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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 09:10:41.033874 | 2025-05-16 02:23:02.753260 | 8075804 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075804 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-16 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | 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/2222/5539665/check_8075804_6aa01d6f-bd51-4fda-af9e-3adcb2075c7b.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539665 | 2222 | 4793 | 7748045 | N/A | 4211935 | 2025-05-16 02:23:02.753260 | 2025-05-13 04:29:37.226259 |
| 2025-05-15 09:10:40.682763 | 2025-05-16 02:33:22.791656 | 8075801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8075801 | Athletic Physical Therapy Inc | 1945-04-13 | 2025-05-19 | F | PT | BLUM | 5G57RW1XT38 | BONNIE | AE | 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/2222/5539302/check_8075801_b26daa4b-26df-400d-b79e-86eb60d2583b.json | N/A | N/A | N/A | N/A | N/A | 5G57RW1XT38 | N/A | N/A | CMS | N/A | 1945-04-13 | N/A | N/A | N/A | N/A | false | BLUM | 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 | 5539302 | 2222 | 4802 | 7753779 | N/A | 4211624 | 2025-05-16 02:33:22.791656 | 2025-05-13 04:29:37.225953 |
| 2025-05-15 09:10:39.707894 | 2025-05-16 02:26:23.135890 | 8075790 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8075790 | Athletic Physical Therapy Inc | 1988-02-12 | 2025-05-19 | F | PT | CHEN | ADE820890502 | KAREN | N/A | 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/2222/5538826/check_8075790_0ce4817d-b75f-4b27-9011-76bd4b105636.json | N/A | N/A | N/A | N/A | N/A | ADE820890502 | Preferred Provider Organization (PPO) | COBRA EMPLOYEES | BLUE SHIELD OF CALIFORNIA | N/A | 1988-02-12 | N/A | 287825 | N/A | PR | false | CHEN | N/A | KAREN | N/A | N/A | N/A | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538826 | 2222 | 4802 | 7749871 | N/A | 4211194 | 2025-05-16 02:26:23.135890 | 2025-05-13 04:29:37.225593 |
| 2025-05-15 09:10:39.437292 | 2025-05-16 02:14:47.416543 | 8075788 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8075788 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-19 | M | AD | WARD | U7734372001 | WILLIAM | N/A | 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/2222/5538124/check_8075788_fd83efba-4780-45c1-8e01-a8f288e625f5.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538124 | 2222 | 4802 | 7743763 | N/A | 4210590 | 2025-05-16 02:14:47.416543 | 2025-05-13 04:29:37.225004 |
| 2025-05-15 09:10:39.087787 | 2025-05-16 02:23:14.221180 | 8075785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075785 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-05-19 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | 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/2222/5537881/check_8075785_90b1806a-0b1d-428f-8950-d8365e1f19bf.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537881 | 2222 | 4793 | 7748147 | N/A | 4210385 | 2025-05-16 02:23:14.221180 | 2026-03-06 18:49:17.116017 |
| 2025-05-15 09:10:38.806827 | 2025-05-16 02:05:27.445412 | 8075782 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8075782 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-16 | F | PT | GODBOLD | 33204792612 | SHARI | AE | 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/2222/5537863/check_8075782_45b88c1e-78eb-4f30-bcbe-909c79e3f562.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1941-11-29 | N/A | N/A | N/A | N/A | false | GODBOLD | N/A | SHARI | 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 | 5537863 | 2222 | 4802 | 7738940 | N/A | 4210360 | 2025-05-16 02:05:27.445412 | 2025-05-13 04:29:37.224766 |
| 2025-05-15 09:10:38.477071 | 2025-05-16 02:25:30.933780 | 8075778 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8075778 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-05-16 | F | PT | MIYATA | XEM904724382 | LARAINE | AE | 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/2222/5537630/check_8075778_325a5bb7-1df9-497d-805b-13a119b78119.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537630 | 2222 | 4802 | 7749365 | N/A | 4210159 | 2025-05-16 02:25:30.933780 | 2025-05-13 04:29:37.224576 |
| 2025-05-15 09:10:38.070330 | 2025-05-16 02:23:07.590402 | 8075772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075772 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-05-19 | M | PT | NIELSEN | XDP057A76330 | ROY | AE | 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/2222/5537188/check_8075772_5061b7ff-5411-4cbd-81e6-21983515ee5b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629M421 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-06-01 | 2023-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537188 | 2222 | 4802 | 7748083 | N/A | 4209789 | 2025-05-16 02:23:07.590402 | 2025-05-13 04:29:37.224215 |
| 2025-05-15 09:10:37.130862 | 2025-05-16 02:23:01.353597 | 8075767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8075767 | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-19 | F | PT | BARR BRIGHT | MPI01424345Q | CYNTHIA | N/A | 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/2222/5537144/check_8075767_97ee661d-f72c-441f-8901-5f7a99a5c3cd.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | 277163M402 | N/A | N/A | false | BARR BRIGHT | N/A | CYNTHIA | 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 | 5537144 | 2222 | 4793 | 7748038 | N/A | 4209763 | 2025-05-16 02:23:01.353597 | 2025-05-14 09:05:42.724555 |
| 2025-05-15 09:10:36.712517 | 2025-05-16 02:26:24.602034 | 8075764 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8075764 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-05-16 | F | PT | SONDREAAL | WMC125993776001 | DIANE | N/A | 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/2222/5536323/check_8075764_1eab61df-c9f8-470e-b228-a47c9ba3bee1.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536323 | 2222 | 4793 | 7749879 | N/A | 4209086 | 2025-05-16 02:26:24.602034 | 2025-05-13 04:29:37.223507 |
| 2025-05-15 09:10:36.400211 | 2025-05-16 02:18:30.804911 | 8075761 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8075761 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-05-16 | F | PT | GOLDMAN | 949158511 | MARALYN | AE | 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/2222/5535982/check_8075761_750ecdbe-8c69-47bf-a626-27c66bb9b0f3.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535982 | 2222 | 4802 | 7745673 | N/A | 4208807 | 2025-05-16 02:18:30.804911 | 2025-05-13 04:29:37.223234 |
| 2025-05-15 09:05:50.409528 | 2025-05-16 02:10:30.882335 | 8068875 | N/A | N/A | 60054 | Aetna | 1114042165 | 8068875 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-19 | F | PT | BOWMAN | W260258759 | GLORIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8068875_290ba937-623d-4485-b194-7ffa245203eb.json | N/A | N/A | N/A | N/A | N/A | W260258759 | N/A | N/A | AETNA | N/A | 1953-04-10 | 0141473 | 014147301500001 | N/A | N/A | false | BOWMAN | N/A | GEORGE | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551029 | 2222 | 4801 | 7741558 | N/A | 4219852 | 2025-05-16 02:10:30.882335 | 2025-05-13 04:29:37.230898 |
| 2025-05-15 09:05:50.364003 | 2025-05-16 02:21:38.093579 | 8068871 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8068871 | Athletic Physical Therapy Inc | 2004-08-14 | 2025-05-19 | M | PT | SCHLUSSEL | 56938694804 | JACOB | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551000/check_8068871_1a206b14-4317-4f62-a584-863867ce2b46.json | N/A | N/A | N/A | N/A | N/A | 56938694804 | Commercial | N/A | OXFORD HEALTH INSURANCE, INC. | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2004-08-14 | N/A | 1345440 | N/A | C1 | false | SCHLUSSEL | N/A | JACOB | N/A | N/A | N/A | LIBERTY NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551000 | 2222 | 4802 | 7747308 | N/A | 4219818 | 2025-05-16 02:21:38.093579 | 2025-05-14 09:08:41.326595 |
| 2025-05-15 09:05:50.318469 | 2025-05-16 02:27:56.222962 | 8068869 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068869 | Athletic Physical Therapy Inc | 1981-12-08 | 2025-05-16 | M | PT | WU | XDL319A72609 | RAYMOND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550996/check_8068869_93dd2a8e-b6c3-4693-819d-7f299d5fc843.json | N/A | N/A | N/A | N/A | N/A | XDL319A72609 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-12-08 | 040 | Z15500 | N/A | PR | false | WU | N/A | RAYMOND | N/A | 9999-12-31 | 2008-01-03 | SMARTSENSE STANDARD RX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550996 | 2222 | 4793 | 7750709 | N/A | 4219824 | 2025-05-16 02:27:56.222962 | 2025-05-13 04:29:37.230870 |
| 2025-05-15 09:05:50.268881 | 2025-05-16 02:27:51.815558 | 8068868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068868 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-05-16 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8068868_abfc964c-2364-49cc-b284-b20cead1a6dd.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 7750671 | N/A | 4219817 | 2025-05-16 02:27:51.815558 | 2025-05-13 04:29:37.230864 |
| 2025-05-15 09:05:50.217099 | 2025-05-16 02:27:54.795907 | 8068863 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068863 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-05-19 | M | PT | VARON | MPI101422173Q | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8068863_65b8c8f3-d00f-450d-b040-2de75ba91226.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | 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 | 5550992 | 2222 | 4793 | 7750701 | N/A | 4219816 | 2025-05-16 02:27:54.795907 | 2025-05-13 04:29:37.230863 |
| 2025-05-15 09:05:50.112118 | 2025-05-16 02:27:47.212913 | 8068860 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068860 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-05-16 | M | PT | MERTES | XED914030953 | CORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8068860_cf8b4cfe-0b82-41de-8cc6-4b9ab0d4d84d.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 7750635 | N/A | 4219813 | 2025-05-16 02:27:47.212913 | 2025-05-13 04:29:37.230860 |
| 2025-05-15 09:05:50.058156 | 2025-05-16 02:16:07.300987 | 8068856 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8068856 | Athletic Physical Therapy Inc | 1993-03-19 | 2025-05-19 | M | AD | NEWMAN | 110958773 | CORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550986/check_8068856_142399dd-e327-4092-b5ad-20bd3adef6c0.json | N/A | N/A | N/A | N/A | N/A | 11095877300 | N/A | GELFAND, RENNERT, & FELDMAN LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1993-03-19 | N/A | 00655907 | N/A | N/A | false | NEWMAN | N/A | CORY | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550986 | 2222 | 4802 | 7744447 | N/A | 4219799 | 2025-05-16 02:16:07.300987 | 2025-05-13 04:29:37.230839 |
| 2025-05-15 09:05:50.007643 | 2025-05-16 02:29:32.468174 | 8068855 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8068855 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-05-19 | F | PT | RASHIDI DOUST | 902264067 | MINOO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550980/check_8068855_a698300b-ab19-4860-ae66-53980e81cc1c.json | N/A | N/A | N/A | N/A | N/A | 902264067 | N/A | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1948-10-09 | 1110P0000106 | W0051752 | N/A | N/A | false | RASHIDI DOUST | N/A | MINOO | N/A | N/A | N/A | BLUE SHIELD RX ENHANCED PDP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550980 | 2222 | 4802 | 7751575 | N/A | 4219809 | 2025-05-16 02:29:32.468174 | 2025-05-13 04:29:37.230855 |
| 2025-05-15 09:05:49.925484 | 2025-05-16 02:40:44.673589 | 8068852 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068852 | Athletic Physical Therapy Inc | 1978-11-15 | 2025-05-16 | F | PT | LEVIN | 8UF4J49FH09 | SHANNON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_8068852_9d91f0fb-6de2-4bba-a80f-d7759b6db8e2.json | N/A | N/A | N/A | N/A | N/A | 8UF4J49FH09 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1978-11-15 | S4802 | N/A | N/A | MA | false | LEVIN | N/A | SHANNON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550976 | 2222 | 4801 | 7757125 | N/A | 4219800 | 2025-05-16 02:40:44.673589 | 2025-05-13 04:29:37.230840 |
| 2025-05-15 09:05:49.877221 | 2025-05-16 02:40:38.838088 | 8068851 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068851 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-19 | M | PT | HILL | 2KA9XN7JT23 | CAMERON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550964/check_8068851_b93742ec-3746-4497-9a9b-2b9884e2d362.json | N/A | N/A | N/A | N/A | N/A | 2KA9XN7JT23 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MA | false | HILL | N/A | CAMERON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550964 | 2222 | 4801 | 7757102 | N/A | 4219795 | 2025-05-16 02:40:38.838088 | 2025-05-13 04:29:37.230834 |
| 2025-05-15 09:05:49.830803 | 2025-05-16 02:26:26.794924 | 8068847 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8068847 | Athletic Physical Therapy Inc | 1984-05-04 | 2025-05-19 | M | PT | ABARANOK | 000024783014 | JEREMY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550961/check_8068847_8271209d-1d27-4900-8488-2bddea4716ac.json | N/A | N/A | N/A | N/A | N/A | 000024783014 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1984-05-04 | N/A | N/A | N/A | N/A | false | ABARANOK | N/A | JEREMY | 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 | 5550961 | 2222 | 4802 | 7749904 | N/A | 4219793 | 2025-05-16 02:26:26.794924 | 2025-05-21 21:25:09.468886 |
| 2025-05-15 09:05:49.777899 | 2025-05-16 02:40:50.598064 | 8068844 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068844 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-05-19 | F | PT | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_8068844_753aa9bd-26ca-4c10-b9ab-d636287112f0.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MB | false | SCHLEIKORN | N/A | MARIETTE | 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 | 5550958 | 2222 | 4793 | 7757153 | N/A | 4219792 | 2025-05-16 02:40:50.598064 | 2025-05-13 04:29:37.230832 |
| 2025-05-15 09:05:49.732360 | 2025-05-16 02:27:43.869677 | 8068841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068841 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-05-16 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8068841_c4afdd61-a846-4daa-b795-16765fc163d1.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550953 | 2222 | 4801 | 7750613 | N/A | 4219788 | 2025-05-16 02:27:43.869677 | 2025-06-06 22:01:46.271450 |
| 2025-05-15 09:05:49.685886 | 2025-05-16 02:20:57.466520 | 8068838 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8068838 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-05-19 | F | PT | GUEVARA | G45053839 | DIANE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_8068838_89b8a542-ff00-404e-9ce1-74758a43473d.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | 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 | 5550940 | 2222 | 4793 | 7746944 | N/A | 4219779 | 2025-05-16 02:20:57.466520 | 2025-05-13 04:29:37.230820 |
| 2025-05-15 09:05:49.629812 | 2025-05-16 02:29:28.145891 | 8068833 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8068833 | Athletic Physical Therapy Inc | 1971-06-07 | 2025-05-16 | M | PT | NIKBIN | XED909790117 | FARID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550922/check_8068833_ad452bf1-f63f-4199-a795-a3c58dd3da03.json | N/A | N/A | N/A | N/A | N/A | XED909790117 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-07 | 2001ZK002169 | X0001004 | N/A | PR | false | NIKBIN | N/A | FARID | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550922 | 2222 | 4801 | 7751533 | N/A | 4219765 | 2025-05-16 02:29:28.145891 | 2025-05-13 04:29:37.230806 |
| 2025-05-15 09:05:49.578531 | 2025-05-16 02:40:55.457762 | 8068831 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068831 | Athletic Physical Therapy Inc | 1949-08-22 | 2025-05-19 | U | PT | WANG | 4DC8JJ9YU25 | HSEIH JIAU | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550914/check_8068831_1d6596f3-7e45-40a7-a77e-311deecef7da.json | N/A | N/A | N/A | N/A | N/A | 4DC8JJ9YU25 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-08-22 | S4802 | N/A | N/A | MA | false | WANG | N/A | HSEIH | 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 | 5550914 | 2222 | 4793 | 7757172 | N/A | 4219760 | 2025-05-16 02:40:55.457762 | 2025-04-30 01:22:45.786805 |
| 2025-05-15 09:05:49.468342 | 2025-05-16 02:40:49.319302 | 8068825 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068825 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-05-16 | M | PT | NOVORR | 8UK6F04XX74 | TERRY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550906/check_8068825_81161e75-7bd4-42a7-aae9-84eabf464444.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-03 | S9701 | N/A | N/A | MA | false | NOVORR | N/A | TERRY | 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 | 5550906 | 2222 | 4801 | 7757145 | N/A | 4219758 | 2025-05-16 02:40:49.319302 | 2025-05-13 04:29:37.230800 |
| 2025-05-15 09:05:49.391497 | 2025-05-16 02:40:32.824267 | 8068820 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068820 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-16 | U | PT | BRENNER | 8F12ED9EE92 | ROCIO FLORES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8068820_250d32cb-50fa-45ca-9cf0-1e40515a1f03.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550896 | 2222 | 4793 | 7757073 | N/A | 4219750 | 2025-05-16 02:40:32.824267 | 2025-06-06 02:15:39.377685 |
| 2025-05-15 09:05:49.343470 | 2025-05-16 02:21:28.363104 | 8068817 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8068817 | Athletic Physical Therapy Inc | 1991-12-01 | 2025-05-16 | M | PT | BUCHMAN | 961481996 | SAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550893/check_8068817_29ff995c-3f15-459d-ad94-bf22a3ee8c59.json | N/A | N/A | N/A | N/A | N/A | 961481996 | Commercial | SIMPSON THACHER & BARTLETT LLP | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP | 1991-12-01 | 0054 0054 | 701959 | N/A | C1 | false | BUCHMAN | N/A | SAMUEL | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550893 | 2222 | 4802 | 7747221 | N/A | 4219737 | 2025-05-16 02:21:28.363104 | 2025-05-13 04:29:37.230776 |
| 2025-05-15 09:05:49.293490 | 2025-05-16 02:29:28.969368 | 8068812 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8068812 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-05-19 | U | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8068812_01d77ff5-1c23-4088-b765-ce076ee5ae78.json | N/A | N/A | N/A | N/A | N/A | XEA913306283 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | N/A | N/A | N/A | N/A | false | PANDYA | N/A | DHARA | 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 | 5550845 | 2222 | 4801 | 7751545 | N/A | 4219713 | 2025-05-16 02:29:28.969368 | 2025-08-13 22:46:55.732965 |
| 2025-05-15 09:05:49.211371 | 2025-05-16 02:29:30.152866 | 8068808 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8068808 | Athletic Physical Therapy Inc | 2005-05-27 | 2025-05-19 | F | PT | PARVIZI | XED914141701 | SIMONE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_8068808_1faa3f66-e3bc-4ded-8894-c64421eedebe.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZK002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | 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 | 5550844 | 2222 | 4802 | 7751550 | N/A | 4215184 | 2025-05-16 02:29:30.152866 | 2025-05-13 04:29:37.229500 |
| 2025-05-15 09:05:49.057132 | 2025-05-16 02:40:38.083145 | 8068797 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068797 | Athletic Physical Therapy Inc | 1950-09-13 | 2025-05-16 | M | PT | GU | 4AN1F55YR02 | WINSTON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550800/check_8068797_7cd2016b-8ab0-4748-bb56-e82a6f48f313.json | N/A | N/A | N/A | N/A | N/A | 4AN1F55YR02 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-13 | S5884 | N/A | N/A | MB | false | GU | N/A | WINSTON | 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 | 5550800 | 2222 | 4801 | 7757099 | N/A | 4219679 | 2025-05-16 02:40:38.083145 | 2025-05-13 04:29:37.230723 |
| 2025-05-15 09:05:48.884904 | 2025-05-16 02:21:35.943956 | 8068785 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8068785 | Athletic Physical Therapy Inc | 1954-11-23 | 2025-05-16 | F | PT | REYNOLDS | 989167788 | NANCY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550750/check_8068785_ea3cad7d-3ea4-4b0d-b00e-ff8b97b165d9.json | N/A | N/A | N/A | N/A | N/A | 989167788 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1954-11-23 | N/A | 15458 | N/A | PR | false | REYNOLDS | N/A | NANCY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550750 | 2222 | 4801 | 7747285 | N/A | 4219649 | 2025-05-16 02:21:35.943956 | 2025-05-13 04:29:37.230695 |
| 2025-05-15 09:05:48.742233 | 2025-05-16 02:40:43.504167 | 8068780 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068780 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-05-19 | F | PT | JOEL | 9TY9VF4DK26 | CANDACE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_8068780_efad87cf-57f3-4504-a44c-3c4043127aeb.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MB | false | JOEL | 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 | 5550243 | 2222 | 4801 | 7757122 | N/A | 4212766 | 2025-05-16 02:40:43.504167 | 2025-05-13 04:29:37.227101 |
| 2025-05-15 09:05:48.545695 | 2025-05-16 02:10:40.122023 | 8068772 | N/A | N/A | 60054 | Aetna | 1114042165 | 8068772 | Athletic Physical Therapy Inc | 1961-06-18 | 2025-05-16 | M | PT | HANNON | W233439006 | DANIEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550171/check_8068772_6fabead9-2486-4a5b-947e-2ef4e4120dc7.json | N/A | N/A | N/A | N/A | N/A | W233439006 | Exclusive Provider Organization | SONY CORPORATION OF AMERICA | AETNA | N/A | 1961-06-18 | 0868030 | 086803001300171 | N/A | EP | false | YAZAKI | N/A | EMI | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550171 | 2222 | 4802 | 7741638 | N/A | 4219493 | 2025-05-16 02:10:40.122023 | 2025-05-13 04:29:37.230533 |
| 2025-05-15 09:05:48.327343 | 2025-05-16 02:40:41.349255 | 8068762 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068762 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-05-16 | U | PT | JALLAD | 7AY7QW7EK46 | IKRAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8068762_2a7e4b6b-ae26-4b8d-9f63-3ae832f53f0e.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549454 | 2222 | 4801 | 7757109 | N/A | 4219116 | 2025-05-16 02:40:41.349255 | 2025-05-16 16:43:35.854220 |
| 2025-05-15 09:05:48.270452 | 2025-05-16 02:27:32.160710 | 8068759 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068759 | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-19 | F | PT | BARR BRIGHT | MBL402W23066 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549321/check_8068759_1a39831f-0f2d-4eff-ac12-3da9db82dd36.json | N/A | N/A | N/A | N/A | N/A | MBL402W23066 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | CAEGR002 | N/A | N/A | false | BARR-BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2025-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549321 | 2222 | 4793 | 7750516 | N/A | 4209763 | 2025-05-16 02:27:32.160710 | 2025-05-14 09:05:42.724555 |
| 2025-05-15 09:05:48.200655 | 2025-05-16 02:27:45.808576 | 8068756 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068756 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-19 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8068756_741493f4-688e-4b4d-9229-ab427bcdb72e.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549317 | 2222 | 4801 | 7750625 | N/A | 4219010 | 2025-05-16 02:27:45.808576 | 2026-01-09 18:32:07.618867 |
| 2025-05-15 09:05:48.120107 | 2025-05-16 02:40:33.742980 | 8068751 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068751 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-05-16 | M | PT | CALDERON | 4DH3VT4QR98 | FREDY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_8068751_9a8ed47f-3c7d-4637-8ff4-bd7ad759eed0.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 | 5549153 | 2222 | 4801 | 7757079 | N/A | 4218873 | 2025-05-16 02:40:33.742980 | 2025-05-13 04:29:37.229886 |
| 2025-05-15 09:05:48.044243 | 2025-05-16 02:40:34.749010 | 8068748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068748 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-05-19 | F | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_8068748_96b1700f-92cd-4e02-af22-5ef0352ae4e5.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5596 | N/A | N/A | MA | 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 | 5548965 | 2222 | 4802 | 7757083 | N/A | 4218725 | 2025-05-16 02:40:34.749010 | 2025-05-13 04:29:37.229715 |
| 2025-05-15 09:05:43.289972 | 2025-05-16 02:27:38.491565 | 8068518 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8068518 | Athletic Physical Therapy Inc | 1951-05-22 | 2025-05-16 | M | PT | KAGON | VUC099A54201 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543391/check_8068518_65ce837d-3b0e-41ee-9a1a-09d621ea3c72.json | N/A | N/A | N/A | N/A | N/A | 6WH3YV9JC06 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-05-22 | 040 | 280509A400 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543391 | 2222 | 4793 | 7750566 | N/A | 4215182 | 2025-05-16 02:27:38.491565 | 2025-05-13 04:29:37.229498 |
| 2025-05-15 09:05:43.190465 | 2025-05-16 02:17:43.327474 | 8068513 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8068513 | Athletic Physical Therapy Inc | 2006-07-18 | 2025-05-16 | U | PT | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543386/check_8068513_e23e6ad2-562e-4435-80dd-f50dd0d6f596.json | N/A | N/A | N/A | N/A | N/A | U4896088401 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2006-07-18 | N/A | N/A | N/A | N/A | false | RAMAFWAMY KAFI VASU | N/A | VAIBHAV | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543386 | 2222 | 4802 | 7745261 | N/A | 4215176 | 2025-05-16 02:17:43.327474 | 2025-06-09 20:47:50.067306 |
| 2025-05-15 09:05:43.108772 | 2025-05-16 02:40:39.890224 | 8068509 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068509 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-05-19 | F | PT | HOWARD | 6JJ9KX0PY45 | JUDI | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543348/check_8068509_a757e735-8177-485f-99cd-acb5108228d9.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MB | false | HOWARD | N/A | JUDI | 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 | 5543348 | 2222 | 4793 | 7757106 | N/A | 4215147 | 2025-05-16 02:40:39.890224 | 2025-05-13 04:29:37.229464 |
| 2025-05-15 09:05:42.993407 | 2025-05-16 02:47:27.541074 | 8068503 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068503 | Athletic Physical Therapy Inc | 1944-02-28 | 2025-05-19 | F | PT | HANNA | D391F92CY27 | NELLY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543339/check_8068503_01a563fd-4162-4fe1-9e71-21385dd5d5ff.json | N/A | N/A | N/A | N/A | N/A | D391F92CY27 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1944-02-28 | N/A | N/A | N/A | N/A | false | HANNA | N/A | NELLY | 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 | 5543339 | 2222 | 4802 | 7757822 | N/A | 4215151 | 2025-05-16 02:47:27.541074 | 2025-05-13 04:29:37.229467 |
| 2025-05-15 09:05:42.894879 | 2025-05-16 02:08:21.380204 | 8068499 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8068499 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-16 | U | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8068499_e95a5e89-787f-4cfe-a2cb-a72fe98fc4fc.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA HEALTHCARE OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | 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 | 5543301 | 2222 | 4802 | 7740430 | N/A | 4215112 | 2025-05-16 02:08:21.380204 | 2026-02-20 19:52:51.272757 |
| 2025-05-15 09:05:42.819009 | 2025-05-16 02:40:53.746438 | 8068494 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068494 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-05-19 | M | PT | TEAGUE | 1T39QJ8JV30 | LEWIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_8068494_0782a79a-7c61-4c0d-8593-c88e8d4f8565.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MB | false | TEAGUE | N/A | LEWIS | 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 | 5543292 | 2222 | 4802 | 7757164 | N/A | 4215104 | 2025-05-16 02:40:53.746438 | 2025-05-13 04:29:37.229416 |
| 2025-05-15 09:05:42.639927 | 2025-05-16 02:29:20.808268 | 8068485 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8068485 | Athletic Physical Therapy Inc | 1995-06-30 | 2025-05-16 | M | PT | BRESSLER | XED913363872 | COLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543277/check_8068485_f3ce7c3a-2c24-4e49-874d-9dcf41658b13.json | N/A | N/A | N/A | N/A | N/A | XED913363872 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-06-30 | 2001ZK002169 | X0001004 | N/A | PR | false | BRESSLER | N/A | COLE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543277 | 2222 | 4802 | 7751469 | N/A | 4215092 | 2025-05-16 02:29:20.808268 | 2025-05-13 04:29:37.229407 |
| 2025-05-15 09:05:42.479600 | 2025-05-16 02:21:32.232315 | 8068482 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8068482 | Athletic Physical Therapy Inc | 1984-01-20 | 2025-05-19 | M | PT | MARSHALL | 771821563 | STEVE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543275/check_8068482_2034061a-a9e3-4241-b4dc-71a2d8615bc8.json | N/A | N/A | N/A | N/A | N/A | 77182156300 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - SMALL GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 1984-01-20 | N/A | 1682006 | N/A | C1 | false | MARSHALL | N/A | STEVEN | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543275 | 2222 | 4802 | 7747253 | N/A | 4215090 | 2025-05-16 02:21:32.232315 | 2025-05-13 04:29:37.229405 |
| 2025-05-15 09:05:42.309779 | 2025-05-16 02:40:36.418973 | 8068474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8068474 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-05-16 | M | PT | GEVURTZ | 3UF3GW6KC04 | IRWIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250515.140821224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_8068474_64d6cb22-7c76-426d-a5cf-985212af4185.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MB | false | GEVURTZ | N/A | IRWIN | 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 | 5543260 | 2222 | 4802 | 7757087 | N/A | 4215069 | 2025-05-16 02:40:36.418973 | 2025-05-13 04:29:37.229385 |