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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-25 09:06:09.447632 | 2025-05-26 05:10:22.898200 | 8291828 | N/A | N/A | 60054 | Aetna | 1114042165 | 8291828 | Athletic Physical Therapy Inc | 2003-08-09 | 2025-05-29 | F | PT | AE | CHORSKE | W279473475 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541384/check_8291828_2a0b2291-5a86-4915-8467-be521cdd1b9a.json | N/A | N/A | N/A | N/A | N/A | W279473475 | Point of Service (POS) | WESTERN ALLIANCE BANK | AETNA | N/A | 2003-08-09 | 0237851 | 023785101200005 | N/A | PS | false | CHORSKE | N/A | MATTHEW | 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 | 5541384 | 2222 | 4793 | 7985027 | N/A | 4213412 | 2025-05-26 05:10:22.898200 | 2025-05-13 04:29:37.227734 |
| 2025-05-25 09:06:09.260543 | 2025-05-26 05:18:36.243351 | 8291824 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8291824 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-29 | F | PT | AE | RAMSEY | 778790241 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8291824_ec5c5859-c6a5-4a2c-8841-57e9da6b78d4.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | 4802 | 7985798 | N/A | 4213204 | 2025-05-26 05:18:36.243351 | 2025-05-28 20:17:37.873556 |
| 2025-05-25 09:06:08.968434 | 2025-05-26 05:51:41.602347 | 8291818 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8291818 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-29 | M | PT | AE | BAKSHI | 8PU2T62JR27 | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540447/check_8291818_f37c7df5-6243-434f-a903-b65813365fe7.json | N/A | N/A | N/A | N/A | N/A | 8PU2T62JR27 | Medicare Part B | N/A | AAA INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-11 | S5617 | DOL 01032023 | N/A | MB | false | BAKSHI | N/A | ALFRED | 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 | 5540447 | 2222 | 4802 | 7987476 | N/A | 4212608 | 2025-05-26 05:51:41.602347 | 2025-05-13 04:29:37.226956 |
| 2025-05-25 09:06:08.721120 | 2025-05-26 05:26:03.085805 | 8291812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8291812 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-05-29 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_8291812_37a0e79e-1fb5-45f3-b833-650a3ef16173.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 5540074 | 2222 | 4802 | 7986298 | N/A | 4212282 | 2025-05-26 05:26:03.085805 | 2025-05-13 04:29:37.226623 |
| 2025-05-25 09:06:08.389907 | 2025-05-26 05:26:20.981222 | 8291808 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8291808 | Athletic Physical Therapy Inc | 1965-02-23 | 2025-05-29 | M | PT | N/A | TALMAN | LSA820A55237 | TIMOTHY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539399/check_8291808_b5dd6f84-d6ec-475e-94c1-9298eba0f5b2.json | N/A | N/A | N/A | N/A | N/A | LSA820A55237 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1965-02-23 | 040 | 1841AC | N/A | PR | false | TALMAN | N/A | TIMOTHY | N/A | 9999-12-31 | 2018-04-01 | 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 | 5539399 | 2222 | 4801 | 7986324 | N/A | 4211713 | 2025-05-26 05:26:20.981222 | 2025-05-13 04:29:37.226032 |
| 2025-05-25 09:06:07.866781 | 2025-05-26 05:51:44.986104 | 8291795 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8291795 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-29 | F | PT | AE | FINCH | 3YV4XM6FP06 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_8291795_78009561-eddc-49cd-9b32-5719c12e346e.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | 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 | 5538472 | 2222 | 4802 | 7987477 | N/A | 4210886 | 2025-05-26 05:51:44.986104 | 2025-05-13 04:29:37.225284 |
| 2025-05-25 09:06:07.778329 | 2025-05-26 05:14:26.102401 | 8291792 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8291792 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-29 | M | AD | N/A | WARD | OSC7756691101 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538121/check_8291792_0a706d33-d8da-4d89-a8c9-c6368341c029.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538121 | 2222 | 4802 | 7985452 | N/A | 4210590 | 2025-05-26 05:14:26.102401 | 2025-05-13 04:29:37.225004 |
| 2025-05-25 09:06:07.516169 | 2025-05-26 05:28:38.493986 | 8291786 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8291786 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | XED912271222 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_8291786_85d7a3b6-7d53-41c0-bc69-6de5f1c42c2d.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537740 | 2222 | 4802 | 7986508 | N/A | 4210260 | 2025-05-26 05:28:38.493986 | 2025-05-13 04:29:37.224672 |
| 2025-05-25 09:06:07.219972 | 2025-05-26 05:51:59.242365 | 8291780 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8291780 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | PRAGER | 7X06K44HK56 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115738406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537356/check_8291780_fbceaa8a-8a6a-4ddc-992c-dd800aedb525.json | N/A | N/A | N/A | N/A | N/A | 7X06K44HK56 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-07-10 | S5921 | N/A | N/A | MA | false | PRAGER | N/A | JUDITH | 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 | 5537356 | 2222 | 4793 | 7987483 | N/A | 4209932 | 2025-05-26 05:51:59.242365 | 2025-05-14 09:05:51.551805 |
| 2025-05-25 09:02:53.309740 | 2025-05-26 05:09:53.684096 | 8287460 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8287460 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-29 | F | PT | AE | MEDINA | 35703327111 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676389/check_8287460_4c589568-75f7-4f81-8af3-a01c8835d374.json | N/A | N/A | N/A | N/A | N/A | 357033271 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-12-30 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | CHRISTINE | 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 | 5676389 | 2222 | 4793 | 7984947 | N/A | 4343445 | 2025-05-26 05:09:53.684096 | 2025-05-14 09:06:09.407736 |
| 2025-05-25 09:02:41.331620 | 2025-05-26 05:17:03.066286 | 8286867 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8286867 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-05-29 | F | PT | AE | LINDSEY | XEM905211597 | CHRISTIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550956/check_8286867_9a6c9941-48c5-480e-8254-cdcbf0847540.json | N/A | N/A | N/A | N/A | N/A | XEM905211597 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-05-24 | 2002SD000004 | X0001002 | N/A | OT | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550956 | 2222 | 4801 | 7985672 | N/A | 4219787 | 2025-05-26 05:17:03.066286 | 2025-05-13 04:29:37.230828 |
| 2025-05-25 09:02:41.296046 | 2025-05-26 05:13:15.906759 | 8286864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8286864 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-05-29 | F | PT | AE | MARTIN | DGA11867912J | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_8286864_363ac8fd-2ac5-4288-a783-61b94e78c829.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550799 | 2222 | 4793 | 7985353 | N/A | 4219681 | 2025-05-26 05:13:15.906759 | 2026-01-14 20:54:02.193776 |
| 2025-05-25 09:02:41.077523 | 2025-05-26 05:11:27.981076 | 8286852 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8286852 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-29 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8286852_b6498afd-29d5-4b5e-a667-aee0dfb6241f.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540448 | 2222 | 4802 | 7985166 | N/A | 4212608 | 2025-05-26 05:11:27.981076 | 2025-05-13 04:29:37.226956 |
| 2025-05-25 09:02:40.999247 | 2025-05-26 05:13:14.515868 | 8286847 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8286847 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-29 | F | PT | AE | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8286847_0f84647b-32a8-46aa-8d31-d98a4858109c.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | N/A | N/A | N/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 | N/A | N/A | 5538474 | 2222 | 4802 | 7985351 | N/A | 4210886 | 2025-05-26 05:13:14.515868 | 2025-05-13 04:29:37.225284 |
| 2025-05-25 09:02:40.960891 | 2025-05-26 05:08:43.584858 | 8286845 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8286845 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-29 | M | AD | N/A | WARD | U7734372001 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538124/check_8286845_d0b18009-e4d5-4d96-8c5f-e04dc352f617.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538124 | 2222 | 4802 | 7984701 | N/A | 4210590 | 2025-05-26 05:08:43.584858 | 2025-05-13 04:29:37.225004 |
| 2025-05-25 09:02:40.922526 | 2025-05-26 05:04:23.296853 | 8286843 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8286843 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.115117323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8286843_20679f41-5f4d-45bd-bf21-0d60d43b482b.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | 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 | 5537357 | 2222 | 4793 | 7984042 | N/A | 4209932 | 2025-05-26 05:04:23.296853 | 2025-05-14 09:05:51.551805 |
| 2025-05-25 09:01:07.228810 | 2025-05-26 02:03:58.391197 | 8282301 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8282301 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-29 | M | PT | AE | DERR | 35335410011 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250525.114822645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8282301_06c638cb-ec56-400c-b762-831ccfa6621e.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | 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 | 5874421 | 2222 | 4793 | 7969558 | N/A | 4534550 | 2025-05-26 02:03:58.391197 | 2025-10-15 18:36:58.255255 |
| 2025-05-24 09:03:03.129456 | 2025-05-25 02:11:04.333182 | 8269215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8269215 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-28 | M | PT | AE | VELASQUEZ | 825A50913 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115424571.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676370/check_8269215_3f99395c-0d09-4244-905b-e672031a991a.json | N/A | N/A | N/A | N/A | N/A | MBL825A50913 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CA039GRS | N/A | N/A | false | VELAZQUEZ | N/A | NELSON | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676370 | 2222 | 4801 | 7955849 | N/A | 4219819 | 2025-05-25 02:11:04.333182 | 2026-04-16 20:37:54.612915 |
| 2025-05-24 09:02:44.435098 | 2025-05-25 02:09:46.341444 | 8268113 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8268113 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-05-28 | U | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115436848.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8268113_ccdbaa9d-0e5e-413c-8a29-a3e3ae7f4863.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | N/A | N/A | N/A | N/A | false | RAFFERTY | N/A | ZOE | 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 | 5874430 | 2222 | 4802 | 7954301 | N/A | 4534559 | 2025-05-25 02:09:46.341444 | 2025-06-06 02:13:35.698378 |
| 2025-05-24 09:02:02.433485 | 2025-05-25 02:09:28.319326 | 8265283 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265283 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-05-28 | M | PT | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8265283_b0ef9af0-eb5b-4595-aa46-1940b973305b.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP 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 | 5551045 | 2222 | 4793 | 7954013 | N/A | 4219851 | 2025-05-25 02:09:28.319326 | 2025-05-13 04:29:37.230897 |
| 2025-05-24 09:02:02.289836 | 2025-05-25 02:05:14.049209 | 8265274 | N/A | N/A | 60054 | Aetna | 1114042165 | 8265274 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-28 | F | PT | AE | BOWMAN | W260258759 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8265274_df7c0d05-ff4d-44ee-b645-a1d43a261ed3.json | N/A | N/A | N/A | N/A | N/A | W260258759 | N/A | N/A | AETNA | N/A | 1953-04-10 | 0141473 | 014147301500001 | N/A | N/A | false | BOWMAN | N/A | GEORGE | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551029 | 2222 | 4801 | 7950048 | N/A | 4219852 | 2025-05-25 02:05:14.049209 | 2025-05-13 04:29:37.230898 |
| 2025-05-24 09:02:02.025859 | 2025-05-25 02:06:29.877845 | 8265257 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8265257 | Athletic Physical Therapy Inc | 1993-03-19 | 2025-05-28 | M | AD | N/A | NEWMAN | 110958773 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550986/check_8265257_3d972a35-a9a9-4339-9fb4-2b76a42dd077.json | N/A | N/A | N/A | N/A | N/A | 11095877300 | N/A | GELFAND, RENNERT, & FELDMAN LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1993-03-19 | N/A | 00655907 | N/A | N/A | false | NEWMAN | N/A | CORY | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550986 | 2222 | 4802 | 7951171 | N/A | 4219799 | 2025-05-25 02:06:29.877845 | 2025-05-13 04:29:37.230839 |
| 2025-05-24 09:02:01.876412 | 2025-05-25 02:09:57.100780 | 8265243 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265243 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-05-28 | F | PT | N/A | RASHIDI DOUST | 902264067 | MINOO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550980/check_8265243_b1d619d9-7dbf-44cc-ae95-a78491490410.json | N/A | N/A | N/A | N/A | N/A | 902264067 | N/A | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1948-10-09 | 1110P0000106 | W0051752 | N/A | N/A | false | RASHIDI DOUST | N/A | MINOO | N/A | N/A | N/A | BLUE SHIELD RX ENHANCED PDP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550980 | 2222 | 4802 | 7954501 | N/A | 4219809 | 2025-05-25 02:09:57.100780 | 2025-05-13 04:29:37.230855 |
| 2025-05-24 09:02:01.745510 | 2025-05-25 02:10:07.690000 | 8265236 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265236 | Athletic Physical Therapy Inc | 1982-12-12 | 2025-05-28 | F | PT | N/A | BAUMGARTEN | RGF10353870400 | KIMBERLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550969/check_8265236_08d052b4-33db-45e3-8b9e-5a6156428e0e.json | N/A | N/A | N/A | N/A | N/A | RGF10353870400 | Preferred Provider Organization (PPO) | EPIC GAMES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-12 | FACETS | 14167203 | N/A | PR | false | BAUMGARTEN | N/A | KIMBERLY | N/A | 2026-08-31 | 2025-03-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550969 | 2222 | 4802 | 7954696 | N/A | 4219801 | 2025-05-25 02:10:07.690000 | 2025-05-13 04:29:37.230841 |
| 2025-05-24 09:02:01.701774 | 2025-05-25 02:12:47.957115 | 8265231 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8265231 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-28 | M | PT | AE | HILL | 2KA9XN7JT23 | CAMERON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550964/check_8265231_7709b306-0991-47b2-8f9e-9ffdbe8ef923.json | N/A | N/A | N/A | N/A | N/A | 2KA9XN7JT23 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MA | false | HILL | N/A | CAMERON | 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 | 5550964 | 2222 | 4801 | 7957805 | N/A | 4219795 | 2025-05-25 02:12:47.957115 | 2025-05-13 04:29:37.230834 |
| 2025-05-24 09:02:01.656037 | 2025-05-25 02:09:29.206606 | 8265227 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265227 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-05-28 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8265227_af592367-ddc5-49a1-ba68-6fa405a0008c.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 | 7954028 | N/A | 4219788 | 2025-05-25 02:09:29.206606 | 2025-06-06 22:01:46.271450 |
| 2025-05-24 09:02:01.609781 | 2025-05-25 02:09:29.516678 | 8265224 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265224 | Athletic Physical Therapy Inc | 1969-02-19 | 2025-05-28 | F | PT | N/A | HARRIS | AER805281513 | LYNNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550952/check_8265224_02fed189-0fdb-4ac8-8454-e3a974a368c8.json | N/A | N/A | N/A | N/A | N/A | AER805281513 | Preferred Provider Organization (PPO) | GLOBAL MEDICAL RESPONSE INC. | ANTHEM BLUE CROSS | N/A | 1969-02-19 | N/A | 275619 | N/A | PR | false | HARRIS | N/A | KENNETH | N/A | 9999-12-31 | 2023-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550952 | 2222 | 4801 | 7954032 | N/A | 4219786 | 2025-05-25 02:09:29.516678 | 2025-07-28 00:01:15.733373 |
| 2025-05-24 09:02:01.555436 | 2025-05-25 02:09:31.796028 | 8265223 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265223 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-05-28 | F | PT | N/A | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_8265223_f232d49e-3468-4d09-b217-b31233b1bb4c.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550923 | 2222 | 4801 | 7954076 | N/A | 4219763 | 2025-05-25 02:09:31.796028 | 2025-05-13 04:29:37.230804 |
| 2025-05-24 09:02:01.507081 | 2025-05-25 02:09:56.688602 | 8265220 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265220 | Athletic Physical Therapy Inc | 1971-06-07 | 2025-05-28 | M | PT | N/A | NIKBIN | XED909790117 | FARID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550922/check_8265220_75b512d5-5207-4b5b-b21a-433e41eca869.json | N/A | N/A | N/A | N/A | N/A | XED909790117 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-07 | 2001ZK002169 | X0001004 | N/A | PR | false | NIKBIN | N/A | FARID | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550922 | 2222 | 4801 | 7954495 | N/A | 4219765 | 2025-05-25 02:09:56.688602 | 2025-05-13 04:29:37.230806 |
| 2025-05-24 09:02:01.464180 | 2025-05-25 02:05:14.357711 | 8265215 | N/A | N/A | 60054 | Aetna | 1114042165 | 8265215 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-05-28 | F | PT | AE | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_8265215_e48a1f6a-d6d4-4dcb-a054-49addd853ffe.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550850 | 2222 | 4802 | 7950055 | N/A | 4215195 | 2025-05-25 02:05:14.357711 | 2025-05-14 09:08:40.751930 |
| 2025-05-24 09:02:01.417186 | 2025-05-25 02:12:48.232042 | 8265213 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8265213 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-05-28 | M | PT | AE | LYGA | 9E33A44VQ74 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_8265213_547f7c22-ddd5-443a-a05f-d18c58dda7d2.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 | 7957810 | N/A | 4219584 | 2025-05-25 02:12:48.232042 | 2025-09-29 18:19:47.145731 |
| 2025-05-24 09:02:01.368797 | 2025-05-25 02:07:01.678341 | 8265212 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8265212 | Athletic Physical Therapy Inc | 2003-02-05 | 2025-05-28 | U | AD | N/A | DELFAU | U0882541003 | ANAIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549681/check_8265212_23b1edda-5dcf-45cd-9471-940adc144399.json | N/A | N/A | N/A | N/A | N/A | U0882541003 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2003-02-05 | N/A | N/A | N/A | N/A | false | DELFAU | N/A | ANAIS | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549681 | 2222 | 4802 | 7951677 | N/A | 4219297 | 2025-05-25 02:07:01.678341 | 2025-07-02 13:33:11.531569 |
| 2025-05-24 09:02:01.320096 | 2025-05-25 02:09:29.806610 | 8265207 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265207 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-28 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8265207_968a9350-d404-45f4-a88a-0b31b06c3054.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 | 7954040 | N/A | 4219010 | 2025-05-25 02:09:29.806610 | 2026-01-09 18:32:07.618867 |
| 2025-05-24 09:01:59.745216 | 2025-05-25 02:07:18.186630 | 8265104 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 8265104 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-28 | M | PT | AE | HILL | 36606496 | CAMERON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115424571.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550970/check_8265104_f4a18c6b-1e5f-406c-ac78-83611c4cbb37.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 | 7951920 | N/A | 4219795 | 2025-05-25 02:07:18.186630 | 2025-05-13 04:29:37.230834 |
| 2025-05-24 09:01:59.347788 | 2025-05-25 02:08:51.669812 | 8265083 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8265083 | Athletic Physical Therapy Inc | 2003-02-05 | 2025-05-28 | U | AD | N/A | DELFAU | 922531031 | ANAIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115424571.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549683/check_8265083_85506d62-f6c6-4f07-8f1e-d508e2e263b6.json | N/A | N/A | N/A | N/A | N/A | 922531031 | N/A | N/A | UNITED HEALTHCARE | N/A | 2003-02-05 | N/A | N/A | N/A | N/A | false | DELFAU | N/A | ANAIS | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549683 | 2222 | 4802 | 7953401 | N/A | 4219297 | 2025-05-25 02:08:51.669812 | 2025-07-02 13:33:11.531569 |
| 2025-05-24 09:01:59.151956 | 2025-05-25 02:09:28.894754 | 8265073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265073 | Athletic Physical Therapy Inc | 1972-07-25 | 2025-05-28 | M | PT | N/A | FLOOD | GIE138M92464 | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543399/check_8265073_ce0554ae-20b2-48d7-9c9c-4bec528c3b57.json | N/A | N/A | N/A | N/A | N/A | GIE138M92464 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1972-07-25 | N/A | N/A | N/A | N/A | false | FLOOD | N/A | ALEX | 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 | 5543399 | 2222 | 4801 | 7954019 | N/A | 4215199 | 2025-05-25 02:09:28.894754 | 2025-05-13 04:29:37.229516 |
| 2025-05-24 09:01:59.102888 | 2025-05-25 02:12:48.527375 | 8265070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8265070 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-05-28 | M | PT | AE | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8265070_ce326f73-c5c2-4e63-9265-869c5526f7fb.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 | 7957813 | N/A | 4215177 | 2025-05-25 02:12:48.527375 | 2025-05-13 04:29:37.229493 |
| 2025-05-24 09:01:59.043776 | 2025-05-25 02:04:40.981216 | 8265067 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8265067 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-05-28 | F | PT | AE | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_8265067_79d64696-a951-4193-808f-fea426b7e039.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543335 | 2222 | 4802 | 7949565 | N/A | 4215139 | 2025-05-25 02:04:40.981216 | 2025-05-13 21:20:11.455022 |
| 2025-05-24 09:01:59.023935 | 2025-05-25 02:12:25.631257 | 8265066 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265066 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-28 | F | PT | N/A | LUCZYWEK | XEA907100099 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115424571.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_8265066_f0979d93-a08d-46a7-af25-27eb4db685c6.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2025-01-01 | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 7957417 | N/A | 4219010 | 2025-05-25 02:12:25.631257 | 2026-01-09 18:32:07.618867 |
| 2025-05-24 09:01:58.998217 | 2025-05-25 02:07:48.802247 | 8265065 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8265065 | Athletic Physical Therapy Inc | 1984-01-20 | 2025-05-28 | M | PT | AE | MARSHALL | 771821563 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543275/check_8265065_5622dfe4-555c-4724-a8cd-8dec4ef77cc4.json | N/A | N/A | N/A | N/A | N/A | 77182156300 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - SMALL GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 1984-01-20 | N/A | 1682006 | N/A | C1 | false | MARSHALL | N/A | STEVEN | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543275 | 2222 | 4802 | 7952398 | N/A | 4215090 | 2025-05-25 02:07:48.802247 | 2025-05-13 04:29:37.229405 |
| 2025-05-24 09:01:58.950338 | 2025-05-25 02:06:30.188289 | 8265063 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8265063 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-05-28 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8265063_0631e510-b7eb-4e82-aeb2-c88809890cf2.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 | 7951178 | N/A | 4215085 | 2025-05-25 02:06:30.188289 | 2025-05-23 17:53:24.114484 |
| 2025-05-24 09:01:58.912969 | 2025-05-25 02:09:07.751030 | 8265061 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8265061 | Athletic Physical Therapy Inc | 1935-03-23 | 2025-05-28 | F | PT | AE | ARENTZOFF | 000002831946 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543257/check_8265061_b482c321-11c4-448e-88a0-323c11e5820e.json | N/A | N/A | N/A | N/A | N/A | 000002831946 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1935-03-23 | 3080916 | 1650095002 | N/A | N/A | false | ARENTZOFF | N/A | ROBERTA | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543257 | 2222 | 4793 | 7953675 | N/A | 4215073 | 2025-05-25 02:09:07.751030 | 2025-05-09 04:59:02.290462 |
| 2025-05-24 09:01:58.870569 | 2025-05-25 02:09:57.976470 | 8265058 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265058 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-05-28 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_8265058_01f9fe6c-a342-4de3-9bc6-1660f045b73f.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 | ULTIMATE VISION 15 25 120 JAN16 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543237 | 2222 | 4802 | 7954518 | N/A | 4215054 | 2025-05-25 02:09:57.976470 | 2025-05-13 04:29:37.229375 |
| 2025-05-24 09:01:58.819168 | 2025-05-25 02:04:43.572040 | 8265054 | N/A | N/A | 39026 | UMR | 1114042165 | 8265054 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-05-28 | M | PT | AE | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8265054_ee7c84eb-ce63-4d19-9d49-ce6929f7f4a6.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 | 7949605 | N/A | 4215051 | 2025-05-25 02:04:43.572040 | 2025-05-13 04:29:37.229373 |
| 2025-05-24 09:01:58.776557 | 2025-05-25 02:09:54.621167 | 8265052 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265052 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-05-28 | M | PT | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8265052_94cb7366-27ee-4d09-b02c-ef30aa238897.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 | 7954457 | N/A | 4215000 | 2025-05-25 02:09:54.621167 | 2025-05-13 04:29:37.229320 |
| 2025-05-24 09:01:58.718357 | 2025-05-25 02:09:57.701575 | 8265049 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8265049 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-05-28 | U | PT | AE | STOLZ | MISSINGPOLICYNUMBER | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543118/check_8265049_6d6f8c3b-e0bf-424c-9874-21594a1f9671.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 | 7954512 | N/A | 4214948 | 2025-05-25 02:09:57.701575 | 2025-06-26 01:28:07.741882 |
| 2025-05-24 09:01:58.669451 | 2025-05-25 02:07:49.106885 | 8265045 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8265045 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-05-28 | M | PT | AE | ORLOV | 23474362 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543098/check_8265045_202556ba-ff4c-4a03-a351-e4c768c35f7b.json | N/A | N/A | N/A | N/A | N/A | 023474362 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | 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 | 5543098 | 2222 | 4802 | 7952405 | N/A | 4214932 | 2025-05-25 02:07:49.106885 | 2025-05-13 04:29:37.229254 |
| 2025-05-24 09:01:58.599026 | 2025-05-25 02:06:30.494081 | 8265042 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8265042 | Athletic Physical Therapy Inc | 1992-02-27 | 2025-05-28 | M | PT | AE | WILLETT | 10681235800 | ERIC | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542985/check_8265042_f774a85a-c7e1-41ec-9afc-1fd143a82407.json | N/A | N/A | N/A | N/A | N/A | 10681235800 | N/A | ROBERT CHARLES LESSER & CO., LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1992-02-27 | N/A | 00627929 | N/A | N/A | false | WILLETT | N/A | ERIC | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542985 | 2222 | 4802 | 7951184 | N/A | 4214834 | 2025-05-25 02:06:30.494081 | 2025-05-13 04:29:37.229155 |
| 2025-05-24 09:01:58.545519 | 2025-05-25 02:09:32.293576 | 8265039 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265039 | Athletic Physical Therapy Inc | 1942-06-02 | 2025-05-28 | F | PT | N/A | WILCOX | MBL036W19385 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542975/check_8265039_106ba3d4-0dbc-4d29-87a9-d38abdd8f330.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 | 7954082 | N/A | 4214826 | 2025-05-25 02:09:32.293576 | 2025-05-13 04:29:37.229148 |
| 2025-05-24 09:01:58.503903 | 2025-05-25 02:09:30.769238 | 8265036 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8265036 | Athletic Physical Therapy Inc | 2005-12-20 | 2025-05-28 | M | PT | N/A | SPENCE | HEAHC0119474 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250524.115444454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8265036_f2503f91-709d-4af4-8fc9-8150b2554782.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 | 7954055 | N/A | 4214787 | 2025-05-25 02:09:30.769238 | 2025-08-17 21:31:52.380866 |