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 03:35:44.561643 | 2025-08-19 05:05:21.291881 | 11086509 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11086509 | Athletic Physical Therapy Inc | 1954-08-05 | 2025-08-19 | F | AE | PT | HORLAND | 20663702 | IVEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.062919826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7825428/check_11086509_361133b0-68cd-4b3a-a448-f97cf9d37d1b.json | N/A | N/A | N/A | N/A | N/A | 20663702 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-08-05 | N/A | N/A | N/A | N/A | false | HORLAND | N/A | IVEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574265373 | N/A | N/A | 7825428 | 2222 | 4793 | 10927932 | N/A | 6663392 | 2025-08-19 05:05:21.291881 | 2025-08-06 23:29:48.431578 |
| 2025-08-18 03:35:43.146467 | 2025-08-18 03:35:44.899892 | 11086419 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | SANKOVICH | 00000375069 | DEBORAH A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11086419_93b74514-70e5-4e61-b830-8b0e848a5f50.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11086419_1ac354f1-5736-4e3e-9766-7575e51bdd3d.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10844652 | N/A | 4215193 | 2025-08-18 03:35:44.899892 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:35:41.518459 | 2025-08-18 03:35:43.137259 | 11086321 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | SANKOVICH | 00000375069 | DEBORAH A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11086321_be304b5d-9e4b-489c-b6ed-55c09dfec69b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-18 03:35:43.137259 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:35:39.332695 | 2025-08-18 03:35:41.050736 | 11086182 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | SANKOVICH | 00000375069 | DEBORAH A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11086182_c9d13a2e-8990-4700-8cc5-30836c501278.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11086182_7eaec5ce-299e-4470-aa92-a0f3aaf04ab7.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10844639 | N/A | 4215193 | 2025-08-18 03:35:41.050736 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:35:37.688700 | 2025-08-19 01:07:21.446364 | 11086075 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11086075 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-08-20 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | 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/2222/7214829/check_11086075_5315b4df-fc06-4818-a676-98507f178762.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574349548 | N/A | N/A | 7214829 | 2222 | 4802 | 10889754 | N/A | 4209498 | 2025-08-19 01:07:21.446364 | 2025-09-22 06:46:20.286658 |
| 2025-08-18 03:35:37.588125 | 2025-08-18 03:35:39.329785 | 11086067 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | SANKOVICH | 00000375069 | DEBORAH A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11086067_8c60083c-cb1e-448c-a719-fd053848241a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-18 03:35:39.329785 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:35:32.628588 | 2025-08-19 01:18:53.879705 | 11085764 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11085764 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-08-19 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | 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/2222/7444722/check_11085764_5ac46838-167f-48de-a3a3-e149403a69a6.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MA | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574796032 | N/A | N/A | 7444722 | 2222 | 4802 | 10911071 | N/A | 6395498 | 2025-08-19 01:18:53.879705 | 2026-02-18 02:38:35.073779 |
| 2025-08-18 03:35:26.661241 | 2025-08-19 01:08:46.336469 | 11085391 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11085391 | Athletic Physical Therapy Inc | 1975-01-21 | 2025-08-20 | F | PT | N/A | ZAKLAMA | XEA913728701 | DINA | 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/2222/6140446/check_11085391_a127f420-3ae7-4fd7-962f-9c385a06f99a.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-01-21 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574790529 | N/A | N/A | 6140446 | 2222 | 4801 | 10892552 | N/A | 4781471 | 2025-08-19 01:08:46.336469 | 2025-06-06 17:06:04.900314 |
| 2025-08-18 03:35:26.240683 | 2025-08-19 01:07:46.572256 | 11085367 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11085367 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-08-20 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 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/2222/6140436/check_11085367_1e2d31bf-e249-4a43-8afe-91d7e4afc1ac.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574790528 | N/A | N/A | 6140436 | 2222 | 4801 | 10890423 | N/A | 4781417 | 2025-08-19 01:07:46.572256 | 2025-06-06 17:03:19.078153 |
| 2025-08-18 03:35:24.860768 | 2025-08-19 01:14:11.766263 | 11085269 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11085269 | Athletic Physical Therapy Inc | 1977-07-01 | 2025-08-19 | M | PT | N/A | FENERTY | XDMOE0145837 | STEPHEN | 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/2222/7444452/check_11085269_13a8fcea-ad8e-4c6f-ae0e-58e3f76b0c0e.json | N/A | N/A | N/A | N/A | N/A | XDMOE0145837 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1977-07-01 | 040 | 278671H001 | N/A | HM | false | FENERTY | N/A | STEPHEN | N/A | 9999-12-31 | 2015-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574796013 | N/A | N/A | 7444452 | 2222 | 4801 | 10905483 | N/A | 6395187 | 2025-08-19 01:14:11.766263 | 2025-07-25 17:43:45.394385 |
| 2025-08-18 03:35:24.402178 | 2025-08-19 01:03:34.478092 | 11085234 | N/A | N/A | 60054 | Aetna | 1114042165 | 11085234 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-08-19 | M | AE | PT | HUANG | W278191924 | DANNY | 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/2222/6140246/check_11085234_faaf4ce6-da0e-4e37-8a8e-c9681910ba28.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574790210 | N/A | N/A | 6140246 | 2222 | 4802 | 10883938 | N/A | 4781166 | 2025-08-19 01:03:34.478092 | 2025-06-11 17:29:46.826705 |
| 2025-08-18 03:35:22.549444 | 2025-08-19 01:01:28.969769 | 11085130 | N/A | N/A | 60054 | AETNA | 1114042165 | 11085130 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-08-19 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | 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/2222/6786642/check_11085130_adec82d8-44d9-4eb4-b07a-9e77dc848920.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 | 8574350793 | N/A | N/A | 6786642 | 2222 | 4793 | 10880928 | 3939 | 5818009 | 2025-08-19 01:01:28.969769 | 2025-07-15 23:19:05.900633 |
| 2025-08-18 03:35:22.498394 | 2025-08-19 01:12:45.959416 | 11085128 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 11085128 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-08-21 | F | AE | PT | SAPHOS | U2326133302 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.072018151.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444268/check_11085128_39b7ead4-c052-4084-8a92-50d191ca388e.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574796007 | N/A | N/A | 7444268 | 2222 | 4793 | 10902174 | N/A | 6395002 | 2025-08-19 01:12:45.959416 | 2025-08-01 21:55:47.943743 |
| 2025-08-18 03:35:17.214932 | 2025-08-19 05:06:12.825703 | 11084813 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11084813 | Athletic Physical Therapy Inc | 1983-07-31 | 2025-08-19 | F | PT | N/A | DAVIS | XED912723275 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.062919826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7818138/check_11084813_2ccecc99-f8f6-4e6b-8bf5-3785c08b2bc6.json | N/A | N/A | N/A | N/A | N/A | XED912723275 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-07-31 | 2001ZK002186 | X0001004 | N/A | PR | false | DAVIS | N/A | MARIA | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574265158 | N/A | N/A | 7818138 | 2222 | 4802 | 10928086 | N/A | 6657057 | 2025-08-19 05:06:12.825703 | 2025-08-11 21:26:08.469881 |
| 2025-08-18 03:35:11.863339 | 2025-08-19 00:59:46.010729 | 11084394 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11084394 | Athletic Physical Therapy Inc | 1984-03-13 | 2025-08-19 | F | AE | PT | NAZERALI | 95517882H | SHAHEEN | 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/2222/6782227/check_11084394_bdf6a567-c7b0-4013-99fd-c085ddb5c214.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1984-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574348860 | N/A | N/A | 6782227 | 2222 | 4802 | 10879091 | N/A | 5813326 | 2025-08-19 00:59:46.010729 | 2025-07-21 17:21:46.553298 |
| 2025-08-18 03:35:11.282307 | 2025-08-19 05:05:20.982247 | 11084342 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11084342 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-08-19 | M | AE | PT | CORAY | 00003138358 | KLAUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.062919826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_11084342_044fb2d6-5196-4872-baa3-315c4291971e.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574264080 | N/A | N/A | 7815883 | 2222 | 4793 | 10927931 | N/A | 6655655 | 2025-08-19 05:05:20.982247 | 2025-09-09 21:32:56.328170 |
| 2025-08-18 03:35:08.941694 | 2025-08-19 02:17:46.618481 | 11084185 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11084185 | Athletic Physical Therapy Inc | 2005-07-19 | 2025-08-20 | F | PT | N/A | MOORE | WZA952W18561 | FAITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063613842.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6644228/check_11084185_76fe106c-4198-4910-9861-cb5d2bc185cd.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 2005-07-19 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574345472 | N/A | N/A | 6644228 | 2222 | 4801 | 10917531 | N/A | 5251545 | 2025-08-19 02:17:46.618481 | 2025-07-16 15:52:27.392778 |
| 2025-08-18 03:35:03.257868 | 2025-08-19 02:16:55.397310 | 11083814 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11083814 | Athletic Physical Therapy Inc | 1957-07-02 | 2025-08-21 | F | PT | N/A | HEET | NCF335A78493 | MARY | 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/2222/6971855/check_11083814_f1b1d39b-3d9b-40fc-b055-399f21563a6a.json | N/A | N/A | N/A | N/A | N/A | 9U73KW0FR19 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1957-07-02 | 040 | 280612H004 | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574354860 | N/A | N/A | 6971855 | 2222 | 4793 | 10917179 | N/A | 5993849 | 2025-08-19 02:16:55.397310 | 2025-07-24 01:56:09.463748 |
| 2025-08-18 03:34:59.682881 | 2025-08-19 05:01:19.526969 | 11083564 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11083564 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-08-21 | F | AE | PT | BASS | 101139629800 | NADINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.062919826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_11083564_bcb63818-94a8-4d42-9b06-37be2f3d7f19.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574264985 | N/A | N/A | 7813006 | 2222 | 4802 | 10927267 | N/A | 6653186 | 2025-08-19 05:01:19.526969 | 2025-08-06 14:30:41.257679 |
| 2025-08-18 03:34:56.327545 | 2025-08-19 02:06:36.075062 | 11083336 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11083336 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-08-20 | M | AE | PT | MEJIA | 40055012201 | RUBEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063613842.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_11083336_d6567f98-322d-4842-9369-8a01949130d3.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1937-09-14 | N/A | N/A | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574345430 | N/A | N/A | 6642365 | 2222 | 4801 | 10913272 | N/A | 5249029 | 2025-08-19 02:06:36.075062 | 2025-07-14 01:52:51.387918 |
| 2025-08-18 03:34:53.878056 | 2025-08-19 01:05:13.938761 | 11083147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11083147 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-08-19 | F | PT | N/A | Taggart | MBL830M95233 | Rita | 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/2222/6780011/check_11083147_e9b84c3e-6d0a-4386-9b34-22b11c2a84f6.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 | 8574350396 | N/A | N/A | 6780011 | 2222 | 4802 | 10886329 | N/A | 5811238 | 2025-08-19 01:05:13.938761 | 2025-07-03 18:24:56.520298 |
| 2025-08-18 03:34:53.494125 | 2025-08-19 02:25:03.994256 | 11083120 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11083120 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-08-19 | F | AE | PT | Tatge | 2DH1CG9VR90 | Glenda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063613842.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_11083120_fe11a8b1-b0e7-42b7-b54b-acfa31564ac5.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574344878 | N/A | N/A | 6641936 | 2222 | 4801 | 10921151 | N/A | 5248742 | 2025-08-19 02:25:03.994256 | 2025-07-16 18:02:25.797343 |
| 2025-08-18 03:34:47.575580 | 2025-08-19 02:25:03.226030 | 11082708 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11082708 | Athletic Physical Therapy Inc | 1956-05-21 | 2025-08-21 | M | AE | PT | Kosec | 7N05DC8JJ95 | Kevin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063613842.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6639429/check_11082708_90adc190-32c8-43e2-84c3-2a076405ee1c.json | N/A | N/A | N/A | N/A | N/A | 7N05DC8JJ95 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-21 | H4036 | N/A | N/A | MA | false | KOSEC | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574344857 | N/A | N/A | 6639429 | 2222 | 4802 | 10921145 | N/A | 5248081 | 2025-08-19 02:25:03.226030 | 2025-07-01 21:08:10.945475 |
| 2025-08-18 03:34:41.131353 | 2025-08-19 01:05:36.380744 | 11082252 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 11082252 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-08-19 | M | AE | PT | HACKBARTH | 00000294758 | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_11082252_3aaf4c6f-6fbe-44ed-a165-8d19a105bc57.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574285378 | N/A | N/A | 5568081 | 2222 | 4801 | 10886964 | N/A | 4212656 | 2025-08-19 01:05:36.380744 | 2025-08-12 21:09:57.607033 |
| 2025-08-18 03:34:40.858370 | 2025-08-19 01:04:40.147778 | 11082241 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11082241 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-08-19 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_11082241_782eb038-a988-413a-b133-703e99d1d970.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 | 8574285377 | N/A | N/A | 5568076 | 2222 | 4802 | 10885510 | N/A | 4209480 | 2025-08-19 01:04:40.147778 | 2026-04-10 02:05:15.976484 |
| 2025-08-18 03:34:38.008567 | 2025-08-19 02:20:26.624121 | 11082089 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11082089 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-08-19 | F | PT | N/A | Moore | 788W15745 | Jeana | 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/2222/7899162/check_11082089_321d288b-0d4c-4a94-b22d-f1015b856eab.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574287270 | N/A | N/A | 7899162 | 2222 | 4802 | 10918772 | N/A | 6725117 | 2025-08-19 02:20:26.624121 | 2026-02-18 22:27:04.950292 |
| 2025-08-18 03:34:36.596537 | 2025-08-19 02:13:39.131969 | 11082001 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11082001 | N/A | 1956-10-21 | 2025-08-20 | M | PT | N/A | TOROS | SAD103594467 | HALIL | 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/2222/7896723/check_11082001_c446fda6-7ae1-4287-a440-a93cfe024f9b.json | N/A | N/A | N/A | N/A | N/A | SAD103594467 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1956-10-21 | N/A | N/A | N/A | N/A | false | TOROS | N/A | HALIL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574287263 | N/A | N/A | 7896723 | 2222 | 4802 | 10915552 | N/A | 6723602 | 2025-08-19 02:13:39.131969 | 2025-08-12 18:22:41.461515 |
| 2025-08-18 03:34:18.189561 | 2025-08-19 00:54:47.720248 | 11080995 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11080995 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-08-19 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | 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/2222/8026951/check_11080995_c078ce05-d4f8-4adf-bf60-3bda3d222d3a.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574352483 | N/A | N/A | 8026951 | 2222 | 4801 | 10876987 | N/A | 6828511 | 2025-08-19 00:54:47.720248 | 2025-08-14 00:23:35.929152 |
| 2025-08-18 03:34:02.292768 | 2025-08-19 00:50:48.371080 | 11080107 | N/A | N/A | 60054 | Aetna | 1114042165 | 11080107 | Athletic Physical Therapy Inc | 2014-11-20 | 2025-08-19 | F | AE | PT | GALATI | W270615605 | THEODORA | 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/2222/7202389/check_11080107_777adb78-21d3-41ca-9fb5-e9f722f83c4d.json | N/A | N/A | N/A | N/A | N/A | W270615605 | Point of Service (POS) | WESTERN ALLIANCE BANK | AETNA | N/A | 2014-11-20 | 0237851 | 023785101200002 | N/A | PS | false | GALATI | N/A | GARRETT | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574349098 | N/A | N/A | 7202389 | 2222 | 4793 | 10875484 | N/A | 6173010 | 2025-08-19 00:50:48.371080 | 2025-07-28 23:51:44.019989 |
| 2025-08-18 03:34:01.330903 | 2025-08-19 02:18:52.793067 | 11080051 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11080051 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-08-20 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063613842.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_11080051_6069b4fb-426a-4180-ae24-431141581ad4.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574345363 | N/A | N/A | 6621141 | 2222 | 4801 | 10918072 | N/A | 5237460 | 2025-08-19 02:18:52.793067 | 2025-07-24 16:59:54.908041 |
| 2025-08-18 03:34:01.144591 | 2025-08-19 00:50:38.435673 | 11080039 | N/A | N/A | 60054 | Aetna | 1114042165 | 11080039 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-08-19 | M | AE | PT | LEE | W166967828 | MICAH | 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/2222/8025873/check_11080039_359baab7-42c5-42c2-b9ef-89cc80ced2a6.json | N/A | N/A | N/A | N/A | N/A | W166967828 | Point of Service (POS) | VIRTUS INVESTMENT PARTNERS, INC. | AETNA | N/A | 2005-12-05 | 0479671 | 047967101200001 | N/A | PS | false | LEE | N/A | FRANK | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574352313 | N/A | N/A | 8025873 | 2222 | 4802 | 10875408 | N/A | 6827370 | 2025-08-19 00:50:38.435673 | 2025-08-19 17:52:17.507801 |
| 2025-08-18 03:33:59.070865 | 2025-08-19 01:11:32.287618 | 11079891 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11079891 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-08-19 | F | AE | PT | CHAMBERLIN | CAW905797094 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063522396.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591326/check_11079891_449e4fb5-15c1-4be2-9ef6-b2f9cc294760.json | N/A | N/A | N/A | N/A | N/A | CAW905797094 | Preferred Provider Organization (PPO) | CSEBA BEAR VALLEY UNIFIED SCHOOL DISTRICT | BLUE SHIELD CALIFORNIA | N/A | 1960-09-02 | 1001PPOX0001 | W0064554 | N/A | PR | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | CSEBA ASO PPO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574358535 | N/A | N/A | 7591326 | 2222 | 4801 | 10899059 | N/A | 6499323 | 2025-08-19 01:11:32.287618 | 2025-07-30 18:54:36.603528 |
| 2025-08-18 03:33:58.164468 | 2025-08-18 03:33:59.856069 | 11079832 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | SANKOVICH | 00000375069 | DEBORAH A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11079832_e475ab6a-d14c-480f-9384-1baa634c1c26.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11079832_52420b34-bdfc-43f0-aed6-22202811b14e.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10844319 | N/A | 4215193 | 2025-08-18 03:33:59.856069 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:56.139747 | 2025-08-19 01:07:59.378124 | 11079710 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11079710 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-08-19 | F | AE | PT | SHAH | 00000313869 | GITABEN | 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/2222/6125116/check_11079710_440d240e-4605-4b91-913b-4866ad3a6ceb.json | N/A | N/A | N/A | N/A | N/A | 00000313869 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SHAH | N/A | GITABEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574789343 | N/A | N/A | 6125116 | 2222 | 4801 | 10890841 | 2630 | 4767564 | 2025-08-19 01:07:59.378124 | 2025-06-10 20:15:29.406532 |
| 2025-08-18 03:33:54.336152 | 2025-08-19 01:00:49.128999 | 11079599 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11079599 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-08-19 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | 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/2222/6124845/check_11079599_8d67941c-5219-49ef-999f-2e9a76be136a.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574789335 | N/A | N/A | 6124845 | 2222 | 4793 | 10880232 | N/A | 4767293 | 2025-08-19 01:00:49.128999 | 2025-06-06 15:11:48.015692 |
| 2025-08-18 03:33:53.210498 | 2025-08-19 01:05:13.105004 | 11079521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079521 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-08-21 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | 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/2222/6770593/check_11079521_8ee51912-42f8-4efd-a2ac-0e5a42925db2.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574349486 | N/A | N/A | 6770593 | 2222 | 4793 | 10886307 | N/A | 5788398 | 2025-08-19 01:05:13.105004 | 2025-07-31 22:52:15.686379 |
| 2025-08-18 03:33:51.591329 | 2025-08-19 01:04:53.012419 | 11079407 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 11079407 | Athletic Physical Therapy Inc | 1955-08-15 | 2025-08-19 | F | AE | PT | CARTWRIGHT | 000010189897 | BRENDA | 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/2222/6770316/check_11079407_20436bf8-ff6b-4dd6-86ac-743fce1cf7be.json | N/A | N/A | N/A | N/A | N/A | 000010189897 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1955-08-15 | 4299049 | 1650095002 | N/A | N/A | false | CARTWRIGHT | N/A | BRENDA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 S.E.I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574349481 | N/A | N/A | 6770316 | 2222 | 4801 | 10885824 | N/A | 5782958 | 2025-08-19 01:04:53.012419 | 2025-08-05 20:26:57.320321 |
| 2025-08-18 03:33:51.209246 | 2025-08-19 01:05:47.896542 | 11079375 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079375 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-08-19 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_11079375_14342a72-f457-4627-926c-0c586ddf80f4.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284965 | N/A | N/A | 5550973 | 2222 | 4793 | 10887299 | N/A | 4219803 | 2025-08-19 01:05:47.896542 | 2025-05-13 04:29:37.230842 |
| 2025-08-18 03:33:50.917232 | 2025-08-19 01:05:48.554981 | 11079354 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079354 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-08-20 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_11079354_a5d63567-b0cb-4840-8acb-7d0e6ed860cf.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284964 | N/A | N/A | 5550953 | 2222 | 4801 | 10887323 | N/A | 4219788 | 2025-08-19 01:05:48.554981 | 2025-06-06 22:01:46.271450 |
| 2025-08-18 03:33:50.728817 | 2025-08-19 01:05:55.364124 | 11079346 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079346 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-08-19 | F | PT | N/A | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_11079346_6a472959-ddbf-48f8-b3cd-839559756beb.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284963 | N/A | N/A | 5550923 | 2222 | 4801 | 10887510 | N/A | 4219763 | 2025-08-19 01:05:55.364124 | 2025-05-13 04:29:37.230804 |
| 2025-08-18 03:33:50.546699 | 2025-08-18 03:33:58.161685 | 11079335 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | SANKOVICH | 00000375069 | DEBORAH A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11079335_dd8600d1-cff5-4adc-b2e8-a580f6dc151a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-18 03:33:58.161685 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:50.441575 | 2025-08-19 01:01:42.204328 | 11079328 | N/A | N/A | 60054 | Aetna | 1114042165 | 11079328 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-08-20 | F | AE | PT | CARDINALI | W286606913 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_11079328_47a7d308-8caa-46fd-823e-f34e0d58e73b.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284962 | N/A | N/A | 5550850 | 2222 | 4802 | 10881209 | N/A | 4215195 | 2025-08-19 01:01:42.204328 | 2025-05-14 09:08:40.751930 |
| 2025-08-18 03:33:50.101951 | 2025-08-19 01:06:34.020433 | 11079311 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11079311 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-08-20 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_11079311_ef084419-203b-4988-af05-a929a68da491.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284961 | N/A | N/A | 5550845 | 2222 | 4801 | 10888523 | N/A | 4219713 | 2025-08-19 01:06:34.020433 | 2025-08-13 22:46:55.732965 |
| 2025-08-18 03:33:49.844475 | 2025-08-19 01:05:46.906362 | 11079292 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079292 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-19 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_11079292_705442c4-cb70-448d-a532-cb62c17e0a59.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284960 | N/A | N/A | 5550838 | 2222 | 4801 | 10887268 | N/A | 4219709 | 2025-08-19 01:05:46.906362 | 2025-05-13 04:29:37.230752 |
| 2025-08-18 03:33:49.655041 | 2025-08-19 01:06:31.018126 | 11079283 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11079283 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-08-19 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_11079283_8cc33852-7d8a-426c-b85a-d331833765f7.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284959 | N/A | N/A | 5550827 | 2222 | 4802 | 10888440 | N/A | 4219700 | 2025-08-19 01:06:31.018126 | 2025-05-13 04:29:37.230745 |
| 2025-08-18 03:33:49.480402 | 2025-08-19 01:05:34.997226 | 11079275 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 11079275 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-08-19 | M | AE | PT | ARUJO | 00000223568 | RAMON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_11079275_7457ca34-a012-4578-adfb-c12f5ade79be.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284958 | N/A | N/A | 5550751 | 2222 | 4801 | 10886922 | 2630 | 4219640 | 2025-08-19 01:05:34.997226 | 2025-05-13 04:29:37.230682 |
| 2025-08-18 03:33:49.296915 | 2025-08-19 01:01:44.243060 | 11079257 | N/A | N/A | 60054 | Aetna | 1114042165 | 11079257 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-08-19 | F | AE | PT | SANTITORO | W267422430 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_11079257_92a3cc54-f00d-44da-908b-015f8a2eba86.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 | 8574284957 | N/A | N/A | 5550743 | 2222 | 4801 | 10881245 | N/A | 4219643 | 2025-08-19 01:01:44.243060 | 2025-05-13 04:29:37.230685 |
| 2025-08-18 03:33:49.067586 | 2025-08-19 05:05:23.165893 | 11079242 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11079242 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-08-19 | F | AE | PT | Mullen | 97749132H | Melissa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.062919826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7799930/check_11079242_e2d9506e-f1db-4541-a1c3-3844f12f6c79.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574264695 | N/A | N/A | 7799930 | 2222 | 4802 | 10927938 | N/A | 6641123 | 2025-08-19 05:05:23.165893 | 2025-08-06 00:00:36.528464 |
| 2025-08-18 03:33:48.915849 | 2025-08-19 01:00:56.499741 | 11079234 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 11079234 | N/A | 1948-01-05 | 2025-08-20 | M | AE | PT | ZITKOVICH | R0351544800 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550695/check_11079234_bcc8d6e1-9228-42ec-9eda-57678829ca15.json | N/A | N/A | N/A | N/A | N/A | R0351544800 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-05 | N/A | N/A | N/A | N/A | false | ZITKOVICH | 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 | 8574284956 | N/A | N/A | 5550695 | 2222 | 4801 | 10880394 | N/A | 4219612 | 2025-08-19 01:00:56.499741 | 2025-06-25 22:11:45.107217 |
| 2025-08-18 03:33:48.695273 | 2025-08-19 01:10:56.473231 | 11079224 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11079224 | Athletic Physical Therapy Inc | 1947-03-15 | 2025-08-20 | M | AE | PT | RASHMAN | 9FN0XY7RR02 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550657/check_11079224_621e377c-e23e-405b-a53c-a66669b48a02.json | N/A | N/A | N/A | N/A | N/A | 9FN0XY7RR02 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-03-15 | S4802 | N/A | N/A | MA | false | RASHMAN | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284955 | N/A | N/A | 5550657 | 2222 | 4802 | 10897483 | N/A | 4219593 | 2025-08-19 01:10:56.473231 | 2025-05-13 04:29:37.230634 |