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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-18 03:38:51.031182 | 2025-08-19 01:01:28.594693 | 11099561 | N/A | N/A | 60054 | Aetna | 1114042165 | 11099561 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-08-19 | M | AE | PT | RAMIREZ | 9537353099 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063525644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_11099561_6fae4211-034e-4bba-b891-f61a27ee827b.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 | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574350855 | N/A | N/A | 6865171 | 2222 | 4801 | 10880916 | N/A | 5902840 | 2025-08-19 01:01:28.594693 | 2025-07-28 18:58:27.354873 |
| 2025-08-18 03:38:49.951425 | 2025-08-19 01:13:10.029401 | 11099474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11099474 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-08-20 | M | AE | PT | GRANT | 2p67ae9mf59 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_11099474_c144fd59-1dbe-43ae-b815-5a9fdaaade10.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | N/A | N/A | MB | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574791595 | N/A | N/A | 6211373 | 2222 | 4793 | 10903177 | N/A | 4214087 | 2025-08-19 01:13:10.029401 | 2025-05-13 04:29:37.228402 |
| 2025-08-18 03:38:47.232302 | 2025-08-19 01:07:59.082598 | 11099278 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11099278 | Athletic Physical Therapy Inc | 1953-09-16 | 2025-08-20 | F | AE | PT | SANKOVICH | 00000375069 | DEBORAH A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11099278_b04b8227-34f1-4788-b1df-1e41b9bee1a7.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574791578 | N/A | N/A | 6210775 | 2222 | 4793 | 10890831 | 2630 | 4215193 | 2025-08-19 01:07:59.082598 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:38:46.949109 | 2025-08-19 01:13:11.114780 | 11099256 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11099256 | Athletic Physical Therapy Inc | 1944-05-05 | 2025-08-19 | M | AE | PT | NOVORR | 5TE2WD0CR85 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210635/check_11099256_3509d6ea-09f3-421e-beb3-03f52868dcd0.json | N/A | N/A | N/A | N/A | N/A | 5TE2WD0CR85 | Medicare Part B | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-05-05 | S9701 | N/A | N/A | MB | false | NOVORR | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574791577 | N/A | N/A | 6210635 | 2222 | 4801 | 10903223 | N/A | 4853447 | 2025-08-19 01:13:11.114780 | 2025-06-30 18:48:47.810039 |
| 2025-08-18 03:38:45.738442 | 2025-08-19 01:13:57.433976 | 11099161 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11099161 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | F | PT | N/A | AZUCENA | 1YT9RR4MX51 | ESPERANZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_11099161_ed79103c-92b0-4620-b519-4a958cc52f5a.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574383392 | N/A | N/A | 6235090 | 2222 | 4801 | 10904952 | N/A | 4213743 | 2025-08-19 01:13:57.433976 | 2025-05-13 04:29:37.228064 |
| 2025-08-18 03:38:44.805853 | 2025-08-19 01:00:47.754198 | 11099084 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11099084 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-08-20 | M | PT | N/A | ALBA | XEH909330777 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_11099084_61d1f192-a889-46a9-be4a-4cf3901c3fec.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-08-11 | N/A | N/A | N/A | N/A | false | ALBA | N/A | KYLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574791564 | N/A | N/A | 6210099 | 2222 | 4793 | 10880202 | N/A | 4852857 | 2025-08-19 01:00:47.754198 | 2025-06-17 16:28:13.795457 |
| 2025-08-18 03:38:36.513975 | 2025-08-19 00:49:34.276295 | 11098436 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11098436 | Athletic Physical Therapy Inc | 1943-03-12 | 2025-08-21 | M | AE | PT | HOOPER | 849864401 | BRUCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063616353.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8085236/check_11098436_9ae9236e-3dfe-4c06-83a8-4d57366ffa1f.json | N/A | N/A | N/A | N/A | N/A | 849864401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-03-12 | N/A | N/A | N/A | N/A | false | HOOPER | N/A | BRUCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574352631 | N/A | N/A | 8085236 | 2222 | 4793 | 10874991 | N/A | 6868326 | 2025-08-19 00:49:34.276295 | 2025-08-14 20:49:11.052642 |
| 2025-08-18 03:38:30.276770 | 2025-08-19 01:07:54.305626 | 11097907 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11097907 | Athletic Physical Therapy Inc | 1964-10-24 | 2025-08-20 | M | PT | N/A | CROWLEY | MTA374M92552 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064834768.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6493087/check_11097907_e27f4f38-0407-4feb-ae42-a23d2461966a.json | N/A | N/A | N/A | N/A | N/A | MTA374M92552 | Preferred Provider Organization (PPO) | SILVER PPO PLAN | ANTHEM BLUE CROSS | N/A | 1964-10-24 | 423 | 201052M4A1 | N/A | PR | false | CROWLEY | N/A | KAMEY L | N/A | 9999-12-31 | 2018-01-01 | BC PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574510301 | N/A | N/A | 6493087 | 2222 | 4793 | 10890692 | N/A | 5122224 | 2025-08-19 01:07:54.305626 | 2025-07-03 20:38:26.526222 |
| 2025-08-18 03:38:29.295806 | 2025-08-19 01:07:43.684769 | 11097834 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11097834 | N/A | 1952-08-31 | 2025-08-20 | F | AE | PT | CARRILLO | 40025807501 | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993946/check_11097834_00a88598-9cfc-4540-97dd-0217d0657233.json | N/A | N/A | N/A | N/A | N/A | 40025807501 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1952-08-31 | N/A | N/A | N/A | N/A | false | CARRILLO | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574792355 | N/A | N/A | 5993946 | 2222 | 4801 | 10890300 | N/A | 4642883 | 2025-08-19 01:07:43.684769 | 2025-05-30 18:05:44.781764 |
| 2025-08-18 03:38:28.741469 | 2025-08-19 01:07:30.694961 | 11097799 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11097799 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-08-20 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_11097799_26d2a805-e408-47be-b383-d80aa53ae560.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574792354 | N/A | N/A | 5993940 | 2222 | 4802 | 10889975 | N/A | 4642877 | 2025-08-19 01:07:30.694961 | 2025-12-23 23:49:16.627667 |
| 2025-08-18 03:38:28.438648 | 2025-08-19 01:09:46.182655 | 11097776 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11097776 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-08-20 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_11097776_475b9924-3363-4967-a54a-5ae97d6217df.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574792352 | N/A | N/A | 5993926 | 2222 | 4802 | 10894754 | N/A | 4642862 | 2025-08-19 01:09:46.182655 | 2025-05-28 20:59:09.029689 |
| 2025-08-18 03:38:28.146527 | 2025-08-19 01:08:51.020848 | 11097751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11097751 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-08-20 | M | PT | N/A | SPENCE | SGEFW1503472 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_11097751_c46e9a37-c84f-47ed-b01a-683ceb429b20.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 | 8574792351 | N/A | N/A | 5993917 | 2222 | 4793 | 10892726 | N/A | 4642854 | 2025-08-19 01:08:51.020848 | 2025-05-28 20:57:05.075130 |
| 2025-08-18 03:38:27.843363 | 2025-08-19 01:13:32.850425 | 11097729 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11097729 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-08-19 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_11097729_a469c865-8bcf-410e-a865-89fc868fe041.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 | 8574792350 | N/A | N/A | 5993912 | 2222 | 4793 | 10904029 | N/A | 4642852 | 2025-08-19 01:13:32.850425 | 2025-11-21 18:38:17.056437 |
| 2025-08-18 03:38:27.647078 | 2025-08-19 01:08:25.451418 | 11097710 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11097710 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-08-21 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_11097710_a23a985c-e675-4641-a725-d4d72a3204b8.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574792349 | N/A | N/A | 5993907 | 2222 | 4793 | 10891786 | N/A | 4534544 | 2025-08-19 01:08:25.451418 | 2025-05-28 20:51:40.104091 |
| 2025-08-18 03:38:27.430697 | 2025-08-19 01:08:51.729986 | 11097690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11097690 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-08-20 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072022885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_11097690_f1b51dab-27e8-420d-a081-070e683ae4cf.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574792348 | N/A | N/A | 5993479 | 2222 | 4801 | 10892739 | N/A | 4219476 | 2025-08-19 01:08:51.729986 | 2025-05-28 20:18:04.039855 |
| 2025-08-18 03:38:20.024126 | 2025-08-19 01:09:17.911049 | 11097138 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11097138 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-08-20 | M | AE | PT | GRANT | xem914408420 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_11097138_16400404-4e0d-4457-8d5f-c09f5e2d1b7c.json | N/A | N/A | N/A | N/A | N/A | XEM914408420 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-04-20 | 2002SEW00028 | X0001002 | N/A | OT | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574383181 | N/A | N/A | 6211380 | 2222 | 4793 | 10893727 | N/A | 4214087 | 2025-08-19 01:09:17.911049 | 2025-05-13 04:29:37.228402 |
| 2025-08-18 03:38:19.489643 | 2025-08-19 01:08:45.905574 | 11097090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11097090 | Athletic Physical Therapy Inc | 1944-05-05 | 2025-08-19 | M | AE | PT | NOVORR | U5X043M87191 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210781/check_11097090_a97ff947-e5eb-4d9b-be18-24faf9802718.json | N/A | N/A | N/A | N/A | N/A | 5TE2WD0CR85 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1944-05-05 | 040 | 280509C475 | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2024-11-01 | UC MEDICARE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574383178 | N/A | N/A | 6210781 | 2222 | 4801 | 10892536 | N/A | 4853447 | 2025-08-19 01:08:45.905574 | 2025-06-30 18:48:47.810039 |
| 2025-08-18 03:38:16.372175 | 2025-08-19 01:13:09.329480 | 11096865 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11096865 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-20 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_11096865_bf44c308-72fe-4364-a7ba-8fbf1ac84c7c.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574788090 | N/A | N/A | 6203310 | 2222 | 4801 | 10903154 | N/A | 4846213 | 2025-08-19 01:13:09.329480 | 2025-06-10 21:58:09.734801 |
| 2025-08-18 03:38:10.649853 | 2025-08-19 01:09:17.632258 | 11096498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11096498 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-08-20 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_11096498_0c92f1d0-20da-4f6b-8b56-70ddb1c1f7a3.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574383032 | N/A | N/A | 6203312 | 2222 | 4801 | 10893715 | N/A | 4846213 | 2025-08-19 01:09:17.632258 | 2025-06-10 21:58:09.734801 |
| 2025-08-18 03:38:06.410269 | 2025-08-19 01:09:18.200797 | 11096175 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11096175 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-08-21 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_11096175_345270d3-a8a9-4e5a-8922-79c12da89d76.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574383018 | N/A | N/A | 6194938 | 2222 | 4802 | 10893737 | N/A | 4214889 | 2025-08-19 01:09:18.200797 | 2025-05-13 04:29:37.229212 |
| 2025-08-18 03:38:05.379182 | 2025-08-19 01:13:10.766797 | 11096094 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11096094 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-08-21 | F | AE | PT | NAFTZGER | 3NW9CG6WM45 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_11096094_6c1c35d2-d50f-4558-a806-3d2361e656dc.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574787981 | N/A | N/A | 6194923 | 2222 | 4802 | 10903208 | N/A | 4214889 | 2025-08-19 01:13:10.766797 | 2025-05-13 04:29:37.229212 |
| 2025-08-18 03:38:03.055362 | 2025-08-19 01:08:07.725843 | 11095926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11095926 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-08-19 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_11095926_d1ffdfb0-e194-4e81-ba15-2bd450b86613.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574788854 | N/A | N/A | 6193751 | 2222 | 4801 | 10891139 | N/A | 4837995 | 2025-08-19 01:08:07.725843 | 2025-06-13 00:15:18.726975 |
| 2025-08-18 03:38:01.532085 | 2025-08-19 01:14:12.495341 | 11095817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11095817 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-08-19 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072018151.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_11095817_bb6bba3d-97e7-42f5-b020-a5242118227d.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 | 8574797070 | N/A | N/A | 7458512 | 2222 | 4793 | 10905508 | N/A | 6021448 | 2025-08-19 01:14:12.495341 | 2025-07-14 23:05:51.728886 |
| 2025-08-18 03:38:00.902692 | 2025-08-19 01:13:57.820202 | 11095773 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11095773 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-08-20 | F | PT | N/A | VALDIVIA | 5YW9MP7AV42 | CRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189393/check_11095773_d5114b69-de60-4cbb-8cdd-c79923952c89.json | N/A | N/A | N/A | N/A | N/A | 5YW9MP7AV42 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-19 | H4471 | N/A | N/A | MB | false | VALDIVIA | N/A | CRISTINA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574382748 | N/A | N/A | 6189393 | 2222 | 4801 | 10904964 | N/A | 4219064 | 2025-08-19 01:13:57.820202 | 2025-06-06 15:26:44.406275 |
| 2025-08-18 03:38:00.687279 | 2025-08-19 01:11:14.790741 | 11095759 | N/A | N/A | 60054 | Aetna | 1114042165 | 11095759 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-08-19 | F | AE | PT | TRUONG | W285894295 | TARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072018151.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458419/check_11095759_7d1e2870-d353-4f3b-a223-ed21338343c8.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 | 8574797068 | N/A | N/A | 7458419 | 2222 | 4801 | 10898264 | N/A | 6407374 | 2025-08-19 01:11:14.790741 | 2025-07-25 20:45:12.336863 |
| 2025-08-18 03:37:50.245027 | 2025-08-19 01:07:58.151374 | 11094934 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11094934 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-08-20 | M | AE | PT | MATHEU | 00000270336 | CARLOS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_11094934_398362fc-8b22-4582-918c-d18ca32919f9.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574788670 | N/A | N/A | 6189737 | 2222 | 4801 | 10890798 | N/A | 4209126 | 2025-08-19 01:07:58.151374 | 2025-05-13 04:29:37.223551 |
| 2025-08-18 03:37:48.001001 | 2025-08-19 01:18:53.135765 | 11094765 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11094765 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-08-20 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072018151.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_11094765_5f940c72-4ef6-4b10-9527-1e3d9ceebe4d.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 | 8574795912 | N/A | N/A | 7456457 | 2222 | 4793 | 10911063 | N/A | 6405774 | 2025-08-19 01:18:53.135765 | 2026-03-16 21:02:08.525887 |
| 2025-08-18 03:37:46.937887 | 2025-08-19 01:04:36.898560 | 11094664 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11094664 | N/A | 1984-07-28 | 2025-08-21 | M | PT | N/A | ADAPA | DHC801433521 | PAVAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063522396.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7638701/check_11094664_86338ed7-84c9-45d2-820d-fcecd39f6d18.json | N/A | N/A | N/A | N/A | N/A | DHC801433521 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1984-07-28 | N/A | N/A | N/A | N/A | false | ADAPA | N/A | PAVAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574359099 | N/A | N/A | 7638701 | 2222 | 4793 | 10885414 | N/A | 6533086 | 2025-08-19 01:04:36.898560 | 2025-08-12 04:29:49.496561 |
| 2025-08-18 03:37:46.456352 | 2025-08-19 01:14:11.471643 | 11094618 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11094618 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-08-20 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072018151.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_11094618_f014b74b-8098-4546-ab4e-44725c139910.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574795904 | N/A | N/A | 7456267 | 2222 | 4793 | 10905470 | N/A | 6405582 | 2025-08-19 01:14:11.471643 | 2025-08-04 21:58:38.426681 |
| 2025-08-18 03:37:39.815658 | 2025-08-19 01:04:48.243869 | 11094115 | N/A | N/A | 60054 | Aetna | 1114042165 | 11094115 | Athletic Physical Therapy Inc | 1964-04-01 | 2025-08-20 | F | AE | PT | LANGELLA | W295010660 | CARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063522396.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7637463/check_11094115_d914d117-ffed-4243-a4d6-46925347310a.json | N/A | N/A | N/A | N/A | N/A | W294785533 | Point of Service (POS) | PROVIDENCE HEALTH AND SERVICES | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | 1964-04-01 | 0237590 | 023759003200001 | N/A | PS | false | NOVAK | N/A | ADAM | N/A | N/A | N/A | AHF CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574358590 | N/A | N/A | 7637463 | 2222 | 4801 | 10885687 | N/A | 6532836 | 2025-08-19 01:04:48.243869 | 2025-07-31 20:51:17.190667 |
| 2025-08-18 03:37:37.368201 | 2025-08-19 01:09:18.458719 | 11093976 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11093976 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-19 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_11093976_10a37f95-63d0-4b57-bd32-fc0dc011c6a7.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574382572 | N/A | N/A | 6145898 | 2222 | 4801 | 10893748 | N/A | 4786709 | 2025-08-19 01:09:18.458719 | 2025-06-20 18:28:02.399027 |
| 2025-08-18 03:37:36.855055 | 2025-08-19 02:16:53.385537 | 11093945 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11093945 | Athletic Physical Therapy Inc | 1947-03-21 | 2025-08-20 | M | PT | N/A | FERRALL | 480M9267310 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063833344.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7001790/check_11093945_377a5e10-e5d9-48c1-b2ab-fc7df6f4bc57.json | N/A | N/A | N/A | N/A | N/A | 480M9267310 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-03-21 | N/A | N/A | N/A | N/A | false | FERRALL | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574356078 | N/A | N/A | 7001790 | 2222 | 4801 | 10917166 | N/A | 6020056 | 2025-08-19 02:16:53.385537 | 2025-07-14 21:10:04.704842 |
| 2025-08-18 03:37:33.968269 | 2025-08-19 01:07:22.066779 | 11093793 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11093793 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-08-21 | M | AE | PT | KOGUT | 2MV0DM5CR18 | JAMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063538996.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7264301/check_11093793_a236de0b-c826-4189-a49c-d59216a6214c.json | N/A | N/A | N/A | N/A | N/A | 2MV0DM5CR18 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5921 | N/A | N/A | MB | false | KOGUT | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574347724 | N/A | N/A | 7264301 | 2222 | 4801 | 10889764 | N/A | 6228944 | 2025-08-19 01:07:22.066779 | 2025-08-09 18:39:08.251512 |
| 2025-08-18 03:37:33.203472 | 2025-08-19 02:09:53.810348 | 11093751 | N/A | N/A | 60054 | Aetna | 1114042165 | 11093751 | Athletic Physical Therapy Inc | 1973-06-29 | 2025-08-21 | M | AE | PT | PHILIBOSIAN | W278870596 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063833344.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000214/check_11093751_29928d97-71ce-450d-88f5-ad6cec778355.json | N/A | N/A | N/A | N/A | N/A | W278870596 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1973-06-29 | 0232494 | 023249401700556 | N/A | PS | false | PHILIBOSIAN | N/A | ROBERT | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574356069 | N/A | N/A | 7000214 | 2222 | 4801 | 10913962 | N/A | 4219137 | 2025-08-19 02:09:53.810348 | 2025-05-13 04:29:37.230154 |
| 2025-08-18 03:37:32.844717 | 2025-08-19 02:25:46.235987 | 11093726 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11093726 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-08-20 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063833344.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_11093726_96161ea8-8b10-4dd9-adef-c387c9414931.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MA | false | JIMENEZ LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574356068 | N/A | N/A | 7000055 | 2222 | 4801 | 10921730 | N/A | 6019507 | 2025-08-19 02:25:46.235987 | 2025-07-14 20:23:06.646459 |
| 2025-08-18 03:37:26.299552 | 2025-08-19 01:08:45.600807 | 11093321 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11093321 | Athletic Physical Therapy Inc | 1946-11-12 | 2025-08-19 | F | AE | PT | MILLER | XDD616A55642 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.064026401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134555/check_11093321_d537692b-ab5e-44aa-9ca8-e72442e80a7f.json | N/A | N/A | N/A | N/A | N/A | 4T87TH0QY36 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1946-11-12 | 040 | 40003A | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574382520 | N/A | N/A | 6134555 | 2222 | 4802 | 10892523 | N/A | 4214465 | 2025-08-19 01:08:45.600807 | 2025-06-04 19:00:43.001374 |
| 2025-08-18 03:37:18.026437 | 2025-08-19 00:59:01.402364 | 11092702 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11092702 | Athletic Physical Therapy Inc | 1966-11-15 | 2025-08-20 | F | PT | N/A | WILLIAMS | XEH9032731694 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063538996.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258960/check_11092702_280ad7c1-e980-43e5-aec4-d7c742cfc1b1.json | N/A | N/A | N/A | N/A | N/A | XEH9032731694 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1966-11-15 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CYNTHIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574347610 | N/A | N/A | 7258960 | 2222 | 4801 | 10878626 | N/A | 6224768 | 2025-08-19 00:59:01.402364 | 2025-08-08 01:50:02.444196 |
| 2025-08-18 03:37:15.589443 | 2025-08-19 00:57:25.786788 | 11092529 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11092529 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-08-20 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063538996.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_11092529_d0adb6c7-5daa-4e55-9737-7bd2491c5fd3.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574347595 | N/A | N/A | 7258746 | 2222 | 4802 | 10877951 | N/A | 6224482 | 2025-08-19 00:57:25.786788 | 2025-08-07 00:03:18.267969 |
| 2025-08-18 03:37:12.424343 | 2025-08-19 01:13:09.025672 | 11092282 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11092282 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-08-20 | M | AE | PT | BOLTON | 3EK5DJ1UC60 | ALAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174537/check_11092282_d1728f63-e4ce-4535-aa9f-80a639bae3ec.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 | 8574789534 | N/A | N/A | 6174537 | 2222 | 4793 | 10903140 | N/A | 4815871 | 2025-08-19 01:13:09.025672 | 2025-08-01 15:33:39.468574 |
| 2025-08-18 03:37:11.263208 | 2025-08-19 01:05:59.126435 | 11092185 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11092185 | Athletic Physical Therapy Inc | 1995-07-14 | 2025-08-19 | F | AD | N/A | Yee | U7171601401 | Amanda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.071944039.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174184/check_11092185_dcc661ea-ee62-4be3-9f38-84d381201e9e.json | N/A | N/A | N/A | N/A | N/A | U7171601401 | N/A | ROKU, INC. | CHLIC | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-07-14 | N/A | 3340367 | N/A | N/A | false | YEE | N/A | AMANDA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8574789510 | N/A | N/A | 6174184 | 2222 | 4802 | 10887606 | N/A | 4815542 | 2025-08-19 01:05:59.126435 | 2025-06-06 19:25:46.160820 |
| 2025-08-18 03:37:09.603928 | 2025-08-19 00:57:27.054061 | 11092059 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11092059 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-08-19 | M | PT | N/A | Gast | JQV110W08240 | Eberhard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063538996.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258119/check_11092059_7ee2de00-9198-4cac-989f-cc7cc12d63ad.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574347550 | N/A | N/A | 7258119 | 2222 | 4802 | 10877957 | 4184 | 6223297 | 2025-08-19 00:57:27.054061 | 2025-07-28 18:57:51.679781 |
| 2025-08-18 03:37:09.269004 | 2025-08-18 03:37:11.302732 | 11092032 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-03 | N/A | PT | AE | Yiannakakis | 913624039 | Kathy | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11092032_ebd296f9-e00d-46ba-b4db-0612a8e11a28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_11092032_6035eb19-752a-47ab-ac6d-da3bcc024b60.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | 10844933 | N/A | 4766950 | 2025-08-18 03:37:11.302732 | 2025-06-03 22:10:54.646473 |
| 2025-08-18 03:37:07.260084 | 2025-08-19 00:59:00.128247 | 11091899 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11091899 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-08-20 | F | PT | N/A | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063538996.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_11091899_f9cf90fd-a49e-4ad7-94df-7342ddb74d6c.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574347539 | N/A | N/A | 7257479 | 2222 | 4802 | 10878620 | N/A | 4210270 | 2025-08-19 00:59:00.128247 | 2025-07-08 18:23:05.596578 |
| 2025-08-18 03:37:06.945350 | 2025-08-19 01:06:26.589161 | 11091868 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11091868 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-08-20 | M | PT | N/A | Lane | XEK904721388 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063525644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_11091868_c81d3240-0b09-4839-9df1-7f7779178040.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574349588 | N/A | N/A | 6814774 | 2222 | 4802 | 10888328 | N/A | 5857104 | 2025-08-19 01:06:26.589161 | 2025-07-08 17:08:11.593095 |
| 2025-08-18 03:37:06.625639 | 2025-08-18 03:37:09.258905 | 11091843 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-03 | N/A | PT | AE | Yiannakakis | 913624039 | Kathy | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_11091843_2860ed58-95a2-47b3-9245-65bf7bb1278b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-08-18 03:37:09.258905 | 2025-06-03 22:10:54.646473 |
| 2025-08-18 03:37:05.759410 | 2025-08-19 00:53:40.826357 | 11091781 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11091781 | Athletic Physical Therapy Inc | 1994-05-25 | 2025-08-19 | M | PT | N/A | BOWMAN | UMG354W05421 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063616353.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8073830/check_11091781_01eb7771-e193-4c09-89f7-6e017ff2d894.json | N/A | N/A | N/A | N/A | N/A | UMG354W05421 | Exclusive Provider Organization | UNIVERSAL MUSIC GROUP | ANTHEM BLUE CROSS | N/A | 1994-05-25 | 040 | 170167M050 | N/A | EP | false | BOWMAN | N/A | JOSEPH | N/A | 9999-12-31 | 2020-06-02 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574351725 | N/A | N/A | 8073830 | 2222 | 4802 | 10876602 | N/A | 6858276 | 2025-08-19 00:53:40.826357 | 2025-08-14 00:02:33.736728 |
| 2025-08-18 03:37:05.175393 | 2025-08-19 01:06:27.208274 | 11091738 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11091738 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-08-21 | F | PT | N/A | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063525644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_11091738_6d472c61-81bc-4e26-a602-88dcdac70870.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574349580 | N/A | N/A | 6814311 | 2222 | 4793 | 10888341 | N/A | 5856694 | 2025-08-19 01:06:27.208274 | 2025-07-07 18:45:06.287504 |
| 2025-08-18 03:37:02.816356 | 2025-08-19 02:21:54.676059 | 11091589 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11091589 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-08-20 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063017756.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_11091589_8400af24-546f-465f-a0f6-74c50711f157.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574286452 | N/A | N/A | 7994545 | 2222 | 4802 | 10919474 | N/A | 6802250 | 2025-08-19 02:21:54.676059 | 2025-08-11 23:58:28.358402 |
| 2025-08-18 03:37:00.401876 | 2025-08-19 01:01:27.824392 | 11091469 | N/A | N/A | 60054 | Aetna | 1114042165 | 11091469 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-08-20 | M | AE | PT | RAFIQI | W291629581 | ROMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063525644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_11091469_eff1be98-ee82-4a71-951b-13844ee51239.json | N/A | N/A | N/A | N/A | N/A | W291506071 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574348531 | N/A | N/A | 6813848 | 2222 | 4801 | 10880909 | N/A | 5856139 | 2025-08-19 01:01:27.824392 | 2025-07-22 03:39:47.404623 |
| 2025-08-18 03:36:59.711114 | 2025-08-19 02:21:55.865717 | 11091436 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11091436 | Athletic Physical Therapy Inc | 1975-07-23 | 2025-08-19 | F | PT | N/A | KU | XED914350584 | ANGELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063017756.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7991439/check_11091436_696191d1-9704-4ee7-924d-59631cddd426.json | N/A | N/A | N/A | N/A | N/A | XED914350584 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1975-07-23 | 2001ZK002184 | X0001004 | N/A | PR | false | KU | N/A | ANGELA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574286443 | N/A | N/A | 7991439 | 2222 | 4802 | 10919480 | N/A | 6799948 | 2025-08-19 02:21:55.865717 | 2025-08-19 22:19:45.977062 |