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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-19 09:07:09.749323 | 2025-05-20 02:03:08.020363 | 8170205 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170205 | Athletic Physical Therapy Inc | 1944-11-16 | 2025-05-23 | U | PT | AE | SUAREZ | 391W1618020 | GETRUDIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543251/check_8170205_debbb7c7-004e-4198-9914-3d68d2dc6a52.json | N/A | N/A | N/A | N/A | N/A | 391W1618020 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1944-11-16 | N/A | N/A | N/A | N/A | false | SUAREZ | N/A | GETRUDIS | 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 | 5543251 | 2222 | 4793 | 7845671 | N/A | 4215064 | 2025-05-20 02:03:08.020363 | 2025-04-29 21:12:57.805696 |
| 2025-05-19 09:07:09.221493 | 2025-05-20 02:16:31.491734 | 8170191 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170191 | Athletic Physical Therapy Inc | 2009-04-17 | 2025-05-23 | U | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8170191_c5b6df74-138c-443a-9d89-b1f9802cf606.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | BLUE CROSS CALIFORNIA | 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 | 7857786 | N/A | 4215068 | 2025-05-20 02:16:31.491734 | 2025-07-22 17:55:02.066796 |
| 2025-05-19 09:07:08.782807 | 2025-05-20 02:09:42.503434 | 8170176 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8170176 | Athletic Physical Therapy Inc | 2010-06-04 | 2025-05-22 | M | AD | N/A | STARINA | 108916125 | SHAYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543243/check_8170176_d1bd203c-8ace-4fc3-b4c7-0b7d3bf97335.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 | 7850889 | N/A | 4215061 | 2025-05-20 02:09:42.503434 | 2025-05-13 21:01:49.585235 |
| 2025-05-19 09:07:04.889159 | 2025-05-20 02:02:48.845362 | 8170086 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170086 | Athletic Physical Therapy Inc | 1956-11-10 | 2025-05-23 | M | PT | AE | CRISSMAN | MMA936W17755 | OLIVER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543218/check_8170086_589f83c7-f6c3-44ce-b9cd-08a49ecc56ad.json | N/A | N/A | N/A | N/A | N/A | MMA936W17755 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-10 | N/A | N/A | N/A | N/A | false | CRISSMAN | N/A | OLIVER | 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 | 5543218 | 2222 | 4793 | 7845540 | N/A | 4215022 | 2025-05-20 02:02:48.845362 | 2025-05-13 04:29:37.229340 |
| 2025-05-19 09:07:04.383509 | 2025-05-20 02:16:07.480699 | 8170079 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170079 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-05-23 | F | PT | N/A | GOULD | M9Z806734456 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8170079_759dfcc1-091d-4fa9-a13b-d748ea17daed.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 | 7857375 | N/A | 4215027 | 2025-05-20 02:16:07.480699 | 2025-05-13 04:29:37.229345 |
| 2025-05-19 09:07:03.795837 | 2025-05-20 02:16:31.803451 | 8170066 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170066 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-05-23 | U | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8170066_d3a16954-d5bc-436b-94bc-3f1c239f841b.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 | 7857795 | N/A | 4215014 | 2025-05-20 02:16:31.803451 | 2025-06-01 22:57:55.386960 |
| 2025-05-19 09:07:02.929276 | 2025-05-20 02:17:00.623958 | 8170049 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8170049 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-05-23 | M | PT | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8170049_3201ac73-88ee-481b-b6e7-5b79ded4b763.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 | 7858253 | N/A | 4215000 | 2025-05-20 02:17:00.623958 | 2025-05-13 04:29:37.229320 |
| 2025-05-19 09:07:02.544813 | 2025-05-20 02:03:03.869630 | 8170038 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170038 | Athletic Physical Therapy Inc | 1940-04-28 | 2025-05-23 | M | PT | AE | NADER | 00000308417 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543151/check_8170038_2a26e309-844d-4c13-8d73-1f94424e5da5.json | N/A | N/A | N/A | N/A | N/A | 00000308417 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1940-04-28 | N/A | N/A | N/A | N/A | false | NADER | N/A | EDWARD | 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 | 5543151 | 2222 | 4801 | 7845641 | N/A | 4214983 | 2025-05-20 02:03:03.869630 | 2025-05-13 04:29:37.229305 |
| 2025-05-19 09:07:02.221160 | 2025-05-20 02:09:40.081749 | 8170029 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8170029 | Athletic Physical Therapy Inc | 1986-09-12 | 2025-05-22 | M | AD | N/A | DE WIT | U9012934201 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543137/check_8170029_5cb8c714-85cd-43ea-b223-144600a6ea15.json | N/A | N/A | N/A | N/A | N/A | U9012934201 | N/A | ACCENTURE LLP | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1986-09-12 | N/A | 2499754 | N/A | N/A | false | DE WIT | N/A | MICHAEL | 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 | 5543137 | 2222 | 4802 | 7850855 | N/A | 4214968 | 2025-05-20 02:09:40.081749 | 2025-05-13 04:29:37.229290 |
| 2025-05-19 09:07:01.829903 | 2025-05-20 02:16:04.694629 | 8170016 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170016 | Athletic Physical Therapy Inc | 1963-02-18 | 2025-05-23 | M | PT | N/A | FRENCH | XDP573A61655 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8170016_3114647f-d684-42da-ba31-453defef835f.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 | 7857339 | N/A | 4214943 | 2025-05-20 02:16:04.694629 | 2025-05-29 02:21:31.646077 |
| 2025-05-19 09:07:01.436044 | 2025-05-20 02:16:30.914764 | 8170004 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170004 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-05-23 | U | PT | N/A | GADDE | X8B467M70158 | LAVANYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_8170004_a8810d25-2476-461d-8402-eaea17332169.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543090 | 2222 | 4793 | 7857775 | N/A | 4214925 | 2025-05-20 02:16:30.914764 | 2025-12-17 00:54:52.714750 |
| 2025-05-19 09:07:01.060072 | 2025-05-20 02:17:07.587436 | 8169996 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169996 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-05-23 | F | PT | N/A | NAFTZGER | XEK900854258 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_8169996_0e04ee45-2cdb-452d-8500-0caa13ff511e.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 | 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 | 5543048 | 2222 | 4802 | 7858363 | N/A | 4214889 | 2025-05-20 02:17:07.587436 | 2025-05-13 04:29:37.229212 |
| 2025-05-19 09:07:00.514305 | 2025-05-20 02:02:50.813703 | 8169982 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169982 | Athletic Physical Therapy Inc | 1948-04-25 | 2025-05-23 | U | PT | AE | DOMINGUEZ | 00000390109 | MARYEVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542977/check_8169982_43e0f5e9-f281-4433-b34d-57b60bb3b3ca.json | N/A | N/A | N/A | N/A | N/A | 00000390109 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-04-25 | N/A | N/A | N/A | N/A | false | DOMINGUEZ | N/A | MARYEVA | 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 | 5542977 | 2222 | 4801 | 7845552 | N/A | 4214827 | 2025-05-20 02:02:50.813703 | 2025-06-06 02:31:35.052094 |
| 2025-05-19 09:07:00.209123 | 2025-05-20 02:02:53.374331 | 8169972 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169972 | Athletic Physical Therapy Inc | 1951-03-15 | 2025-05-23 | U | PT | AE | GRUEN | 191495401 | M D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542960/check_8169972_8828d1c6-f393-439d-962b-b101b243b1ea.json | N/A | N/A | N/A | N/A | N/A | 191495401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-03-15 | N/A | N/A | N/A | N/A | false | GRUEN | N/A | M D | 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 | 5542960 | 2222 | 4802 | 7845566 | N/A | 4214813 | 2025-05-20 02:02:53.374331 | 2025-04-29 21:12:48.998064 |
| 2025-05-19 09:06:59.859765 | 2025-05-20 02:17:03.246116 | 8169965 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169965 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-05-23 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_8169965_3c1de052-1acf-4ecc-8ef3-1b87b72c0fcf.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542952 | 2222 | 4802 | 7858294 | N/A | 4214804 | 2025-05-20 02:17:03.246116 | 2025-05-13 20:09:53.786482 |
| 2025-05-19 09:06:59.498740 | 2025-05-20 02:16:14.501877 | 8169955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169955 | Athletic Physical Therapy Inc | 2005-12-20 | 2025-05-23 | M | PT | N/A | SPENCE | HEAHC0119474 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8169955_c813d713-577f-4b25-9e2d-c44b22273670.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 | 7857503 | N/A | 4214787 | 2025-05-20 02:16:14.501877 | 2025-08-17 21:31:52.380866 |
| 2025-05-19 09:06:59.077894 | 2025-05-20 02:03:09.158761 | 8169945 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169945 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-05-23 | M | PT | AE | TARDIF | 40037365501 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_8169945_e067d4d4-6125-4aa9-b097-e102af7a6753.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-10-02 | N/A | N/A | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 5542894 | 2222 | 4801 | 7845678 | N/A | 4214757 | 2025-05-20 02:03:09.158761 | 2026-03-20 15:26:52.406374 |
| 2025-05-19 09:06:58.787530 | 2025-05-20 02:16:16.690753 | 8169936 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169936 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-05-23 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_8169936_1a286b92-b8c2-4d48-a0d8-adbf361a312c.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542834 | 2222 | 4801 | 7857543 | N/A | 4214700 | 2025-05-20 02:16:16.690753 | 2025-05-13 04:29:37.229017 |
| 2025-05-19 09:06:58.200451 | 2025-05-20 02:17:06.824156 | 8169920 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169920 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-05-23 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8169920_d69e40dc-81ca-4d08-b422-24c4ef7714ae.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 | 7858345 | N/A | 4214688 | 2025-05-20 02:17:06.824156 | 2025-06-25 17:57:14.838266 |
| 2025-05-19 09:06:57.789713 | 2025-05-20 02:15:26.180339 | 8169906 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8169906 | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-23 | M | PT | AE | GREENBAUM | 000022303593 | ARIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542809/check_8169906_6c98a876-0809-4a49-9113-1a3045b77901.json | N/A | N/A | N/A | N/A | N/A | 000022303593 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2008-07-01 | 4332645 | 1650095001 | N/A | N/A | false | GREENBAUM | N/A | ARIEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542809 | 2222 | 4793 | 7856670 | N/A | 4214676 | 2025-05-20 02:15:26.180339 | 2025-05-09 04:56:21.107808 |
| 2025-05-19 09:06:57.117845 | 2025-05-20 02:06:36.350496 | 8169882 | N/A | N/A | 60054 | Aetna | 1114042165 | 8169882 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-05-23 | F | PT | AE | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_8169882_a004feba-bba9-4e77-8c2b-d5b398e0789d.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542678 | 2222 | 4802 | 7848273 | N/A | 4214560 | 2025-05-20 02:06:36.350496 | 2025-05-13 04:29:37.228883 |
| 2025-05-19 09:06:56.500014 | 2025-05-20 02:09:43.373190 | 8169870 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8169870 | Athletic Physical Therapy Inc | 2011-05-03 | 2025-05-22 | F | AD | N/A | ZISKIN | U5838130501 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542654/check_8169870_509a025d-47fb-48ab-81e7-60589984455d.json | N/A | N/A | N/A | N/A | N/A | U5838130504 | N/A | EQUITABLE FINANCIAL LIFE INSURANCE COMPA | CHLIC | COMPLETE CARE MANAGEMENT | 2011-05-03 | N/A | 3339125 | N/A | N/A | false | ZISKIN | N/A | AVA | N/A | N/A | N/A | LOCALPLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542654 | 2222 | 4793 | 7850898 | N/A | 4214539 | 2025-05-20 02:09:43.373190 | 2025-05-13 04:29:37.228865 |
| 2025-05-19 09:06:56.138437 | 2025-05-20 02:02:45.556597 | 8169862 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169862 | Athletic Physical Therapy Inc | 1951-09-06 | 2025-05-23 | M | PT | AE | BLANKENSHIP | 40014799001 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542652/check_8169862_771af992-e3cd-4b36-a9ad-cffb6cf5e685.json | N/A | N/A | N/A | N/A | N/A | 40014799001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-09-06 | N/A | N/A | N/A | N/A | false | BLANKENSHIP | N/A | PAUL | 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 | 5542652 | 2222 | 4801 | 7845517 | N/A | 4214528 | 2025-05-20 02:02:45.556597 | 2025-05-13 04:29:37.228843 |
| 2025-05-19 09:06:55.639488 | 2025-05-20 02:27:00.769699 | 8169847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8169847 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-05-23 | M | PT | AE | NEILSON | 2VG5XR5CT78 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_8169847_bb18d37b-eb51-4c9b-888f-becbe6dbf762.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 | 7864791 | N/A | 4214511 | 2025-05-20 02:27:00.769699 | 2025-05-13 04:29:37.228826 |
| 2025-05-19 09:06:55.000208 | 2025-05-20 02:16:30.167900 | 8169828 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169828 | Athletic Physical Therapy Inc | 1963-02-11 | 2025-05-23 | U | PT | N/A | FEUER | JQU495A78860 | SELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542574/check_8169828_e51f77a4-26c1-46c2-a248-11bb93e21e8f.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 | 7857764 | N/A | 4214466 | 2025-05-20 02:16:30.167900 | 2025-06-03 18:09:34.500853 |
| 2025-05-19 09:06:54.541079 | 2025-05-20 02:17:01.330302 | 8169816 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169816 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-05-23 | M | PT | N/A | GOLDBERG | XED909464812 | CARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542375/check_8169816_81c0a9d0-ddbd-4d63-adb8-60ebe3e82136.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 | 7858263 | N/A | 4214295 | 2025-05-20 02:17:01.330302 | 2025-05-13 04:29:37.228627 |
| 2025-05-19 09:06:53.950101 | 2025-05-20 02:09:38.114094 | 8169799 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8169799 | Athletic Physical Therapy Inc | 1996-12-19 | 2025-05-23 | M | AD | N/A | BEMANIAN | U7704317301 | SHANDIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542326/check_8169799_25066b18-c7de-4df5-839a-47c067ca9e81.json | N/A | N/A | N/A | N/A | N/A | U7704317301 | N/A | EP CARES | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1996-12-19 | N/A | 3339171 | N/A | N/A | false | BEMANIAN | N/A | SHANDIS | 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 | 5542326 | 2222 | 4802 | 7850830 | N/A | 4214255 | 2025-05-20 02:09:38.114094 | 2025-05-06 20:16:21.575355 |
| 2025-05-19 09:06:53.348392 | 2025-05-20 02:06:37.261682 | 8169770 | N/A | N/A | 60054 | Aetna | 1114042165 | 8169770 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-05-23 | M | PT | AE | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8169770_04fb46b4-77d2-412a-bae8-00c52324969b.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 | 7848288 | N/A | 4214087 | 2025-05-20 02:06:37.261682 | 2025-05-13 04:29:37.228402 |
| 2025-05-19 09:06:52.881182 | 2025-05-20 02:16:09.500304 | 8169757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169757 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-05-23 | M | PT | N/A | HASHEMI | JQU320W19876 | SEYED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541951/check_8169757_c05c7101-2936-4c12-9bc8-4d22d35657ee.json | N/A | N/A | N/A | N/A | N/A | JQU320W19876 | N/A | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1990-09-04 | 040 | 476522 | N/A | N/A | false | HASHEMI | N/A | SEYED | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541951 | 2222 | 4802 | 7857412 | N/A | 4213923 | 2025-05-20 02:16:09.500304 | 2025-05-13 04:29:37.228244 |
| 2025-05-19 09:06:52.628174 | 2025-05-20 02:04:56.569843 | 8169749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8169749 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-05-23 | F | PT | AE | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141007822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874441/check_8169749_f26040fe-df92-4145-b01b-4c0323775ab7.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-06-01 | N/A | N/A | N/A | N/A | false | BRADBURY | N/A | BONNIE | 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 | 5874441 | 2222 | 4801 | 7846924 | N/A | 4219556 | 2025-05-20 02:04:56.569843 | 2025-05-13 04:29:37.230592 |
| 2025-05-19 09:06:52.465154 | 2025-05-20 02:16:16.265173 | 8169745 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169745 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-05-23 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_8169745_5632183a-f02b-4dbb-b7b5-77c034efe037.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541917 | 2222 | 4793 | 7857533 | N/A | 4213891 | 2025-05-20 02:16:16.265173 | 2025-05-13 04:29:37.228207 |
| 2025-05-19 09:06:52.116004 | 2025-05-20 02:02:04.771318 | 8169737 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8169737 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-23 | M | PT | AE | DERR | 35335410011 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141007822.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8169737_8fca907a-4bd4-4b12-b465-258ea2d82295.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 | 7845222 | N/A | 4534550 | 2025-05-20 02:02:04.771318 | 2025-10-15 18:36:58.255255 |
| 2025-05-19 09:06:52.113544 | 2025-05-20 02:02:56.941763 | 8169735 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169735 | Athletic Physical Therapy Inc | 2011-02-22 | 2025-05-23 | F | PT | AE | LOCKWOOD | R07647848FD1 | BROOKLYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541907/check_8169735_6cc0899a-4c52-4bc9-9949-ab9feb69758a.json | N/A | N/A | N/A | N/A | N/A | R07647848FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2011-02-22 | N/A | N/A | N/A | N/A | false | LOCKWOOD | N/A | BROOKLYNN | 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 | 5541907 | 2222 | 4793 | 7845587 | N/A | 4213883 | 2025-05-20 02:02:56.941763 | 2025-05-13 04:29:37.228198 |
| 2025-05-19 09:06:51.938768 | 2025-05-20 02:17:05.676934 | 8169731 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169731 | Athletic Physical Therapy Inc | 1969-04-26 | 2025-05-23 | F | PT | N/A | LYBRAND | TGX909078723 | TONYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541852/check_8169731_cebf4939-b44d-47ab-9238-57ed324b3e62.json | N/A | N/A | N/A | N/A | N/A | TGX909078723 | Preferred Provider Organization (PPO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1969-04-26 | 1001PPOX0030 | W0051486 | N/A | PR | false | LYBRAND | N/A | TONYA | N/A | N/A | N/A | TRINET HR III INC CUSTOM PPO 1500 FF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541852 | 2222 | 4793 | 7858327 | N/A | 4213837 | 2025-05-20 02:17:05.676934 | 2025-05-13 04:29:37.228158 |
| 2025-05-19 09:06:51.797681 | 2025-05-20 02:17:02.445915 | 8169722 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169722 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-05-23 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_8169722_ca7d6e31-1a19-449b-b0d8-1882dbb1f486.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 | 7858279 | N/A | 4213725 | 2025-05-20 02:17:02.445915 | 2025-05-13 04:29:37.228045 |
| 2025-05-19 09:06:51.645594 | 2025-05-20 02:09:41.266531 | 8169714 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8169714 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-05-23 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_8169714_53dc9b1f-a328-4c8a-9a23-fa984393da06.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541552 | 2222 | 4802 | 7850864 | N/A | 4213562 | 2025-05-20 02:09:41.266531 | 2025-05-13 04:29:37.227895 |
| 2025-05-19 09:06:51.557933 | 2025-05-20 02:17:09.733336 | 8169711 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169711 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-05-23 | U | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_8169711_684b62f1-c749-4a49-8783-22d09b1e49a1.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | N/A | N/A | N/A | N/A | false | ZIA AMIRHOSSEINI | N/A | PARNIAN | 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 | 5541314 | 2222 | 4793 | 7858399 | N/A | 4213343 | 2025-05-20 02:17:09.733336 | 2025-06-06 02:21:37.603701 |
| 2025-05-19 09:06:51.398952 | 2025-05-20 02:17:08.901343 | 8169704 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169704 | Athletic Physical Therapy Inc | 1988-05-30 | 2025-05-23 | M | PT | N/A | SCOTT | XEA900656048 | ZACHARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_8169704_612882f3-a4e8-4d91-b226-8a3f205694b7.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2025-04-01 | GOLD DPPO 1500 MAC ADULT CHILD ORTHO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541110 | 2222 | 4802 | 7858383 | N/A | 4213165 | 2025-05-20 02:17:08.901343 | 2025-05-13 04:29:37.227492 |
| 2025-05-19 09:06:51.051651 | 2025-05-20 02:03:04.730168 | 8169691 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169691 | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-23 | F | PT | AE | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8169691_a2033711-2140-4924-b689-0050296f1a29.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | 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 | 5540970 | 2222 | 4801 | 7845647 | N/A | 4213051 | 2025-05-20 02:03:04.730168 | 2025-05-13 04:29:37.227377 |
| 2025-05-19 09:06:50.589775 | 2025-05-20 02:27:01.569455 | 8169676 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8169676 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-05-23 | F | PT | AE | SESAR | 3W68VF2EE20 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540946/check_8169676_04c850d6-518c-44c9-ac5b-11498443b0d4.json | N/A | N/A | N/A | N/A | N/A | 3W68VF2EE20 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-05 | S5601 | N/A | N/A | MA | false | SESAR | N/A | SHARON | 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 | 5540946 | 2222 | 4793 | 7864798 | N/A | 4213027 | 2025-05-20 02:27:01.569455 | 2025-06-25 17:17:00.282109 |
| 2025-05-19 09:06:50.161115 | 2025-05-20 02:16:10.159011 | 8169668 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169668 | Athletic Physical Therapy Inc | 2008-07-13 | 2025-05-23 | F | PT | N/A | CONNOLLY | A5N1011264BL | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540670/check_8169668_546a1be1-5f7b-440a-9520-b4bc16271624.json | N/A | N/A | N/A | N/A | N/A | A5N1011264BL | N/A | CSC GENERATION PPO CA PLAN | ANTHEM BLUE CROSS | N/A | 2008-07-13 | 040 | L08414M001 | N/A | N/A | false | HILL | N/A | JENNIFER | 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 | 5540670 | 2222 | 4793 | 7857433 | N/A | 4212786 | 2025-05-20 02:16:10.159011 | 2025-05-13 04:29:37.227120 |
| 2025-05-19 09:06:49.544167 | 2025-05-20 02:16:11.178327 | 8169658 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169658 | Athletic Physical Therapy Inc | 1979-10-01 | 2025-05-23 | M | PT | N/A | LOPATY | SIF545W21388 | CLINT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540566/check_8169658_7b0803b9-b83d-4d61-addf-7ee6aba98425.json | N/A | N/A | N/A | N/A | N/A | SIF545W21388 | Preferred Provider Organization (PPO) | SISC - PASADENA CITY COLLEGE | ANTHEM BLUE CROSS | N/A | 1979-10-01 | 040 | 40868B | N/A | PR | false | LOPATY | N/A | CLINT | N/A | 9999-12-31 | 2024-09-01 | 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 | 5540566 | 2222 | 4801 | 7857447 | N/A | 4212709 | 2025-05-20 02:16:11.178327 | 2025-05-13 04:29:37.227054 |
| 2025-05-19 09:06:48.910742 | 2025-05-20 02:06:34.663662 | 8169641 | N/A | N/A | 60054 | Aetna | 1114042165 | 8169641 | Athletic Physical Therapy Inc | 1962-12-26 | 2025-05-23 | M | PT | AE | BAUER | W088472496 | RONALD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539788/check_8169641_12425259-3e51-4c2f-8495-35a6ed243715.json | N/A | N/A | N/A | N/A | N/A | W088472496 | Point of Service (POS) | GSK | AETNA | N/A | 1962-12-26 | 0885594 | 088559401100001 | N/A | PS | false | BAUER | N/A | MARIE-FRANCE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539788 | 2222 | 4801 | 7848252 | N/A | 4212041 | 2025-05-20 02:06:34.663662 | 2025-05-13 04:29:37.226363 |
| 2025-05-19 09:06:48.559453 | 2025-05-20 02:17:18.062633 | 8169628 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169628 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-05-22 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8169628_ad8967d0-b0c2-4fd2-a831-33350828ad47.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | 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 | 5539749 | 2222 | 4801 | 7858523 | N/A | 4212009 | 2025-05-20 02:17:18.062633 | 2025-05-13 04:29:37.226332 |
| 2025-05-19 09:06:47.894134 | 2025-05-20 02:16:03.784885 | 8169612 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169612 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-23 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_8169612_09db2065-9d0b-4f7e-b0d9-290d337a9242.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | 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 | 5539664 | 2222 | 4793 | 7857326 | N/A | 4211935 | 2025-05-20 02:16:03.784885 | 2025-05-13 04:29:37.226259 |
| 2025-05-19 09:06:44.588253 | 2025-05-20 02:16:13.852340 | 8169517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169517 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-05-23 | F | PT | N/A | MAGEE | SRYHC0157512 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_8169517_3982b981-561c-4344-a1ca-0d1988420ff0.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539606 | 2222 | 4793 | 7857486 | N/A | 4211886 | 2025-05-20 02:16:13.852340 | 2026-02-06 19:09:03.082684 |
| 2025-05-19 09:06:44.125948 | 2025-05-20 02:13:15.584243 | 8169498 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8169498 | Athletic Physical Therapy Inc | 1996-05-29 | 2025-05-23 | F | PT | AE | CORNELISON | 990430252 | ASHLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539453/check_8169498_f3fd74a4-8f67-4e79-a972-a3ae21ddeff6.json | N/A | N/A | N/A | N/A | N/A | 990430252 | Commercial | HELUNA HEALTH | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1996-05-29 | 0010 0010 | 928077 | N/A | C1 | false | CORNELISON | N/A | ASHLEY | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUJA MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539453 | 2222 | 4802 | 7854423 | N/A | 4211755 | 2025-05-20 02:13:15.584243 | 2025-05-13 04:29:37.226075 |
| 2025-05-19 09:06:43.493526 | 2025-05-20 02:02:46.480389 | 8169470 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169470 | Athletic Physical Therapy Inc | 2009-03-19 | 2025-05-23 | F | PT | AE | BRIGGS | 906130448002 | SLOANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539306/check_8169470_10bc5d0b-2b43-4cc3-b9cf-1577a1dbf153.json | N/A | N/A | N/A | N/A | N/A | 906130448002 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-03-19 | N/A | N/A | N/A | N/A | false | BRIGGS | N/A | SLOANE | 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 | 5539306 | 2222 | 4793 | 7845522 | N/A | 4211630 | 2025-05-20 02:02:46.480389 | 2025-06-06 14:52:22.575054 |
| 2025-05-19 09:06:42.900069 | 2025-05-20 02:02:44.765686 | 8169449 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169449 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-05-23 | M | PT | AE | BARKEY | 728M78455 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539266/check_8169449_5c81167d-a3e3-4850-9adb-f2262b85899f.json | N/A | N/A | N/A | N/A | N/A | 728M78455 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1945-04-26 | N/A | N/A | N/A | N/A | false | BARKEY | N/A | JOSEPH | 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 | 5539266 | 2222 | 4801 | 7845507 | N/A | 4211589 | 2025-05-20 02:02:44.765686 | 2025-05-13 04:29:37.225916 |
| 2025-05-19 09:06:42.599064 | 2025-05-20 02:16:05.838419 | 8169442 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169442 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-05-23 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_8169442_63a07056-ef81-4e8c-83d2-d671cdb03aa9.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538693 | 2222 | 4793 | 7857357 | N/A | 4211081 | 2025-05-20 02:16:05.838419 | 2025-05-13 04:29:37.225492 |