API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-26 09:03:24.683905 | 2025-05-27 02:27:10.642053 | 8310521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310521 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-05-30 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8310521_8cc0aac3-d4fc-4d3e-9cbd-1113b847efde.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 | N/A | N/A | N/A | 5550953 | 2222 | 4801 | 8005881 | N/A | 4219788 | 2025-05-27 02:27:10.642053 | 2025-06-06 22:01:46.271450 |
| 2025-05-26 09:03:24.530157 | 2025-05-27 02:47:19.159768 | 8310513 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8310513 | Athletic Physical Therapy Inc | 1947-02-25 | 2025-05-30 | M | PT | KLEIN | 6E76D79UJ63 | JAMES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550905/check_8310513_b5063c60-7047-488a-a967-01ec39232d0c.json | N/A | N/A | N/A | N/A | N/A | 6E76D79UJ63 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-25 | S4802 | N/A | N/A | MA | false | KLEIN | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550905 | 2222 | 4802 | 8010613 | N/A | 4219751 | 2025-05-27 02:47:19.159768 | 2025-05-13 04:29:37.230793 |
| 2025-05-26 09:03:24.299001 | 2025-05-27 02:47:14.820431 | 8310502 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8310502 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-30 | U | PT | BRENNER | 8F12ED9EE92 | ROCIO FLORES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8310502_cc858d60-bb2b-4e7b-af6f-317b00fa9a84.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550896 | 2222 | 4793 | 8010605 | N/A | 4219750 | 2025-05-27 02:47:14.820431 | 2025-06-06 02:15:39.377685 |
| 2025-05-26 09:03:24.127196 | 2025-05-27 02:24:28.541914 | 8310495 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8310495 | Athletic Physical Therapy Inc | 1991-12-01 | 2025-05-30 | M | PT | BUCHMAN | 961481996 | SAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550893/check_8310495_5c53c587-a4b4-4a2e-b52b-2fc69e99750f.json | N/A | N/A | N/A | N/A | N/A | 961481996 | Commercial | SIMPSON THACHER & BARTLETT LLP | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1991-12-01 | 0054 0054 | 701959 | N/A | C1 | false | BUCHMAN | N/A | SAMUEL | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550893 | 2222 | 4802 | 8004249 | N/A | 4219737 | 2025-05-27 02:24:28.541914 | 2025-05-13 04:29:37.230776 |
| 2025-05-26 09:03:23.863812 | 2025-05-27 02:28:31.256406 | 8310485 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310485 | Athletic Physical Therapy Inc | 2005-05-27 | 2025-05-30 | F | PT | PARVIZI | XED914141701 | SIMONE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_8310485_802de50c-1314-449d-b450-aea71293c5f4.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZK002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | 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 | N/A | N/A | N/A | 5550844 | 2222 | 4802 | 8006427 | N/A | 4215184 | 2025-05-27 02:28:31.256406 | 2025-05-13 04:29:37.229500 |
| 2025-05-26 09:03:23.601442 | 2025-05-27 02:13:55.855218 | 8310474 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8310474 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-05-30 | M | PT | UPSON | 15831U29031 | MARK | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8310474_bb9f09ea-6b39-45a0-bfce-e6299276fa8b.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550812 | 2222 | 4801 | 7997606 | N/A | 4219691 | 2025-05-27 02:13:55.855218 | 2025-05-13 04:29:37.230736 |
| 2025-05-26 09:03:23.535476 | 2025-05-27 02:47:20.954530 | 8310469 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8310469 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-05-30 | M | PT | LYGA | 9E33A44VQ74 | FRANK | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_8310469_e02dafeb-199c-43d3-8a40-966b7f5454c2.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MB | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550634 | 2222 | 4801 | 8010617 | N/A | 4219584 | 2025-05-27 02:47:20.954530 | 2025-09-29 18:19:47.145731 |
| 2025-05-26 09:03:23.468222 | 2025-05-27 02:27:12.968259 | 8310465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310465 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-30 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8310465_3998e1fb-6cd6-4248-b748-c25eacae12da.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. 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 USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | 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 | N/A | N/A | N/A | 5549317 | 2222 | 4801 | 8005896 | N/A | 4219010 | 2025-05-27 02:27:12.968259 | 2026-01-09 18:32:07.618867 |
| 2025-05-26 09:03:19.724725 | 2025-05-27 02:21:31.633240 | 8310274 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8310274 | Athletic Physical Therapy Inc | 2006-07-18 | 2025-05-30 | U | PT | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543386/check_8310274_b488eea1-43ee-4635-80fa-6c8c21505893.json | N/A | N/A | N/A | N/A | N/A | U4896088401 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2006-07-18 | N/A | N/A | N/A | N/A | false | RAMAFWAMY KAFI VASU | N/A | VAIBHAV | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543386 | 2222 | 4802 | 8002634 | N/A | 4215176 | 2025-05-27 02:21:31.633240 | 2025-06-09 20:47:50.067306 |
| 2025-05-26 09:03:19.470116 | 2025-05-27 02:47:24.095270 | 8310263 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8310263 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-05-30 | M | PT | SLAUGHTER | 6V77P87YA36 | KAY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8310263_d34cdab0-b4f3-41d7-8d01-fd47d0f6466f.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543377 | 2222 | 4802 | 8010624 | N/A | 4215177 | 2025-05-27 02:47:24.095270 | 2025-05-13 04:29:37.229493 |
| 2025-05-26 09:03:19.200359 | 2025-05-27 02:19:41.592908 | 8310251 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8310251 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-05-30 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8310251_97c0937f-3bfc-49d7-9d43-2ca2cca87fa9.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543268 | 2222 | 4802 | 8001782 | N/A | 4215085 | 2025-05-27 02:19:41.592908 | 2025-05-23 17:53:24.114484 |
| 2025-05-26 09:03:19.023202 | 2025-05-27 02:28:36.594108 | 8310241 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310241 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-05-30 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_8310241_1fb86583-9253-4634-baf0-8eed2b03d7f1.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 | 2028-06-30 | 2025-01-01 | ENHANCED DENTAL PPO 25 500 JAN21 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543237 | 2222 | 4802 | 8006457 | N/A | 4215054 | 2025-05-27 02:28:36.594108 | 2025-05-13 04:29:37.229375 |
| 2025-05-26 09:03:18.943941 | 2025-05-27 02:12:48.794254 | 8310236 | N/A | N/A | 39026 | UMR | 1114042165 | 8310236 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-05-30 | M | PT | MESSINGER | 43687468 | BEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8310236_cd8dfad8-5702-4e09-8a79-abf59f772912.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543233 | 2222 | 4802 | 7996885 | N/A | 4215051 | 2025-05-27 02:12:48.794254 | 2025-05-13 04:29:37.229373 |
| 2025-05-26 09:03:18.848026 | 2025-05-27 02:27:44.398741 | 8310230 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310230 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-05-30 | U | PT | MICHAEL | JXN531M63256 | JUNITHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8310230_4640215f-f2be-4cb4-aa51-26965a9d7021.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1983-04-13 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | JUNITHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543190 | 2222 | 4793 | 8006124 | N/A | 4215014 | 2025-05-27 02:27:44.398741 | 2025-06-01 22:57:55.386960 |
| 2025-05-26 09:03:18.782727 | 2025-05-27 02:28:25.759162 | 8310224 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310224 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-05-30 | M | PT | FEY | XED912890874 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8310224_eb59a7a3-f8f0-4a92-896d-70854dc4c719.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | 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 | N/A | N/A | N/A | 5543173 | 2222 | 4793 | 8006377 | N/A | 4215000 | 2025-05-27 02:28:25.759162 | 2025-05-13 04:29:37.229320 |
| 2025-05-26 09:03:18.713750 | 2025-05-27 02:28:35.085206 | 8310218 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310218 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-05-30 | U | PT | STOLZ | MISSINGPOLICYNUMBER | ARDENN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543118/check_8310218_c75a2efb-8e15-43c2-a7ec-df7b9b8e278d.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | N/A | N/A | N/A | N/A | false | STOLZ | N/A | ARDENN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543118 | 2222 | 4802 | 8006450 | N/A | 4214948 | 2025-05-27 02:28:35.085206 | 2025-06-26 01:28:07.741882 |
| 2025-05-26 09:03:18.631466 | 2025-05-27 02:27:08.838287 | 8310212 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310212 | Athletic Physical Therapy Inc | 1963-02-18 | 2025-05-30 | M | PT | FRENCH | XDP573A61655 | JONATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8310212_14019b10-a5cf-450d-9e28-a9560221a3c5.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-18 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543105 | 2222 | 4793 | 8005867 | N/A | 4214943 | 2025-05-27 02:27:08.838287 | 2025-05-29 02:21:31.646077 |
| 2025-05-26 09:03:18.546490 | 2025-05-27 02:27:42.700115 | 8310209 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310209 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-05-30 | U | PT | GADDE | X8B467M70158 | LAVANYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_8310209_03bd1bc4-0acf-4c0a-929a-e546ac69794d.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543090 | 2222 | 4793 | 8006113 | N/A | 4214925 | 2025-05-27 02:27:42.700115 | 2025-12-17 00:54:52.714750 |
| 2025-05-26 09:03:18.424496 | 2025-05-27 02:28:30.569497 | 8310203 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310203 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-05-30 | F | PT | NAFTZGER | XEK900854258 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_8310203_2f813130-db5e-40e4-b4aa-f61ab46840c2.json | N/A | N/A | N/A | N/A | N/A | XEK900854258 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | 2001ZK002171 | X0001000 | N/A | PR | false | NAFTZGER | N/A | SANDRA | N/A | 9999-12-31 | 2015-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543048 | 2222 | 4802 | 8006420 | N/A | 4214889 | 2025-05-27 02:28:30.569497 | 2025-05-13 04:29:37.229212 |
| 2025-05-26 09:03:18.231321 | 2025-05-27 02:27:20.765088 | 8310195 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310195 | Athletic Physical Therapy Inc | 1942-06-02 | 2025-05-30 | F | PT | WILCOX | MBL036W19385 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542975/check_8310195_5a18abfd-e865-46f4-a3b0-456bae3f7a98.json | N/A | N/A | N/A | N/A | N/A | MBL036W19385 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1942-06-02 | 040 | CA039GRS | N/A | N/A | false | WILCOX | N/A | PATRICIA | N/A | 9999-12-31 | 2024-02-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542975 | 2222 | 4801 | 8005944 | N/A | 4214826 | 2025-05-27 02:27:20.765088 | 2025-05-13 04:29:37.229148 |
| 2025-05-26 09:03:18.053946 | 2025-05-27 02:28:28.682182 | 8310187 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310187 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-05-30 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_8310187_42591b59-84c5-4af1-9cb9-46e3be468411.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 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542952 | 2222 | 4802 | 8006400 | N/A | 4214804 | 2025-05-27 02:28:28.682182 | 2025-05-13 20:09:53.786482 |
| 2025-05-26 09:03:17.812203 | 2025-05-27 02:27:17.599762 | 8310177 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310177 | Athletic Physical Therapy Inc | 2005-12-20 | 2025-05-30 | M | PT | SPENCE | HEAHC0119474 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8310177_0be8a773-5905-446d-8f83-d16a529209b2.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542930 | 2222 | 4802 | 8005927 | N/A | 4214787 | 2025-05-27 02:27:17.599762 | 2025-08-17 21:31:52.380866 |
| 2025-05-26 09:03:17.490534 | 2025-05-27 02:14:09.557459 | 8310162 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310162 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-30 | M | PT | KORY | 10216158100 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_8310162_c868122a-b3dd-4db7-9ad4-920d82aa73e8.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542868 | 2222 | 4793 | 7997726 | N/A | 4214732 | 2025-05-27 02:14:09.557459 | 2025-06-24 20:13:53.579048 |
| 2025-05-26 09:03:17.433109 | 2025-05-27 02:26:28.955308 | 8310161 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8310161 | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-30 | M | PT | GREENBAUM | 000022303593 | ARIEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542809/check_8310161_b42b2324-38d7-49c8-883f-a87922743be9.json | N/A | N/A | N/A | N/A | N/A | 000022303593 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2008-07-01 | 4332645 | 1650095001 | N/A | N/A | false | GREENBAUM | N/A | ARIEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542809 | 2222 | 4793 | 8005544 | N/A | 4214676 | 2025-05-27 02:26:28.955308 | 2025-05-09 04:56:21.107808 |
| 2025-05-26 09:03:17.358628 | 2025-05-27 02:27:43.120203 | 8310153 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310153 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-05-30 | U | PT | GARCIA | FJB21294792M | STARR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_8310153_435fa37c-23e6-47c4-a885-c908e4f9cc5e.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-08-28 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | STARR | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542769 | 2222 | 4801 | 8006117 | N/A | 4214641 | 2025-05-27 02:27:43.120203 | 2025-12-09 08:50:02.875071 |
| 2025-05-26 09:03:17.295874 | 2025-05-27 02:14:07.471958 | 8310149 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310149 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-05-30 | F | PT | FERRELL | W285064666 | AMELIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_8310149_e17159ed-defc-4b78-b197-3ff2ade7c796.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542678 | 2222 | 4802 | 7997712 | N/A | 4214560 | 2025-05-27 02:14:07.471958 | 2025-05-13 04:29:37.228883 |
| 2025-05-26 09:03:17.224557 | 2025-05-27 02:27:42.176020 | 8310145 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310145 | Athletic Physical Therapy Inc | 1963-02-11 | 2025-05-30 | U | PT | FEUER | JQU495A78860 | SELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542574/check_8310145_8c7eb02b-d1d1-4c41-af3f-c77847b7f7d5.json | N/A | N/A | N/A | N/A | N/A | JQU495A78860 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1963-02-11 | N/A | N/A | N/A | N/A | false | FEUER | N/A | SELLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542574 | 2222 | 4793 | 8006107 | N/A | 4214466 | 2025-05-27 02:27:42.176020 | 2025-06-03 18:09:34.500853 |
| 2025-05-26 09:03:17.133669 | 2025-05-27 02:27:09.853632 | 8310140 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310140 | Athletic Physical Therapy Inc | 1965-04-19 | 2025-05-30 | F | PT | GREENBERG | XDL441A69238 | ORLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542554/check_8310140_a411a09a-6647-4fbe-9e81-0925ef33c128.json | N/A | N/A | N/A | N/A | N/A | XDL441A69238 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1965-04-19 | 040 | R42000 | N/A | PR | false | GREENBERG | N/A | ORLY | N/A | 9999-12-31 | 2009-03-01 | INDIVIDUAL PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542554 | 2222 | 4793 | 8005873 | N/A | 4214445 | 2025-05-27 02:27:09.853632 | 2025-05-13 04:29:37.228762 |
| 2025-05-26 09:03:16.976379 | 2025-05-27 02:28:26.713538 | 8310134 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310134 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-05-30 | M | PT | GOLDBERG | XED909464812 | CARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542375/check_8310134_a832728d-d314-4ec2-8372-d89c954a9265.json | N/A | N/A | N/A | N/A | N/A | XED909464812 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1962-12-15 | 2001ZK002193 | X0001004 | N/A | PR | false | GOLDBERG | N/A | CARY | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542375 | 2222 | 4801 | 8006385 | N/A | 4214295 | 2025-05-27 02:28:26.713538 | 2025-05-13 04:29:37.228627 |
| 2025-05-26 09:03:16.772304 | 2025-05-27 02:47:22.633562 | 8310124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8310124 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-05-30 | F | PT | MARCUS | 6WF2KC0GC14 | LISSA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542313/check_8310124_2c8f6a24-1680-4c8e-836d-1245816e6d5b.json | N/A | N/A | N/A | N/A | N/A | 6WF2KC0GC14 | N/A | N/A | CMS | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542313 | 2222 | 4802 | 8010620 | N/A | 4214241 | 2025-05-27 02:47:22.633562 | 2025-05-13 04:29:37.228574 |
| 2025-05-26 09:03:16.528247 | 2025-05-27 02:28:29.088809 | 8310115 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310115 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-05-30 | U | PT | KARZI | XEK904667385 | DAMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_8310115_8007ffda-e3f3-4b10-91df-1d0e56bf7283.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | N/A | N/A | N/A | N/A | false | KARZI | N/A | DAMAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542225 | 2222 | 4801 | 8006409 | N/A | 4214165 | 2025-05-27 02:28:29.088809 | 2025-06-06 02:22:28.229626 |
| 2025-05-26 09:03:16.290482 | 2025-05-27 02:27:16.084870 | 8310107 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310107 | Athletic Physical Therapy Inc | 2008-04-12 | 2025-05-30 | M | PT | PULS | XTS068A69201 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542214/check_8310107_66be7adb-12df-4ffb-a03d-dfeffaccbca1.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542214 | 2222 | 4793 | 8005916 | N/A | 4214158 | 2025-05-27 02:27:16.084870 | 2025-05-13 04:29:37.228486 |
| 2025-05-26 09:03:16.015849 | 2025-05-27 02:11:21.800483 | 8310096 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8310096 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-05-30 | M | PT | YEE | 412922301 | HARRY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_8310096_193fcc88-befc-429e-8fa3-c45e907f5102.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541972 | 2222 | 4793 | 7995694 | N/A | 4213941 | 2025-05-27 02:11:21.800483 | 2025-05-13 04:29:37.228259 |
| 2025-05-26 09:03:15.869255 | 2025-05-27 02:27:11.834832 | 8310091 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310091 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-05-30 | M | PT | HASHEMI | JQU320W19876 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541951/check_8310091_b7c32116-10c4-4670-8e64-070b9d6ef860.json | N/A | N/A | N/A | N/A | N/A | JQU320W19876 | N/A | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1990-09-04 | 040 | 476522 | N/A | N/A | false | HASHEMI | N/A | SEYED | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541951 | 2222 | 4802 | 8005889 | N/A | 4213923 | 2025-05-27 02:27:11.834832 | 2025-05-13 04:29:37.228244 |
| 2025-05-26 09:03:15.768378 | 2025-05-27 02:27:19.034744 | 8310085 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310085 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-05-30 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_8310085_56b89307-3864-496a-bd07-13c66a59951d.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541917 | 2222 | 4793 | 8005933 | N/A | 4213891 | 2025-05-27 02:27:19.034744 | 2025-05-13 04:29:37.228207 |
| 2025-05-26 09:03:15.658765 | 2025-05-27 02:28:30.176957 | 8310081 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310081 | Athletic Physical Therapy Inc | 1969-04-26 | 2025-05-30 | F | PT | LYBRAND | TGX909078723 | TONYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541852/check_8310081_b42a0d11-cfa3-41db-bff2-8a221ea89956.json | N/A | N/A | N/A | N/A | N/A | TGX909078723 | Preferred Provider Organization (PPO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1969-04-26 | 1001PPOX0030 | W0051486 | N/A | PR | false | LYBRAND | N/A | TONYA | N/A | N/A | N/A | TRINET HR III INC CUSTOM PPO 1500 FF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541852 | 2222 | 4793 | 8006413 | N/A | 4213837 | 2025-05-27 02:28:30.176957 | 2025-05-13 04:29:37.228158 |
| 2025-05-26 09:03:15.569577 | 2025-05-27 02:28:27.456398 | 8310077 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310077 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-05-30 | F | PT | HILLIGER | XEA902904791 | JENNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_8310077_027d8177-9480-4f35-bc9a-936af7c28e43.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541730 | 2222 | 4793 | 8006392 | N/A | 4213725 | 2025-05-27 02:28:27.456398 | 2025-05-13 04:29:37.228045 |
| 2025-05-26 09:03:15.431671 | 2025-05-27 02:19:41.034423 | 8310070 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8310070 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-05-30 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_8310070_68ae0533-d91d-491e-9211-cc810a6acbdf.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541552 | 2222 | 4802 | 8001777 | N/A | 4213562 | 2025-05-27 02:19:41.034423 | 2025-05-13 04:29:37.227895 |
| 2025-05-26 09:03:15.248966 | 2025-05-27 02:27:16.661275 | 8310059 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310059 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-05-30 | M | PT | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_8310059_714ca9b5-3a28-43e1-8a2a-b0f57ddd787f.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541518 | 2222 | 4793 | 8005921 | N/A | 4213526 | 2025-05-27 02:27:16.661275 | 2025-11-13 19:34:43.197819 |
| 2025-05-26 09:03:14.971956 | 2025-05-27 02:28:33.952757 | 8310047 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310047 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-05-30 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_8310047_e91566d8-8e69-4fb1-a808-b906de8d2061.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541315 | 2222 | 4793 | 8006441 | N/A | 4213344 | 2025-05-27 02:28:33.952757 | 2025-05-13 04:29:37.227667 |
| 2025-05-26 09:03:14.786464 | 2025-05-27 02:24:15.904608 | 8310036 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8310036 | Athletic Physical Therapy Inc | 1977-05-05 | 2025-05-30 | U | PT | FERRER | 983167284 | AUDEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_8310036_e3c7b090-2293-48d5-837a-2ed6d9cfc6ab.json | N/A | N/A | N/A | N/A | N/A | 983167284 | N/A | N/A | UNITED HEALTHCARE | N/A | 1977-05-05 | N/A | N/A | N/A | N/A | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541310 | 2222 | 4801 | 8004104 | N/A | 4213342 | 2025-05-27 02:24:15.904608 | 2025-06-06 02:19:28.320975 |
| 2025-05-26 09:03:14.535456 | 2025-05-27 02:28:32.932324 | 8310025 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8310025 | Athletic Physical Therapy Inc | 1988-05-30 | 2025-05-30 | M | PT | SCOTT | XEA900656048 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_8310025_504884b2-d445-4043-993b-4ee64de0b10a.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2016-02-01 | 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 | N/A | N/A | N/A | 5541110 | 2222 | 4802 | 8006435 | N/A | 4213165 | 2025-05-27 02:28:32.932324 | 2025-05-13 04:29:37.227492 |
| 2025-05-26 09:03:14.362376 | 2025-05-27 02:13:58.822228 | 8310016 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310016 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-05-30 | U | PT | BOKHTIER | W275493875 | GOLAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_8310016_2a076d3f-2078-4400-ba1a-725b0ab551e1.json | N/A | N/A | N/A | N/A | N/A | W275493875 | N/A | N/A | AETNA | N/A | 1982-07-27 | N/A | N/A | N/A | N/A | false | BOKHTIER | N/A | GOLAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540723 | 2222 | 4793 | 7997633 | N/A | 4212833 | 2025-05-27 02:13:58.822228 | 2025-05-28 20:46:35.079848 |
| 2025-05-26 09:03:14.147631 | 2025-05-27 02:14:04.491081 | 8310004 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310004 | Athletic Physical Therapy Inc | 1962-12-26 | 2025-05-30 | M | PT | BAUER | W088472496 | RONALD | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539788/check_8310004_2b2d8134-c62a-428c-aa3a-3cbec8e91bdd.json | N/A | N/A | N/A | N/A | N/A | W088472496 | Point of Service (POS) | GSK | AETNA | N/A | 1962-12-26 | 0885594 | 088559401100001 | N/A | PS | false | BAUER | N/A | MARIE-FRANCE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539788 | 2222 | 4801 | 7997679 | N/A | 4212041 | 2025-05-27 02:14:04.491081 | 2025-05-13 04:29:37.226363 |
| 2025-05-26 09:03:14.077161 | 2025-05-27 02:27:15.307267 | 8310000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310000 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-05-30 | F | PT | MAGEE | SRYHC0157512 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_8310000_7dfec8c4-1423-4c19-a2fe-67a44dcf58fb.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539606 | 2222 | 4793 | 8005909 | N/A | 4211886 | 2025-05-27 02:27:15.307267 | 2026-02-06 19:09:03.082684 |
| 2025-05-26 09:03:13.917276 | 2025-05-27 02:14:10.938291 | 8309993 | N/A | N/A | 60054 | Aetna | 1114042165 | 8309993 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-05-30 | M | PT | NIELSEN | W272380860 | ROY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537178/check_8309993_db5fb8a5-6cd6-42de-872a-dfb69e04fbdb.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537178 | 2222 | 4802 | 7997750 | N/A | 4209789 | 2025-05-27 02:14:10.938291 | 2025-05-13 04:29:37.224215 |
| 2025-05-26 09:03:13.849600 | 2025-05-27 02:47:26.239486 | 8309987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8309987 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-05-30 | M | PT | ULLMAN PP | 3A76X26KQ40 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_8309987_ec9a36f8-d4cd-4f25-9e4b-f3e68128694d.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN PP | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535838 | 2222 | 4801 | 8010628 | N/A | 4208696 | 2025-05-27 02:47:26.239486 | 2025-06-07 16:16:45.844566 |
| 2025-05-26 09:03:04.883287 | 2025-05-27 02:13:40.634886 | 8309595 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 8309595 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-30 | M | PT | HILL | 36606496 | CAMERON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115314143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550970/check_8309595_b50cbe96-f505-403c-875d-fb7f8cafdfe2.json | N/A | N/A | N/A | N/A | N/A | 366064-96 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1954-12-06 | N/A | N/A | N/A | N/A | false | HILL | N/A | CAMERON | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550970 | 2222 | 4801 | 7997440 | N/A | 4219795 | 2025-05-27 02:13:40.634886 | 2025-05-13 04:29:37.230834 |
| 2025-05-26 09:03:04.629898 | 2025-05-27 02:17:29.157969 | 8309582 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8309582 | Athletic Physical Therapy Inc | 1947-02-25 | 2025-05-30 | M | PT | KLEIN | JQE989A77035 | JAMES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115314143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550908/check_8309582_c5f56f99-d877-4fbf-bfdf-2944e4c3d767.json | N/A | N/A | N/A | N/A | N/A | JQE989A77035 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-02-25 | 040 | CASUPWP0 | N/A | N/A | false | KLEIN | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550908 | 2222 | 4802 | 8000115 | N/A | 4219751 | 2025-05-27 02:17:29.157969 | 2025-05-13 04:29:37.230793 |
| 2025-05-26 09:03:04.427127 | 2025-05-27 02:12:16.701975 | 8309573 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 8309573 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-30 | U | PT | BRENNER | TER6252245 | ROCIO FLORES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115314143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8309573_33a7ed4a-d18d-4300-98ba-91b217766a75.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550897 | 2222 | 4793 | 7996514 | N/A | 4219750 | 2025-05-27 02:12:16.701975 | 2025-06-06 02:15:39.377685 |