API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-19 08:15:24.766239 | 2025-08-19 08:15:25.106285 | 11163965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11163965 | Athletic Physical Therapy Inc | 1959-05-22 | 2025-08-22 | F | PT | FAHR | UBC894A23547 | SHIFTEH | N/A | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7990777 | 2222 | 4802 | N/A | N/A | 6799531 | 2025-08-19 08:15:25.106285 | 2025-08-11 22:51:09.048851 |
| 2025-08-19 08:15:21.676175 | 2025-08-20 05:11:21.897570 | 11163797 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11163797 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-08-21 | M | AE | LANE | 4CA5FX1PJ56 | STEVEN | PT | 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/2222/5676372/check_11163797_18253c5a-a2a0-4088-b5f8-a609de632eb9.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MB | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556919 | N/A | N/A | 5676372 | 2222 | 4802 | 10962449 | N/A | 4219832 | 2025-08-20 05:11:21.897570 | 2025-05-13 04:29:37.230877 |
| 2025-08-19 08:15:21.565490 | 2025-08-20 05:06:43.654101 | 11163791 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11163791 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-08-21 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | 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/2222/5676340/check_11163791_66415e52-a262-4d1d-975c-d5b9d86e2e2f.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556918 | N/A | N/A | 5676340 | 2222 | 4793 | 10961665 | 4184 | 4210531 | 2025-08-20 05:06:43.654101 | 2025-12-09 17:09:13.960610 |
| 2025-08-19 08:15:03.036618 | 2025-08-20 08:14:52.173769 | 11162919 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11162919 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-08-21 | M | AE | Weiss | R13448501MS1 | Mark | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111650162.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_11162919_2a06c26c-52ef-45ea-98d5-df03b9186d91.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585583139 | N/A | N/A | 7661660 | 2222 | 4802 | 10968304 | N/A | 6543985 | 2025-08-20 08:14:52.173769 | 2025-08-01 18:30:37.244428 |
| 2025-08-19 08:15:02.204029 | 2025-08-20 05:05:55.512651 | 11162889 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11162889 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-21 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | 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/2222/5568076/check_11162889_1be2dffa-db3b-467a-b366-453c3de9483c.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557461 | N/A | N/A | 5568076 | 2222 | 4802 | 10961525 | N/A | 4209480 | 2025-08-20 05:05:55.512651 | 2026-04-10 02:05:15.976484 |
| 2025-08-19 08:15:01.025538 | 2025-08-20 08:05:25.808497 | 11162835 | N/A | N/A | 60054 | AETNA | 1114042165 | 11162835 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-08-21 | M | AE | TRUNNELL | 101505559100 | WAYNE | PT | 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/2222/6786642/check_11162835_c5821e64-27c5-46b1-b03f-1978eb5cd143.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585594354 | N/A | N/A | 6786642 | 2222 | 4793 | 10965487 | 3939 | 5818009 | 2025-08-20 08:05:25.808497 | 2025-07-15 23:19:05.900633 |
| 2025-08-19 08:14:51.864723 | 2025-08-20 05:06:45.770584 | 11162415 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162415 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-08-22 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | 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/2222/5550993/check_11162415_e8033796-134d-422c-8930-07a3e68ce6a7.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557342 | N/A | N/A | 5550993 | 2222 | 4793 | 10961671 | N/A | 4219817 | 2025-08-20 05:06:45.770584 | 2025-05-13 04:29:37.230864 |
| 2025-08-19 08:14:51.707253 | 2025-08-20 05:07:29.617176 | 11162406 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162406 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-21 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | 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/2222/5550827/check_11162406_2b0674b4-6a26-46fe-a6fb-03de565818dc.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557341 | N/A | N/A | 5550827 | 2222 | 4802 | 10961798 | N/A | 4219700 | 2025-08-20 05:07:29.617176 | 2025-05-13 04:29:37.230745 |
| 2025-08-19 08:14:51.571388 | 2025-08-20 05:06:33.505469 | 11162398 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11162398 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-21 | M | AE | ARUJO | 00000223568 | RAMON | PT | 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/2222/5550751/check_11162398_bdfa42a9-5fe9-47c7-99a3-54779c79822e.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | 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 | 8585557340 | N/A | N/A | 5550751 | 2222 | 4801 | 10961635 | 2630 | 4219640 | 2025-08-20 05:06:33.505469 | 2025-05-13 04:29:37.230682 |
| 2025-08-19 08:14:51.463094 | 2025-08-20 05:03:23.951646 | 11162392 | N/A | N/A | 60054 | Aetna | 1114042165 | 11162392 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-21 | F | AE | SANTITORO | W267422430 | SARAH | PT | 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/2222/5550743/check_11162392_10582149-28f0-40b8-97a0-24cf99e86f0c.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | 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 | 8585557339 | N/A | N/A | 5550743 | 2222 | 4801 | 10961147 | N/A | 4219643 | 2025-08-20 05:03:23.951646 | 2025-05-13 04:29:37.230685 |
| 2025-08-19 08:14:51.374554 | 2025-08-20 05:11:17.781645 | 11162383 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162383 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-08-22 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | PT | 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/2222/5550534/check_11162383_0da5fce5-e2b3-482e-9fe4-efae38981faf.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557338 | N/A | N/A | 5550534 | 2222 | 4801 | 10962438 | N/A | 4219556 | 2025-08-20 05:11:17.781645 | 2025-05-13 04:29:37.230592 |
| 2025-08-19 08:14:51.262416 | 2025-08-20 05:02:27.596104 | 11162377 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11162377 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-08-20 | F | AE | SIMONS | 94378141G | DESIREE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_11162377_89be5e3a-08da-4eb8-b6ed-9ec1f895b892.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557337 | N/A | N/A | 5550102 | 2222 | 4802 | 10960995 | N/A | 4212176 | 2025-08-20 05:02:27.596104 | 2025-05-13 04:29:37.226514 |
| 2025-08-19 08:14:51.163472 | 2025-08-20 05:11:19.631546 | 11162371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162371 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-21 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | 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/2222/5549981/check_11162371_ac15cdec-d84b-49d5-92e6-fd4a41d54d6a.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557336 | N/A | N/A | 5549981 | 2222 | 4802 | 10962443 | N/A | 4219436 | 2025-08-20 05:11:19.631546 | 2025-05-13 04:29:37.230471 |
| 2025-08-19 08:14:51.064634 | 2025-08-20 05:06:45.067591 | 11162363 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11162363 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-08-21 | F | PT | SAUCERMAN | XDM288A55735 | ALEXIS | N/A | 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/2222/5549817/check_11162363_369afe3c-8b21-4e3b-bf28-d8d703722321.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557335 | N/A | N/A | 5549817 | 2222 | 4793 | 10961669 | 4184 | 4211143 | 2025-08-20 05:06:45.067591 | 2025-05-31 20:12:37.092503 |
| 2025-08-19 08:14:50.965408 | 2025-08-20 05:06:28.627655 | 11162357 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11162357 | N/A | 1967-12-23 | 2025-08-21 | F | AE | SOL | U9859952501 | ISABEL | PT | 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/2222/5549212/check_11162357_c0ca8d74-7204-4a8c-86ad-66b07b861d27.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1967-12-23 | N/A | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557334 | N/A | N/A | 5549212 | 2222 | 4793 | 10961620 | N/A | 4218926 | 2025-08-20 05:06:28.627655 | 2025-07-30 14:07:18.779456 |
| 2025-08-19 08:14:50.527765 | 2025-08-20 08:08:48.100342 | 11162330 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162330 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-08-21 | F | PT | Taggart | MBL830M95233 | Rita | N/A | 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/2222/6780011/check_11162330_52c46b62-499e-4f57-9845-8c292813cb54.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585594138 | N/A | N/A | 6780011 | 2222 | 4802 | 10966004 | N/A | 5811238 | 2025-08-20 08:08:48.100342 | 2025-07-03 18:24:56.520298 |
| 2025-08-19 08:14:49.621961 | 2025-08-20 05:06:28.322169 | 11162281 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11162281 | N/A | 1962-06-19 | 2025-08-22 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | 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/2222/5543555/check_11162281_8157a1db-4424-46fa-b06d-e07b6c5b688b.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557323 | N/A | N/A | 5543555 | 2222 | 4802 | 10961619 | N/A | 4215332 | 2025-08-20 05:06:28.322169 | 2025-08-06 16:15:15.716322 |
| 2025-08-19 08:14:49.529858 | 2025-08-20 05:05:56.162621 | 11162275 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11162275 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-21 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_11162275_36fc9de0-8bef-4b89-a585-128ad4739c34.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557322 | N/A | N/A | 5543425 | 2222 | 4801 | 10961527 | N/A | 4215211 | 2025-08-20 05:05:56.162621 | 2026-04-02 22:30:20.020246 |
| 2025-08-19 08:14:49.423117 | 2025-08-20 05:11:19.954667 | 11162267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162267 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-08-22 | F | AE | HOWARD | 6JJ9KX0PY45 | JUDI | PT | 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/2222/5543348/check_11162267_636c9f81-7900-426a-996a-7bf08da7963d.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MB | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557321 | N/A | N/A | 5543348 | 2222 | 4793 | 10962444 | N/A | 4215147 | 2025-08-20 05:11:19.954667 | 2025-05-13 04:29:37.229464 |
| 2025-08-19 08:14:49.336647 | 2025-08-20 05:03:08.118414 | 11162263 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11162263 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-08-22 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | 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/2222/5543335/check_11162263_0dd9d9eb-018d-4af5-a796-7efcfe35bec6.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557320 | N/A | N/A | 5543335 | 2222 | 4802 | 10961102 | N/A | 4215139 | 2025-08-20 05:03:08.118414 | 2025-05-13 21:20:11.455022 |
| 2025-08-19 08:14:49.179069 | 2025-08-20 05:07:32.773225 | 11162253 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162253 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-08-22 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | 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/2222/5543237/check_11162253_fe9b7f0f-baeb-457e-9e7b-cc84a728afc6.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 9999-12-31 | 2021-07-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557319 | N/A | N/A | 5543237 | 2222 | 4802 | 10961808 | N/A | 4215054 | 2025-08-20 05:07:32.773225 | 2025-05-13 04:29:37.229375 |
| 2025-08-19 08:14:49.032703 | 2025-08-20 05:06:42.998770 | 11162247 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162247 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-08-22 | F | PT | MICHAEL | JXN531M63256 | JUNITHA | N/A | 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/2222/5543190/check_11162247_0e9fc57d-143e-42fc-8c3b-1ca0e7c0d6a4.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557318 | N/A | N/A | 5543190 | 2222 | 4793 | 10961663 | N/A | 4215014 | 2025-08-20 05:06:42.998770 | 2025-06-01 22:57:55.386960 |
| 2025-08-19 08:14:48.910040 | 2025-08-20 05:06:42.344110 | 11162240 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162240 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-08-21 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | 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/2222/5543178/check_11162240_7feac3bf-e60b-458c-866a-53632f51e489.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 2025-09-22 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557317 | N/A | N/A | 5543178 | 2222 | 4802 | 10961661 | N/A | 4215006 | 2025-08-20 05:06:42.344110 | 2025-05-13 04:29:37.229325 |
| 2025-08-19 08:14:48.771037 | 2025-08-20 05:06:39.944585 | 11162231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162231 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-21 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | 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/2222/5543161/check_11162231_c513d013-2ebd-48a4-8755-286d9938a46c.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557316 | N/A | N/A | 5543161 | 2222 | 4793 | 10961654 | N/A | 4214989 | 2025-08-20 05:06:39.944585 | 2025-05-13 04:29:37.229310 |
| 2025-08-19 08:14:48.668892 | 2025-08-20 05:07:31.518930 | 11162226 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162226 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-08-22 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | 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/2222/5542952/check_11162226_efdb68a8-b09a-4afb-9fda-33a1f644cfc5.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557315 | N/A | N/A | 5542952 | 2222 | 4802 | 10961804 | N/A | 4214804 | 2025-08-20 05:07:31.518930 | 2025-05-13 20:09:53.786482 |
| 2025-08-19 08:14:48.538380 | 2025-08-20 05:03:23.455770 | 11162220 | N/A | N/A | 60054 | Aetna | 1114042165 | 11162220 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-22 | M | AE | KORY | 102161581800 | MICHAEL | PT | 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/2222/5542870/check_11162220_87f30f68-c9ba-4b6a-aed2-19d98d9547a6.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557314 | N/A | N/A | 5542870 | 2222 | 4793 | 10961146 | N/A | 4214732 | 2025-08-20 05:03:23.455770 | 2025-06-24 20:13:53.579048 |
| 2025-08-19 08:14:48.434323 | 2025-08-20 05:05:55.884247 | 11162215 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11162215 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-08-22 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_11162215_728235a2-6bd0-4c35-a518-79ae6d36147c.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557313 | N/A | N/A | 5542660 | 2222 | 4802 | 10961526 | N/A | 4214542 | 2025-08-20 05:05:55.884247 | 2025-05-13 04:29:37.228868 |
| 2025-08-19 08:14:48.355645 | 2025-08-20 05:07:44.884513 | 11162212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162212 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-21 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | 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/2222/5542628/check_11162212_a7fa462a-fb07-4cec-ac95-159f295433cd.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | BLUE SHIELD OF CALIFORNIA | N/A | 2009-08-14 | 040 | U49858 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557312 | N/A | N/A | 5542628 | 2222 | 4793 | 10961844 | N/A | 4214508 | 2025-08-20 05:07:44.884513 | 2025-06-04 00:05:22.392827 |
| 2025-08-19 08:14:48.261741 | 2025-08-20 05:02:26.494784 | 11162206 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11162206 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-08-21 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_11162206_6500c980-f39c-45be-a3c1-fa07d65f265b.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557311 | N/A | N/A | 5542611 | 2222 | 4802 | 10960992 | N/A | 4214490 | 2025-08-20 05:02:26.494784 | 2025-05-13 04:29:37.228806 |
| 2025-08-19 08:14:48.162014 | 2025-08-20 05:06:36.149093 | 11162203 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11162203 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-08-22 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | 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/2222/5542513/check_11162203_d98ff687-ac87-4e89-ae4d-a626d11d7326.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557310 | N/A | N/A | 5542513 | 2222 | 4793 | 10961643 | N/A | 4214418 | 2025-08-20 05:06:36.149093 | 2025-07-03 18:12:11.075357 |
| 2025-08-19 08:14:48.056734 | 2025-08-20 05:06:46.891160 | 11162199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162199 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-08-22 | F | PT | UTLEY | MBL209M95251 | SHERIDAN | N/A | 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/2222/5542387/check_11162199_19116946-53f9-41c2-a6cd-7d49b3f66495.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557309 | N/A | N/A | 5542387 | 2222 | 4801 | 10961674 | N/A | 4214300 | 2025-08-20 05:06:46.891160 | 2025-06-17 13:03:57.252701 |
| 2025-08-19 08:14:47.970078 | 2025-08-20 05:06:46.534845 | 11162191 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162191 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-08-22 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_11162191_d0f4ef5a-e8fe-43d9-83e8-2288b81e1866.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557308 | N/A | N/A | 5542014 | 2222 | 4793 | 10961673 | N/A | 4213977 | 2025-08-20 05:06:46.534845 | 2025-05-13 04:29:37.228294 |
| 2025-08-19 08:14:47.839831 | 2025-08-20 05:05:21.664000 | 11162185 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11162185 | Athletic Physical Therapy Inc | 1950-06-06 | 2025-08-21 | M | AD | SULLIVAN | 110324368 | VINCENT | N/A | 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/2222/5542000/check_11162185_c6353cce-6882-4ded-9300-6c5e50adc590.json | N/A | N/A | N/A | N/A | N/A | 11032436800 | N/A | JETSUITEX, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1950-06-06 | N/A | 00653848 | N/A | N/A | false | SULLIVAN | N/A | VINCENT | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8585557307 | N/A | N/A | 5542000 | 2222 | 4793 | 10961422 | N/A | 4213966 | 2025-08-20 05:05:21.664000 | 2025-05-13 04:29:37.228285 |
| 2025-08-19 08:14:47.669151 | 2025-08-20 05:02:28.007002 | 11162176 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11162176 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-08-22 | M | AE | YEE | 412922301 | HARRY | PT | 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/2222/5541972/check_11162176_37f1476d-fc80-42a9-bcfb-3d6592317cc2.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585557306 | N/A | N/A | 5541972 | 2222 | 4793 | 10960996 | N/A | 4213941 | 2025-08-20 05:02:28.007002 | 2025-05-13 04:29:37.228259 |
| 2025-08-19 08:14:47.487899 | 2025-08-20 05:07:30.876843 | 11162172 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162172 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-08-22 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | 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/2222/5541956/check_11162172_9305944c-536d-4180-9616-ca14cf08f6cb.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557305 | N/A | N/A | 5541956 | 2222 | 4802 | 10961802 | N/A | 4213923 | 2025-08-20 05:07:30.876843 | 2025-05-13 04:29:37.228244 |
| 2025-08-19 08:14:47.355854 | 2025-08-20 05:06:46.091716 | 11162164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162164 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-08-22 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | 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/2222/5541917/check_11162164_931f83e2-1737-40af-bfe2-4e3431d60ad8.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585557304 | N/A | N/A | 5541917 | 2222 | 4793 | 10961672 | N/A | 4213891 | 2025-08-20 05:06:46.091716 | 2025-05-13 04:29:37.228207 |
| 2025-08-19 08:14:47.164867 | 2025-08-20 05:07:31.202027 | 11162159 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162159 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-08-22 | F | PT | HILLIGER | XEA902904791 | JENNIE | N/A | 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/2222/5541730/check_11162159_6fb38a17-9664-4a41-a889-93a746c728ea.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556580 | N/A | N/A | 5541730 | 2222 | 4793 | 10961803 | N/A | 4213725 | 2025-08-20 05:07:31.202027 | 2025-05-13 04:29:37.228045 |
| 2025-08-19 08:14:46.981704 | 2025-08-20 05:07:33.437217 | 11162150 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162150 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-08-22 | M | PT | ZARIN | XEK905647080 | ELLA | N/A | 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/2222/5541582/check_11162150_991f16fe-8fd4-42c3-8256-5bd6549c6bcc.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556579 | N/A | N/A | 5541582 | 2222 | 4793 | 10961810 | N/A | 4213586 | 2025-08-20 05:07:33.437217 | 2025-05-28 20:44:53.527917 |
| 2025-08-19 08:14:46.790517 | 2025-08-20 05:05:21.320028 | 11162143 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11162143 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-08-22 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_11162143_cfa6d82f-ed79-4dbb-8f62-c457053d79db.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8585556578 | N/A | N/A | 5541552 | 2222 | 4802 | 10961421 | N/A | 4213562 | 2025-08-20 05:05:21.320028 | 2025-05-13 04:29:37.227895 |
| 2025-08-19 08:14:46.679801 | 2025-08-20 05:06:44.702089 | 11162136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162136 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-08-22 | M | PT | SALEWSKE | SZR600905624 | TYSON | N/A | 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/2222/5541518/check_11162136_42ec800a-e305-4be3-bde8-5a425fbd8f6a.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556577 | N/A | N/A | 5541518 | 2222 | 4793 | 10961668 | N/A | 4213526 | 2025-08-20 05:06:44.702089 | 2025-11-13 19:34:43.197819 |
| 2025-08-19 08:14:46.593387 | 2025-08-20 05:11:16.925352 | 11162133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162133 | Athletic Physical Therapy Inc | 1955-04-08 | 2025-08-22 | F | AE | BAHNA | 3Y50Y33WG19 | HANNY | PT | 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/2222/5541402/check_11162133_5c4e4516-05a2-4aa8-95b9-6c9b504b72f9.json | N/A | N/A | N/A | N/A | N/A | 3Y50Y33WG19 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-04-08 | N/A | N/A | N/A | MB | false | BAHNA | N/A | HANNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556576 | N/A | N/A | 5541402 | 2222 | 4802 | 10962436 | N/A | 4213424 | 2025-08-20 05:11:16.925352 | 2025-05-13 04:29:37.227744 |
| 2025-08-19 08:14:46.486495 | 2025-08-20 05:07:30.548858 | 11162126 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11162126 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-08-21 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 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/2222/5541314/check_11162126_6a3afb95-dd68-4756-9964-20123a5b8e54.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556575 | N/A | N/A | 5541314 | 2222 | 4793 | 10961801 | N/A | 4213343 | 2025-08-20 05:07:30.548858 | 2025-06-06 02:21:37.603701 |
| 2025-08-19 08:14:46.414646 | 2025-08-20 05:11:21.145639 | 11162122 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162122 | Athletic Physical Therapy Inc | 1939-01-29 | 2025-08-20 | F | AE | KACHAMI | 7YP4CR4HX08 | LAURENCE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541005/check_11162122_8b45da9e-3874-4955-b8d3-aba995ed3154.json | N/A | N/A | N/A | N/A | N/A | 7YP4CR4HX08 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-01-29 | S5617 | N/A | N/A | MB | false | KACHAMI | N/A | LAURENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556574 | N/A | N/A | 5541005 | 2222 | 4793 | 10962447 | N/A | 4213080 | 2025-08-20 05:11:21.145639 | 2025-05-13 04:29:37.227407 |
| 2025-08-19 08:14:46.323932 | 2025-08-20 05:06:43.995605 | 11162118 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162118 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-08-22 | F | PT | POWELL | YWP80258506903 | WHITNEY | N/A | 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/2222/5540983/check_11162118_39cb76e0-c5b1-4004-911d-73d4fc00f3cd.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556573 | N/A | N/A | 5540983 | 2222 | 4793 | 10961666 | N/A | 4213053 | 2025-08-20 05:06:43.995605 | 2025-08-05 22:50:43.277345 |
| 2025-08-19 08:14:46.183635 | 2025-08-20 05:03:22.067073 | 11162112 | N/A | N/A | 60054 | Aetna | 1114042165 | 11162112 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-08-22 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | 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/2222/5540723/check_11162112_21b91fd9-9446-4ac9-92dc-72a08d52c77f.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556572 | N/A | N/A | 5540723 | 2222 | 4793 | 10961142 | N/A | 4212833 | 2025-08-20 05:03:22.067073 | 2025-05-28 20:46:35.079848 |
| 2025-08-19 08:14:46.050807 | 2025-08-20 05:02:26.863771 | 11162107 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11162107 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-08-22 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | 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/2222/5540591/check_11162107_bfb7691a-a968-4f3e-be54-9cc2c92557dc.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-03-29 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556571 | N/A | N/A | 5540591 | 2222 | 4801 | 10960993 | N/A | 4212724 | 2025-08-20 05:02:26.863771 | 2025-07-26 22:27:37.781276 |
| 2025-08-19 08:14:45.910156 | 2025-08-20 05:11:15.959267 | 11162100 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162100 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-08-22 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | 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/2222/5540531/check_11162100_7b2036f9-f805-4d92-b6fb-8c58fa8cfa08.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556570 | N/A | N/A | 5540531 | 2222 | 4802 | 10962435 | N/A | 4212676 | 2025-08-20 05:11:15.959267 | 2025-07-03 21:09:02.193065 |
| 2025-08-19 08:14:45.828254 | 2025-08-20 05:06:42.018250 | 11162096 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11162096 | Athletic Physical Therapy Inc | 1967-09-15 | 2025-08-20 | M | PT | HELLER | XDL463A68495 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_11162096_19c9a1f1-2b6a-4742-9cb7-12a18c809dae.json | N/A | N/A | N/A | N/A | N/A | XDL463A68495 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1967-09-15 | 040 | Z13100 | N/A | PR | false | HELLER | N/A | MATTHEW | N/A | 9999-12-31 | 2009-08-01 | LUMENOS HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8585556569 | N/A | N/A | 5540316 | 2222 | 4793 | 10961660 | N/A | 4212462 | 2025-08-20 05:06:42.018250 | 2025-06-24 20:27:22.939881 |
| 2025-08-19 08:14:45.745995 | 2025-08-20 05:11:23.516021 | 11162092 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11162092 | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-20 | F | AE | STOPSKY | 2PX4AH7PT91 | LIDIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250819.111029883.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540229/check_11162092_e9efe9e3-0cb2-43d3-a6b2-e854e5c4b3be.json | N/A | N/A | N/A | N/A | N/A | 2PX4AH7PT91 | N/A | N/A | CMS | 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 | 8585556568 | N/A | N/A | 5540229 | 2222 | 4802 | 10962453 | N/A | 4212423 | 2025-08-20 05:11:23.516021 | 2025-05-13 04:29:37.226755 |
| 2025-08-19 08:14:45.643173 | 2025-08-20 05:05:56.481993 | 11162088 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11162088 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-08-21 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_11162088_b056a928-d280-448f-a028-958d7d85f068.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8585556567 | N/A | N/A | 5540113 | 2222 | 4801 | 10961528 | N/A | 4212315 | 2025-08-20 05:05:56.481993 | 2025-12-29 21:20:15.158611 |