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 03:33:48.528368 | 2025-08-19 01:10:51.398588 | 11079215 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11079215 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-08-19 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | 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/2222/5550534/check_11079215_95eeb8c1-5ace-4d60-bd91-12347a83702c.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284954 | N/A | N/A | 5550534 | 2222 | 4801 | 10897271 | N/A | 4219556 | 2025-08-19 01:10:51.398588 | 2025-05-13 04:29:37.230592 |
| 2025-08-18 03:33:48.375197 | 2025-08-18 03:33:50.129986 | 11079207 | 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_11079207_ccc9a8a9-b5ec-41f8-8dfc-65497d1a6cf8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11079207_f6c0485e-416c-40f7-a476-f2c298c2fa42.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 | 10844296 | N/A | 4215193 | 2025-08-18 03:33:50.129986 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:48.366398 | 2025-08-19 01:00:37.688855 | 11079206 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11079206 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-08-19 | F | AE | PT | SIMONS | 94378141G | DESIREE | 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/2222/5550102/check_11079206_7a589149-f70e-4080-80fb-51b4167a3a9c.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284953 | N/A | N/A | 5550102 | 2222 | 4802 | 10880003 | N/A | 4212176 | 2025-08-19 01:00:37.688855 | 2025-05-13 04:29:37.226514 |
| 2025-08-18 03:33:48.238368 | 2025-08-19 01:10:52.441473 | 11079198 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11079198 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-08-19 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549981/check_11079198_be25f555-74dd-49bb-8705-bec64d829d35.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284952 | N/A | N/A | 5549981 | 2222 | 4802 | 10897317 | N/A | 4219436 | 2025-08-19 01:10:52.441473 | 2025-05-13 04:29:37.230471 |
| 2025-08-18 03:33:48.047472 | 2025-08-19 01:05:53.742340 | 11079185 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11079185 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-08-20 | F | PT | N/A | SAUCERMAN | XDM288A55735 | ALEXIS | 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/2222/5549817/check_11079185_49ddc1a3-bcb3-4868-b377-df3dc0a6280a.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284951 | N/A | N/A | 5549817 | 2222 | 4793 | 10887466 | 4184 | 4211143 | 2025-08-19 01:05:53.742340 | 2025-05-31 20:12:37.092503 |
| 2025-08-18 03:33:47.926855 | 2025-08-19 01:10:54.337904 | 11079176 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11079176 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-08-20 | F | AE | PT | KUDLATOVA | 9Q04X31JA99 | MARIE | 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/2222/5549471/check_11079176_4bb8a636-011d-4bef-9804-772a9a91a6b0.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-24 | N/A | N/A | N/A | MA | false | KUDLATOVA | N/A | MARIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284949 | N/A | N/A | 5549471 | 2222 | 4801 | 10897388 | N/A | 4219128 | 2025-08-19 01:10:54.337904 | 2025-05-13 04:29:37.230146 |
| 2025-08-18 03:33:47.798234 | 2025-08-19 01:05:54.732752 | 11079167 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079167 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-08-20 | F | PT | N/A | VALDIVIA | JQW088W14517 | CRISTINA | 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/2222/5549398/check_11079167_9a4b1fad-6eb4-4f65-b660-6537bf65b343.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574284948 | N/A | N/A | 5549398 | 2222 | 4801 | 10887502 | N/A | 4219064 | 2025-08-19 01:05:54.732752 | 2025-06-06 15:26:44.406275 |
| 2025-08-18 03:33:47.675734 | 2025-08-19 01:04:49.758760 | 11079155 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 11079155 | N/A | 1951-01-04 | 2025-08-19 | F | AE | PT | SUTTON | 40042449801 | PAMELA | 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/2222/5549270/check_11079155_2e753fed-4d2c-4e92-949c-9f86606af7a2.json | N/A | N/A | N/A | N/A | N/A | 40042449801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1951-01-04 | N/A | N/A | N/A | N/A | false | SUTTON | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284947 | N/A | N/A | 5549270 | 2222 | 4801 | 10885741 | N/A | 4218971 | 2025-08-19 01:04:49.758760 | 2025-05-13 04:29:37.229987 |
| 2025-08-18 03:33:47.650030 | 2025-08-19 01:03:36.313477 | 11079154 | N/A | N/A | 60054 | Aetna | 1114042165 | 11079154 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-08-21 | F | AE | PT | Taylor | 0322952413 | Vienna | 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/2222/6124049/check_11079154_f4e4e736-552c-469b-ab04-fd48327a868f.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | 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 | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574788501 | N/A | N/A | 6124049 | 2222 | 4793 | 10883991 | N/A | 4766759 | 2025-08-19 01:03:36.313477 | 2025-06-04 21:51:50.184092 |
| 2025-08-18 03:33:47.556408 | 2025-08-19 01:05:26.872892 | 11079145 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11079145 | N/A | 1967-12-23 | 2025-08-19 | F | AE | PT | SOL | U9859952501 | ISABEL | 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/2222/5549212/check_11079145_e70cda79-a935-4770-b6ce-82571d8a9f0a.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1967-12-23 | N/A | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574284946 | N/A | N/A | 5549212 | 2222 | 4793 | 10886676 | N/A | 4218926 | 2025-08-19 01:05:26.872892 | 2025-07-30 14:07:18.779456 |
| 2025-08-18 03:33:47.513634 | 2025-08-19 00:57:27.877739 | 11079144 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11079144 | Athletic Physical Therapy Inc | 1977-10-24 | 2025-08-20 | F | PT | N/A | PEREZ | XDM112A72123 | NANNETTE | 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/2222/7200407/check_11079144_8077c86c-03c0-414f-9c32-444f87616d4a.json | N/A | N/A | N/A | N/A | N/A | XDM112A72123 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-10-24 | 040 | 57ARJB | N/A | HM | false | PEREZ | N/A | NANNETTE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574349030 | N/A | N/A | 7200407 | 2222 | 4801 | 10877963 | N/A | 6171391 | 2025-08-19 00:57:27.877739 | 2025-08-05 00:30:25.659527 |
| 2025-08-18 03:33:46.809045 | 2025-08-19 01:00:48.495285 | 11079086 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11079086 | Athletic Physical Therapy Inc | 1959-10-10 | 2025-08-20 | F | AE | PT | AV | H6124714500 | KOUI | 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/2222/6123813/check_11079086_67243d07-9c82-44d4-9b92-ccacec6ea7ae.json | N/A | N/A | N/A | N/A | N/A | H6124714500 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-10-10 | N/A | N/A | N/A | N/A | false | AV | N/A | KOUI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574788498 | N/A | N/A | 6123813 | 2222 | 4801 | 10880218 | N/A | 4766544 | 2025-08-19 01:00:48.495285 | 2025-06-03 20:39:17.779681 |
| 2025-08-18 03:33:46.776973 | 2025-08-18 03:33:48.372628 | 11079081 | 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_11079081_ca992612-30bc-44f6-986b-a1241daf8321.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 03:33:48.372628 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:44.729674 | 2025-08-18 03:33:46.441365 | 11078944 | 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_11078944_398f027e-5ddd-4cca-8db7-e624ab4d2f69.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11078944_67654826-bef8-4b22-bb91-77247a701930.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 | 10844279 | N/A | 4215193 | 2025-08-18 03:33:46.441365 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:43.216172 | 2025-08-19 01:05:26.449218 | 11078832 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11078832 | N/A | 1962-06-19 | 2025-08-20 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | 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/2222/5543555/check_11078832_012f43b6-f470-47dc-9d42-e39a2b85c6cc.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283782 | N/A | N/A | 5543555 | 2222 | 4802 | 10886668 | N/A | 4215332 | 2025-08-19 01:05:26.449218 | 2025-08-06 16:15:15.716322 |
| 2025-08-18 03:33:43.152012 | 2025-08-18 03:33:44.727197 | 11078828 | 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_11078828_962fbe56-2946-4617-81f9-86a29b1c0667.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 03:33:44.727197 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:42.882993 | 2025-08-19 01:04:41.113211 | 11078811 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11078811 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-08-19 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_11078811_372f3f86-4985-485c-90f8-8bfb28120d6a.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283781 | N/A | N/A | 5543425 | 2222 | 4801 | 10885538 | N/A | 4215211 | 2025-08-19 01:04:41.113211 | 2026-04-02 22:30:20.020246 |
| 2025-08-18 03:33:42.706186 | 2025-08-19 01:05:51.847316 | 11078804 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11078804 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-08-20 | M | PT | N/A | MEINERT | XEH912496752 | TIM | 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/2222/5543360/check_11078804_5414ac04-5da5-4bed-b6e3-48b5fbb7dc4b.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283780 | N/A | N/A | 5543360 | 2222 | 4793 | 10887417 | 4184 | 4215161 | 2025-08-19 01:05:51.847316 | 2025-05-13 04:29:37.229478 |
| 2025-08-18 03:33:42.538341 | 2025-08-19 01:06:31.647785 | 11078793 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078793 | Athletic Physical Therapy Inc | 1977-03-23 | 2025-08-21 | M | PT | N/A | FISHMAN | XEA913817626 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543343/check_11078793_906acc2b-cfe1-41d9-ac58-afaaef68f2ef.json | N/A | N/A | N/A | N/A | N/A | XAN913817626 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1977-03-23 | 1477PPOX0002 | W0051411 | N/A | PR | false | FISHMAN | N/A | KEVIN | 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 | 8574283779 | N/A | N/A | 5543343 | 2222 | 4793 | 10888461 | N/A | 4215143 | 2025-08-19 01:06:31.647785 | 2025-05-13 04:29:37.229456 |
| 2025-08-18 03:33:42.377174 | 2025-08-19 01:01:22.069835 | 11078780 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 11078780 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-08-20 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_11078780_5b2a9d87-a7d2-4032-a932-ddb1721c5591.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283777 | N/A | N/A | 5543335 | 2222 | 4802 | 10880803 | N/A | 4215139 | 2025-08-19 01:01:22.069835 | 2025-05-13 21:20:11.455022 |
| 2025-08-18 03:33:42.198546 | 2025-08-19 01:05:40.709377 | 11078768 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 11078768 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-08-20 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_11078768_d33d7df3-58e4-47e6-9826-bb2b4d95bf84.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | 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 | 8574283776 | N/A | N/A | 5543270 | 2222 | 4793 | 10887083 | N/A | 4215086 | 2025-08-19 01:05:40.709377 | 2025-05-13 04:29:37.229401 |
| 2025-08-18 03:33:42.059184 | 2025-08-19 01:10:57.156833 | 11078755 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11078755 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-08-19 | F | AE | PT | SINGER | 8XN3QF1XM78 | KAREN | 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/2222/5543247/check_11078755_de5e1fa7-5fc7-418f-a454-1d64d54ce656.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MA | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283775 | N/A | N/A | 5543247 | 2222 | 4793 | 10897519 | N/A | 4215066 | 2025-08-19 01:10:57.156833 | 2025-05-13 04:29:37.229384 |
| 2025-08-18 03:33:41.867675 | 2025-08-19 01:06:36.503580 | 11078745 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078745 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-08-20 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | 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/2222/5543237/check_11078745_dc6d4fc4-e8e7-472d-aa52-dd2ae41bbaa5.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 9999-12-31 | 2021-07-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283774 | N/A | N/A | 5543237 | 2222 | 4802 | 10888590 | N/A | 4215054 | 2025-08-19 01:06:36.503580 | 2025-05-13 04:29:37.229375 |
| 2025-08-18 03:33:41.707862 | 2025-08-19 01:06:34.351959 | 11078734 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078734 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-08-20 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_11078734_b65b3fe1-f6bb-474f-98c6-806cf3064d5c.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | 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 | 8574283773 | N/A | N/A | 5543211 | 2222 | 4801 | 10888535 | N/A | 4215028 | 2025-08-19 01:06:34.351959 | 2025-05-13 04:29:37.229346 |
| 2025-08-18 03:33:41.581869 | 2025-08-19 01:05:52.455597 | 11078724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078724 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-08-19 | F | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | 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/2222/5543190/check_11078724_7b4679c6-f47a-4fcb-9786-501645e93b17.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283772 | N/A | N/A | 5543190 | 2222 | 4793 | 10887428 | N/A | 4215014 | 2025-08-19 01:05:52.455597 | 2025-06-01 22:57:55.386960 |
| 2025-08-18 03:33:41.459816 | 2025-08-19 01:05:51.148974 | 11078717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078717 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-08-19 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | 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/2222/5543178/check_11078717_587ead1c-d291-4c82-a9a4-2962b9098565.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 2025-09-22 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283771 | N/A | N/A | 5543178 | 2222 | 4802 | 10887398 | N/A | 4215006 | 2025-08-19 01:05:51.148974 | 2025-05-13 04:29:37.229325 |
| 2025-08-18 03:33:41.308442 | 2025-08-19 01:03:41.517664 | 11078705 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 11078705 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-08-21 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_11078705_8b88672d-50cb-4ea9-a395-9de934ad96ff.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8574283770 | N/A | N/A | 5543171 | 2222 | 4793 | 10884130 | N/A | 4214998 | 2025-08-19 01:03:41.517664 | 2025-05-13 04:29:37.229318 |
| 2025-08-18 03:33:41.174904 | 2025-08-19 01:05:50.441198 | 11078696 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078696 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-08-21 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_11078696_2f7b0dc5-37ef-4544-b715-90b8901d1b90.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283769 | N/A | N/A | 5543167 | 2222 | 4793 | 10887372 | N/A | 4214995 | 2025-08-19 01:05:50.441198 | 2025-05-13 04:29:37.229315 |
| 2025-08-18 03:33:40.960056 | 2025-08-18 03:33:42.755856 | 11078681 | 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_11078681_667c98fa-6867-4de7-b9b2-8c43045aca4e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11078681_8531dc24-579f-4c25-954c-791a65fd20da.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 | 10844270 | N/A | 4215193 | 2025-08-18 03:33:42.755856 | 2026-01-16 04:38:12.725481 |
| 2025-08-18 03:33:40.944882 | 2025-08-19 01:05:44.701242 | 11078679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078679 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-08-19 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | 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/2222/5543161/check_11078679_61043348-86d6-4de7-b47a-82121e01bf6e.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283768 | N/A | N/A | 5543161 | 2222 | 4793 | 10887196 | N/A | 4214989 | 2025-08-19 01:05:44.701242 | 2025-05-13 04:29:37.229310 |
| 2025-08-18 03:33:40.668535 | 2025-08-19 01:05:49.257467 | 11078670 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078670 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-08-20 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | 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/2222/5543043/check_11078670_53de5612-28ac-4157-a978-1ba008a9fd62.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283767 | N/A | N/A | 5543043 | 2222 | 4801 | 10887342 | N/A | 4214884 | 2025-08-19 01:05:49.257467 | 2025-11-12 00:46:10.301659 |
| 2025-08-18 03:33:40.451174 | 2025-08-19 01:04:46.313892 | 11078657 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 11078657 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-08-20 | M | AE | PT | SHADDY | 40064865601 | STEVE | 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/2222/5543011/check_11078657_0956f55e-9aee-4574-a4a8-bbd223a7eebf.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283766 | N/A | N/A | 5543011 | 2222 | 4801 | 10885659 | N/A | 4214861 | 2025-08-19 01:04:46.313892 | 2026-02-04 19:10:58.526441 |
| 2025-08-18 03:33:40.279504 | 2025-08-19 01:06:33.271690 | 11078651 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078651 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-08-19 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_11078651_97c50152-1a9e-4488-b76e-7b3af85777e9.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283765 | N/A | N/A | 5542952 | 2222 | 4802 | 10888500 | N/A | 4214804 | 2025-08-19 01:06:33.271690 | 2025-05-13 20:09:53.786482 |
| 2025-08-18 03:33:40.105151 | 2025-08-19 01:05:45.757376 | 11078641 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078641 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-08-19 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | 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/2222/5542900/check_11078641_5a7b6e42-45f2-439e-9a06-f3429e3bf4ce.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283764 | N/A | N/A | 5542900 | 2222 | 4801 | 10887233 | N/A | 4214759 | 2025-08-19 01:05:45.757376 | 2025-05-13 04:29:37.229079 |
| 2025-08-18 03:33:39.934820 | 2025-08-19 01:01:45.278555 | 11078628 | N/A | N/A | 60054 | Aetna | 1114042165 | 11078628 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-08-19 | M | AE | PT | VELASQUEZ | W290801184 | EVAN | 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/2222/5542874/check_11078628_b95122fb-0227-435d-8770-bc7cef08a0b7.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283763 | N/A | N/A | 5542874 | 2222 | 4802 | 10881268 | N/A | 4214737 | 2025-08-19 01:01:45.278555 | 2025-05-13 04:29:37.229056 |
| 2025-08-18 03:33:39.636048 | 2025-08-19 01:01:42.969417 | 11078613 | N/A | N/A | 60054 | Aetna | 1114042165 | 11078613 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-08-20 | M | AE | PT | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_11078613_3c85c3af-1190-4052-8846-612f48dfc7f2.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283762 | N/A | N/A | 5542870 | 2222 | 4793 | 10881225 | N/A | 4214732 | 2025-08-19 01:01:42.969417 | 2025-06-24 20:13:53.579048 |
| 2025-08-18 03:33:39.481869 | 2025-08-19 01:01:44.615551 | 11078604 | N/A | N/A | 60054 | Aetna | 1114042165 | 11078604 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-08-21 | M | AE | PT | TORGAN | W291598583 | SPENCER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_11078604_87d2a621-e20f-498f-a4b3-83536f62542d.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283761 | N/A | N/A | 5542863 | 2222 | 4793 | 10881253 | N/A | 4214725 | 2025-08-19 01:01:44.615551 | 2025-05-13 04:29:37.229043 |
| 2025-08-18 03:33:39.339377 | 2025-08-19 01:01:43.498957 | 11078592 | N/A | N/A | 60054 | Aetna | 1114042165 | 11078592 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-08-19 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | 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/2222/5542759/check_11078592_2ec260f5-c11a-447e-81b6-5d32f290e974.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283760 | N/A | N/A | 5542759 | 2222 | 4793 | 10881233 | N/A | 4214620 | 2025-08-19 01:01:43.498957 | 2025-08-05 22:41:29.756445 |
| 2025-08-18 03:33:39.193397 | 2025-08-19 02:17:45.697776 | 11078587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 11078587 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-19 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 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/2222/6611912/check_11078587_b72e0ab3-2fda-4e69-88cd-306862e95d0b.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574344995 | N/A | N/A | 6611912 | 2222 | 4793 | 10917522 | N/A | 5230345 | 2025-08-19 02:17:45.697776 | 2025-07-11 20:32:03.183345 |
| 2025-08-18 03:33:39.126744 | 2025-08-19 01:04:40.509729 | 11078580 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 11078580 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-08-21 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_11078580_288e857a-ddc5-462e-a94f-de5ff2c0d0ff.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283759 | N/A | N/A | 5542660 | 2222 | 4802 | 10885519 | N/A | 4214542 | 2025-08-19 01:04:40.509729 | 2025-05-13 04:29:37.228868 |
| 2025-08-18 03:33:38.966522 | 2025-08-19 01:06:48.455490 | 11078574 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078574 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-08-19 | F | PT | N/A | WEBER | JQU141A54789 | MADELINE | 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/2222/5542628/check_11078574_333ed92f-7a6e-4502-b1d3-32542d3610cc.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | BLUE SHIELD OF CALIFORNIA | N/A | 2009-08-14 | 040 | U49858 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283758 | N/A | N/A | 5542628 | 2222 | 4793 | 10888911 | N/A | 4214508 | 2025-08-19 01:06:48.455490 | 2025-06-04 00:05:22.392827 |
| 2025-08-18 03:33:38.804625 | 2025-08-19 01:00:36.838395 | 11078564 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 11078564 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-08-19 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_11078564_7757a6be-04cf-4200-9238-bdfee0c41a84.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283757 | N/A | N/A | 5542611 | 2222 | 4802 | 10879981 | N/A | 4214490 | 2025-08-19 01:00:36.838395 | 2025-05-13 04:29:37.228806 |
| 2025-08-18 03:33:38.627898 | 2025-08-19 01:05:27.551362 | 11078555 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 11078555 | Athletic Physical Therapy Inc | 1962-05-03 | 2025-08-20 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | 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/2222/5542606/check_11078555_58ce9206-46b8-47e9-a879-334bc50db689.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | 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 | 8574283756 | N/A | N/A | 5542606 | 2222 | 4801 | 10886689 | N/A | 4214496 | 2025-08-19 01:05:27.551362 | 2025-05-13 04:29:37.228812 |
| 2025-08-18 03:33:38.492490 | 2025-08-19 01:10:56.124931 | 11078543 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11078543 | Athletic Physical Therapy Inc | 1946-11-12 | 2025-08-19 | F | AE | PT | MILLER | 4T87TH0QY36 | LINDA | 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/2222/5542573/check_11078543_3bb09df8-9c88-4d54-9460-56f49747588e.json | N/A | N/A | N/A | N/A | N/A | 4T87TH0QY36 | Medicare Part B | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-12 | S9701 | N/A | N/A | MB | false | MILLER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283755 | N/A | N/A | 5542573 | 2222 | 4802 | 10897456 | N/A | 4214465 | 2025-08-19 01:10:56.124931 | 2025-06-04 19:00:43.001374 |
| 2025-08-18 03:33:38.313127 | 2025-08-19 01:05:49.936959 | 11078534 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11078534 | Athletic Physical Therapy Inc | 1962-10-12 | 2025-08-20 | F | PT | N/A | KOOMAN ANDERSON | KXJ461W13871 | SARIE | 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/2222/5542565/check_11078534_4abdb4d7-1d9d-4d02-9fff-bf8ace8c611d.json | N/A | N/A | N/A | N/A | N/A | KXJ461W13871 | Health Maintenance Organization (HMO) | OAKS CHRISTIAN SCHOOL | ANTHEM BLUE CROSS | N/A | 1962-10-12 | 040 | L03502H004 | N/A | HM | false | KOOMAN ANDERSON | N/A | SARIE | N/A | 2025-09-01 | 2024-09-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283754 | N/A | N/A | 5542565 | 2222 | 4793 | 10887351 | 4184 | 4214430 | 2025-08-19 01:05:49.936959 | 2025-06-03 20:17:16.657562 |
| 2025-08-18 03:33:38.182837 | 2025-08-19 01:10:51.050732 | 11078525 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11078525 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-08-21 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_11078525_8cfb34f7-2c2e-404e-a243-aefd3bf6e777.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283753 | N/A | N/A | 5542555 | 2222 | 4793 | 10897256 | N/A | 4214447 | 2025-08-19 01:10:51.050732 | 2026-04-23 20:11:34.441054 |
| 2025-08-18 03:33:38.068311 | 2025-08-19 01:05:40.357885 | 11078518 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 11078518 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-08-19 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | 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/2222/5542513/check_11078518_baea585a-307a-4554-8640-e22bef0db665.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283752 | N/A | N/A | 5542513 | 2222 | 4793 | 10887075 | N/A | 4214418 | 2025-08-19 01:05:40.357885 | 2025-07-03 18:12:11.075357 |
| 2025-08-18 03:33:37.892450 | 2025-08-19 01:06:31.341941 | 11078508 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078508 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-08-21 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_11078508_ec5b0e26-09f4-4c4d-9031-00b5ed294ee5.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283750 | N/A | N/A | 5542512 | 2222 | 4793 | 10888452 | N/A | 4214416 | 2025-08-19 01:06:31.341941 | 2025-05-13 04:29:37.228740 |
| 2025-08-18 03:33:37.745198 | 2025-08-19 01:10:53.562183 | 11078498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11078498 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-08-21 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250818.063123315.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_11078498_1e2d71f2-5cc3-4d4c-9947-285646375cc9.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8574283749 | N/A | N/A | 5542251 | 2222 | 4802 | 10897353 | N/A | 4214191 | 2025-08-19 01:10:53.562183 | 2025-05-13 04:29:37.228525 |
| 2025-08-18 03:33:37.622612 | 2025-08-19 01:06:33.623532 | 11078489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11078489 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-08-20 | M | PT | N/A | KARZI | XEK904667385 | DAMAN | 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/2222/5542225/check_11078489_382eedbe-1949-4df4-8a47-fe636a5e4642.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | 2001ZH002662 | X0001000 | N/A | PR | false | KARZI | N/A | AHSAN | N/A | 2035-06-30 | 2016-06-10 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8574283748 | N/A | N/A | 5542225 | 2222 | 4801 | 10888512 | N/A | 4214165 | 2025-08-19 01:06:33.623532 | 2025-06-06 02:22:28.229626 |