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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-23 09:13:15.857485 | 2025-05-24 02:05:59.835976 | 8245152 | N/A | N/A | 60054 | Aetna | 1114042165 | 8245152 | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-27 | M | PT | AE | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8245152_8e24b5e4-199d-4294-ba9d-2e8bd1e904fd.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | 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 | 5550983 | 2222 | 4801 | 7931291 | N/A | 4219811 | 2025-05-24 02:05:59.835976 | 2025-05-13 04:29:37.230858 |
| 2025-05-23 09:13:15.158020 | 2025-05-24 02:23:19.296959 | 8245148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8245148 | Athletic Physical Therapy Inc | 1978-11-15 | 2025-05-27 | F | PT | AE | LEVIN | 8UF4J49FH09 | SHANNON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_8245148_9eb58919-68ca-4f51-8299-c5b587b8c681.json | N/A | N/A | N/A | N/A | N/A | 8UF4J49FH09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1978-11-15 | S4802 | N/A | N/A | MB | false | LEVIN | N/A | SHANNON | 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 | 5550976 | 2222 | 4801 | 7942385 | N/A | 4219800 | 2025-05-24 02:23:19.296959 | 2025-05-13 04:29:37.230840 |
| 2025-05-23 09:13:14.505095 | 2025-05-24 02:16:48.111896 | 8245144 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8245144 | Athletic Physical Therapy Inc | 1984-05-04 | 2025-05-27 | M | PT | AE | ABARANOK | 000024783014 | JEREMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550961/check_8245144_67ba6e10-85b8-4be7-8058-a4814f01d1cc.json | N/A | N/A | N/A | N/A | N/A | 000024783014 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1984-05-04 | 4362482 | 1650095001 | N/A | N/A | false | ABARANOK | N/A | JEREMY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550961 | 2222 | 4802 | 7938405 | N/A | 4219793 | 2025-05-24 02:16:48.111896 | 2025-05-21 21:25:09.468886 |
| 2025-05-23 09:13:14.057651 | 2025-05-24 02:26:33.012030 | 8245141 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8245141 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-05-27 | F | PT | AE | LINDSEY | 5NMOND0FT32 | CHRISTIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550951/check_8245141_f8fec443-4b84-4e0e-93a0-d1b76cae9e0e.json | N/A | N/A | N/A | N/A | N/A | 5NMOND0FT32 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-05-24 | N/A | N/A | N/A | N/A | false | LINDSEY | N/A | CHRISTIE | 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 | 5550951 | 2222 | 4801 | 7943828 | N/A | 4219787 | 2025-05-24 02:26:33.012030 | 2025-05-13 04:29:37.230828 |
| 2025-05-23 09:13:13.347175 | 2025-05-24 02:23:15.293861 | 8245136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8245136 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-27 | U | PT | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8245136_c3d3c719-d2ef-48fb-bf61-d6f23b2d6aaf.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 | 7942344 | N/A | 4219750 | 2025-05-24 02:23:15.293861 | 2025-06-06 02:15:39.377685 |
| 2025-05-23 09:13:12.898852 | 2025-05-24 02:17:11.305622 | 8245132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8245132 | Athletic Physical Therapy Inc | 1940-08-30 | 2025-05-27 | F | PT | N/A | TRONESS | 347M0007720 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550874/check_8245132_a45981c9-8c64-4dd5-a797-862505dafdd3.json | N/A | N/A | N/A | N/A | N/A | 347M0007720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-08-30 | N/A | N/A | N/A | N/A | false | TRONESS | N/A | MARY | 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 | 5550874 | 2222 | 4793 | 7938648 | N/A | 4219731 | 2025-05-24 02:17:11.305622 | 2025-05-13 04:29:37.230771 |
| 2025-05-23 09:13:12.210384 | 2025-05-24 02:17:06.456579 | 8245128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8245128 | Athletic Physical Therapy Inc | 2012-12-22 | 2025-05-27 | F | PT | N/A | CASTRICIONES | DRC967695620 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550851/check_8245128_dd1423c4-b42e-4926-beba-68c97b6b75a7.json | N/A | N/A | N/A | N/A | N/A | DRC967695620 | Preferred Provider Organization (PPO) | DSAC ENHANCED PLAN | ANTHEM BLUE CROSS | N/A | 2012-12-22 | N/A | 002337029 | N/A | PR | false | CASTRICIONES | N/A | ELMER | N/A | 9999-12-31 | 2010-01-01 | PPO - BLUE CARE ELECT PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550851 | 2222 | 4801 | 7938600 | N/A | 4219717 | 2025-05-24 02:17:06.456579 | 2025-05-13 04:29:37.230758 |
| 2025-05-23 09:13:11.613581 | 2025-05-24 02:23:21.987146 | 8245123 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8245123 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-05-27 | F | PT | AE | STELLINI | 9PU3FY2MU09 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_8245123_33c2bfa6-5070-4e66-bb40-098a0b2ed001.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MB | false | STELLINI | N/A | DONNA | 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 | 5550849 | 2222 | 4802 | 7942413 | N/A | 4215221 | 2025-05-24 02:23:21.987146 | 2025-05-13 04:29:37.229536 |
| 2025-05-23 09:13:11.074463 | 2025-05-24 02:17:37.286563 | 8245119 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8245119 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-05-27 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8245119_26e1652f-b5e4-4c18-ac54-d47381270f6a.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550845 | 2222 | 4801 | 7938940 | N/A | 4219713 | 2025-05-24 02:17:37.286563 | 2025-08-13 22:46:55.732965 |
| 2025-05-23 09:13:10.347115 | 2025-05-24 02:17:07.561052 | 8245115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8245115 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-05-27 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_8245115_2b1761ad-986c-48fd-94b1-787f17a8d0d2.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550838 | 2222 | 4801 | 7938609 | N/A | 4219709 | 2025-05-24 02:17:07.561052 | 2025-05-13 04:29:37.230752 |
| 2025-05-23 09:13:09.574420 | 2025-05-24 02:05:57.439562 | 8245107 | N/A | N/A | 60054 | Aetna | 1114042165 | 8245107 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-05-27 | M | PT | AE | OCHOA | W263373040 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_8245107_4e58804d-f03c-41e9-b844-c6d2849df3c2.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | 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 | 5550823 | 2222 | 4801 | 7931264 | N/A | 4219698 | 2025-05-24 02:05:57.439562 | 2025-05-13 04:29:37.230743 |
| 2025-05-23 09:13:08.596428 | 2025-05-24 02:05:52.788533 | 8245097 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8245097 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-05-27 | M | PT | AE | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8245097_9f9ff50f-9522-403f-b3cd-2c8aed36acf9.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 | 7931206 | N/A | 4219691 | 2025-05-24 02:05:52.788533 | 2025-05-13 04:29:37.230736 |
| 2025-05-23 09:13:07.966496 | 2025-05-24 02:23:19.982826 | 8245090 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8245090 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-05-27 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_8245090_7a8a5f70-037f-4fe5-b7c8-07fe14031d9c.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | 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 | 5550797 | 2222 | 4793 | 7942391 | N/A | 4219681 | 2025-05-24 02:23:19.982826 | 2026-01-14 20:54:02.193776 |
| 2025-05-23 09:13:07.575220 | 2025-05-24 02:13:38.217482 | 8245088 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8245088 | Athletic Physical Therapy Inc | 1954-11-23 | 2025-05-27 | F | PT | AE | REYNOLDS | 989167788 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550750/check_8245088_4ab76444-4874-46af-9d59-7ec9a8886222.json | N/A | N/A | N/A | N/A | N/A | 989167788 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1954-11-23 | N/A | 15458 | N/A | PR | false | REYNOLDS | N/A | NANCY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550750 | 2222 | 4801 | 7936506 | N/A | 4219649 | 2025-05-24 02:13:38.217482 | 2025-05-13 04:29:37.230695 |
| 2025-05-23 09:13:07.041209 | 2025-05-24 02:13:32.984597 | 8245082 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8245082 | Athletic Physical Therapy Inc | 1989-04-08 | 2025-05-27 | F | PT | AE | GILREATH | 917909250 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550715/check_8245082_53d34a6d-b896-4324-8244-e9d6bd7edd51.json | N/A | N/A | N/A | N/A | N/A | 917909250 | Commercial | PUBLICIS GROUPE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1989-04-08 | 0169 0169 | 936200 | N/A | C1 | false | GILREATH | N/A | BRIAN | 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 | 5550715 | 2222 | 4801 | 7936449 | N/A | 4219623 | 2025-05-24 02:13:32.984597 | 2026-01-16 19:11:44.707402 |
| 2025-05-23 09:13:05.682657 | 2025-05-24 02:23:18.513192 | 8245072 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8245072 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-05-27 | F | PT | AE | JALLAD | 7AY7QW7EK46 | IKRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8245072_e424a28d-89df-4f28-9008-b9ad018518eb.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | 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 | 5549454 | 2222 | 4801 | 7942377 | N/A | 4219116 | 2025-05-24 02:23:18.513192 | 2025-05-16 16:43:35.854220 |
| 2025-05-23 09:12:34.250663 | 2025-05-24 02:11:04.673115 | 8244826 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8244826 | Athletic Physical Therapy Inc | 2006-07-18 | 2025-05-27 | U | PT | AE | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543386/check_8244826_fb50b39b-2c00-4578-a10b-da1ad5acbb20.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 | 7934956 | N/A | 4215176 | 2025-05-24 02:11:04.673115 | 2025-06-09 20:47:50.067306 |
| 2025-05-23 09:12:33.773874 | 2025-05-24 02:17:10.452182 | 8244823 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244823 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-05-27 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8244823_d5b189f9-4067-45b6-bc4d-6dd97447522a.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MJ61 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 2025-06-01 | 2024-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543362 | 2222 | 4793 | 7938640 | N/A | 4215155 | 2025-05-24 02:17:10.452182 | 2025-05-13 04:29:37.229472 |
| 2025-05-23 09:12:33.043412 | 2025-05-24 02:13:34.112509 | 8244817 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8244817 | Athletic Physical Therapy Inc | 1974-11-22 | 2025-05-27 | F | PT | AE | GRONEMANN | 981463214 | BETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543353/check_8244817_c8969750-a7cb-4f75-a1bf-2b09bfb8b1c6.json | N/A | N/A | N/A | N/A | N/A | 981463214 | Commercial | ARDELYX, INC. | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1974-11-22 | 0001 0001 | 933751 | N/A | C1 | false | GRONEMANN | N/A | BETH | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUIU MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543353 | 2222 | 4793 | 7936465 | N/A | 4215157 | 2025-05-24 02:13:34.112509 | 2025-05-13 04:29:37.229474 |
| 2025-05-23 09:12:32.548453 | 2025-05-24 02:04:32.096947 | 8244805 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8244805 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-05-27 | F | PT | AE | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_8244805_e1f081eb-2fdd-4d2d-8694-94334ac9f386.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 | 7930264 | N/A | 4215139 | 2025-05-24 02:04:32.096947 | 2025-05-13 21:20:11.455022 |
| 2025-05-23 09:12:32.099802 | 2025-05-24 02:17:09.914932 | 8244795 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244795 | Athletic Physical Therapy Inc | 1962-08-07 | 2025-05-27 | M | PT | N/A | SCHAAFF | LDU805A55743 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543334/check_8244795_ae63e712-bc94-4156-baae-a28d65232bd9.json | N/A | N/A | N/A | N/A | N/A | LDU805A55743 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-08-07 | N/A | N/A | N/A | N/A | false | SCHAAFF | N/A | MIKE | 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 | 5543334 | 2222 | 4793 | 7938634 | N/A | 4215145 | 2025-05-24 02:17:09.914932 | 2025-05-13 04:29:37.229458 |
| 2025-05-23 09:12:31.599276 | 2025-05-24 02:12:59.395243 | 8244786 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8244786 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-05-27 | U | PT | AE | MYER | 992215076 | REMSEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543288/check_8244786_9e32f4c7-7e71-4b7a-95bf-25304dc9010e.json | N/A | N/A | N/A | N/A | N/A | 992215076 | N/A | N/A | UNITED HEALTHCARE | N/A | 2009-05-06 | N/A | N/A | N/A | N/A | false | MYER | N/A | REMSEN | 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 | 5543288 | 2222 | 4802 | 7936130 | N/A | 4215102 | 2025-05-24 02:12:59.395243 | 2025-06-02 22:31:17.941501 |
| 2025-05-23 09:12:30.860084 | 2025-05-24 02:09:46.441741 | 8244773 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8244773 | Athletic Physical Therapy Inc | 1995-03-21 | 2025-05-27 | F | AD | N/A | PATEL | U8560212501 | RONAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_8244773_93652bdc-ed99-4021-bf9f-ebb123609849.json | N/A | N/A | N/A | N/A | N/A | U8560212501 | N/A | SOCIAL FINANCE, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-03-21 | N/A | 3342825 | N/A | N/A | false | PATEL | N/A | RONAK | N/A | N/A | N/A | OPEN ACCESS PLUS HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543267 | 2222 | 4793 | 7934062 | N/A | 4215084 | 2025-05-24 02:09:46.441741 | 2025-05-13 04:29:37.229400 |
| 2025-05-23 09:12:30.266017 | 2025-05-24 02:17:09.046992 | 8244758 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244758 | Athletic Physical Therapy Inc | 2009-04-17 | 2025-05-27 | M | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8244758_cc36838c-c95f-4cad-8a6f-aae1cc0696a9.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | 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 | 5543250 | 2222 | 4793 | 7938625 | N/A | 4215068 | 2025-05-24 02:17:09.046992 | 2025-07-22 17:55:02.066796 |
| 2025-05-23 09:12:29.607872 | 2025-05-24 02:09:47.209138 | 8244747 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8244747 | Athletic Physical Therapy Inc | 2010-06-04 | 2025-05-27 | M | AD | N/A | STARINA | 108916125 | SHAYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543243/check_8244747_9d4aa82a-78c0-4a0c-a302-bee3842b17de.json | N/A | N/A | N/A | N/A | N/A | 10891612504 | N/A | EMBASSY OF GERMANY | CHLIC | COMPLETE CARE MANAGEMENT | 2010-06-14 | N/A | 00618835 | N/A | N/A | false | STARINA | N/A | SHAYAN | 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 | 5543243 | 2222 | 4793 | 7934077 | N/A | 4215061 | 2025-05-24 02:09:47.209138 | 2025-05-13 21:01:49.585235 |
| 2025-05-23 09:12:29.187033 | 2025-05-24 02:17:07.923675 | 8244739 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244739 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-05-27 | F | PT | N/A | GOULD | M9Z806734456 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8244739_5cf8d0f9-4952-48a3-a2a1-86d75ee57fea.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543209 | 2222 | 4793 | 7938614 | N/A | 4215027 | 2025-05-24 02:17:07.923675 | 2025-05-13 04:29:37.229345 |
| 2025-05-23 09:12:28.723800 | 2025-05-24 02:17:23.414778 | 8244734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244734 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-05-27 | U | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8244734_57889cc0-b4d4-4669-8910-90a596828f77.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 | 7938783 | N/A | 4215014 | 2025-05-24 02:17:23.414778 | 2025-06-01 22:57:55.386960 |
| 2025-05-23 09:12:28.067560 | 2025-05-24 02:17:06.882275 | 8244723 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244723 | Athletic Physical Therapy Inc | 1963-02-18 | 2025-05-27 | M | PT | N/A | FRENCH | XDP573A61655 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8244723_dae0c63f-cb85-4cfa-bcfb-6df868a7036a.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 | 7938604 | N/A | 4214943 | 2025-05-24 02:17:06.882275 | 2025-05-29 02:21:31.646077 |
| 2025-05-23 09:12:27.300010 | 2025-05-24 02:17:36.982300 | 8244709 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244709 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-05-27 | F | PT | N/A | NAFTZGER | XEK900854258 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_8244709_098c35a5-e40b-44eb-b4aa-ccc95b2ece19.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 | 7938935 | N/A | 4214889 | 2025-05-24 02:17:36.982300 | 2025-05-13 04:29:37.229212 |
| 2025-05-23 09:12:26.821274 | 2025-05-24 02:17:08.641929 | 8244700 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244700 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-05-27 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_8244700_70f9c20c-e7f4-40ef-a9ff-4f8f5ce4c6c4.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543043 | 2222 | 4801 | 7938622 | N/A | 4214884 | 2025-05-24 02:17:08.641929 | 2025-11-12 00:46:10.301659 |
| 2025-05-23 09:12:26.100770 | 2025-05-24 02:09:45.445979 | 8244691 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8244691 | Athletic Physical Therapy Inc | 1991-03-12 | 2025-05-27 | M | AD | N/A | ARDERN | 109840605 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543007/check_8244691_12ba5d05-563d-4b52-ab0c-835b7925c2f1.json | N/A | N/A | N/A | N/A | N/A | 10984060500 | N/A | SEMGREP, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-12 | N/A | 00652007 | N/A | N/A | false | ARDERN | N/A | LEWIS | 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 | 5543007 | 2222 | 4802 | 7934049 | N/A | 4214851 | 2025-05-24 02:09:45.445979 | 2025-06-26 00:38:34.754169 |
| 2025-05-23 09:12:25.707768 | 2025-05-24 02:23:17.969980 | 8244685 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8244685 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-05-27 | U | PT | AE | GOLDBERG | 9EE6XY2TM41 | MICAHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_8244685_fa530243-6126-4f56-89c0-28769ccdb87a.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | MICHAEL | 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 | 5542970 | 2222 | 4802 | 7942371 | N/A | 4214820 | 2025-05-24 02:23:17.969980 | 2025-06-30 02:56:23.324592 |
| 2025-05-23 09:12:24.986400 | 2025-05-24 02:17:36.050052 | 8244673 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244673 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-05-27 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_8244673_a99022ef-7f77-42b0-ab21-8a440eedce19.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 | 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 | 5542952 | 2222 | 4802 | 7938925 | N/A | 4214804 | 2025-05-24 02:17:36.050052 | 2025-05-13 20:09:53.786482 |
| 2025-05-23 09:12:24.728363 | 2025-05-24 02:17:36.391726 | 8244667 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244667 | Athletic Physical Therapy Inc | 1986-05-27 | 2025-05-27 | F | PT | N/A | KAYE | XEA904717279 | ASHLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542941/check_8244667_8d7e9f5f-9053-41fe-b7b8-4605a7458108.json | N/A | N/A | N/A | N/A | N/A | XEA904717279 | Preferred Provider Organization (PPO) | SCIENTIFIC CUTTING TOOLS INC | BLUE SHIELD CALIFORNIA | N/A | 1986-05-27 | 1000VX000102 | W0077611 | N/A | PR | false | KAYE | N/A | BRANDON | N/A | 9999-12-31 | 2025-01-01 | GOLD FULL PPO 1000 30 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542941 | 2222 | 4801 | 7938929 | N/A | 4214795 | 2025-05-24 02:17:36.391726 | 2025-05-13 04:29:37.229121 |
| 2025-05-23 09:12:24.051585 | 2025-05-24 02:23:17.445308 | 8244652 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8244652 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-05-27 | F | PT | AE | GOLDBERG | 6YD7TP7AC72 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_8244652_d7d226f3-d0c1-4edb-9d11-2f7c7445f6da.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | 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 | 5542935 | 2222 | 4802 | 7942364 | N/A | 4214789 | 2025-05-24 02:23:17.445308 | 2025-12-11 23:30:31.319246 |
| 2025-05-23 09:12:23.406746 | 2025-05-24 02:13:35.051038 | 8244639 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8244639 | Athletic Physical Therapy Inc | 2000-05-11 | 2025-05-27 | F | PT | AE | KRAUS | 16776997701 | MOLLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542934/check_8244639_395ce419-817e-4852-a037-14b9b8197acc.json | N/A | N/A | N/A | N/A | N/A | 16776997701 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2000-05-11 | N/A | 1687503 | N/A | C1 | false | KRAUS | N/A | MOLLIE | 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 | 5542934 | 2222 | 4802 | 7936472 | N/A | 4214788 | 2025-05-24 02:13:35.051038 | 2025-05-13 04:29:37.229113 |
| 2025-05-23 09:12:22.294973 | 2025-05-24 02:05:59.146459 | 8244623 | N/A | N/A | 60054 | Aetna | 1114042165 | 8244623 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-05-27 | M | PT | AE | VELASQUEZ | W290801184 | EVAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_8244623_67e81faf-f49b-498b-8179-19fa88cf1008.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542874 | 2222 | 4802 | 7931281 | N/A | 4214737 | 2025-05-24 02:05:59.146459 | 2025-05-13 04:29:37.229056 |
| 2025-05-23 09:12:21.540027 | 2025-05-24 02:17:36.665831 | 8244608 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244608 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-05-27 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8244608_51063152-fa99-48ab-ab54-9488bd6d99a8.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542822 | 2222 | 4793 | 7938933 | N/A | 4214688 | 2025-05-24 02:17:36.665831 | 2025-06-25 17:57:14.838266 |
| 2025-05-23 09:12:20.735397 | 2025-05-24 02:13:39.342183 | 8244597 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8244597 | Athletic Physical Therapy Inc | 1956-03-23 | 2025-05-27 | M | PT | AE | SCHARKSS | 984527603 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542670/check_8244597_f4229767-e354-44ad-8d0a-a1778b0ad809.json | N/A | N/A | N/A | N/A | N/A | 984527603 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1956-03-23 | N/A | 74126 | N/A | PR | false | SCHARKSS | N/A | STEVEN | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542670 | 2222 | 4802 | 7936519 | N/A | 4214549 | 2025-05-24 02:13:39.342183 | 2025-05-13 04:29:37.228874 |
| 2025-05-23 09:12:20.291510 | 2025-05-24 02:23:20.766853 | 8244592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8244592 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-05-27 | M | PT | AE | NEILSON | 2VG5XR5CT78 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_8244592_38b98a87-9d75-48ae-b9d0-0f7f1a1928a3.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MA | false | NEILSON | N/A | GEORGE | 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 | 5542623 | 2222 | 4801 | 7942398 | N/A | 4214511 | 2025-05-24 02:23:20.766853 | 2025-05-13 04:29:37.228826 |
| 2025-05-23 09:12:19.516666 | 2025-05-24 02:17:23.097254 | 8244579 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244579 | Athletic Physical Therapy Inc | 1963-02-11 | 2025-05-27 | U | PT | N/A | FEUER | JQU495A78860 | SELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542574/check_8244579_241930d9-43f3-40a0-ba78-f8c7acfd3baa.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 | 7938779 | N/A | 4214466 | 2025-05-24 02:17:23.097254 | 2025-06-03 18:09:34.500853 |
| 2025-05-23 09:12:18.994558 | 2025-05-24 02:17:08.255812 | 8244568 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8244568 | Athletic Physical Therapy Inc | 1965-04-19 | 2025-05-27 | F | PT | N/A | GREENBERG | XDL441A69238 | ORLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542554/check_8244568_bbc5d56b-0f00-4663-a208-398a2651ce75.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 | 7938618 | N/A | 4214445 | 2025-05-24 02:17:08.255812 | 2025-05-13 04:29:37.228762 |
| 2025-05-23 09:12:18.663126 | 2025-05-24 02:17:35.665418 | 8244561 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244561 | Athletic Physical Therapy Inc | 1989-12-04 | 2025-05-27 | M | PT | N/A | HUYNH | XEA911095759 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542472/check_8244561_9ea44ea0-c4b5-49af-9a14-2d0ed8d336f3.json | N/A | N/A | N/A | N/A | N/A | XEA911095759 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1989-12-04 | 1000PPOX0001 | W0067449 | N/A | PR | false | HUYNH | N/A | CHRISTOPHER | N/A | N/A | N/A | 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 | 5542472 | 2222 | 4801 | 7938921 | N/A | 4214383 | 2025-05-24 02:17:35.665418 | 2025-05-13 04:29:37.228709 |
| 2025-05-23 09:12:17.802634 | 2025-05-24 02:17:34.764557 | 8244551 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244551 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-05-27 | M | PT | N/A | GOLDBERG | XED909464812 | CARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542375/check_8244551_69520479-d553-473e-aeb8-04657d6f9dc6.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 | 2020-01-01 | 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 | 5542375 | 2222 | 4801 | 7938912 | N/A | 4214295 | 2025-05-24 02:17:34.764557 | 2025-05-13 04:29:37.228627 |
| 2025-05-23 09:12:17.554177 | 2025-05-24 02:13:00.601031 | 8244547 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8244547 | Athletic Physical Therapy Inc | 1985-01-26 | 2025-05-27 | U | PT | AE | VASEF | 982356788 | IDEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_8244547_bb7de4ea-295f-4de8-baae-993d70d03170.json | N/A | N/A | N/A | N/A | N/A | 982356788 | N/A | N/A | UNITED HEALTHCARE | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | 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 | 5542264 | 2222 | 4802 | 7936140 | N/A | 4214205 | 2025-05-24 02:13:00.601031 | 2025-06-27 18:49:28.826549 |
| 2025-05-23 09:12:16.937007 | 2025-05-24 02:23:16.808379 | 8244541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8244541 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-05-27 | F | PT | AE | FRANK | 6C06N65FN89 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542263/check_8244541_c71d5e89-4f17-484b-b05b-74a938d6549b.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MA | false | FRANK | N/A | KAREN | 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 | 5542263 | 2222 | 4802 | 7942359 | N/A | 4214201 | 2025-05-24 02:23:16.808379 | 2025-05-13 04:29:37.228535 |
| 2025-05-23 09:12:16.503784 | 2025-05-24 02:17:35.049544 | 8244532 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244532 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-05-27 | M | PT | N/A | GORDON | XED908839966 | LAURI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542256/check_8244532_27eed9b5-a8ed-4784-a526-4ad0b984a47a.json | N/A | N/A | N/A | N/A | N/A | XED908839966 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1968-11-30 | 2001ZK002187 | X0001004 | N/A | PR | false | GORDON | N/A | MICHAEL | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542256 | 2222 | 4802 | 7938914 | N/A | 4214193 | 2025-05-24 02:17:35.049544 | 2025-05-13 04:29:37.228527 |
| 2025-05-23 09:12:15.798610 | 2025-05-24 02:05:56.008451 | 8244525 | N/A | N/A | 60054 | Aetna | 1114042165 | 8244525 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-05-27 | M | PT | AE | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8244525_042a2259-61a1-4517-b7d4-f0977636a0d5.json | N/A | N/A | N/A | N/A | N/A | W285866811 | Point of Service (POS) | GLOBALIZATION PARTNERS | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542136 | 2222 | 4793 | 7931243 | N/A | 4214087 | 2025-05-24 02:05:56.008451 | 2025-05-13 04:29:37.228402 |
| 2025-05-23 09:12:15.394146 | 2025-05-24 02:13:30.720302 | 8244521 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8244521 | Athletic Physical Therapy Inc | 1969-05-06 | 2025-05-27 | F | PT | AE | IRIZARRY | 950883047 | BERNADETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_8244521_721b9f9e-dd9d-417e-a08b-ce380a6b09d1.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | DHL | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1969-05-06 | 0001 0001 | 905224 | N/A | C1 | false | BOERSMA | N/A | PITER | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | 4802 | 7936429 | N/A | 4213806 | 2025-05-24 02:13:30.720302 | 2025-05-13 04:29:37.228124 |
| 2025-05-23 09:12:14.875468 | 2025-05-24 02:17:35.367079 | 8244517 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8244517 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-05-27 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250523.120939885.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_8244517_5c21f569-fcdc-4823-825a-01ff34a682b5.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 | 2017-01-01 | 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 | 7938918 | N/A | 4213725 | 2025-05-24 02:17:35.367079 | 2025-05-13 04:29:37.228045 |