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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-12 17:36:20.127193 | 2025-07-13 02:06:08.500801 | 9753982 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9753982 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-07-15 | M | AE | PT | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_9753982_1385035b-b760-43f5-a8e4-6c5eab0f9bdf.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244127846 | N/A | N/A | 5549707 | 2222 | 4801 | 9492906 | N/A | 4219317 | 2025-07-13 02:06:08.500801 | 2025-05-13 04:29:37.230340 |
| 2025-07-12 17:36:20.056305 | 2025-07-13 02:12:10.245680 | 9753980 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9753980 | N/A | 1951-01-04 | 2025-07-15 | F | AE | PT | SUTTON | 40042449801 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549270/check_9753980_33ff6cb1-91a0-4105-87da-3ff90e07fa46.json | N/A | N/A | N/A | N/A | N/A | 40042449801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1951-01-04 | N/A | N/A | N/A | N/A | false | SUTTON | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244127845 | N/A | N/A | 5549270 | 2222 | 4801 | 9499032 | N/A | 4218971 | 2025-07-13 02:12:10.245680 | 2025-05-13 04:29:37.229987 |
| 2025-07-12 17:36:16.958533 | 2025-07-13 02:06:06.675570 | 9753885 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9753885 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-07-15 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_9753885_5749657f-6a11-4659-9880-bac7ca606cee.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244127824 | N/A | N/A | 5543425 | 2222 | 4801 | 9492881 | N/A | 4215211 | 2025-07-13 02:06:06.675570 | 2026-04-02 22:30:20.020246 |
| 2025-07-12 17:36:16.828397 | 2025-07-13 02:14:23.211990 | 9753882 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9753882 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-07-14 | M | PT | N/A | LEO | NCF949A57364 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9753882_ecd5b697-1b1e-4c48-91a9-789cc9c466ae.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244127823 | N/A | N/A | 5543220 | 2222 | 4793 | 9500943 | 4184 | 4215036 | 2025-07-13 02:14:23.211990 | 2025-05-13 04:29:37.229353 |
| 2025-07-12 17:36:16.728358 | 2025-07-13 02:15:43.191562 | 9753880 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753880 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-07-15 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_9753880_8b9f83fc-d255-467c-9d65-bd22ab74c3fa.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244127822 | N/A | N/A | 5543211 | 2222 | 4801 | 9502106 | N/A | 4215028 | 2025-07-13 02:15:43.191562 | 2025-05-13 04:29:37.229346 |
| 2025-07-12 17:36:16.659815 | 2025-07-13 02:14:23.920495 | 9753876 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753876 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-07-15 | F | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_9753876_7e8f9e89-1998-4b73-bef8-df4e5f832be7.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244127821 | N/A | N/A | 5543190 | 2222 | 4793 | 9500955 | N/A | 4215014 | 2025-07-13 02:14:23.920495 | 2025-06-01 22:57:55.386960 |
| 2025-07-12 17:36:16.595442 | 2025-07-13 02:15:42.506331 | 9753874 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753874 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-07-15 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_9753874_6466fe1f-5e2a-4ec5-926a-2515871ff2ac.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244127820 | N/A | N/A | 5542952 | 2222 | 4802 | 9502097 | N/A | 4214804 | 2025-07-13 02:15:42.506331 | 2025-05-13 20:09:53.786482 |
| 2025-07-12 17:36:16.521061 | 2025-07-13 02:08:27.104014 | 9753872 | N/A | N/A | 60054 | Aetna | 1114042165 | 9753872 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-07-15 | M | AE | PT | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_9753872_9520f4c7-1ed0-40ca-9224-b6fdc25ee359.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244127819 | N/A | N/A | 5542870 | 2222 | 4793 | 9495158 | N/A | 4214732 | 2025-07-13 02:08:27.104014 | 2025-06-24 20:13:53.579048 |
| 2025-07-12 17:36:16.452805 | 2025-07-13 02:06:05.839022 | 9753870 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9753870 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-07-15 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9753870_afc0d9d5-b363-473b-9c75-b434184e5a98.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126865 | N/A | N/A | 5542660 | 2222 | 4802 | 9492866 | N/A | 4214542 | 2025-07-13 02:06:05.839022 | 2025-05-13 04:29:37.228868 |
| 2025-07-12 17:36:16.384150 | 2025-07-13 02:14:22.640167 | 9753867 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753867 | Athletic Physical Therapy Inc | 2016-02-11 | 2025-07-15 | M | PT | N/A | KANG | PVG127A71148 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542649/check_9753867_f7732a66-0871-4c01-99c6-ed5fee0778fd.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 2016-02-11 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126864 | N/A | N/A | 5542649 | 2222 | 4793 | 9500932 | N/A | 4214536 | 2025-07-13 02:14:22.640167 | 2025-05-13 04:29:37.228862 |
| 2025-07-12 17:36:16.313970 | 2025-07-13 02:13:54.894800 | 9753864 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 9753864 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-07-15 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9753864_b6da901e-023a-4a51-99b1-bd46f593d9df.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126863 | N/A | N/A | 5542513 | 2222 | 4793 | 9500556 | N/A | 4214418 | 2025-07-13 02:13:54.894800 | 2025-07-03 18:12:11.075357 |
| 2025-07-12 17:36:16.242201 | 2025-07-13 02:15:41.981540 | 9753861 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753861 | Athletic Physical Therapy Inc | 1989-12-04 | 2025-07-15 | M | PT | N/A | HUYNH | XEA911095759 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542472/check_9753861_6b3d5643-d70f-4546-93e3-1edc2ca4d485.json | N/A | N/A | N/A | N/A | N/A | XEA911095759 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1989-12-04 | 1000PPOX0001 | W0067449 | N/A | PR | false | HUYNH | N/A | CHRISTOPHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126862 | N/A | N/A | 5542472 | 2222 | 4801 | 9502086 | N/A | 4214383 | 2025-07-13 02:15:41.981540 | 2025-05-13 04:29:37.228709 |
| 2025-07-12 17:36:16.173839 | 2025-07-13 02:08:27.728719 | 9753858 | N/A | N/A | 60054 | Aetna | 1114042165 | 9753858 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-07-15 | M | AE | PT | SAMUELS | W289332071 | ZACHARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_9753858_d47eb64a-a8e3-4f60-9c8c-f598d5d2d4ce.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126861 | N/A | N/A | 5542467 | 2222 | 4802 | 9495167 | N/A | 4214379 | 2025-07-13 02:08:27.728719 | 2025-05-13 04:29:37.228706 |
| 2025-07-12 17:36:16.107975 | 2025-07-13 02:15:44.515120 | 9753855 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753855 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-07-14 | M | PT | N/A | SIMON | 913762408 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_9753855_a17615cd-c8c6-48c2-af25-9d1b70da2c6c.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126860 | N/A | N/A | 5542213 | 2222 | 4793 | 9502127 | N/A | 4214155 | 2025-07-13 02:15:44.515120 | 2025-05-13 04:29:37.228482 |
| 2025-07-12 17:36:16.032493 | 2025-07-13 02:06:12.439936 | 9753853 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9753853 | Athletic Physical Therapy Inc | 1988-06-09 | 2025-07-15 | F | AE | PT | RIVERO | 776926401 | TANYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9753853_beff101a-9b13-4f9c-b802-79ffaf1f6bc1.json | N/A | N/A | N/A | N/A | N/A | 776926401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1988-06-09 | N/A | N/A | N/A | N/A | false | RIVERO | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126859 | N/A | N/A | 5542149 | 2222 | 4801 | 9492944 | N/A | 4214103 | 2025-07-13 02:06:12.439936 | 2025-05-13 04:29:37.228419 |
| 2025-07-12 17:36:15.948061 | 2025-07-13 02:10:56.926836 | 9753850 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9753850 | Athletic Physical Therapy Inc | 1950-06-06 | 2025-07-15 | M | AD | N/A | SULLIVAN | 110324368 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542000/check_9753850_43e17936-8b54-406e-82dd-cce0e005dc74.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 | 8244126858 | N/A | N/A | 5542000 | 2222 | 4793 | 9497789 | N/A | 4213966 | 2025-07-13 02:10:56.926836 | 2025-05-13 04:29:37.228285 |
| 2025-07-12 17:36:15.874168 | 2025-07-13 02:14:19.479987 | 9753844 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9753844 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-07-15 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9753844_6b516a94-b3a5-471a-8aac-aaaa841996b5.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126857 | N/A | N/A | 5541944 | 2222 | 4801 | 9500890 | 4184 | 4213907 | 2025-07-13 02:14:19.479987 | 2025-05-13 04:29:37.228228 |
| 2025-07-12 17:36:15.811305 | 2025-07-13 02:06:06.242554 | 9753840 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9753840 | Athletic Physical Therapy Inc | 1970-11-30 | 2025-07-14 | M | AE | PT | FITZGIBBON | R1075485200 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_9753840_5f1a2b8d-e8be-473a-9d12-bf42c45c491c.json | N/A | N/A | N/A | N/A | N/A | R1075485200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-11-30 | N/A | N/A | N/A | N/A | false | FITZGIBBON | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126856 | N/A | N/A | 5541889 | 2222 | 4802 | 9492875 | N/A | 4213867 | 2025-07-13 02:06:06.242554 | 2025-05-13 04:29:37.228184 |
| 2025-07-12 17:36:15.746502 | 2025-07-13 02:14:21.219975 | 9753837 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753837 | Athletic Physical Therapy Inc | 1992-06-25 | 2025-07-15 | F | AE | PT | FONSECA | XDP457W18823 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541789/check_9753837_1d4e1684-8f00-4e80-974a-affaf27c201c.json | N/A | N/A | N/A | N/A | N/A | XDP457W18823 | Preferred Provider Organization (PPO) | TRLG HOLDINGS LLC | ANTHEM BLUE CROSS | N/A | 1992-06-25 | 040 | 165681M046 | N/A | PR | false | FONSECA | N/A | NICOLE | N/A | 9999-12-31 | 2025-02-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126855 | N/A | N/A | 5541789 | 2222 | 4802 | 9500910 | N/A | 4213775 | 2025-07-13 02:14:21.219975 | 2025-05-13 04:29:37.228095 |
| 2025-07-12 17:36:15.679428 | 2025-07-13 02:15:41.347979 | 9753835 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753835 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-07-15 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_9753835_5a8c6279-8571-40bf-b957-6840ec5370bd.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 | 8244126854 | N/A | N/A | 5541730 | 2222 | 4793 | 9502075 | N/A | 4213725 | 2025-07-13 02:15:41.347979 | 2025-05-13 04:29:37.228045 |
| 2025-07-12 17:36:15.609865 | 2025-07-13 02:10:56.406895 | 9753833 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9753833 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-07-15 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_9753833_ef087636-0a95-473b-bb25-1dea8c0eab0f.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 | 8244126853 | N/A | N/A | 5541552 | 2222 | 4802 | 9497779 | N/A | 4213562 | 2025-07-13 02:10:56.406895 | 2025-05-13 04:29:37.227895 |
| 2025-07-12 17:36:15.534841 | 2025-07-13 02:15:40.294274 | 9753830 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753830 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-07-15 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9753830_2fcbbe79-a2b8-4079-b14e-d150bd263232.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126852 | N/A | N/A | 5541314 | 2222 | 4793 | 9502063 | N/A | 4213343 | 2025-07-13 02:15:40.294274 | 2025-06-06 02:21:37.603701 |
| 2025-07-12 17:36:15.450064 | 2025-07-13 02:15:43.729914 | 9753828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753828 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-07-15 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_9753828_e1e88f3a-7168-4216-80e1-cbaf0871d36c.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126851 | N/A | N/A | 5540558 | 2222 | 4801 | 9502117 | N/A | 4212698 | 2025-07-13 02:15:43.729914 | 2025-05-13 04:29:37.227042 |
| 2025-07-12 17:36:15.360150 | 2025-07-13 02:14:20.168374 | 9753823 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753823 | Athletic Physical Therapy Inc | 2008-06-19 | 2025-07-15 | F | AE | PT | AINTABLIAN | NCF581A75701 | GARS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540501/check_9753823_410299db-7741-4dc5-a6f8-7c5d1d5a23cd.json | N/A | N/A | N/A | N/A | N/A | NCF581A75701 | Point of Service (POS) | COUNTY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2008-06-19 | 040 | 56061A | N/A | PS | false | AINTABLIAN | N/A | TALAR | N/A | 9999-12-31 | 2025-06-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126850 | N/A | N/A | 5540501 | 2222 | 4793 | 9500901 | N/A | 4212652 | 2025-07-13 02:14:20.168374 | 2025-06-20 17:50:17.155057 |
| 2025-07-12 17:36:15.294026 | 2025-07-13 02:21:12.670737 | 9753821 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9753821 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-07-15 | F | AE | PT | KROLL | 7TM8GH4UP59 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540410/check_9753821_03d39887-5e6d-4ccb-8cca-d6280b2ddc34.json | N/A | N/A | N/A | N/A | N/A | 7TM8GH4UP59 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-11 | S5601 | N/A | N/A | MA | false | KROLL | N/A | LINDA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126849 | N/A | N/A | 5540410 | 2222 | 4793 | 9506382 | N/A | 4212576 | 2025-07-13 02:21:12.670737 | 2026-04-25 00:03:08.552979 |
| 2025-07-12 17:36:15.224863 | 2025-07-13 02:06:07.850482 | 9753819 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9753819 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-07-15 | F | AE | PT | WENSEL | 40065419401 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9753819_b359c2be-308a-41f9-a465-b970082a28da.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126848 | N/A | N/A | 5539718 | 2222 | 4793 | 9492897 | N/A | 4211977 | 2025-07-13 02:06:07.850482 | 2025-05-13 04:29:37.226299 |
| 2025-07-12 17:36:14.941258 | 2025-07-13 02:13:48.147253 | 9753814 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9753814 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-07-15 | M | AE | PT | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9753814_df1a86aa-afd0-4d92-b258-77d54a98937b.json | N/A | N/A | N/A | N/A | N/A | 00000375700 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-11 | H3815028 | N/A | N/A | HM | false | SULLIVAN | N/A | STEVEN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126847 | N/A | N/A | 5539569 | 2222 | 4801 | 9500462 | 2630 | 4211851 | 2025-07-13 02:13:48.147253 | 2025-06-25 18:38:39.189571 |
| 2025-07-12 17:36:14.717358 | 2025-07-13 02:21:15.252529 | 9753808 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9753808 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-07-15 | F | AE | PT | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539049/check_9753808_dd27eee0-e831-4406-b8e7-c2d483df4697.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MB | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126846 | N/A | N/A | 5539049 | 2222 | 4801 | 9506411 | N/A | 4211368 | 2025-07-13 02:21:15.252529 | 2025-05-13 04:29:37.225728 |
| 2025-07-12 17:36:14.378313 | 2025-07-13 02:06:09.434544 | 9753803 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9753803 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-07-15 | M | AE | PT | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_9753803_a59b881f-4dee-4771-9ba8-2d53bbdda7f6.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126843 | N/A | N/A | 5538674 | 2222 | 4793 | 9492915 | N/A | 4211039 | 2025-07-13 02:06:09.434544 | 2025-05-13 04:29:37.225444 |
| 2025-07-12 17:36:14.285715 | 2025-07-13 02:16:03.008107 | 9753797 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753797 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-07-15 | M | PT | N/A | RITENOUR | NCF553A20679 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9753797_08817bbd-91cc-4556-a8b8-f3fbabbf45ca.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126842 | N/A | N/A | 5537911 | 2222 | 4793 | 9502400 | N/A | 4210415 | 2025-07-13 02:16:03.008107 | 2025-06-11 20:40:26.862752 |
| 2025-07-12 17:36:14.205185 | 2025-07-13 02:21:10.019600 | 9753796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9753796 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-07-15 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_9753796_900b69c2-2e74-4081-9855-d9953081bd40.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126841 | N/A | N/A | 5537480 | 2222 | 4802 | 9506362 | N/A | 4210038 | 2025-07-13 02:21:10.019600 | 2025-06-02 14:57:36.820684 |
| 2025-07-12 17:36:14.124715 | 2025-07-13 02:13:46.590252 | 9753790 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9753790 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-07-15 | M | AE | PT | GOMES | 00000285293 | NEMESIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_9753790_88125292-b1fc-4e43-b7d1-cd5ca3a3214f.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126840 | N/A | N/A | 5537439 | 2222 | 4801 | 9500434 | 2630 | 4210001 | 2025-07-13 02:13:46.590252 | 2025-05-13 04:29:37.224421 |
| 2025-07-12 17:36:14.034720 | 2025-07-13 02:06:45.374293 | 9753788 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 9753788 | N/A | 1948-05-29 | 2025-07-15 | F | AE | PT | BEGGS | 32842199 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537371/check_9753788_d3bf4cfa-96aa-4043-abef-ee49b052012e.json | N/A | N/A | N/A | N/A | N/A | 32842199 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-05-29 | N/A | N/A | N/A | N/A | false | BEGGS | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244126839 | N/A | N/A | 5537371 | 2222 | 4801 | 9493582 | N/A | 4209950 | 2025-07-13 02:06:45.374293 | 2025-05-13 04:29:37.224374 |
| 2025-07-12 17:36:13.957517 | 2025-07-13 02:14:25.455913 | 9753785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753785 | Athletic Physical Therapy Inc | 1960-10-26 | 2025-07-15 | M | PT | N/A | SUCHER | NCF577A55433 | JAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536746/check_9753785_cf307981-e5bb-42e5-b2e7-051564c5a7e3.json | N/A | N/A | N/A | N/A | N/A | NCF577A55433 | Health Maintenance Organization (HMO) | CALTECH JPL HMO ADVANTAGE | ANTHEM BLUE CROSS | N/A | 1960-10-26 | 040 | 175104H220 | N/A | HM | false | SUCHER | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | BLUE CROSS ADVANTAGE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126838 | N/A | N/A | 5536746 | 2222 | 4801 | 9500977 | N/A | 4209436 | 2025-07-13 02:14:25.455913 | 2025-06-27 22:58:27.733010 |
| 2025-07-12 17:36:13.880445 | 2025-07-13 02:06:10.184033 | 9753783 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9753783 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-07-14 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_9753783_204799ec-be07-46e7-9bcf-c591531e6eac.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244126837 | N/A | N/A | 5536162 | 2222 | 4793 | 9492925 | N/A | 4208960 | 2025-07-13 02:06:10.184033 | 2025-07-11 19:38:20.011022 |
| 2025-07-12 17:36:13.073726 | 2025-07-13 02:15:04.734563 | 9753750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753750 | Athletic Physical Therapy Inc | 2008-02-17 | 2025-07-15 | F | PT | N/A | HARO | N5X1918954204 | JILLIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398683/check_9753750_c6519ddd-cbad-498d-8eca-740ee8a001f3.json | N/A | N/A | N/A | N/A | N/A | N5X1918954204 | Preferred Provider Organization (PPO) | 014652 BC PPO CLASSIC - ACTIVE - CA | ANTHEM BLUE CROSS | N/A | 2008-02-17 | N/A | 014666 | N/A | PR | false | HARO | N/A | PETE | N/A | 2034-02-28 | 2023-01-01 | ACTIVE PPO PLAN_13214 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244149143 | N/A | N/A | 6398683 | 2222 | 4801 | 9501551 | N/A | 5046240 | 2025-07-13 02:15:04.734563 | 2025-07-01 04:05:26.762675 |
| 2025-07-12 17:36:07.915349 | 2025-07-13 02:10:42.537078 | 9753582 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9753582 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-07-15 | F | AE | PT | LINDSEY | XEM905211597 | CHRISTIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550956/check_9753582_547c5359-543d-4865-94ed-bf6184abd238.json | N/A | N/A | N/A | N/A | N/A | XEM905211597 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-05-24 | 2002SF000029 | X0001002 | N/A | OT | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151418 | N/A | N/A | 5550956 | 2222 | 4801 | 9497517 | N/A | 4219787 | 2025-07-13 02:10:42.537078 | 2025-05-13 04:29:37.230828 |
| 2025-07-12 17:36:07.418413 | 2025-07-13 02:09:25.692180 | 9753568 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753568 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-07-15 | F | AE | PT | MARTIN | DGA11867912J | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_9753568_8c15bc5d-7306-4faa-9307-e77f19471cc5.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151417 | N/A | N/A | 5550799 | 2222 | 4793 | 9496138 | N/A | 4219681 | 2025-07-13 02:09:25.692180 | 2026-01-14 20:54:02.193776 |
| 2025-07-12 17:36:07.037702 | 2025-07-13 02:09:23.714019 | 9753557 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753557 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-07-15 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9753557_48d59f90-5aa8-4070-b95f-43034dfb9dae.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151416 | N/A | N/A | 5550535 | 2222 | 4801 | 9496099 | N/A | 4219556 | 2025-07-13 02:09:23.714019 | 2025-05-13 04:29:37.230592 |
| 2025-07-12 17:36:04.675358 | 2025-07-13 02:08:58.984425 | 9753491 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9753491 | N/A | 2007-12-08 | 2025-07-15 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9753491_036a67c3-ba83-404b-937a-53c681087346.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151300 | N/A | N/A | 5542850 | 2222 | 4793 | 9495687 | N/A | 4214714 | 2025-07-13 02:08:58.984425 | 2025-05-13 04:29:37.229031 |
| 2025-07-12 17:36:04.204635 | 2025-07-13 02:16:44.676345 | 9753474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9753474 | Athletic Physical Therapy Inc | 1950-06-06 | 2025-07-15 | M | AD | N/A | SULLIVAN | 8JM4YP4FA78 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542002/check_9753474_7180ce30-e84f-459c-943f-2950c7e77a0c.json | N/A | N/A | N/A | N/A | N/A | 8JM4YP4FA78 | Medicare Part B | N/A | CIGNA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-06 | N/A | N/A | N/A | MB | false | SULLIVAN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8244151299 | N/A | N/A | 5542002 | 2222 | 4793 | 9502998 | N/A | 4213966 | 2025-07-13 02:16:44.676345 | 2025-05-13 04:29:37.228285 |
| 2025-07-12 17:36:03.880708 | 2025-07-13 02:05:46.387843 | 9753464 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 9753464 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-07-15 | F | AE | PT | KROLL | H75730672 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540414/check_9753464_7e5cb375-ac9a-4f5e-bc79-90fa2ad9e933.json | N/A | N/A | N/A | N/A | N/A | H75730672 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 019 | 1956-11-11 | N/A | 5A409003 | N/A | SP | false | KROLL | N/A | LINDA | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151298 | N/A | N/A | 5540414 | 2222 | 4793 | 9492547 | N/A | 4212576 | 2025-07-13 02:05:46.387843 | 2026-04-25 00:03:08.552979 |
| 2025-07-12 17:36:03.320146 | 2025-07-13 02:09:26.031693 | 9753445 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9753445 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-07-15 | F | AE | PT | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539052/check_9753445_d0b6a706-a4bf-4a2f-89e0-5976d1a974a7.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151297 | N/A | N/A | 5539052 | 2222 | 4801 | 9496147 | N/A | 4211368 | 2025-07-13 02:09:26.031693 | 2025-05-13 04:29:37.225728 |
| 2025-07-12 17:36:02.891379 | 2025-07-13 02:02:47.879354 | 9753434 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9753434 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-07-15 | F | AE | PT | CHADORCHI | 33261790711 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_9753434_e423891a-70f6-44af-ae20-b166410e0e61.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244151296 | N/A | N/A | 5537483 | 2222 | 4802 | 9490635 | N/A | 4210038 | 2025-07-13 02:02:47.879354 | 2025-06-02 14:57:36.820684 |
| 2025-07-12 17:35:43.604773 | 2025-07-13 02:15:02.122534 | 9752894 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9752894 | Athletic Physical Therapy Inc | 1959-05-18 | 2025-07-15 | F | PT | N/A | BARRUNDIA DE AVENDAN | JQW789W20031 | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9752894_b4b9d003-b204-42f8-a57a-dabdc30576bd.json | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-18 | 040 | CAMCRWP0 | N/A | MP | false | BARRUNDIA DE AVENDAN | N/A | M | N/A | 9999-12-31 | 2024-05-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244149005 | N/A | N/A | 6236229 | 2222 | 4801 | 9501515 | N/A | 4642900 | 2025-07-13 02:15:02.122534 | 2025-12-12 21:30:04.843166 |
| 2025-07-12 17:35:42.302968 | 2025-07-13 02:08:51.663813 | 9752853 | N/A | N/A | 60054 | Aetna | 1114042165 | 9752853 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-07-15 | M | AE | PT | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_9752853_708e625f-0e14-4d19-8a78-14b9e907a857.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244149002 | N/A | N/A | 6235883 | 2222 | 4802 | 9495565 | N/A | 4883697 | 2025-07-13 02:08:51.663813 | 2025-07-08 14:55:53.397662 |
| 2025-07-12 17:35:24.085962 | 2025-07-13 02:18:15.319745 | 9752245 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9752245 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-15 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.204344264.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_9752245_4d6916d0-ede5-4036-a91f-0c75ef1e0977.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244172621 | N/A | N/A | 6752936 | 2222 | 4801 | 9504228 | N/A | 5065602 | 2025-07-13 02:18:15.319745 | 2025-07-01 17:25:13.681724 |
| 2025-07-12 17:35:04.810027 | 2025-07-13 02:15:05.419160 | 9751628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9751628 | Athletic Physical Therapy Inc | 1943-04-04 | 2025-07-15 | M | PT | N/A | KASONDRA | JQS982A24769 | JAYESH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6226525/check_9751628_075e4f1f-02b5-4694-9363-9896adcbb8b4.json | N/A | N/A | N/A | N/A | N/A | JQS982A24769 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1943-04-04 | 040 | CAMCRWP0 | N/A | MP | false | KASONDRA | N/A | JAYESH | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8244148609 | N/A | N/A | 6226525 | 2222 | 4801 | 9501564 | N/A | 4874079 | 2025-07-13 02:15:05.419160 | 2025-06-11 23:55:57.341570 |
| 2025-07-12 17:34:44.581988 | 2025-07-13 02:06:17.080197 | 9751081 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9751081 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-07-15 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9751081_181ea60b-441f-447b-b661-88995ac594e1.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244163031 | N/A | N/A | 5874423 | 2222 | 4802 | 9493039 | N/A | 4534552 | 2025-07-13 02:06:17.080197 | 2025-05-30 18:01:03.324126 |
| 2025-07-12 17:34:43.828676 | 2025-07-13 02:22:42.098679 | 9751068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9751068 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-07-14 | M | AE | PT | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9751068_b14efa03-04f4-45cc-9066-4161053fa9eb.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 8244163030 | N/A | N/A | 5874420 | 2222 | 4793 | 9507418 | N/A | 4534550 | 2025-07-13 02:22:42.098679 | 2025-10-15 18:36:58.255255 |