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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-15 09:21:44.927367 | 2025-05-15 09:21:47.194786 | 8079003 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-11-23 | 2025-05-15 | F | PT | AE | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542678/check_8079003_ac23957f-f4bf-42c0-9241-7548d7a7452c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_8079003_2f8391f9-7dad-4997-8906-f9ae617056bc.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 | N/A | 7730736 | N/A | 4214560 | 2025-05-15 09:21:47.194786 | 2025-05-13 04:29:37.228883 |
| 2025-05-15 09:21:44.772771 | 2025-05-15 09:21:55.889534 | 8079002 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-03 | 2025-05-15 | F | AD | N/A | ZISKIN | U5838130501 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542654/check_8079002_baa55132-dae4-4e7e-8c9d-9a9e9343d0b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542654/check_8079002_faa558c8-7241-4fb6-9d54-1cd88da0f868.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 | N/A | 7730748 | N/A | 4214539 | 2025-05-15 09:21:55.889534 | 2025-05-13 04:29:37.228865 |
| 2025-05-15 09:21:44.388448 | 2025-05-15 09:21:47.311576 | 8079001 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-10-27 | 2025-05-15 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542512/check_8079001_91dcedb1-4965-4abc-b3b5-61682157e2d1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_8079001_f625c5fd-721a-4e52-847e-8db4f5c01122.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542512 | 2222 | N/A | 7730739 | N/A | 4214416 | 2025-05-15 09:21:47.311576 | 2025-05-13 04:29:37.228740 |
| 2025-05-15 09:21:44.082557 | 2025-05-15 09:21:46.861095 | 8079000 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-05-15 | U | PT | AE | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8079000_752bed4f-dabb-4b08-a85a-542eed0424be.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8079000_886b4bab-0ada-4226-aa85-c4912c644beb.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | 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 | 5541177 | 2222 | N/A | 7730735 | N/A | 4213223 | 2025-05-15 09:21:46.861095 | 2025-06-03 20:59:34.856515 |
| 2025-05-15 09:21:43.973380 | 2025-05-15 09:21:47.031893 | 8078999 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-04-12 | 2025-05-15 | M | PT | N/A | PULS | XTS068A69201 | LUKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542214/check_8078999_558c48a3-a221-47c5-a3c0-c86b5313a65c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542214/check_8078999_e940a7f3-e1bd-4d5d-9cd1-973e3cc0559e.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542214 | 2222 | N/A | 7730737 | N/A | 4214158 | 2025-05-15 09:21:47.031893 | 2025-05-13 04:29:37.228486 |
| 2025-05-15 09:21:43.718138 | 2025-05-15 09:21:49.089684 | 8078998 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-06-06 | 2025-05-15 | M | AD | N/A | SULLIVAN | 110324368 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542000/check_8078998_7a4e1250-a957-4868-b0fb-52ec1e51a1aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542000/check_8078998_1e40aa61-1c95-45b6-a09f-449791666cd3.json | N/A | N/A | N/A | N/A | N/A | 11032436800 | N/A | JETSUITEX, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1950-06-06 | N/A | 00653848 | N/A | N/A | false | SULLIVAN | N/A | VINCENT | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542000 | 2222 | N/A | 7730741 | N/A | 4213966 | 2025-05-15 09:21:49.089684 | 2025-05-13 04:29:37.228285 |
| 2025-05-15 09:21:43.500570 | 2025-05-15 09:21:45.786789 | 8078997 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-05-15 | U | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_8078997_5e96a13b-81a2-440e-86f9-0fb564c44ad2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_8078997_4f7688bd-8c19-43fe-a44f-07456006022c.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 | N/A | 7730733 | N/A | 4213343 | 2025-05-15 09:21:45.786789 | 2025-06-06 02:21:37.603701 |
| 2025-05-15 09:21:43.249624 | 2025-05-15 09:21:47.512096 | 8078996 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-06-30 | 2025-05-15 | M | PT | AE | CAMP | W288705660 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540801/check_8078996_0ff8b014-5b50-45f8-a8d1-3e95e1b3fff4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540801/check_8078996_d409b3ea-cfad-4db8-866b-1e3c2dacea3f.json | N/A | N/A | N/A | N/A | N/A | W288705660 | Point of Service (POS) | CODEFIED INC. | AETNA | N/A | 1995-06-30 | 0241961 | 024196101300001 | N/A | PS | false | CAMP | N/A | JEFFREY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540801 | 2222 | N/A | 7730738 | N/A | 4212899 | 2025-05-15 09:21:47.512096 | 2025-05-13 04:29:37.227228 |
| 2025-05-15 09:21:42.367159 | 2025-05-15 09:21:45.752036 | 8078995 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-15 | M | PT | AE | BAKSHI | 8PU2T62JR27 | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540447/check_8078995_4ea6ec48-695c-4621-aff7-7440d941e5b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540447/check_8078995_1b2312f4-15d6-4177-8416-4a5f4c84e349.json | N/A | N/A | N/A | N/A | N/A | 8PU2T62JR27 | Medicare Part B | N/A | AAA INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-11 | S5617 | DOL 01032023 | N/A | MB | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540447 | 2222 | N/A | 7730734 | N/A | 4212608 | 2025-05-15 09:21:45.752036 | 2025-05-13 04:29:37.226956 |
| 2025-05-15 09:21:42.179176 | 2025-05-15 09:21:57.294667 | 8078994 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-05-21 | 2025-05-15 | M | PT | AE | KOPSER | W289502070 | RILEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538046/check_8078994_6d461380-7449-467e-86ff-97725ca195e3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538046/check_8078994_b942efa0-10b5-4121-aa1e-f8e2eba4918c.json | N/A | N/A | N/A | N/A | N/A | W289502070 | N/A | N/A | AETNA | N/A | 1999-05-21 | 0196581 | 019658101000702 | N/A | N/A | false | KOPSER | N/A | RILEY | 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 | 5538046 | 2222 | N/A | 7730749 | N/A | 4210525 | 2025-05-15 09:21:57.294667 | 2025-05-13 04:29:37.224944 |
| 2025-05-15 09:21:42.170214 | 2025-05-15 09:21:47.982707 | 8078993 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-12-02 | 2025-05-15 | F | PT | AE | LADEN | 6GY2TG9HX06 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540768/check_8078993_5877085c-79a3-4449-96ee-015dc0ac603d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_8078993_27a00532-d1bc-4138-91a2-a195396a3a9d.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | 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 | 5540768 | 2222 | N/A | 7730740 | N/A | 4212856 | 2025-05-15 09:21:47.982707 | 2025-08-04 18:33:35.319989 |
| 2025-05-15 09:21:41.523992 | 2025-05-15 09:21:45.941363 | 8078992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-15 | F | PT | AE | PRAGER | 7X06K44HK56 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537356/check_8078992_cd8a8b3c-7112-4976-a4be-952af1617678.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537356/check_8078992_f0f6c2cf-5999-44cb-bc68-70836695aaf9.json | N/A | N/A | N/A | N/A | N/A | 7X06K44HK56 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-07-10 | S5921 | N/A | N/A | MA | false | PRAGER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537356 | 2222 | N/A | 7730732 | N/A | 4209932 | 2025-05-15 09:21:45.941363 | 2025-05-14 09:05:51.551805 |
| 2025-05-15 09:21:40.661425 | 2025-05-15 09:21:51.636495 | 8078991 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-10-24 | 2025-05-15 | F | PT | N/A | ARTHUR | JQU013A76182 | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537835/check_8078991_0bc499de-fb77-497a-96ac-5531f757fd61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537835/check_8078991_9508cc93-7ce9-4bad-99bf-ccfff8eac627.json | N/A | N/A | N/A | N/A | N/A | JQU013A76182 | Preferred Provider Organization (PPO) | FOCUSRITE GROUP US INC | ANTHEM BLUE CROSS | N/A | 1985-10-24 | 040 | 478491 | N/A | PR | false | BLISS | N/A | HANNAH | N/A | 2025-06-01 | 2024-06-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537835 | 2222 | N/A | 7730744 | N/A | 4210344 | 2025-05-15 09:21:51.636495 | 2025-05-13 04:29:37.224750 |
| 2025-05-15 09:21:40.644930 | 2025-05-15 09:21:53.482888 | 8078990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-11-07 | 2025-05-15 | M | PT | AE | HODGINS | 1R72HW7UP07 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539833/check_8078990_0d130076-aa45-4cad-bab7-3878acfa26af.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539833/check_8078990_55c3e607-acbf-4bf5-ab81-bd2c0f8b7e06.json | N/A | N/A | N/A | N/A | N/A | 1R72HW7UP07 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-11-07 | S5921 | N/A | N/A | MA | false | HODGINS | 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 | 5539833 | 2222 | N/A | 7730746 | N/A | 4212080 | 2025-05-15 09:21:53.482888 | 2025-05-13 04:29:37.226399 |
| 2025-05-15 09:21:38.540344 | 2025-05-15 09:22:01.718540 | 8078989 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-31 | 2025-05-15 | M | PT | N/A | LARSON | XEK912707257 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537524/check_8078989_2b2fbb06-bc58-4a11-8276-5c41823b51b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537524/check_8078989_84fd988d-9f71-4910-924b-d1c8ba8307f5.json | N/A | N/A | N/A | N/A | N/A | XEK912707257 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-05-31 | 2001ZJ002648 | X0001000 | N/A | PR | false | LARSON | N/A | RYAN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537524 | 2222 | N/A | 7730762 | N/A | 4210069 | 2025-05-15 09:22:01.718540 | 2025-05-13 04:29:37.224490 |
| 2025-05-15 09:21:35.026107 | 2025-05-15 09:21:39.327017 | 8078988 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-31 | 2025-05-15 | M | PT | N/A | MILES | MBL835W05431 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536896/check_8078988_d665eb04-a442-4a3b-afc3-f98f693a9a92.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_8078988_5a6591d4-b748-4a49-be7e-d52e48e82e66.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 5536896 | 2222 | N/A | 7730719 | N/A | 4209567 | 2025-05-15 09:21:39.327017 | 2025-05-13 04:29:37.223990 |
| 2025-05-15 09:21:34.672968 | 2025-05-15 09:21:41.637593 | 8078987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-09-15 | 2025-05-15 | U | PT | AE | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536010/check_8078987_7acde857-7d65-42b1-9ada-b9d36117e308.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536010/check_8078987_65e6eb0a-05fc-4a44-8a20-429a8d0d411e.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | 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 | 5536010 | 2222 | N/A | 7730727 | N/A | 4208831 | 2025-05-15 09:21:41.637593 | 2025-10-30 22:42:31.399473 |
| 2025-05-15 09:15:25.022140 | 2025-05-16 02:33:47.727478 | 8078135 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8078135 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-05-16 | F | PT | AE | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874441/check_8078135_da3a8042-622d-4e98-b7d9-0c18092569a6.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 | 7754000 | N/A | 4219556 | 2025-05-16 02:33:47.727478 | 2025-05-13 04:29:37.230592 |
| 2025-05-15 09:15:24.609788 | 2025-05-16 02:18:29.604451 | 8078133 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8078133 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-19 | M | PT | AE | DERR | 35335410011 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8078133_656cf161-7543-4117-aa9c-83d0a31ee019.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 | 7745666 | N/A | 4534550 | 2025-05-16 02:18:29.604451 | 2025-10-15 18:36:58.255255 |
| 2025-05-15 09:13:34.402078 | 2025-05-16 02:18:32.124661 | 8077208 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8077208 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-16 | F | PT | AE | MEDINA | 35703327111 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676389/check_8077208_d4d6cf93-6f73-40f2-ae35-b55561cfeca5.json | N/A | N/A | N/A | N/A | N/A | 357033271 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-12-30 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676389 | 2222 | 4793 | 7745683 | N/A | 4343445 | 2025-05-16 02:18:32.124661 | 2025-05-14 09:06:09.407736 |
| 2025-05-15 09:13:33.999747 | 2025-05-16 02:23:13.627516 | 8077205 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8077205 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-19 | M | PT | AE | VELAZQUEZ | 825A50913 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676370/check_8077205_294644a3-b2be-409c-9323-0e9a4ffafd78.json | N/A | N/A | N/A | N/A | N/A | MBL825A50913 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CA039GRS | N/A | N/A | false | VELAZQUEZ | N/A | NELSON | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676370 | 2222 | 4801 | 7748141 | N/A | 4219819 | 2025-05-16 02:23:13.627516 | 2026-04-16 20:37:54.612915 |
| 2025-05-15 09:13:12.097200 | 2025-05-16 02:22:41.657742 | 8077040 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8077040 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-19 | M | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8077040_ed7e8483-a8a2-4137-9e8a-726e0002712c.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | 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 | 5874461 | 2222 | 4801 | 7747868 | N/A | 4534583 | 2025-05-16 02:22:41.657742 | 2025-05-27 21:59:00.919365 |
| 2025-05-15 09:13:11.803927 | 2025-05-16 02:22:42.861918 | 8077037 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8077037 | Athletic Physical Therapy Inc | 1943-03-06 | 2025-05-19 | U | PT | AE | VERNON | 000002577936 | MARSHALL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874456/check_8077037_875e10d2-a461-4fb2-83f9-fcb25271b26a.json | N/A | N/A | N/A | N/A | N/A | 000002577936 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1943-03-06 | N/A | N/A | N/A | N/A | false | VERNON | N/A | MARSHALL | 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 | 5874456 | 2222 | 4801 | 7747880 | N/A | 4534578 | 2025-05-16 02:22:42.861918 | 2025-05-14 09:08:45.849589 |
| 2025-05-15 09:13:11.475075 | 2025-05-16 02:18:19.222181 | 8077033 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8077033 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-05-16 | U | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8077033_7be6bf58-d869-424f-98e8-87c54a78a42e.json | N/A | N/A | N/A | N/A | N/A | 992737509 | N/A | N/A | UNITED HEALTHCARE | N/A | 2001-04-06 | N/A | N/A | N/A | N/A | false | HARRAKA | N/A | ROBERT | 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 | 5874440 | 2222 | 4802 | 7745585 | N/A | 4534568 | 2025-05-16 02:18:19.222181 | 2025-05-27 20:53:12.991758 |
| 2025-05-15 09:13:11.053745 | 2025-05-16 02:38:09.259691 | 8077030 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8077030 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-05-19 | U | PT | AE | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_8077030_735784e0-c928-49cf-959f-ba4db619493a.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MB | false | SCHILLER | N/A | JUDY | 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 | 5874437 | 2222 | 4802 | 7756280 | N/A | 4534564 | 2025-05-16 02:38:09.259691 | 2025-05-22 18:42:12.452816 |
| 2025-05-15 09:13:10.571122 | 2025-05-16 02:14:57.288732 | 8077026 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8077026 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-19 | M | AD | N/A | SCHIRO | U4234027401 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8077026_f2dc3866-1fde-41b8-a571-608d0bdb7de8.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | 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 | 5874435 | 2222 | 4802 | 7743863 | N/A | 4213817 | 2025-05-16 02:14:57.288732 | 2025-05-13 04:29:37.228137 |
| 2025-05-15 09:13:09.975014 | 2025-05-16 02:26:11.778750 | 8077021 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8077021 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-05-19 | U | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8077021_add40792-72d9-4949-83c8-b4f4e4c1987a.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | N/A | N/A | N/A | N/A | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874430 | 2222 | 4802 | 7749757 | N/A | 4534559 | 2025-05-16 02:26:11.778750 | 2025-06-06 02:13:35.698378 |
| 2025-05-15 09:13:09.419926 | 2025-05-16 02:25:11.493561 | 8077017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8077017 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-05-19 | U | PT | N/A | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8077017_2655fb5e-5163-44c9-92a3-f3181bf4c2ac.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1954-07-06 | N/A | N/A | N/A | N/A | false | WONG | N/A | LOIS | 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 | 5874429 | 2222 | 4802 | 7749181 | N/A | 4534558 | 2025-05-16 02:25:11.493561 | 2025-06-02 02:24:50.975707 |
| 2025-05-15 09:13:08.856780 | 2025-05-16 02:18:18.252341 | 8077013 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8077013 | Athletic Physical Therapy Inc | 1978-01-02 | 2025-05-16 | U | PT | AE | CHANDLER | 932012561 | GISELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874428/check_8077013_92753dac-bf67-440e-9ea5-8d7fd0c2c518.json | N/A | N/A | N/A | N/A | N/A | 932012561 | N/A | N/A | UNITED HEALTHCARE | N/A | 1978-01-02 | N/A | N/A | N/A | N/A | false | CHANDLER | N/A | GISELLE | 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 | 5874428 | 2222 | 4802 | 7745577 | N/A | 4534557 | 2025-05-16 02:18:18.252341 | 2025-05-14 09:08:11.382549 |
| 2025-05-15 09:13:08.511179 | 2025-05-16 02:38:04.866213 | 8077007 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8077007 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-19 | M | PT | AE | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8077007_e7b1c6a5-2255-48ea-ad94-0bc83e507d87.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | 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 | 5874420 | 2222 | 4793 | 7756238 | N/A | 4534550 | 2025-05-16 02:38:04.866213 | 2025-10-15 18:36:58.255255 |
| 2025-05-15 09:13:08.114407 | 2025-05-16 02:18:20.533245 | 8077003 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8077003 | Athletic Physical Therapy Inc | 2007-11-07 | 2025-05-16 | U | PT | AE | LOPEZ | 988295699 | RICARDO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874415/check_8077003_f2d90519-4c9a-4679-80ba-ccc978822b5b.json | N/A | N/A | N/A | N/A | N/A | 988295699 | N/A | N/A | UNITED HEALTHCARE | N/A | 2007-11-07 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RICARDO | 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 | 5874415 | 2222 | 4793 | 7745591 | N/A | 4534549 | 2025-05-16 02:18:20.533245 | 2025-05-14 09:06:19.868556 |
| 2025-05-15 09:13:07.638744 | 2025-05-16 02:18:51.469326 | 8076999 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8076999 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-05-19 | F | PT | AE | RUEMMELE | 179409499 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8076999_8253e94a-1cc1-4dd5-9d3d-20b43ec678da.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | 4793 | 7745855 | N/A | 4534546 | 2025-05-16 02:18:51.469326 | 2025-12-03 00:06:29.870228 |
| 2025-05-15 09:13:07.208092 | 2025-05-16 02:05:24.706387 | 8076994 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | 8076994 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-05-16 | U | PT | AE | JOHNSON | MISSINGPOLICYNUMBER | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141726378.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874410/check_8076994_89e2b4ee-d55d-4145-a81e-12ed54bee3fb.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | 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 | 5874410 | 2222 | 4793 | 7738915 | N/A | 4534544 | 2025-05-16 02:05:24.706387 | 2025-05-28 20:51:40.104091 |
| 2025-05-15 09:10:51.947312 | 2025-05-16 02:15:18.099491 | 8075896 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 8075896 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-19 | M | PT | AE | HILL | 36606496 | CAMERON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550970/check_8075896_931dce2a-8b11-46e4-bc0c-58c5808264e2.json | N/A | N/A | N/A | N/A | N/A | 366064-96 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1954-12-06 | N/A | N/A | N/A | N/A | false | HILL | N/A | CAMERON | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550970 | 2222 | 4801 | 7744035 | N/A | 4219795 | 2025-05-16 02:15:18.099491 | 2025-05-13 04:29:37.230834 |
| 2025-05-15 09:10:51.794560 | 2025-05-16 02:23:09.761507 | 8075894 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075894 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-05-19 | F | PT | AE | SCHLEIKORN | XDD664W08200 | MARIETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_8075894_fd999740-ee5c-48a8-bec4-1aaa7d7a9d96.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550960 | 2222 | 4793 | 7748101 | N/A | 4219792 | 2025-05-16 02:23:09.761507 | 2025-05-13 04:29:37.230832 |
| 2025-05-15 09:10:51.632749 | 2025-05-16 02:24:35.504709 | 8075892 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075892 | Athletic Physical Therapy Inc | 1949-08-22 | 2025-05-19 | U | PT | AE | WANG | JQE590W09420 | HSEIH JIAU | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550915/check_8075892_83859f64-fc51-46cf-9871-b43a2c9000d7.json | N/A | N/A | N/A | N/A | N/A | JQE590W09420 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1949-08-22 | N/A | N/A | N/A | N/A | false | WANG | N/A | HSEIH JIAU | 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 | 5550915 | 2222 | 4793 | 7748841 | N/A | 4219760 | 2025-05-16 02:24:35.504709 | 2025-04-30 01:22:45.786805 |
| 2025-05-15 09:10:51.404974 | 2025-05-16 02:23:08.555181 | 8075887 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075887 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-05-16 | M | PT | AE | NOVORR | U5X043M87191 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550909/check_8075887_e171d650-ff28-4f82-b87d-b4935dad7eff.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1958-07-03 | 040 | 280509C475 | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2024-11-01 | UC MEDICARE PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550909 | 2222 | 4801 | 7748096 | N/A | 4219758 | 2025-05-16 02:23:08.555181 | 2025-05-13 04:29:37.230800 |
| 2025-05-15 09:10:50.879837 | 2025-05-16 02:13:52.513872 | 8075884 | N/A | N/A | 62118 | Aetna Senior Supplemental Insurance | 1114042165 | 8075884 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-16 | U | PT | AE | BRENNER | TER6252245 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8075884_4977ccb3-fa28-4c66-baaa-74c7ba6898e0.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550897 | 2222 | 4793 | 7743300 | N/A | 4219750 | 2025-05-16 02:13:52.513872 | 2025-06-06 02:15:39.377685 |
| 2025-05-15 09:10:50.520386 | 2025-05-16 02:25:29.814224 | 8075880 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8075880 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-19 | F | PT | N/A | LUCZYWEK | XEA907100099 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_8075880_c0edaba2-f46c-4c09-b909-c310d72dde7c.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2020-12-27 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 7749357 | N/A | 4219010 | 2025-05-16 02:25:29.814224 | 2026-01-09 18:32:07.618867 |
| 2025-05-15 09:10:50.061105 | 2025-05-16 02:33:23.166637 | 8075876 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8075876 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-05-16 | M | PT | AE | CALDERON | 4DH3VT4QR98 | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549156/check_8075876_66cd9091-7367-4215-8af7-b5e0275c9637.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MA | false | CALDERON | N/A | FREDY | 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 | 5549156 | 2222 | 4801 | 7753783 | N/A | 4218873 | 2025-05-16 02:33:23.166637 | 2025-05-13 04:29:37.229886 |
| 2025-05-15 09:10:49.659205 | 2025-05-16 02:05:26.752058 | 8075873 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8075873 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-05-19 | F | PT | AE | DOUGLAS | 34470011211 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548966/check_8075873_9ff1aa8c-13a8-4888-97db-af6f76b71fd2.json | N/A | N/A | N/A | N/A | N/A | 34470011211 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1956-02-09 | N/A | N/A | N/A | N/A | false | DOUGLAS | N/A | HEATHER | 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 | 5548966 | 2222 | 4802 | 7738934 | N/A | 4218725 | 2025-05-16 02:05:26.752058 | 2025-05-13 04:29:37.229715 |
| 2025-05-15 09:10:46.429170 | 2025-05-16 02:23:05.277355 | 8075845 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075845 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-05-19 | F | PT | AE | HOWARD | JQE896M91712 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_8075845_52bc9709-6e8f-4ac5-824e-cf83abaa2025.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543352 | 2222 | 4793 | 7748065 | N/A | 4215147 | 2025-05-16 02:23:05.277355 | 2025-05-13 04:29:37.229464 |
| 2025-05-15 09:10:46.267744 | 2025-05-16 02:23:04.080960 | 8075842 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075842 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-05-16 | M | PT | AE | GEVURTZ | JQE714A62350 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_8075842_59602583-3182-4372-adc2-0aff55b99fab.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543273 | 2222 | 4802 | 7748056 | N/A | 4215069 | 2025-05-16 02:23:04.080960 | 2025-05-13 04:29:37.229385 |
| 2025-05-15 09:10:46.113899 | 2025-05-16 02:23:12.788926 | 8075840 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075840 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-05-16 | F | PT | AE | SINGER | XEM911011492 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543248/check_8075840_406b9672-1668-4837-a622-d3db48f538c3.json | N/A | N/A | N/A | N/A | N/A | XEM911011492 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-05-17 | 2004SD000030 | X0001002 | N/A | SP | false | SINGER | N/A | JOEL | N/A | 2025-06-30 | 2024-07-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543248 | 2222 | 4793 | 7748124 | N/A | 4215066 | 2025-05-16 02:23:12.788926 | 2025-05-13 04:29:37.229384 |
| 2025-05-15 09:10:45.503645 | 2025-05-16 02:18:32.962708 | 8075834 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8075834 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-05-19 | M | PT | AE | ORLOV | 23474362GEHA | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543101/check_8075834_95f7a055-8807-4ec6-a9d9-caf8a2c6b65a.json | N/A | N/A | N/A | N/A | N/A | 23474362GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543101 | 2222 | 4802 | 7745687 | N/A | 4214932 | 2025-05-16 02:18:32.962708 | 2025-05-13 04:29:37.229254 |
| 2025-05-15 09:10:45.018205 | 2025-05-16 02:18:17.723978 | 8075829 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8075829 | Athletic Physical Therapy Inc | 1951-03-15 | 2025-05-16 | U | PT | AE | GRUEN | 969340035 | M D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542961/check_8075829_80565ccf-5b47-4db1-a339-09212f8a04a8.json | N/A | N/A | N/A | N/A | N/A | 969340035 | N/A | N/A | UNITED HEALTHCARE | 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 | 5542961 | 2222 | 4802 | 7745569 | N/A | 4214813 | 2025-05-16 02:18:17.723978 | 2025-04-29 21:12:48.998064 |
| 2025-05-15 09:10:44.538518 | 2025-05-16 02:23:06.130592 | 8075825 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075825 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-05-16 | M | PT | AE | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_8075825_3c44afff-d63a-429a-9610-7334522ee868.json | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5542254 | 2222 | 4802 | 7748074 | N/A | 4214191 | 2025-05-16 02:23:06.130592 | 2025-05-13 04:29:37.228525 |
| 2025-05-15 09:10:41.976182 | 2025-05-16 02:25:31.685563 | 8075812 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8075812 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-05-19 | M | PT | N/A | SIMON | XED913765354 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542217/check_8075812_f951842b-43ea-4341-b220-67a4a44af610.json | N/A | N/A | N/A | N/A | N/A | XED913765354 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001ZK002185 | X0001004 | N/A | PR | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542217 | 2222 | 4793 | 7749375 | N/A | 4214155 | 2025-05-16 02:25:31.685563 | 2025-05-13 04:29:37.228482 |
| 2025-05-15 09:10:41.621045 | 2025-05-16 02:14:46.417385 | 8075811 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8075811 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-19 | M | AD | N/A | SCHIRO | U4234027401 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541834/check_8075811_0b9a31d4-3036-49b7-9e82-1f659ba3d2bf.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | 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 | 5541834 | 2222 | 4802 | 7743753 | N/A | 4213817 | 2025-05-16 02:14:46.417385 | 2025-05-13 04:29:37.228137 |
| 2025-05-15 09:10:41.379806 | 2025-05-16 02:23:10.874895 | 8075807 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075807 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-05-16 | F | PT | AE | SESAR | JQE697M91288 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.141717539.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540948/check_8075807_66c440f9-11c0-4df1-86bf-75c81274c350.json | N/A | N/A | N/A | N/A | N/A | JQE697M91288 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-03-05 | 040 | CASUPWP0 | N/A | N/A | false | SESAR | N/A | SHARON | N/A | 9999-12-31 | 2018-03-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540948 | 2222 | 4793 | 7748112 | N/A | 4213027 | 2025-05-16 02:23:10.874895 | 2025-06-25 17:17:00.282109 |