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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-20 23:01:18.399215 | 2025-08-20 23:01:21.303181 | 11220254 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-22 | 2025-08-20 | M | PT | 23320 | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7626895/check_11220254_f1ca45b0-d151-4504-864f-13069eb69224.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_11220254_245cdd44-82db-4a6a-a982-7d203fae4a5c.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 | 8603882364 | 9482 | N/A | 7626895 | 2222 | N/A | 10984701 | N/A | 6525917 | 2025-08-20 23:01:21.303181 | 2026-05-08 22:53:13.232007 |
| 2025-08-20 22:55:22.322488 | 2025-08-20 22:55:24.105037 | 11220231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-20 | F | PT | 4185 | GALVAN-GUERRERO | 904W1671720 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541035/check_11220231_4538aff0-ea26-4ebb-8224-3ace4b4c438e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_11220231_a6bffe3e-b439-4012-9464-3b8f1af29ae9.json | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN-GUERRERO | N/A | MARIA | 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 | 161267 | N/A | 5541035 | 2222 | N/A | 10984655 | N/A | 4213091 | 2025-08-20 22:55:24.105037 | 2025-05-13 04:29:37.227417 |
| 2025-08-20 22:55:19.677637 | 2025-08-20 22:55:22.320611 | 11220230 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2025-08-20 | F | PT | 4185 | GALVAN GUERRERO | 904W1671720 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541035/check_11220230_5727f105-50ff-4b8e-9032-8d8b1618a9f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | N/A | N/A | N/A | N/A | N/A | N/A | 904W1671720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-07-16 | N/A | N/A | N/A | N/A | false | GALVAN GUERRERO | N/A | MARIA | 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 | 161267 | N/A | 5541035 | 2222 | N/A | N/A | N/A | 4213091 | 2025-08-20 22:55:22.320611 | 2025-05-13 04:29:37.227417 |
| 2025-08-20 22:44:27.574947 | 2025-08-20 22:44:32.746954 | 11220181 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-09-30 | 2025-08-28 | M | AE | 3939 | VOLOSHIN | 6567890013 | AMIR | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8229177/check_11220181_59dbcf36-372b-4496-a528-0bdc9429c7a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8229177/check_11220181_1ff2e59f-e162-476c-b0fc-81dd953c2fb4.json | N/A | N/A | N/A | N/A | N/A | 6567889013 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 2001-09-30 | 004 | 16404 | N/A | GP | false | VOLOSHIN | N/A | MOSHE | N/A | N/A | N/A | META PLATFORMS INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603845494 | N/A | N/A | 8229177 | 2222 | N/A | 10984574 | N/A | 6985402 | 2025-08-20 22:44:32.746954 | 2025-08-28 23:04:18.854159 |
| 2025-08-20 22:35:11.845061 | 2025-08-20 22:35:19.785504 | 11220150 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-09-30 | 2025-08-28 | M | AE | 3948 | VOLOSHIN | 6567889013 | AMIR | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8229177/check_11220150_57703bd2-4784-4d14-8170-404362278960.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8229177/check_11220150_17d73f49-bb8c-49af-856b-914c84dcbd2f.json | N/A | N/A | N/A | N/A | N/A | 6567889013 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 2001-09-30 | 004 | 16404 | N/A | GP | false | VOLOSHIN | N/A | MOSHE | N/A | N/A | N/A | META PLATFORMS INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603822898 | 9487 | N/A | 8229177 | 2222 | N/A | 10984521 | N/A | 6985402 | 2025-08-20 22:35:19.785504 | 2025-08-28 23:04:18.854159 |
| 2025-08-20 22:11:51.965913 | 2025-08-20 22:11:56.694117 | 11220004 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-04-02 | 2025-08-20 | M | PT | 4191 | BRODER | XEA908882416 | AIDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8116080/check_11220004_6f6a08fa-36a3-44cd-9560-9300c75360da.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8116080/check_11220004_b8396a59-58e2-42fc-8855-0d7ced0b6919.json | N/A | N/A | N/A | N/A | N/A | XEA908882416 | Preferred Provider Organization (PPO) | EVOLVE MEDIA LLC | BLUE SHIELD CALIFORNIA | N/A | 2004-04-02 | 1000VX000102 | W0103395 | N/A | PR | false | BRODER | N/A | AARON | N/A | 9999-12-31 | 2023-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8603751319 | N/A | N/A | 8116080 | 2222 | N/A | 10984323 | N/A | 6894503 | 2025-08-20 22:11:56.694117 | 2025-08-20 22:03:03.858221 |
| 2025-08-20 21:41:12.879565 | 2025-08-20 21:41:19.935981 | 11219729 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-20 | F | AE | 4709 | STOPSKY | 98440536c | LIDIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8226227/check_11219729_af40f56d-9fb4-4528-94b0-6586d5d9bb5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8226227/check_11219729_89c99586-3688-4ac3-8572-ac7850a19152.json | N/A | N/A | N/A | N/A | N/A | 98440536C | N/A | N/A | HEALTH NET, LLC | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603573513 | 9487 | N/A | 8226227 | 2222 | N/A | 10983957 | N/A | 4212423 | 2025-08-20 21:41:19.935981 | 2025-05-13 04:29:37.226755 |
| 2025-08-20 21:40:19.617724 | 2025-08-20 21:40:21.362169 | 11219708 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-20 | F | AE | 4709 | STOPSKY | 1RY8AR3KR51 | LIDIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8226227/check_11219708_67f11170-2de2-4683-8eb1-c3172c0cbb64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8226227/check_11219708_ddf9b6bc-948a-43e0-b1db-f8fb62e9a113.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | N/A | N/A | HEALTH NET, LLC | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 8226227 | 2222 | N/A | 10983931 | N/A | 4212423 | 2025-08-20 21:40:21.362169 | 2025-05-13 04:29:37.226755 |
| 2025-08-20 21:40:16.866876 | 2025-08-20 21:40:19.610736 | 11219707 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-20 | F | AE | 4709 | STOPSKY | 1RY8AR3KR51 | LIDIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8226227/check_11219707_4edcd8d9-c36c-4b05-83c5-84c84ce13f4b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | N/A | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | N/A | N/A | HEALTH NET, LLC | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 8226227 | 2222 | N/A | N/A | N/A | 4212423 | 2025-08-20 21:40:19.610736 | 2025-05-13 04:29:37.226755 |
| 2025-08-20 21:18:39.050025 | 2025-08-20 21:18:41.768517 | 11219489 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-30 | 2025-08-20 | M | AE | 23322 | FARAHMAND | 91957675E | ALEX | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541163/check_11219489_39ac3cb5-1981-4990-bcd7-b1184a42f2ee.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_11219489_250fcace-e292-496a-a9a9-787cd5942066.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603324603 | N/A | N/A | 5541163 | 2222 | N/A | 10983669 | N/A | 4213207 | 2025-08-20 21:18:41.768517 | 2025-05-13 04:29:37.227536 |
| 2025-08-20 21:05:00.934587 | 2025-08-20 21:05:03.928612 | 11219367 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-20 | F | AE | 4497 | STOPSKY | 1RY8AR3KR51 | LIDIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540229/check_11219367_92b19fc5-873e-4d07-95bb-2c84324a37c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540229/check_11219367_5594e311-f65c-419e-bdf0-079d27c229a8.json | N/A | N/A | N/A | N/A | N/A | 1RY8AR3KR51 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-03-24 | S5601 | N/A | N/A | MB | false | STOPSKY | N/A | LIDIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603242099 | 9487 | N/A | 5540229 | 2222 | N/A | 10983520 | N/A | 4212423 | 2025-08-20 21:05:03.928612 | 2025-05-13 04:29:37.226755 |
| 2025-08-20 20:58:55.404558 | 2025-08-20 20:58:57.089569 | 11219317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1935-11-26 | 2025-08-20 | F | AE | 4497 | MCCANN | 2CP5YA9YE63 | JOSEPHINE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7760463/check_11219317_875a8f7f-48f8-426c-9bdf-351cde2415ab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760463/check_11219317_0caf01bc-c1c9-48de-afd8-f44d486a1afb.json | N/A | N/A | N/A | N/A | N/A | 2CP5YA9YE63 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1935-11-26 | S5884 | N/A | N/A | MA | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603186196 | 161267 | N/A | 7760463 | 2222 | N/A | 10983454 | N/A | 6609924 | 2025-08-20 20:58:57.089569 | 2025-08-12 22:04:05.464362 |
| 2025-08-20 20:44:29.974314 | 2025-08-20 20:44:34.758725 | 11219207 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-03-09 | 2025-08-21 | F | AE | 3948 | GRANT | M2943 77534 | LAUREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8058114/check_11219207_2a5ac8f4-edc9-42df-83cf-63008dbcaf5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8058114/check_11219207_df4fabf6-660b-450d-865f-04b8f83ff8c7.json | N/A | N/A | N/A | N/A | N/A | W294377534 | Point of Service (POS) | GLOBALIZATION PARTNERS | AETNA | N/A | 1961-03-09 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | LAUREN | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8603112140 | N/A | N/A | 8058114 | 2222 | N/A | 10983302 | N/A | 6851112 | 2025-08-20 20:44:34.758725 | 2025-08-20 20:34:53.713264 |
| 2025-08-20 20:24:19.760298 | 2025-08-20 20:24:30.332648 | 11219066 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-06-05 | 2025-08-26 | F | PT | 4191 | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8224045/check_11219066_e7597bf5-84bf-4628-9ee7-dffd756c2de5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11219066_052dcbd6-158a-43f5-869e-ce3c5576945d.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 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 | 8603008612 | 9487 | N/A | 8224045 | 2222 | N/A | 10983096 | N/A | 6981160 | 2025-08-20 20:24:30.332648 | 2025-08-26 21:16:15.557856 |
| 2025-08-20 20:14:10.610693 | 2025-08-20 20:14:14.572165 | 11219018 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-09-14 | 2025-08-20 | M | AE | 6237 | MEJIA | 400550122-01 | RUBEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642365/check_11219018_748faaf7-498f-4739-a463-2dc9dc3cedad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_11219018_1dbe9105-e034-4f8e-86df-8d8425f8a7f7.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1937-09-14 | 2025H5425001 | H5425M | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8602946128 | 161267 | N/A | 6642365 | 2222 | N/A | 10983016 | N/A | 5249029 | 2025-08-20 20:14:14.572165 | 2025-07-14 01:52:51.387918 |
| 2025-08-20 20:13:38.413996 | 2025-08-20 20:13:42.328803 | 11219015 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-09-14 | 2025-08-20 | M | AE | 6237 | MEJIA | 40055012201 | RUBEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642365/check_11219015_47eb30ca-0ae1-4690-bb72-4542ede83c3c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_11219015_eb81936d-a102-4bd2-8501-c710f208f908.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1937-09-14 | 2025H5425001 | H5425M | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8602942506 | 161267 | N/A | 6642365 | 2222 | N/A | 10983011 | N/A | 5249029 | 2025-08-20 20:13:42.328803 | 2025-07-14 01:52:51.387918 |
| 2025-08-20 20:02:24.560469 | 2025-08-20 20:02:28.395177 | 11218919 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-12-04 | 2025-08-20 | M | AE | 4191 | SIMMONS | 906212178-000 | LAVAR | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541240/check_11218919_ad1cdacd-b92d-4430-bcc1-b12e128758da.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541240/check_11218919_9b7bc1cb-7576-44b2-a77a-559c1b1313df.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8602882550 | N/A | N/A | 5541240 | 2222 | N/A | 10982874 | N/A | 4213276 | 2025-08-20 20:02:28.395177 | 2025-05-13 04:29:37.227602 |
| 2025-08-20 19:37:14.907719 | 2025-08-20 19:37:17.685832 | 11218719 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-08-06 | F | PT | 4185 | VALDIVIA | 088W1451720 | CRISTINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8223502/check_11218719_c01fd3db-f6a3-4575-87d6-d56136fa48b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8223502/check_11218719_f1c21576-c84d-47c9-8233-be780dd9dc1c.json | N/A | N/A | N/A | N/A | N/A | 088W1451720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | VALDIVIA | N/A | CRISTINA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7689 | N/A | 8223502 | 2222 | N/A | 10982601 | N/A | 4219064 | 2025-08-20 19:37:17.685832 | 2025-06-06 15:26:44.406275 |
| 2025-08-20 19:37:12.127694 | 2025-08-20 19:37:14.903389 | 11218718 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-08-06 | F | PT | 4185 | VALDIVIA | 088W1451720 | CRISTINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8223502/check_11218718_c48fec2e-7752-4a31-892e-232f2e51f0a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-06 | N/A | N/A | N/A | N/A | N/A | N/A | 088W1451720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | VALDIVIA | N/A | CRISTINA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7689 | N/A | 8223502 | 2222 | N/A | N/A | N/A | 4219064 | 2025-08-20 19:37:14.903389 | 2025-06-06 15:26:44.406275 |
| 2025-08-20 18:07:54.919788 | 2025-08-20 18:07:56.785192 | 11217774 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-21 | F | AE | 4185 | Bhavnani | CPT263459907 | Hoor | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_11217774_f6fcb652-015c-47ec-86cb-69443626335d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7786159/check_11217774_62cd0b2a-4dfa-42dd-a0f8-adcc093a028b.json | N/A | N/A | N/A | N/A | N/A | CPT263459907 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-11-25 | N/A | N/A | N/A | N/A | false | BHAVNANI | N/A | HOOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7786159 | 2222 | N/A | 10981469 | N/A | 6630174 | 2025-08-20 18:07:56.785192 | 2025-08-11 13:59:52.049710 |
| 2025-08-20 18:07:53.284338 | 2025-08-20 18:07:54.917025 | 11217773 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-21 | F | AE | 4185 | Bhavnani | CPT263459907 | Hoor | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_11217773_77022026-2a02-4ee9-b967-f9695dd1c456.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | N/A | N/A | N/A | N/A | N/A | N/A | CPT263459907 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-11-25 | N/A | N/A | N/A | N/A | false | BHAVNANI | N/A | HOOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7786159 | 2222 | N/A | N/A | N/A | 6630174 | 2025-08-20 18:07:54.917025 | 2025-08-11 13:59:52.049710 |
| 2025-08-20 18:07:30.387680 | 2025-08-20 18:07:32.163113 | 11217771 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-21 | F | AE | 4185 | Bhavnani | CPT263459907 | Hoor | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_11217771_4db7ec75-36e6-46ef-b563-73a8fe66adcb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7786159/check_11217771_bfa53d2c-2b35-4ca0-a76b-5d0d03ed22f1.json | N/A | N/A | N/A | N/A | N/A | CPT263459907 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-11-25 | N/A | N/A | N/A | N/A | false | BHAVNANI | N/A | HOOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7786159 | 2222 | N/A | 10981465 | N/A | 6630174 | 2025-08-20 18:07:32.163113 | 2025-08-11 13:59:52.049710 |
| 2025-08-20 18:07:27.791561 | 2025-08-20 18:07:30.384269 | 11217768 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-21 | F | AE | 4185 | Bhavnani | CPT263459907 | Hoor | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_11217768_bca833ac-259e-4701-bca9-3283c6b8f8c5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | N/A | N/A | N/A | N/A | N/A | N/A | CPT263459907 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-11-25 | N/A | N/A | N/A | N/A | false | BHAVNANI | N/A | HOOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7786159 | 2222 | N/A | N/A | N/A | 6630174 | 2025-08-20 18:07:30.384269 | 2025-08-11 13:59:52.049710 |
| 2025-08-20 18:01:47.928842 | 2025-08-20 18:01:49.666745 | 11217713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-21 | F | AE | 4185 | Bhavnani | CPTZ5A59907 | Hoor | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_11217713_ca2fb194-eef9-4d22-8cc8-3379c4fcbf59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7786159/check_11217713_91ba2dc7-3f2d-4d07-992c-318375fc6cc4.json | N/A | N/A | N/A | N/A | N/A | CPTZ5A59907 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-11-25 | N/A | N/A | N/A | N/A | false | BHAVNANI | N/A | HOOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7786159 | 2222 | N/A | 10981399 | N/A | 6630174 | 2025-08-20 18:01:49.666745 | 2025-08-11 13:59:52.049710 |
| 2025-08-20 18:01:46.290259 | 2025-08-20 18:01:47.926609 | 11217712 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-25 | 2025-08-21 | F | AE | 4185 | Bhavnani | CPTZ5A59907 | Hoor | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7786159/check_11217712_bff580f8-928f-48bb-802a-b5bf11ed7f6f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | N/A | N/A | N/A | N/A | N/A | N/A | CPTZ5A59907 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-11-25 | N/A | N/A | N/A | N/A | false | BHAVNANI | N/A | HOOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7786159 | 2222 | N/A | N/A | N/A | 6630174 | 2025-08-20 18:01:47.926609 | 2025-08-11 13:59:52.049710 |
| 2025-08-20 17:21:58.405238 | 2025-08-20 17:22:03.242177 | 11217245 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-03-04 | 2025-08-20 | F | AE | 23322 | Chung | 99757340E | Laura | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7314254/check_11217245_0a9548ab-9816-433f-869b-f0192a528434.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314254/check_11217245_ee2e6d9e-85d3-403e-893e-99a5591fcd5c.json | N/A | N/A | N/A | N/A | N/A | 99757340E | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-04 | N/A | N/A | N/A | N/A | false | CHUNG | N/A | LAURA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8601796199 | 9487 | N/A | 7314254 | 2222 | N/A | 10980892 | N/A | 5990952 | 2025-08-20 17:22:03.242177 | 2025-07-14 00:30:09.617881 |
| 2025-08-20 17:15:34.563554 | 2025-08-20 17:15:36.490128 | 11217093 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-11 | 2025-08-20 | M | PT | 4191 | Kahen | XEK909669840 | Shervin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7787192/check_11217093_8a64c16e-7cd8-4741-9ec1-54ed4416697a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_11217093_8e45c9be-5832-448f-b182-b0466ce9224f.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8601737744 | 9487 | N/A | 7787192 | 2222 | N/A | 10980742 | N/A | 6631054 | 2025-08-20 17:15:36.490128 | 2025-12-12 20:45:04.787542 |
| 2025-08-20 17:14:31.118593 | 2025-08-20 17:15:11.420190 | 11217078 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-11 | 2025-08-20 | M | PT | 4191 | Kahen | XEK909669840 | Shervin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7787192/check_11217078_79d5e4a9-a3dc-4d72-b36d-a39e21663382.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_11217078_4725852c-38b8-4443-b7bb-91088521bdbe.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8601730183 | 9487 | N/A | 7787192 | 2222 | N/A | 10980732 | N/A | 6631054 | 2025-08-20 17:15:11.420190 | 2025-12-12 20:45:04.787542 |
| 2025-08-20 17:01:20.174531 | 2025-08-20 17:01:24.066641 | 11216719 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-02-01 | 2025-08-20 | M | AE | 5504 | SCULLY | 000012326358 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8088218/check_11216719_bcb2fcd8-472e-493a-a936-06803a5fb777.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088218/check_11216719_56e51fa4-1227-4e50-8336-05737fe15e79.json | N/A | N/A | N/A | N/A | N/A | 000012326358 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1990-02-01 | 3082495 | 101872 | N/A | N/A | false | SCULLY | N/A | MICHAEL | N/A | N/A | N/A | JPMORGAN CHASE BANK, NATIONAL ASSOCIATION JPMC-PAY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8601565459 | N/A | N/A | 8088218 | 2222 | N/A | 10980363 | N/A | 6871556 | 2025-08-20 17:01:24.066641 | 2025-08-14 22:11:57.081021 |
| 2025-08-20 16:40:09.854096 | 2025-08-20 16:40:22.016840 | 11216573 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 23326 | AKHTARI | 7406869 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216573_d1f484fc-89ff-4b57-8012-a425bffdf8e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11216573_5a108720-fc1c-468b-9aaa-6d9a79b4dbf6.json | N/A | N/A | N/A | N/A | N/A | 7406869 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 10980204 | N/A | 4215273 | 2025-08-20 16:40:22.016840 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:39:55.098287 | 2025-08-20 16:40:09.851063 | 11216571 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 23326 | AKHTARI | 7406869 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216571_831f38b1-3851-4c87-ae52-f3ad85e107ff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 7406869 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-20 16:40:09.851063 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:39:23.710878 | 2025-08-20 16:39:27.518509 | 11216566 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 23307 | AKHTARI | 7406869-01 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216566_92eb02a6-4bb5-4fb1-b43b-11f1640ffb5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11216566_f396691e-73d4-4273-8b17-b41b38d3b5ec.json | N/A | N/A | N/A | N/A | N/A | 7406869-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 10980196 | N/A | 4215273 | 2025-08-20 16:39:27.518509 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:39:18.949788 | 2025-08-20 16:39:23.708378 | 11216565 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 23307 | AKHTARI | 7406869-01 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216565_bad0e0b8-9aca-47e5-9dbc-d55ea984a4ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 7406869-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-20 16:39:23.708378 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:38:51.279332 | 2025-08-20 16:39:00.128685 | 11216563 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 23326 | AKHTARI | 7406869-01 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216563_db3ea97f-7f76-40c3-b89e-cd26e6cbf988.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11216563_b5ab831b-63bc-4bb3-8dc6-e2a26e3858ba.json | N/A | N/A | N/A | N/A | N/A | 7406869-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 10980193 | N/A | 4215273 | 2025-08-20 16:39:00.128685 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:38:39.499500 | 2025-08-20 16:38:51.270362 | 11216561 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 23326 | AKHTARI | 7406869-01 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216561_2363684c-1e86-42cb-bbac-e8c933507c65.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 7406869-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-20 16:38:51.270362 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:38:21.485990 | 2025-08-20 16:38:26.458695 | 11216556 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 6237 | AKHTARI | 7406869-01 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216556_6859a3b8-a15b-46b1-ac66-bf29d95a93ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11216556_0ac73ddd-894f-4700-baf6-a2517e1e214a.json | N/A | N/A | N/A | N/A | N/A | 7406869-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | 10980186 | N/A | 4215273 | 2025-08-20 16:38:26.458695 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:38:16.587403 | 2025-08-20 16:38:21.484073 | 11216553 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | 6237 | AKHTARI | 7406869-01 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11216553_9e892506-801f-44a0-ae62-6717b3713358.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | N/A | N/A | N/A | N/A | N/A | N/A | 7406869-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2025-08-20 16:38:21.484073 | 2025-05-13 04:29:37.229594 |
| 2025-08-20 16:06:27.853991 | 2025-08-20 16:06:31.723827 | 11216253 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-04-21 | 2025-08-20 | M | AE | 5505 | BERMUDEZ | 000019836525 | RAFAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6721942/check_11216253_eea19f34-fbd9-4de0-bc86-961ba523fc16.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_11216253_0d1d2d03-f935-46d6-9ca1-8d5abd58ac06.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8600818370 | N/A | N/A | 6721942 | 2222 | N/A | 10979826 | N/A | 5322280 | 2025-08-20 16:06:31.723827 | 2025-07-01 21:45:15.878047 |
| 2025-08-20 16:06:27.408994 | 2025-08-20 16:06:33.348322 | 11216252 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-09 | 2025-08-20 | M | PT | 23306 | BRUNO | NCF254A54902 | PHILLIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993958/check_11216252_0334174d-cb18-4479-9841-d2f961c0cd76.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_11216252_1e33b8e7-d595-436e-a6b1-89b97971cceb.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8600818311 | N/A | N/A | 5993958 | 2222 | N/A | 10979827 | N/A | 4642892 | 2025-08-20 16:06:33.348322 | 2025-05-29 23:29:01.820749 |
| 2025-08-20 15:40:41.603438 | 2025-08-20 15:40:45.536976 | 11216017 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-14 | 2025-08-20 | M | AE | 2630 | CHISARI | 00000386684 | THOMAS | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536007/check_11216017_d90d415f-52f2-420a-b165-098e8aae732d.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_11216017_b6957647-65f6-465d-8b04-b03ca113bdd8.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8600425322 | N/A | N/A | 5536007 | 2222 | N/A | 10979549 | N/A | 4208829 | 2025-08-20 15:40:45.536976 | 2025-06-03 01:05:45.663969 |
| 2025-08-20 15:33:13.650397 | 2025-08-20 15:33:16.419603 | 11215952 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-01-02 | 2025-08-21 | F | AE | 23322 | TARASEVYCH | 90733231H | VIRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8050658/check_11215952_34cad516-5b45-4952-9745-5d19049b481b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_11215952_ac9e995b-cb55-4664-ae21-3ef891de8d69.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | 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 | 8050658 | 2222 | N/A | 10979471 | N/A | 6845945 | 2025-08-20 15:33:16.419603 | 2025-08-20 15:30:30.230373 |
| 2025-08-20 15:33:11.023552 | 2025-08-20 15:33:13.646640 | 11215951 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-01-02 | 2025-08-21 | F | AE | 23322 | TARASEVYCH | 90733231H | VIRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8050658/check_11215951_3f29bdd5-9946-4a88-9295-672205456d8c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-21 | N/A | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | 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 | 8050658 | 2222 | N/A | N/A | N/A | 6845945 | 2025-08-20 15:33:13.646640 | 2025-08-20 15:30:30.230373 |
| 2025-08-20 13:47:25.527626 | 2025-08-21 02:15:18.569875 | 11209550 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11209550 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-08-22 | M | AE | N/A | CORAY | 00003138358 | KLAUS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250820.171430314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_11209550_b4c80fb3-0719-4d7c-8ab8-e69af52f7135.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8599339496 | N/A | N/A | 7815883 | 2222 | 4793 | 10988459 | N/A | 6655655 | 2025-08-21 02:15:18.569875 | 2025-09-09 21:32:56.328170 |
| 2025-08-20 13:46:36.052605 | 2025-08-20 13:46:49.346505 | 11209222 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-23 | 2025-08-20 | F | PT | 4191 | KU | XED914350584 | ANGELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7991439/check_11209222_d0bd599b-fc5a-469f-b556-1854e80143ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7991439/check_11209222_402736d6-95de-487c-b056-a1a9747c088c.json | N/A | N/A | N/A | N/A | N/A | XED914350584 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1975-07-23 | 2001ZK002184 | X0001004 | N/A | PR | false | KU | N/A | ANGELA | N/A | N/A | N/A | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8599131470 | N/A | N/A | 7991439 | 2222 | N/A | 10974357 | N/A | 6799948 | 2025-08-20 13:46:49.346505 | 2025-08-19 22:19:45.977062 |
| 2025-08-20 13:40:28.723672 | 2025-08-20 13:40:29.032839 | 11206309 | N/A | N/A | 60054 | Aetna | 1114042165 | 11206309 | Athletic Physical Therapy Inc | 1963-03-10 | 2025-08-22 | F | AE | N/A | HASSHAW | W257198312 | LAURA | PT | N/A | WAYSTAR | N/A | BATCH | 2025-08-22 | 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 | 6398687 | 2222 | 4793 | N/A | N/A | 5046244 | 2025-08-20 13:40:29.032839 | 2025-06-20 22:35:45.756703 |
| 2025-08-20 13:37:32.639178 | 2025-08-21 03:49:28.838468 | 11203472 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11203472 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-08-22 | F | PT | N/A | DU BRIN | JQE162M93481 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250820.171427112.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_11203472_9abf4107-303d-439b-b6ff-85502abb29a4.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8599056644 | N/A | N/A | 5538605 | 2222 | 4793 | 10991837 | N/A | 4210998 | 2025-08-21 03:49:28.838468 | 2026-02-23 18:49:01.874308 |
| 2025-08-20 13:36:34.991405 | 2025-08-21 02:01:17.387028 | 11202391 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 11202391 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-08-22 | F | AE | N/A | DURAN DE PANTOJA | 43649326 | ROSA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250820.184021038.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_11202391_c0faf5bc-2035-4589-a5d7-38dd5d3e9bee.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8599027175 | N/A | N/A | 8088383 | 2222 | 4793 | 10985373 | N/A | 6871702 | 2025-08-21 02:01:17.387028 | 2025-08-14 21:08:52.019264 |
| 2025-08-20 13:36:09.554152 | 2025-08-20 13:36:10.483685 | 11201839 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11201839 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-08-21 | F | AE | N/A | BIKOULOVA | 92040499F | ALEXANDRA | PT | N/A | WAYSTAR | N/A | BATCH | 2025-08-21 | 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 | 5874423 | 2222 | 4802 | N/A | N/A | 4534552 | 2025-08-20 13:36:10.483685 | 2025-05-30 18:01:03.324126 |
| 2025-08-20 13:35:48.039719 | 2025-08-21 02:05:25.899908 | 11201413 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11201413 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-08-21 | F | AE | N/A | TARASEVYCH | 90733231H | VIRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250820.184021038.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_11201413_fb85c551-ec84-4461-a85a-05de6f52779c.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8599027511 | N/A | N/A | 8050658 | 2222 | 4793 | 10986363 | N/A | 6845945 | 2025-08-21 02:05:25.899908 | 2025-08-20 15:30:30.230373 |
| 2025-08-20 13:35:45.002391 | 2025-08-21 02:05:26.879601 | 11201353 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11201353 | N/A | 1960-02-19 | 2025-08-21 | F | AE | N/A | ENGLISH BLAZEJ | 40067960801 | DOREEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250820.184021038.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_11201353_57a9dde4-c753-47fc-bcd7-07995817cfda.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 | 8599027479 | N/A | N/A | 8048674 | 2222 | 4801 | 10986369 | N/A | 6844466 | 2025-08-21 02:05:26.879601 | 2025-08-13 17:29:27.130257 |