API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-19 08:18:02.657247 | 2025-08-20 02:19:20.262572 | 11170646 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11170646 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-08-22 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111801433.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_11170646_192371cf-0e92-4b60-a86c-c3c442c8c334.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585587635 | N/A | N/A | 7321767 | 2222 | 4793 | 10951936 | N/A | 6037802 | 2025-08-20 02:19:20.262572 | 2025-07-22 17:48:16.997014 |
| 2025-08-19 08:17:54.948791 | 2025-08-20 02:19:19.962900 | 11170379 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 11170379 | Athletic Physical Therapy Inc | 1933-09-27 | 2025-08-21 | F | AE | PT | Lavian | 97177630D07325 | Valantin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111801433.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7312836/check_11170379_7e0b8af7-0e06-4457-8ca0-237597f836b9.json | N/A | N/A | N/A | N/A | N/A | 97177630D07325 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1933-09-27 | N/A | N/A | N/A | N/A | false | LAVIAN | N/A | VALANTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585587607 | N/A | N/A | 7312836 | 2222 | 4802 | 10951932 | N/A | 6258477 | 2025-08-20 02:19:19.962900 | 2025-08-12 21:50:09.562340 |
| 2025-08-19 08:17:53.467678 | 2025-08-20 05:11:17.418766 | 11170334 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11170334 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-08-22 | M | AE | PT | BOLTON | 3EK5DJ1UC60 | ALAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174537/check_11170334_64232a39-8772-445c-ac6c-df1715a36ac7.json | N/A | N/A | N/A | N/A | N/A | 3EK5DJ1UC60 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1932-10-05 | S5617 | N/A | N/A | MB | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557129 | N/A | N/A | 6174537 | 2222 | 4793 | 10962437 | N/A | 4815871 | 2025-08-20 05:11:17.418766 | 2025-08-01 15:33:39.468574 |
| 2025-08-19 08:17:49.256196 | 2025-08-20 05:11:18.178703 | 11170179 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11170179 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-08-22 | M | AE | PT | COLLINS | 9KH9YJ9KM24 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165591/check_11170179_9b328aa5-c90b-4175-8f3b-20006ad277b2.json | N/A | N/A | N/A | N/A | N/A | 9KH9YJ9KM24 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-13 | S5617 | N/A | N/A | MA | false | COLLINS | 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 | 8585557104 | N/A | N/A | 6165591 | 2222 | 4801 | 10962439 | N/A | 4219605 | 2025-08-20 05:11:18.178703 | 2025-06-06 16:26:34.530119 |
| 2025-08-19 08:17:47.838586 | 2025-08-20 05:11:20.769531 | 11170125 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11170125 | Athletic Physical Therapy Inc | 1951-11-18 | 2025-08-22 | F | AE | PT | JACOBY | 5VX4HE8NC98 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_11170125_e41c5661-2fff-44b6-925a-246720a9487b.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MA | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556180 | N/A | N/A | 6145941 | 2222 | 4802 | 10962446 | N/A | 4786785 | 2025-08-20 05:11:20.769531 | 2025-06-13 00:55:48.629734 |
| 2025-08-19 08:17:47.734363 | 2025-08-20 05:11:22.698011 | 11170121 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11170121 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-22 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_11170121_ad74784c-c62b-4cca-af43-00c4ce98e7fb.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MB | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556179 | N/A | N/A | 6145897 | 2222 | 4801 | 10962451 | N/A | 4786709 | 2025-08-20 05:11:22.698011 | 2025-06-20 18:28:02.399027 |
| 2025-08-19 08:17:47.654009 | 2025-08-20 05:05:57.122573 | 11170115 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11170115 | Athletic Physical Therapy Inc | 1992-09-07 | 2025-08-21 | M | AE | PT | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_11170115_8cc311c8-8ff6-4a4b-8d6b-70402e3bfb39.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556178 | N/A | N/A | 6145878 | 2222 | 4802 | 10961530 | N/A | 4786695 | 2025-08-20 05:05:57.122573 | 2025-06-18 17:13:09.656676 |
| 2025-08-19 08:17:47.578655 | 2025-08-20 05:06:44.384295 | 11170111 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11170111 | Athletic Physical Therapy Inc | 2010-10-08 | 2025-08-21 | M | PT | N/A | REBEAUD | DYZ3001148LM | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_11170111_275cf052-b090-4bbe-98dd-9a59751a2c17.json | N/A | N/A | N/A | N/A | N/A | DYZ3001148LM | Point of Service (POS) | CLASSIC COLLISION LLC | ANTHEM BLUE CROSS | N/A | 2010-10-08 | 101 | L13840M001 | N/A | PS | false | REBEAUD | N/A | MARIA | N/A | 9999-12-31 | 2025-08-01 | GA POS BLUECHOICE OA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556177 | N/A | N/A | 6145860 | 2222 | 4793 | 10961667 | N/A | 4786676 | 2025-08-20 05:06:44.384295 | 2025-06-10 23:45:59.927015 |
| 2025-08-19 08:17:45.352193 | 2025-08-20 05:03:23.103727 | 11170025 | N/A | N/A | 60054 | Aetna | 1114042165 | 11170025 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-08-21 | M | AE | PT | HUANG | W278191924 | DANNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_11170025_88dfbed8-cea7-4ad0-b6a6-aa740d9673f5.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556156 | N/A | N/A | 6140246 | 2222 | 4802 | 10961145 | N/A | 4781166 | 2025-08-20 05:03:23.103727 | 2025-06-11 17:29:46.826705 |
| 2025-08-19 08:17:38.525427 | 2025-08-20 05:02:27.228825 | 11169773 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11169773 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-08-21 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_11169773_48f52aeb-d45a-41b2-889b-3f365ba82355.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557064 | N/A | N/A | 6124845 | 2222 | 4793 | 10960994 | N/A | 4767293 | 2025-08-20 05:02:27.228825 | 2025-06-06 15:11:48.015692 |
| 2025-08-19 08:17:37.861932 | 2025-08-20 02:21:25.760946 | 11169748 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11169748 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-08-22 | F | AE | PT | MEISTER | 000004042289 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111455895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_11169748_c7e91355-285a-4836-bb40-88834bdf28e7.json | N/A | N/A | N/A | N/A | N/A | 000004042289 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-01-09 | 4319864 | 101877 | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | CONEJO VALLEY UNIFIED SCHOOL DISTRICT CONEJO VALLE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585581339 | N/A | N/A | 6518751 | 2222 | 4793 | 10953575 | N/A | 4766789 | 2025-08-20 02:21:25.760946 | 2025-06-04 04:12:38.642669 |
| 2025-08-19 08:17:37.026679 | 2025-08-20 05:07:33.135413 | 11169713 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11169713 | Athletic Physical Therapy Inc | 2006-11-22 | 2025-08-22 | F | PT | N/A | MICHAEL | XEA913728701 | KRISTY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123875/check_11169713_80bb7421-5edd-484d-8a11-232b8cd6c81c.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2006-11-22 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557051 | N/A | N/A | 6123875 | 2222 | 4801 | 10961809 | N/A | 4766599 | 2025-08-20 05:07:33.135413 | 2025-06-04 14:54:47.230310 |
| 2025-08-19 08:17:35.283932 | 2025-08-20 05:07:31.819568 | 11169646 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11169646 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-08-21 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_11169646_8de8cddf-3538-4449-bcb3-25045926164c.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557922 | N/A | N/A | 6121701 | 2222 | 4793 | 10961805 | N/A | 4764460 | 2025-08-20 05:07:31.819568 | 2025-06-04 04:30:06.494155 |
| 2025-08-19 08:17:33.014145 | 2025-08-20 08:15:19.161248 | 11169563 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11169563 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-22 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_11169563_140a217a-3b8a-452e-a6d0-67e97fdd3cb0.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585574216 | N/A | N/A | 7458512 | 2222 | 4793 | 10968523 | N/A | 6021448 | 2025-08-20 08:15:19.161248 | 2025-07-14 23:05:51.728886 |
| 2025-08-19 08:17:32.796348 | 2025-08-20 08:12:33.109071 | 11169555 | N/A | N/A | 60054 | Aetna | 1114042165 | 11169555 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-21 | F | AE | PT | TRUONG | W285894295 | TARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_11169555_93c98dda-cf1d-441a-af47-fdaf29a2d12a.json | N/A | N/A | N/A | N/A | N/A | W285894295 | Point of Service (POS) | JOHNSON & JOHNSON | AETNA | N/A | 2009-09-07 | 0800100 | 080010003300001 | N/A | PS | false | NGUYEN | N/A | DAITRANG | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585574215 | N/A | N/A | 7458419 | 2222 | 4801 | 10967081 | N/A | 6407374 | 2025-08-20 08:12:33.109071 | 2025-07-25 20:45:12.336863 |
| 2025-08-19 08:17:27.274875 | 2025-08-20 08:21:30.346241 | 11169353 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11169353 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-22 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_11169353_8150d456-c089-4a6b-870d-9db2e8452e36.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585574194 | N/A | N/A | 7456457 | 2222 | 4793 | 10970250 | N/A | 6405774 | 2025-08-20 08:21:30.346241 | 2026-03-16 21:02:08.525887 |
| 2025-08-19 08:17:22.567959 | 2025-08-20 05:07:29.921623 | 11169151 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11169151 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-08-21 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_11169151_d89a3bdf-cd97-42ae-8f55-ca87d5500f51.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557816 | N/A | N/A | 6104970 | 2222 | 4802 | 10961799 | N/A | 4749447 | 2025-08-20 05:07:29.921623 | 2025-06-06 23:16:09.869339 |
| 2025-08-19 08:17:19.155646 | 2025-08-20 05:06:41.692478 | 11169013 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11169013 | Athletic Physical Therapy Inc | 1991-01-16 | 2025-08-22 | F | PT | N/A | LI | XTS845M84428 | ZHANMEI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_11169013_2bec6e38-fd58-4791-8f95-b420d330ca5a.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 1991-01-16 | 040 | 277405M037 | N/A | PR | false | HAN | N/A | PENGCHENG | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557787 | N/A | N/A | 6085650 | 2222 | 4793 | 10961659 | N/A | 4728966 | 2025-08-20 05:06:41.692478 | 2025-06-09 22:35:38.956800 |
| 2025-08-19 08:17:14.473732 | 2025-08-20 08:08:46.700464 | 11168821 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11168821 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-08-22 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.112020011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_11168821_3c326a62-1cd2-4b61-b8ff-93855ac805c0.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585594888 | N/A | N/A | 6917703 | 2222 | 4793 | 10966000 | N/A | 5949095 | 2025-08-20 08:08:46.700464 | 2025-07-28 22:15:30.266976 |
| 2025-08-19 08:17:14.103656 | 2025-08-20 08:08:44.270284 | 11168813 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11168813 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-08-21 | M | AE | PT | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.112020011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_11168813_7ab7f71a-1476-498a-b4da-283adf88ff8f.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585594887 | N/A | N/A | 6917652 | 2222 | 4802 | 10965993 | N/A | 5949044 | 2025-08-20 08:08:44.270284 | 2025-07-08 23:15:13.625855 |
| 2025-08-19 08:17:07.886140 | 2025-08-20 08:21:30.931695 | 11168554 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11168554 | Athletic Physical Therapy Inc | 1954-10-03 | 2025-08-21 | M | AE | PT | KORNREICH | 7XA1CA4AR01 | DALE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449349/check_11168554_32cea21a-538e-4c40-9964-4efbe3879338.json | N/A | N/A | N/A | N/A | N/A | 7XA1CA4AR01 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-03 | S5601 | N/A | N/A | MA | false | KORNREICH | N/A | DALE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585573555 | N/A | N/A | 7449349 | 2222 | 4793 | 10970252 | N/A | 6399188 | 2025-08-20 08:21:30.931695 | 2025-07-24 22:52:42.400774 |
| 2025-08-19 08:17:05.086378 | 2025-08-20 05:05:21.014105 | 11168428 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11168428 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-08-22 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_11168428_d05b2e1d-ad2a-4cd5-bba2-9af47cbb3b12.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557535 | N/A | N/A | 6079410 | 2222 | 4802 | 10961420 | N/A | 4723300 | 2025-08-20 05:05:21.014105 | 2025-06-04 00:42:43.684276 |
| 2025-08-19 08:17:04.187655 | 2025-08-20 05:05:19.526335 | 11168388 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11168388 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-08-22 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_11168388_e0c2f65a-6ddd-4d12-a111-272e22c647b3.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557037 | N/A | N/A | 6078312 | 2222 | 4802 | 10961416 | N/A | 4722569 | 2025-08-20 05:05:19.526335 | 2025-08-26 00:16:35.895658 |
| 2025-08-19 08:17:02.442192 | 2025-08-20 08:15:03.955346 | 11168305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11168305 | Athletic Physical Therapy Inc | 1958-12-06 | 2025-08-22 | F | PT | N/A | MARCHETTI | MMA759W18793 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111650162.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_11168305_794c17b7-37e3-43b6-8cf2-685b399329a4.json | N/A | N/A | N/A | N/A | N/A | MMA759W18793 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-06 | 040 | CAMCRWP0 | N/A | MP | false | MARCHETTI | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585582181 | N/A | N/A | 7755198 | 2222 | 4793 | 10968403 | N/A | 6606171 | 2025-08-20 08:15:03.955346 | 2025-08-04 19:27:53.075551 |
| 2025-08-19 08:17:02.031457 | 2025-08-20 08:15:03.580443 | 11168285 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11168285 | Athletic Physical Therapy Inc | 1974-04-18 | 2025-08-20 | M | AE | PT | HENDERSON | 000009200856 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447610/check_11168285_7dfdd897-2753-47c8-997c-2f2d6859e277.json | N/A | N/A | N/A | N/A | N/A | 000009200856 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-04-18 | 4299566 | 105705 | N/A | N/A | false | HENDERSON | N/A | CHAD | N/A | N/A | N/A | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 45 - $1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585573245 | N/A | N/A | 7447610 | 2222 | 4801 | 10968400 | N/A | 6397817 | 2025-08-20 08:15:03.580443 | 2025-07-24 21:00:46.278199 |
| 2025-08-19 08:17:01.839472 | 2025-08-20 05:05:56.812257 | 11168275 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11168275 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-08-22 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_11168275_1e3f73f0-e0be-4703-b07c-c402879bf857.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557014 | N/A | N/A | 6074035 | 2222 | 4801 | 10961529 | N/A | 4718592 | 2025-08-20 05:05:56.812257 | 2025-05-29 20:00:22.627186 |
| 2025-08-19 08:16:59.216650 | 2025-08-20 08:21:32.270481 | 11168139 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11168139 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-08-21 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_11168139_a755c9fa-c874-43ac-80c2-cce5946d6e12.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MA | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585573227 | N/A | N/A | 7444722 | 2222 | 4802 | 10970257 | N/A | 6395498 | 2025-08-20 08:21:32.270481 | 2026-02-18 02:38:35.073779 |
| 2025-08-19 08:16:58.654166 | 2025-08-20 05:11:18.542097 | 11168112 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11168112 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-08-22 | F | AE | PT | DAVIS | 3M07R08AX76 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_11168112_a9b54abc-691e-4f6f-b0f8-221fe0d708b2.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MB | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556982 | N/A | N/A | 6068062 | 2222 | 4802 | 10962440 | N/A | 4713002 | 2025-08-20 05:11:18.542097 | 2025-06-03 01:39:13.971712 |
| 2025-08-19 08:16:56.735332 | 2025-08-19 08:16:56.910930 | 11168023 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11168023 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-08-21 | F | AE | PT | TARASEVYCH | 90733231H | VIRA | 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 | 8050658 | 2222 | 4793 | N/A | N/A | 6845945 | 2025-08-19 08:16:56.910930 | 2025-08-20 15:30:30.230373 |
| 2025-08-19 08:16:53.259993 | 2025-08-19 08:16:53.420722 | 11167834 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11167834 | N/A | 1960-02-19 | 2025-08-21 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | 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 | 8048674 | 2222 | 4801 | N/A | N/A | 6844466 | 2025-08-19 08:16:53.420722 | 2025-08-13 17:29:27.130257 |
| 2025-08-19 08:16:52.322008 | 2025-08-20 02:15:53.823758 | 11167784 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11167784 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-08-21 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111801433.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_11167784_4d0c30e7-8e0c-4fd0-851e-d435d860a080.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585586953 | N/A | N/A | 7024102 | 2222 | 4801 | 10950467 | N/A | 6038562 | 2025-08-20 02:15:53.823758 | 2025-07-30 21:46:09.369299 |
| 2025-08-19 08:16:50.778340 | 2025-08-19 08:16:50.909157 | 11167699 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11167699 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-08-22 | M | AE | PT | HILTSER | 208616901 | LORNE | 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 | 8048052 | 2222 | 4802 | N/A | N/A | 6844134 | 2025-08-19 08:16:50.909157 | 2025-08-29 16:18:21.978739 |
| 2025-08-19 08:16:42.890868 | 2025-08-20 02:14:43.012393 | 11167351 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11167351 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-22 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111801433.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_11167351_44d3c6d7-7ed1-4f15-a3bb-5bb54dec7d35.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585586333 | N/A | N/A | 7003223 | 2222 | 4793 | 10949867 | N/A | 6021448 | 2025-08-20 02:14:43.012393 | 2025-07-14 23:05:51.728886 |
| 2025-08-19 08:16:29.342101 | 2025-08-20 05:03:22.373516 | 11166871 | N/A | N/A | 60054 | Aetna | 1114042165 | 11166871 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-08-21 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_11166871_af798ab6-baa9-4a48-9745-8eee5393c187.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556329 | N/A | N/A | 5993951 | 2222 | 4802 | 10961143 | N/A | 4642884 | 2025-08-20 05:03:22.373516 | 2025-12-02 20:19:19.910444 |
| 2025-08-19 08:16:29.236860 | 2025-08-20 05:06:40.291722 | 11166862 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11166862 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-08-22 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_11166862_fdc094a3-9939-48f2-a268-fcb70fecabbe.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556328 | N/A | N/A | 5993920 | 2222 | 4793 | 10961655 | 4184 | 4642859 | 2025-08-20 05:06:40.291722 | 2026-04-10 21:27:25.225083 |
| 2025-08-19 08:16:29.103778 | 2025-08-20 05:06:45.385174 | 11166857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11166857 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-08-22 | M | PT | N/A | SPENCE | SGEFW1503472 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_11166857_f567fcdc-3d4d-43f3-92b4-3ac9d5d806f0.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556327 | N/A | N/A | 5993917 | 2222 | 4793 | 10961670 | N/A | 4642854 | 2025-08-20 05:06:45.385174 | 2025-05-28 20:57:05.075130 |
| 2025-08-19 08:16:28.987778 | 2025-08-20 05:11:20.361577 | 11166855 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11166855 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-21 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11166855_24514230-547d-441b-8a26-3156b2f7eb91.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556326 | N/A | N/A | 5993912 | 2222 | 4793 | 10962445 | N/A | 4642852 | 2025-08-20 05:11:20.361577 | 2025-11-21 18:38:17.056437 |
| 2025-08-19 08:16:21.364186 | 2025-08-19 08:16:21.675788 | 11166548 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11166548 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-21 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8026951 | 2222 | 4801 | N/A | N/A | 6828511 | 2025-08-19 08:16:21.675788 | 2025-08-14 00:23:35.929152 |
| 2025-08-19 08:16:20.730177 | 2025-08-20 08:05:25.420153 | 11166512 | N/A | N/A | 60054 | Aetna | 1114042165 | 11166512 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-08-22 | M | AE | PT | RAMIREZ | 9537353099 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.112020011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_11166512_97ff6409-9df4-4c07-9e6d-5c32fedd21be.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | 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 | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585593500 | N/A | N/A | 6865171 | 2222 | 4801 | 10965486 | N/A | 5902840 | 2025-08-20 08:05:25.420153 | 2025-07-28 18:58:27.354873 |
| 2025-08-19 08:16:13.405841 | 2025-08-20 08:14:37.296268 | 11166147 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11166147 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-08-22 | M | AE | PT | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_11166147_b40a0c6a-a4a9-4d06-9f3e-a676133ac273.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585572703 | N/A | N/A | 7315101 | 2222 | 4802 | 10968174 | N/A | 6152454 | 2025-08-20 08:14:37.296268 | 2025-07-17 21:44:04.596080 |
| 2025-08-19 08:16:12.377487 | 2025-08-20 02:14:43.449680 | 11166099 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11166099 | Athletic Physical Therapy Inc | 1959-07-21 | 2025-08-21 | F | AE | PT | WASEFY | MMA568W21194 | ROQIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111801433.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958150/check_11166099_d0c8c4c4-096f-4239-aed2-2bafb2a234ca.json | N/A | N/A | N/A | N/A | N/A | MMA568W21194 | N/A | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-07-21 | 040 | CAMCRWP0 | N/A | N/A | false | WASEFY | N/A | ROQIA | N/A | N/A | N/A | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585586698 | N/A | N/A | 6958150 | 2222 | 4801 | 10949873 | N/A | 5217977 | 2025-08-20 02:14:43.449680 | 2025-07-10 21:34:35.765984 |
| 2025-08-19 08:16:12.180310 | 2025-08-20 05:07:32.450949 | 11166091 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11166091 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-08-21 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_11166091_ac03f5ba-4d0b-4b43-b38a-11766e8164d5.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556971 | N/A | N/A | 5928752 | 2222 | 4802 | 10961807 | N/A | 4583701 | 2025-08-20 05:07:32.450949 | 2025-07-24 17:50:11.805587 |
| 2025-08-19 08:16:06.965806 | 2025-08-20 08:11:38.647904 | 11165860 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11165860 | Athletic Physical Therapy Inc | 1950-04-11 | 2025-08-21 | M | PT | N/A | PEZESHK | JQQ055W20244 | SHAHRIAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7312434/check_11165860_3c1b8318-4240-47f1-a15b-62017bd2864d.json | N/A | N/A | N/A | N/A | N/A | JQQ055W20244 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-04-11 | N/A | N/A | N/A | N/A | false | PEZESHK | N/A | SHAHRIAR | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585572671 | N/A | N/A | 7312434 | 2222 | 4802 | 10966595 | N/A | 6269719 | 2025-08-20 08:11:38.647904 | 2025-07-23 15:37:15.981232 |
| 2025-08-19 08:15:57.133821 | 2025-08-20 05:06:27.708212 | 11165390 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11165390 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-08-21 | F | AE | PT | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_11165390_b749c558-aa76-48e8-ab23-a0926ea299e1.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | SEARS HOLDINGS CORPORATION SEARS EARLY RETIREES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585555973 | N/A | N/A | 5874461 | 2222 | 4801 | 10961617 | N/A | 4534583 | 2025-08-20 05:06:27.708212 | 2025-05-27 21:59:00.919365 |
| 2025-08-19 08:15:57.026000 | 2025-08-20 05:11:21.538235 | 11165384 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11165384 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-08-21 | M | AE | PT | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_11165384_1263cb59-2f47-464b-b8dc-23ee5a321624.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MB | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585555971 | N/A | N/A | 5874455 | 2222 | 4801 | 10962448 | N/A | 4534577 | 2025-08-20 05:11:21.538235 | 2025-06-18 18:41:30.608585 |
| 2025-08-19 08:15:56.897304 | 2025-08-20 05:11:18.868446 | 11165378 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11165378 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-08-22 | M | AE | PT | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_11165378_ae305167-3e78-46f9-b883-50e4db6dcd3a.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585555970 | N/A | N/A | 5874420 | 2222 | 4793 | 10962441 | N/A | 4534550 | 2025-08-20 05:11:18.868446 | 2025-10-15 18:36:58.255255 |
| 2025-08-19 08:15:48.996943 | 2025-08-20 08:21:31.649270 | 11164984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11164984 | Athletic Physical Therapy Inc | 1933-09-27 | 2025-08-21 | F | AE | PT | Lavian | 9D60QE9FV21 | Valantin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7300565/check_11164984_46ecb3ab-572c-4225-9d3c-8187e7324d80.json | N/A | N/A | N/A | N/A | N/A | 9D60QE9FV21 | Medicare Part A | N/A | HARTFORD CASUALTY INSURANCE COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-09-27 | S4802 | DOL 09182015 | N/A | MA | false | LAVIAN | N/A | VALANTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585573068 | N/A | N/A | 7300565 | 2222 | 4802 | 10970255 | N/A | 6258477 | 2025-08-20 08:21:31.649270 | 2025-08-12 21:50:09.562340 |
| 2025-08-19 08:15:38.896679 | 2025-08-20 08:15:06.376544 | 11164659 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11164659 | N/A | 1963-05-18 | 2025-08-22 | M | AE | PT | Brennan | R02310313MM1 | Rodger | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294987/check_11164659_fd7da469-95e8-4ab1-a658-4b45d4d36ad8.json | N/A | N/A | N/A | N/A | N/A | R02310313MM1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1963-05-18 | N/A | N/A | N/A | N/A | false | BRENNAN | N/A | RODGER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585573044 | N/A | N/A | 7294987 | 2222 | 4793 | 10968419 | N/A | 6254614 | 2025-08-20 08:15:06.376544 | 2025-07-23 02:53:35.149025 |
| 2025-08-19 08:15:27.379887 | 2025-08-20 08:15:19.483182 | 11164089 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11164089 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-08-22 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111351951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7283495/check_11164089_e5a98a50-f8eb-4e91-bb2c-b1d80784588d.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585573406 | N/A | N/A | 7283495 | 2222 | 4801 | 10968527 | N/A | 6247001 | 2025-08-20 08:15:19.483182 | 2025-07-25 21:24:35.111542 |
| 2025-08-19 08:15:25.485995 | 2025-08-20 02:20:55.219520 | 11164003 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11164003 | Athletic Physical Therapy Inc | 1998-01-12 | 2025-08-22 | M | AE | PT | GUTIERREZ DE LA TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111455895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_11164003_d528c990-46f6-4bb5-ad74-b6fdefb4f34d.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | HEALTH NET, LLC | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORR | N/A | JOEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585580120 | N/A | N/A | 6436444 | 2222 | 4802 | 10953142 | N/A | 5082110 | 2025-08-20 02:20:55.219520 | 2025-06-24 20:17:03.860413 |