5f-21a9-4eb7-98ec-bd90275fe474.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615970122 | N/A | N/A | 6145898 | 2222 | 4801 | 11078729 | N/A | 4786709 | 2025-08-23 02:17:26.239363 | 2025-06-20 18:28:02.399027 |
| 2025-08-22 08:03:40.848332 | 2025-08-23 02:34:39.775116 | 11261938 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11261938 | N/A | 1960-02-19 | 2025-08-25 | F | AE | ENGLISH BLAZEJ | 40067960801 | DOREEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_11261938_5f8608b2-88da-43fb-9515-5f0d7df086f4.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1960-02-19 | N/A | N/A | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615943916 | N/A | N/A | 8048674 | 2222 | 4801 | 11105862 | N/A | 6844466 | 2025-08-23 02:34:39.775116 | 2025-08-13 17:29:27.130257 |
| 2025-08-22 08:03:38.147357 | 2025-08-23 02:43:07.683525 | 11261713 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11261713 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-08-25 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_11261713_64d908b5-e008-4109-a90e-57d724c788bc.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | 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 | 8615961127 | N/A | N/A | 7204595 | 2222 | 4801 | 11118787 | N/A | 6175435 | 2025-08-23 02:43:07.683525 | 2025-08-05 19:05:08.506352 |
| 2025-08-22 08:03:35.349375 | 2025-08-23 02:16:45.533239 | 11261482 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11261482 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-08-25 | F | AE | DAVIS | JQE893M95444 | HOLLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104723/check_11261482_00f1328e-8b0b-4dc7-acc0-970b7baec0c5.json | N/A | N/A | N/A | N/A | N/A | JQE893M95444 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-02-13 | 040 | CASUPWP0 | N/A | N/A | false | DAVIS | N/A | HOLLY | N/A | 9999-12-31 | 2018-07-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615970470 | N/A | N/A | 6104723 | 2222 | 4802 | 11077474 | N/A | 4713002 | 2025-08-23 02:16:45.533239 | 2025-06-03 01:39:13.971712 |
| 2025-08-22 08:03:32.222636 | 2025-08-23 02:36:04.104859 | 11261228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11261228 | Athletic Physical Therapy Inc | 2014-03-21 | 2025-08-25 | M | PT | CHYNAWEDH | JQU148M89680 | DAMIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_11261228_2e847ad9-c884-4d82-97b6-ea3cdcfe7a95.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-03-21 | N/A | N/A | N/A | N/A | false | CHYNAWEDH | N/A | DAMIAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615942898 | N/A | N/A | 8027485 | 2222 | 4793 | 11108003 | N/A | 6828971 | 2025-08-23 02:36:04.104859 | 2025-09-02 17:27:57.794692 |
| 2025-08-22 08:03:31.798029 | 2025-08-23 02:37:27.309386 | 11261193 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11261193 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-25 | F | PT | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_11261193_510ad61e-5b80-450d-819c-af8efb931ef8.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615944080 | N/A | N/A | 8026951 | 2222 | 4801 | 11110044 | N/A | 6828511 | 2025-08-23 02:37:27.309386 | 2025-08-14 00:23:35.929152 |
| 2025-08-22 08:03:21.369005 | 2025-08-23 02:38:30.866692 | 11260341 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11260341 | Athletic Physical Therapy Inc | 1980-09-20 | 2025-08-25 | F | PT | Carpio | R60757848 | Jennifer | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7175544/check_11260341_a5f207cb-13c6-4ec1-8adb-2c8719c0247c.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 | 8615959857 | N/A | N/A | 7175544 | 2222 | 4802 | 11111432 | N/A | 5993712 | 2025-08-23 02:38:30.866692 | 2025-07-28 16:11:32.377707 |
| 2025-08-22 08:03:18.440885 | 2025-08-23 02:43:11.070346 | 11260065 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11260065 | Athletic Physical Therapy Inc | 1948-09-24 | 2025-08-25 | F | AE | LEVINE | 3FG2E80TN04 | HAZEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7172811/check_11260065_7c39cb02-878f-4144-a347-262d3f2b7144.json | N/A | N/A | N/A | N/A | N/A | 3FG2E80TN04 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-24 | S5617 | N/A | N/A | MA | 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 | 8615961301 | N/A | N/A | 7172811 | 2222 | 4801 | 11118811 | N/A | 6148732 | 2025-08-23 02:43:11.070346 | 2026-05-13 23:37:52.352629 |
| 2025-08-22 08:03:15.786407 | 2025-08-23 02:19:18.785413 | 11259773 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11259773 | Athletic Physical Therapy Inc | 1941-09-20 | 2025-08-25 | U | AE | ANWAR | MISSINGPOLICYNUMBER | KAWKY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928922/check_11259773_5cae51a5-ae9c-4857-ab48-b23e98be3b23.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1941-09-20 | N/A | N/A | N/A | N/A | false | ANWAR | N/A | KAWKY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969903 | N/A | N/A | 5928922 | 2222 | 4801 | 11081935 | N/A | 4210127 | 2025-08-23 02:19:18.785413 | 2026-04-16 20:03:01.426999 |
| 2025-08-22 08:03:14.832417 | 2025-08-23 02:30:41.776206 | 11259673 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11259673 | Athletic Physical Therapy Inc | 1954-12-21 | 2025-08-25 | M | AE | LEYDERMAN | IH2417651 | BORIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.105825800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7817928/check_11259673_507a7e88-ef59-418b-b9e0-161b3d7cba0d.json | N/A | N/A | N/A | N/A | N/A | IH2417651 | N/A | PASC-SEIU BENEFIT PLAN | LA CARE HEALTH PLAN | N/A | 1954-12-21 | PASC | PASC | N/A | N/A | false | LEYDERMAN | N/A | BORIS | N/A | N/A | N/A | PASC-SEIU PLAN (PASC) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615933083 | N/A | N/A | 7817928 | 2222 | 4793 | 11098482 | N/A | 6656900 | 2025-08-23 02:30:41.776206 | 2025-08-17 17:40:08.050078 |
| 2025-08-22 08:03:13.187188 | 2025-08-22 08:03:13.288856 | 11259514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11259514 | Athletic Physical Therapy Inc | 1954-06-04 | 2025-08-25 | F | PT | Martin | JOQ815W10930 | Lilliane | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641910 | 2222 | 4802 | N/A | N/A | 5248673 | 2025-08-22 08:03:13.288856 | 2025-09-03 18:56:09.134332 |
| 2025-08-22 08:03:12.804082 | 2025-08-22 08:03:12.891077 | 11259481 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11259481 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-25 | M | AE | Kosec | 7N05DC8JJ95 | Kevin | PT | N/A | WAYSTAR | N/A | BATCH | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6639429 | 2222 | 4802 | N/A | N/A | 5248081 | 2025-08-22 08:03:12.891077 | 2025-07-01 21:08:10.945475 |
| 2025-08-22 08:03:12.629429 | 2025-08-23 02:37:12.889481 | 11259466 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11259466 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-25 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11259466_cf2432f9-072a-4056-82a9-a2789c4f79f2.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615943134 | N/A | N/A | 7994545 | 2222 | 4802 | 11109669 | N/A | 6802250 | 2025-08-23 02:37:12.889481 | 2025-08-11 23:58:28.358402 |
| 2025-08-22 08:03:12.066310 | 2025-08-23 02:16:45.818099 | 11259416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11259416 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-08-25 | F | AE | FERNANDEZ | JQC95483183F | LISA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_11259416_4bfb99aa-9914-47a5-88c1-e63181ec7784.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969808 | N/A | N/A | 5858692 | 2222 | 4793 | 11077482 | N/A | 4210649 | 2025-08-23 02:16:45.818099 | 2025-06-19 18:43:58.008751 |
| 2025-08-22 08:03:09.436888 | 2025-08-23 02:43:16.126330 | 11259179 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11259179 | Athletic Physical Therapy Inc | 1952-06-10 | 2025-08-25 | F | AE | NGUYEN | 4RN2FT7MY90 | DIEM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7039866/check_11259179_a2525d15-2ca4-4941-8b0e-5f68a28f1e67.json | N/A | N/A | N/A | N/A | N/A | 4RN2FT7MY90 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-06-10 | S4802 | N/A | N/A | MA | 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 | 8615960876 | N/A | N/A | 7039866 | 2222 | 4801 | 11118832 | N/A | 6051960 | 2025-08-23 02:43:16.126330 | 2025-07-16 20:09:14.193919 |
| 2025-08-22 08:03:08.630395 | 2025-08-23 02:33:23.842999 | 11259114 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11259114 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-08-25 | F | AE | LESLIE | 106969238 | CAROLYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7978844/check_11259114_d77ac9e1-0a1b-4af3-a8e8-8b1aa492d2b6.json | N/A | N/A | N/A | N/A | N/A | 10696923800 | N/A | BELLWETHER ASSET MANAGEMENT, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1977-08-24 | N/A | 00634196 | N/A | N/A | false | LESLIE | N/A | CAROLYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615943760 | N/A | N/A | 7978844 | 2222 | 4802 | 11104032 | N/A | 6791609 | 2025-08-23 02:33:23.842999 | 2025-08-12 23:25:40.841503 |
| 2025-08-22 08:03:08.477030 | 2025-08-22 08:03:08.643354 | 11259102 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11259102 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-08-25 | F | PT | IOANNOU | PAS839113807 | PENELOPE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6621141 | 2222 | 4801 | N/A | N/A | 5237460 | 2025-08-22 08:03:08.643354 | 2025-07-24 16:59:54.908041 |
| 2025-08-22 08:03:07.537068 | 2025-08-22 08:03:07.608272 | 11259015 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11259015 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-25 | F | PT | BARRERA | XEH903389121 | LOLA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6611912 | 2222 | 4793 | N/A | N/A | 5230345 | 2025-08-22 08:03:07.608272 | 2025-07-11 20:32:03.183345 |
| 2025-08-22 08:03:06.824947 | 2025-08-23 02:38:14.629177 | 11258943 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11258943 | Athletic Physical Therapy Inc | 1964-11-16 | 2025-08-25 | M | PT | Mendelson | XEK913483846 | Simon | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035802/check_11258943_89765f95-fbbf-4ea5-b3b0-e7311708e92a.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615959796 | N/A | N/A | 7035802 | 2222 | 4802 | 11111074 | N/A | 6048583 | 2025-08-23 02:38:14.629177 | 2025-07-16 16:04:33.625747 |
| 2025-08-22 08:03:04.580811 | 2025-08-23 02:38:10.266116 | 11258729 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11258729 | Athletic Physical Therapy Inc | 1971-04-16 | 2025-08-25 | M | PT | BEESLEY | NSA00849903H | MAX | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110219844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8399628/check_11258729_346ffc97-ce10-4689-bfd5-b101661f9548.json | N/A | N/A | N/A | N/A | N/A | NSA00849903H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1971-04-16 | 040 | L05927A001 | N/A | PR | false | BEESLEY | N/A | MAX | N/A | 9999-12-31 | 2025-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615985604 | N/A | N/A | 8399628 | 2222 | 4802 | 11110972 | N/A | 7078831 | 2025-08-23 02:38:10.266116 | 2025-08-21 20:47:55.409456 |
| 2025-08-22 08:03:00.806009 | 2025-08-23 02:12:19.731706 | 11258333 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 11258333 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-08-25 | M | PT | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.105916119.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_11258333_d6dcf59a-73ec-49ea-bdf1-5a3f7b98ef1c.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615963591 | N/A | N/A | 7626895 | 2222 | 4793 | 11071105 | N/A | 6525917 | 2025-08-23 02:12:19.731706 | 2026-05-08 22:53:13.232007 |
| 2025-08-22 08:03:00.500955 | 2025-08-23 02:15:56.151697 | 11258299 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11258299 | Athletic Physical Therapy Inc | 1992-09-28 | 2025-08-25 | F | AE | Moss | 97177129F | Jasmine | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.105916119.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7623656/check_11258299_19ae5fea-f1df-4c6c-a6ae-c4d985dc82cd.json | N/A | N/A | N/A | N/A | N/A | 97177129F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1992-09-28 | N/A | N/A | N/A | N/A | false | MOSS | N/A | JASMINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615963588 | N/A | N/A | 7623656 | 2222 | 4802 | 11076061 | N/A | 6522888 | 2025-08-23 02:15:56.151697 | 2025-08-01 20:32:35.996430 |
| 2025-08-22 08:03:00.464933 | 2025-08-23 02:43:13.282543 | 11258294 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11258294 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-08-25 | F | AE | MCALISTER | 4TU6H11QQ85 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_11258294_7c8f222d-87ea-4087-92d8-f7bcfe7873e8.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 | 8615961217 | N/A | N/A | 7024101 | 2222 | 4801 | 11118822 | N/A | 6038562 | 2025-08-23 02:43:13.282543 | 2025-07-30 21:46:09.369299 |
| 2025-08-22 08:03:00.405916 | 2025-08-23 02:32:22.728849 | 11258288 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11258288 | Athletic Physical Therapy Inc | 2003-10-23 | 2025-08-25 | M | AE | SMIT DUYZENTKUNST | 934202236 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024081/check_11258288_ed294090-ee3c-49cf-906c-19ddad623bdf.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 | 8615961216 | N/A | N/A | 7024081 | 2222 | 4793 | 11102024 | N/A | 6038528 | 2025-08-23 02:32:22.728849 | 2025-07-24 19:34:35.056005 |
| 2025-08-22 08:02:59.485684 | 2025-08-23 02:36:54.151827 | 11258187 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 11258187 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-08-25 | M | AE | SMITH | 99688004H | MATTHEW | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_11258187_c54c9aaa-a8fb-470c-b9da-b5d25b961c8d.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 | 8615961205 | N/A | N/A | 7022680 | 2222 | 4793 | 11109180 | N/A | 6037802 | 2025-08-23 02:36:54.151827 | 2025-07-22 17:48:16.997014 |
| 2025-08-22 08:02:59.330861 | 2025-08-23 02:30:45.292521 | 11258169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11258169 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-08-25 | M | AE | STAGNITTA | MBL690W21411 | ROBERT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.105825800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784381/check_11258169_315ede6c-21a5-47ea-8a7f-8f0a010e5035.json | N/A | N/A | N/A | N/A | N/A | MBL690W21411 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1955-06-14 | 040 | CA039GRS | N/A | N/A | false | STAGNITTA | N/A | ROBERT | N/A | 9999-12-31 | 2024-10-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615933008 | N/A | N/A | 7784381 | 2222 | 4793 | 11098598 | N/A | 4212542 | 2025-08-23 02:30:45.292521 | 2025-08-05 17:22:00.318869 |
| 2025-08-22 08:02:58.385586 | 2025-08-23 02:13:03.388335 | 11258069 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11258069 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-08-25 | F | AE | STELLINI | 08533317011 | DONNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550852/check_11258069_8e7b9b4e-9fb5-4be1-b264-80a7a31bdb7e.json | N/A | N/A | N/A | N/A | N/A | 08533317011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-14 | N/A | N/A | N/A | SP | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: [LOGIN] Authentication failed: InvalidSignatureException | N/A | N/A | 8615969606 | N/A | N/A | 5550852 | 2222 | 4802 | 11071954 | N/A | 4215221 | 2025-08-23 02:13:03.388335 | 2025-05-13 04:29:37.229536 |
| 2025-08-22 08:02:58.261394 | 2025-08-23 02:16:46.645961 | 11258056 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11258056 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-25 | F | AE | HOWARD | JQE896M91712 | JUDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_11258056_e8cd722e-2d53-49da-998d-af82aaa2182b.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969604 | N/A | N/A | 5543352 | 2222 | 4793 | 11077510 | N/A | 4215147 | 2025-08-23 02:16:46.645961 | 2025-05-13 04:29:37.229464 |
| 2025-08-22 08:02:58.188942 | 2025-08-23 02:13:03.111944 | 11258049 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11258049 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-08-25 | M | AE | STECHER | 34232537512 | BRIAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_11258049_5242489e-48a0-46f3-af29-83783c76edfa.json | N/A | N/A | N/A | N/A | N/A | 34232537512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-18 | N/A | N/A | N/A | SP | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: [LOGIN] Authentication failed: InvalidSignatureException | N/A | N/A | 8615969603 | N/A | N/A | 5543053 | 2222 | 4802 | 11071950 | N/A | 4214891 | 2025-08-23 02:13:03.111944 | 2025-05-13 04:29:37.229214 |
| 2025-08-22 08:02:58.099566 | 2025-08-23 02:15:25.122614 | 11258038 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11258038 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-08-25 | M | AE | GOLDBERG | U5126496602 | Michael | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_11258038_5e8d8a1f-fdef-41ca-b0c9-b9bec227a36a.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969602 | N/A | N/A | 5542973 | 2222 | 4802 | 11075173 | N/A | 4214820 | 2025-08-23 02:15:25.122614 | 2025-06-30 02:56:23.324592 |
| 2025-08-22 08:02:58.033335 | 2025-08-23 02:15:24.863591 | 11258034 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11258034 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-08-25 | F | AE | GOLDBERG | U51264966 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_11258034_e7d26664-fee0-4900-931e-78ebb7ee004f.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969601 | N/A | N/A | 5542937 | 2222 | 4802 | 11075164 | N/A | 4214789 | 2025-08-23 02:15:24.863591 | 2025-12-11 23:30:31.319246 |
| 2025-08-22 08:02:57.900485 | 2025-08-23 02:13:02.840983 | 11258019 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11258019 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-08-25 | F | AE | DRIMMER | 33360295512 | NADIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_11258019_f586481b-b112-46cb-85e0-9e92f069193a.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: [LOGIN] Authentication failed: InvalidSignatureException | N/A | N/A | 8615969599 | N/A | N/A | 5537832 | 2222 | 4802 | 11071944 | N/A | 4210338 | 2025-08-23 02:13:02.840983 | 2025-05-13 04:29:37.224744 |
| 2025-08-22 08:02:57.834086 | 2025-08-23 02:13:02.572326 | 11258014 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 11258014 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-08-25 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_11258014_2b19baab-33d2-424f-b52c-bdef8c4a95d7.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: [LOGIN] Authentication failed: InvalidSignatureException | N/A | N/A | 8615969598 | N/A | N/A | 5537483 | 2222 | 4802 | 11071933 | N/A | 4210038 | 2025-08-23 02:13:02.572326 | 2025-06-02 14:57:36.820684 |
| 2025-08-22 08:02:57.771270 | 2025-08-23 02:17:25.719765 | 11258005 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11258005 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-08-25 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110118868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_11258005_95b2971e-40cb-41a1-9be6-217b66a3209e.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8615969597 | N/A | N/A | 5535731 | 2222 | 4802 | 11078710 | N/A | 4208598 | 2025-08-23 02:17:25.719765 | 2025-09-11 00:56:25.554348 |
| 2025-08-22 08:02:54.639672 | 2025-08-23 02:35:47.061020 | 11257664 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11257664 | Athletic Physical Therapy Inc | 1954-05-18 | 2025-08-25 | F | AE | BONDARTSEVA | 99071240H | PARIDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7018394/check_11257664_75f83820-c1fe-4a92-81c2-1488e31538f1.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 | 8615959430 | N/A | N/A | 7018394 | 2222 | 4802 | 11107592 | N/A | 6033705 | 2025-08-23 02:35:47.061020 | 2025-07-30 00:53:11.021022 |
| 2025-08-22 08:02:48.824841 | 2025-08-23 02:31:40.032684 | 11257023 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11257023 | N/A | 1956-10-21 | 2025-08-25 | M | PT | TOROS | SAD103594467 | HALIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110020096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_11257023_11a6d9b6-f682-412b-86bd-5e00135a35e8.json | N/A | N/A | N/A | N/A | N/A | SAD103594467 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1956-10-21 | N/A | N/A | N/A | N/A | false | TOROS | N/A | HALIL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615942471 | N/A | N/A | 7896723 | 2222 | 4802 | 11100502 | N/A | 6723602 | 2025-08-23 02:31:40.032684 | 2025-08-12 18:22:41.461515 |
| 2025-08-22 08:02:45.886036 | 2025-08-23 02:43:09.408667 | 11256707 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11256707 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-08-25 | F | AE | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_11256707_2c3c5686-1685-425e-9f6a-195c821af3d6.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 | 8615960849 | N/A | N/A | 7000055 | 2222 | 4801 | 11118796 | N/A | 6019507 | 2025-08-23 02:43:09.408667 | 2025-07-14 20:23:06.646459 |
| 2025-08-22 08:02:45.726370 | 2025-08-22 08:02:45.794012 | 11256695 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 11256695 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-08-25 | F | AE | AGHA ZADEH SHARE | 40034093701 | FIMA | PT | N/A | WAYSTAR | N/A | BATCH | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6582113 | 2222 | 4801 | N/A | N/A | 5201198 | 2025-08-22 08:02:45.794012 | 2025-07-11 22:39:28.411632 |
| 2025-08-22 08:02:44.096013 | 2025-08-23 02:16:05.450711 | 11256540 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11256540 | Athletic Physical Therapy Inc | 1940-08-20 | 2025-08-25 | F | PT | GRIFFITH | MBL120M95246 | JUDITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.105916119.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587363/check_11256540_6a9eecb6-c8a7-454f-9a18-90e9b5b030c7.json | N/A | N/A | N/A | N/A | N/A | MBL120M95246 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1940-08-20 | 040 | CAEGR002 | N/A | N/A | false | GRIFFITH | N/A | JUDITH | 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 | 8615964126 | N/A | N/A | 7587363 | 2222 | 4793 | 11076324 | N/A | 6497042 | 2025-08-23 02:16:05.450711 | 2025-07-31 17:19:07.355008 |
| 2025-08-22 08:02:43.769540 | 2025-08-23 02:32:45.050464 | 11256509 | N/A | N/A | 60054 | Aetna | 1114042165 | 11256509 | Athletic Physical Therapy Inc | 2006-09-03 | 2025-08-25 | M | AE | WARD | W264086653 | LEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.110037735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996539/check_11256509_7275198a-68ac-43ca-b323-427320ac60a1.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 | 8615960816 | N/A | N/A | 6996539 | 2222 | 4801 | 11102782 | N/A | 6016721 | 2025-08-23 02:32:45.050464 | 2025-07-23 14:06:47.503419 |
| 2025-08-22 08:02:25.644366 | 2025-08-23 02:11:10.741487 | 11255406 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11255406 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-08-25 | M | PT | BARKEY | JQS728M78455 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250822.105916119.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7545690/check_11255406_e34ac1c5-f273-42ec-ad02-6242bf058a13.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-04-26 | N/A | N/A | N/A | N/A | false | BARKEY | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8615963465 | N/A | N/A | 7545690 | 2222 | 4801 | 11070032 | N/A | 4211589 | 2025-08-23 02:11:10.741487 | 2025-05-13 04:29:37.225916 |
| 2025-08-22 08:02:24.420000 | 2025-08-22 08:02:24.598618 | 11255325 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11255325 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-08-25 | F | AE | SEGURA | 8DD9YX8FN41 | CIRA | PT | N/A | WAYSTAR | N/A | BATCH | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6553930 | 2222 | 4801 | N/A | N/A | 5177091 | 2025-08-22 08:02:24.598618 | 2025-06-23 20:23:14.340232 |
| 2025-08-22 08:02:11.433928 | 2025-08-23 02:51:55.567749 | 11254524 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11254524 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-08-25 | M | AE | TEDDER | 00000390480 | CHARLES | PT | 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/2222/5676415/check_11254524_0ef0ed58-5286-45b3-8dee-0e9f9016ea40.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8616018139 | N/A | N/A | 5676415 | 2222 | 4801 | 11127363 | 2630 | 4343470 | 2025-08-23 02:51:55.567749 | 2025-05-13 04:29:37.230947 |
| 2025-08-22 08:02:10.542522 | 2025-08-23 02:51:53.102436 | 11254479 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11254479 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-08-25 | M | AE | MATTHEWS | 00000283273 | DAVID | PT | 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/2222/5676399/check_11254479_7199f7be-8886-4de4-bdeb-8b4ef08638f8.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8616018138 | N/A | N/A | 5676399 | 2222 | 4793 | 11127321 | 2630 | 4343454 | 2025-08-23 02:51:53.102436 | 2025-05-13 04:29:37.230932 |