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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-11 09:10:20.469623 | 2025-07-12 09:14:37.751625 | 9721975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9721975 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-07-14 | M | AE | PT | THOMPSON | 5NK7CD2VM65 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_9721975_ed57658c-cdf0-4a1a-b2be-ace010142890.json | N/A | N/A | N/A | N/A | N/A | 5NK7CD2VM65 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-17 | S5601 | N/A | N/A | MB | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231417768 | N/A | N/A | 6577657 | 2222 | 4793 | 9478196 | N/A | 5197700 | 2025-07-12 09:14:37.751625 | 2025-06-30 15:33:47.069983 |
| 2025-07-11 09:10:18.595632 | 2025-07-12 09:09:08.023509 | 9721944 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9721944 | Athletic Physical Therapy Inc | 2009-01-23 | 2025-07-14 | M | AE | PT | GUERRERO | 000019020622 | JOAQUIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577033/check_9721944_482fe476-9d74-416d-9012-b73ced4f0798.json | N/A | N/A | N/A | N/A | N/A | 000019020622 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 2009-01-23 | 4178930 | 104303 | N/A | N/A | false | GUERRERO | N/A | JOAQUIN | N/A | N/A | N/A | CITY OF SAN DIEGO CITY OF SAN DIEGO HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231417763 | N/A | N/A | 6577033 | 2222 | 4793 | 9474815 | N/A | 5197238 | 2025-07-12 09:09:08.023509 | 2025-07-14 23:23:31.502595 |
| 2025-07-11 09:10:10.001465 | 2025-07-11 09:10:12.901647 | 9721847 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-09-20 | 2025-07-11 | M | PT | N/A | Bolton | XEK910377236 | Stephen | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814151/check_9721847_d14b0210-2bfe-4e47-8f41-53a38b2fa59a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_9721847_182d9914-ab54-4afd-bbc1-bfcba047c5dc.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231389383 | N/A | N/A | 6814151 | 2222 | N/A | 9440037 | N/A | 5856522 | 2025-07-11 09:10:12.901647 | 2025-07-10 02:16:48.328344 |
| 2025-07-11 09:10:05.304859 | 2025-07-12 09:10:48.413305 | 9721794 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9721794 | Athletic Physical Therapy Inc | 1986-05-13 | 2025-07-14 | F | PT | N/A | GUDIEL | ZGP812841152 | LEAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6573745/check_9721794_5972b639-6416-4685-9340-ebdfcf72ee1c.json | N/A | N/A | N/A | N/A | N/A | ZGP812841152 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-13 | N/A | 279469 | N/A | PR | false | GUDIEL | N/A | LEAH | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231417734 | N/A | N/A | 6573745 | 2222 | 4801 | 9475800 | N/A | 5194450 | 2025-07-12 09:10:48.413305 | 2025-07-13 23:50:25.607492 |
| 2025-07-11 09:08:41.750906 | 2025-07-12 09:10:48.843973 | 9720797 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9720797 | Athletic Physical Therapy Inc | 1986-12-12 | 2025-07-14 | M | PT | N/A | Nagourney | Q3N579W10549 | Sam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9720797_0f6f41c4-5670-4d38-8039-99cf0a12d99e.json | N/A | N/A | N/A | N/A | N/A | Q3N579W10549 | Preferred Provider Organization (PPO) | PPO 1000 | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-12 | 243 | 721352N14M | N/A | PR | false | NAGOURNEY | N/A | SAM | N/A | 9999-12-31 | 2025-07-01 | PPO NY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231418630 | N/A | N/A | 6567077 | 2222 | 4802 | 9475804 | N/A | 5189425 | 2025-07-12 09:10:48.843973 | 2025-06-24 16:19:19.180675 |
| 2025-07-11 09:08:17.607535 | 2025-07-12 09:07:47.262609 | 9720196 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9720196 | Athletic Physical Therapy Inc | 1976-11-09 | 2025-07-14 | M | AE | PT | LAWSON | I09755489 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9720196_5461e344-72d2-406f-af7f-4f733e842a23.json | N/A | N/A | N/A | N/A | N/A | I09755489 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1976-11-09 | N/A | N/A | N/A | N/A | false | LAWSON | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373803 | N/A | N/A | 6213138 | 2222 | 4793 | 9474014 | N/A | 4856781 | 2025-07-12 09:07:47.262609 | 2025-06-12 21:52:37.627086 |
| 2025-07-11 09:08:12.357998 | 2025-07-12 09:14:33.208837 | 9720022 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9720022 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-14 | M | AE | PT | GRANT | 2p67ae9mf59 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_9720022_a651f193-d123-45b7-b102-2619458d34a3.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part A | N/A | AETNA HEALTH INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | 019303801200001 | N/A | MA | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373774 | N/A | N/A | 6211373 | 2222 | 4793 | 9478161 | N/A | 4214087 | 2025-07-12 09:14:33.208837 | 2025-05-13 04:29:37.228402 |
| 2025-07-11 09:08:10.054227 | 2025-07-12 09:09:26.773289 | 9719940 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9719940 | Athletic Physical Therapy Inc | 1957-01-07 | 2025-07-14 | M | AE | PT | Placeres | 00000387571 | Gerald | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210310/check_9719940_f23ad596-df7d-4367-a85b-2e232eb41fe0.json | N/A | N/A | N/A | N/A | N/A | 00000387571 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-07 | H3815028 | N/A | N/A | HM | false | PLACERES | N/A | GERALD | 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 | 8231373761 | N/A | N/A | 6210310 | 2222 | 4801 | 9474947 | N/A | 4853176 | 2025-07-12 09:09:26.773289 | 2025-06-11 16:41:23.932807 |
| 2025-07-11 09:08:01.300330 | 2025-07-12 02:11:09.109266 | 9719604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9719604 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-07-14 | F | AE | PT | KUDLATOVA | JQE069W14577 | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_9719604_58cbcf56-e1f3-4e5e-8853-e38cf1092550.json | N/A | N/A | N/A | N/A | N/A | JQE069W14577 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-02-24 | 040 | CASUPWP0 | N/A | N/A | false | KUDLATOVA | N/A | MARIE | N/A | 9999-12-31 | 2023-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362964 | N/A | N/A | 5549472 | 2222 | 4801 | 9462816 | N/A | 4219128 | 2025-07-12 02:11:09.109266 | 2025-05-13 04:29:37.230146 |
| 2025-07-11 09:08:00.910882 | 2025-07-12 02:11:08.282339 | 9719587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9719587 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-14 | F | AE | PT | ELDRIDGE | JQE441W06428 | MARGARET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9719587_03a7e472-8b73-4712-95d3-a0216b070577.json | N/A | N/A | N/A | N/A | N/A | JQE441W06428 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-09-13 | 040 | CASUPWP0 | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362963 | N/A | N/A | 5536115 | 2222 | 4793 | 9462810 | N/A | 4208915 | 2025-07-12 02:11:08.282339 | 2025-07-25 17:30:46.084330 |
| 2025-07-11 09:07:58.320654 | 2025-07-12 09:14:32.176033 | 9719479 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9719479 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-07-14 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_9719479_38dd3478-cd6b-4944-ab55-5db7b7d5c4dc.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231374428 | N/A | N/A | 6203310 | 2222 | 4801 | 9478156 | N/A | 4846213 | 2025-07-12 09:14:32.176033 | 2025-06-10 21:58:09.734801 |
| 2025-07-11 09:07:49.942905 | 2025-07-12 09:09:45.660418 | 9719156 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9719156 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-07-14 | M | PT | N/A | CAMPOS | JQU035W17626 | DEVON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_9719156_2c31e927-bee0-4a61-bb77-796b1d0a2df3.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | Preferred Provider Organization (PPO) | A TECH CONSULTING INC | ANTHEM BLUE CROSS | N/A | 1999-05-15 | 040 | H27312 | N/A | PR | false | CAMPOS | N/A | DEVON | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373743 | N/A | N/A | 6193743 | 2222 | 4802 | 9475172 | N/A | 4343457 | 2025-07-12 09:09:45.660418 | 2025-05-13 04:29:37.230935 |
| 2025-07-11 09:07:49.785856 | 2025-07-12 09:09:47.051252 | 9719150 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9719150 | Athletic Physical Therapy Inc | 1965-06-28 | 2025-07-14 | F | PT | N/A | WATFORD | JMV794A61721 | MONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193602/check_9719150_4634faaf-12f0-48fe-9936-6f39c8f84f37.json | N/A | N/A | N/A | N/A | N/A | JMV794A61721 | Health Maintenance Organization (HMO) | CAPSTONE GREEN ENERGY LLC | ANTHEM BLUE CROSS | N/A | 1965-06-28 | 040 | L10003H001 | N/A | HM | false | WATFORD | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373742 | N/A | N/A | 6193602 | 2222 | 4801 | 9475186 | N/A | 4837815 | 2025-07-12 09:09:47.051252 | 2025-06-24 18:39:14.627021 |
| 2025-07-11 09:07:46.372861 | 2025-07-12 09:03:53.984200 | 9719037 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 9719037 | N/A | 1948-06-04 | 2025-07-14 | F | AE | PT | Carrillo | 30127057 | Sandra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6192336/check_9719037_a70c17f0-a200-4eab-8fc1-5155d90f4f54.json | N/A | N/A | N/A | N/A | N/A | 30127057 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-06-04 | N/A | N/A | N/A | N/A | false | CARRILLO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373720 | N/A | N/A | 6192336 | 2222 | 4801 | 9471985 | N/A | 4836434 | 2025-07-12 09:03:53.984200 | 2025-06-24 22:10:01.955161 |
| 2025-07-11 09:07:09.477738 | 2025-07-12 02:12:38.193735 | 9717235 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9717235 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-07-14 | F | PT | N/A | Taggart | MBL830M95233 | Rita | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_9717235_024c671d-faaf-4af7-af2d-6f7aae8167d1.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231358842 | N/A | N/A | 6780011 | 2222 | 4802 | 9463657 | N/A | 5811238 | 2025-07-12 02:12:38.193735 | 2025-07-03 18:24:56.520298 |
| 2025-07-11 09:07:09.103284 | 2025-07-11 09:07:11.964321 | 9717213 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-04 | 2025-07-11 | M | PT | N/A | MAGHEN | XDL992A63501 | ITZCHAK | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6172263/check_9717213_a2884bd4-180e-4011-ad9f-eb055363fa97.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_9717213_234968aa-6bac-4387-a32d-3a5fdb3bb0e2.json | N/A | N/A | N/A | N/A | N/A | XDL992A63501 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2000-08-04 | 040 | H06200 | N/A | PR | false | SHAYANI | N/A | ESTHER | N/A | 9999-12-31 | 2009-07-01 | PPO SHARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231349342 | N/A | N/A | 6172263 | 2222 | N/A | 9439635 | N/A | 4813871 | 2025-07-11 09:07:11.964321 | 2025-07-08 23:07:33.420114 |
| 2025-07-11 09:07:07.347874 | 2025-07-12 09:10:34.431795 | 9717112 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9717112 | Athletic Physical Therapy Inc | 2009-10-30 | 2025-07-14 | F | PT | N/A | SMITH | XEA911729154 | KAMALA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_9717112_c66c8704-0861-407c-a45f-0022207c2ba3.json | N/A | N/A | N/A | N/A | N/A | XEA911729154 | Preferred Provider Organization (PPO) | SHANTHA K SMITH BOOKS AND TAX LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-10-30 | 1000VX000103 | W0074149 | N/A | PR | false | SMITH | N/A | SHANTHA | N/A | 9999-12-31 | 2024-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231374346 | N/A | N/A | 6162659 | 2222 | 4802 | 9475671 | N/A | 4805243 | 2025-07-12 09:10:34.431795 | 2025-06-23 19:30:24.977468 |
| 2025-07-11 09:07:05.532545 | 2025-07-12 02:06:10.619696 | 9716990 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9716990 | Athletic Physical Therapy Inc | 1958-06-23 | 2025-07-14 | F | PT | AE | USEVITCH | 00000387757 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_9716990_cf19e5dd-0995-44fd-83ef-709f500b7c91.json | N/A | N/A | N/A | N/A | N/A | 00000387757 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-06-23 | H3815028 | N/A | N/A | HM | false | USEVITCH | N/A | KAREN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8231355820 | N/A | N/A | 5874444 | 2222 | 4801 | 9460161 | 2630 | 4534570 | 2025-07-12 02:06:10.619696 | 2025-06-09 21:54:54.217413 |
| 2025-07-11 09:07:05.450769 | 2025-07-12 02:01:26.199050 | 9716989 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9716989 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-07-14 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9716989_00550155-95b1-41fb-a327-c850d9ac58f9.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 | 8231355819 | N/A | N/A | 5874423 | 2222 | 4802 | 9457962 | N/A | 4534552 | 2025-07-12 02:01:26.199050 | 2025-05-30 18:01:03.324126 |
| 2025-07-11 09:07:02.666257 | 2025-07-12 02:06:09.954163 | 9716805 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9716805 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-07-14 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_9716805_d07ca1b5-078a-4ab8-ae22-b2420d029443.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | 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 | 8231355787 | N/A | N/A | 5858742 | 2222 | 4801 | 9460154 | 2630 | 4219630 | 2025-07-12 02:06:09.954163 | 2025-05-13 04:29:37.230672 |
| 2025-07-11 09:06:59.524461 | 2025-07-12 09:10:40.889849 | 9716599 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9716599 | Athletic Physical Therapy Inc | 1969-01-17 | 2025-07-14 | M | PT | N/A | PELICO | XED914193130 | HUGO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522375/check_9716599_0ab12d85-d71e-4bc8-9f69-fb81bdaed6b4.json | N/A | N/A | N/A | N/A | N/A | XED914193130 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-01-17 | 2001ZK002186 | X0001004 | N/A | PR | false | PELICO | N/A | HUGO | 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 | 8231416392 | N/A | N/A | 6522375 | 2222 | 4801 | 9475732 | N/A | 5145597 | 2025-07-12 09:10:40.889849 | 2025-07-01 00:04:17.798423 |
| 2025-07-11 09:06:58.953716 | 2025-07-12 09:14:33.791520 | 9716558 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9716558 | Athletic Physical Therapy Inc | 1951-11-18 | 2025-07-14 | F | AE | PT | JACOBY | 5VX4HE8NC98 | LEAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9716558_6609f938-0cd5-4050-ab3b-0bbe2ef9f73a.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MA | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373259 | N/A | N/A | 6145941 | 2222 | 4802 | 9478170 | N/A | 4786785 | 2025-07-12 09:14:33.791520 | 2025-06-13 00:55:48.629734 |
| 2025-07-11 09:06:57.100063 | 2025-07-12 02:12:36.657723 | 9716431 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9716431 | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-14 | F | PT | N/A | NAVARRO | MMA845W21687 | SYLVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770900/check_9716431_311c1195-b0e1-4142-a555-45a3a0ec66e6.json | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-12-02 | 040 | CAMCRWP0 | N/A | MP | false | NAVARRO | N/A | SYLVIA | 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 | 8231358477 | N/A | N/A | 6770900 | 2222 | 4793 | 9463643 | N/A | 5788735 | 2025-07-12 02:12:36.657723 | 2025-07-09 16:24:26.907790 |
| 2025-07-11 09:06:54.463776 | 2025-07-12 02:13:58.088636 | 9716274 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9716274 | Athletic Physical Therapy Inc | 1983-11-04 | 2025-07-14 | F | PT | N/A | Gordon | XEK913013590 | Melissa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768302/check_9716274_5f893c70-b806-4af7-856f-9934c897dfa1.json | N/A | N/A | N/A | N/A | N/A | XEK913013590 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-11-04 | 2001ZH002662 | X0001000 | N/A | PR | false | GORDON | N/A | MELISSA | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231358446 | N/A | N/A | 6768302 | 2222 | 4802 | 9464300 | N/A | 5707008 | 2025-07-12 02:13:58.088636 | 2025-07-02 21:20:06.678093 |
| 2025-07-11 09:06:44.480524 | 2025-07-12 09:05:18.713078 | 9715709 | N/A | N/A | 60054 | Aetna | 1114042165 | 9715709 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-07-14 | M | AE | PT | HUANG | W278191924 | DANNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_9715709_54d5fc61-ca82-45fd-ad28-9e799b76b07b.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373514 | N/A | N/A | 6140246 | 2222 | 4802 | 9472546 | N/A | 4781166 | 2025-07-12 09:05:18.713078 | 2025-06-11 17:29:46.826705 |
| 2025-07-11 09:06:35.139630 | 2025-07-12 09:09:46.556279 | 9715201 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9715201 | Athletic Physical Therapy Inc | 1990-11-01 | 2025-07-14 | F | PT | N/A | BRIGHT | G9X845W07853 | HALEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133568/check_9715201_935e4ab4-1e59-4377-abc9-bd554300cd21.json | N/A | N/A | N/A | N/A | N/A | G9X845W07853 | Preferred Provider Organization (PPO) | GOODRX INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1990-11-01 | 040 | 282182M001 | N/A | PR | false | HUMPHREYS | N/A | IAN | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231374145 | N/A | N/A | 6133568 | 2222 | 4793 | 9475182 | N/A | 4209943 | 2025-07-12 09:09:46.556279 | 2025-05-13 04:29:37.224360 |
| 2025-07-11 09:06:30.026718 | 2025-07-12 02:06:10.285620 | 9714911 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9714911 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-07-14 | M | AE | PT | TEDDER | 00000390480 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_9714911_bbed92e2-0b4d-41df-9850-d50758f8a2e1.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231356412 | N/A | N/A | 5676415 | 2222 | 4801 | 9460158 | 2630 | 4343470 | 2025-07-12 02:06:10.285620 | 2025-05-13 04:29:37.230947 |
| 2025-07-11 09:06:29.874398 | 2025-07-12 02:03:00.019122 | 9714904 | N/A | N/A | 60054 | Aetna | 1114042165 | 9714904 | Athletic Physical Therapy Inc | 1996-10-14 | 2025-07-14 | F | AE | PT | HU | W290798901 | KERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676395/check_9714904_ffd8f0e4-0276-43e3-b6ec-10e97e0ba553.json | N/A | N/A | N/A | N/A | N/A | W290798901 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1996-10-14 | 0247086 | 024708602300010 | N/A | PS | false | HU | N/A | KERRY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231356411 | N/A | N/A | 5676395 | 2222 | 4802 | 9458462 | N/A | 4343450 | 2025-07-12 02:03:00.019122 | 2025-05-13 04:29:37.230928 |
| 2025-07-11 09:06:29.750298 | 2025-07-12 02:02:59.000591 | 9714897 | N/A | N/A | 60054 | Aetna | 1114042165 | 9714897 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-07-14 | M | AE | PT | ARROW | 101393152200 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_9714897_91ae7d65-27bd-4d0a-ad32-1ad2a7252662.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231356410 | N/A | N/A | 5676385 | 2222 | 4802 | 9458455 | N/A | 4343439 | 2025-07-12 02:02:59.000591 | 2025-05-13 04:29:37.230918 |
| 2025-07-11 09:06:29.621974 | 2025-07-12 02:07:00.301679 | 9714887 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9714887 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-07-14 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_9714887_73ba97f6-4e83-41af-a93a-a1b3d993e140.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231356409 | N/A | N/A | 5676380 | 2222 | 4793 | 9460633 | N/A | 4343435 | 2025-07-12 02:07:00.301679 | 2025-05-13 04:29:37.230915 |
| 2025-07-11 09:06:29.492420 | 2025-07-12 02:09:54.681275 | 9714880 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9714880 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-14 | M | AE | PT | LANE | 4CA5FX1PJ56 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_9714880_25b0cf28-2c54-4170-83e0-6712df1cc8ed.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231356408 | N/A | N/A | 5676372 | 2222 | 4802 | 9462141 | N/A | 4219832 | 2025-07-12 02:09:54.681275 | 2025-05-13 04:29:37.230877 |
| 2025-07-11 09:06:29.352294 | 2025-07-12 02:09:52.612043 | 9714874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9714874 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-14 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_9714874_8c4c6451-5ff3-4406-a8d0-2140ec467896.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231355729 | N/A | N/A | 5676353 | 2222 | 4801 | 9462124 | N/A | 4212792 | 2025-07-12 02:09:52.612043 | 2025-10-07 20:33:25.637997 |
| 2025-07-11 09:06:24.186311 | 2025-07-12 02:11:51.908088 | 9714568 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9714568 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-07-14 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9714568_e4cc5840-d57d-48f9-b06f-e1afc5f90a04.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231359625 | N/A | N/A | 6721942 | 2222 | 4793 | 9463197 | N/A | 5322280 | 2025-07-12 02:11:51.908088 | 2025-07-01 21:45:15.878047 |
| 2025-07-11 09:06:18.895785 | 2025-07-12 09:10:34.801621 | 9714294 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9714294 | Athletic Physical Therapy Inc | 2006-11-22 | 2025-07-14 | F | PT | N/A | MICHAEL | XEA913728701 | KRISTY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123875/check_9714294_d3769eda-ae49-44f6-8a90-ab912e144071.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2006-11-22 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231372645 | N/A | N/A | 6123875 | 2222 | 4801 | 9475675 | N/A | 4766599 | 2025-07-12 09:10:34.801621 | 2025-06-04 14:54:47.230310 |
| 2025-07-11 09:06:16.293355 | 2025-07-12 09:09:35.133423 | 9714154 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9714154 | Athletic Physical Therapy Inc | 1964-10-24 | 2025-07-14 | M | PT | N/A | CROWLEY | MTA374M92552 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6493087/check_9714154_33f27705-1f74-4f51-88d1-a0fbdfb4ac19.json | N/A | N/A | N/A | N/A | N/A | MTA374M92552 | Preferred Provider Organization (PPO) | SILVER PPO PLAN | ANTHEM BLUE CROSS | N/A | 1964-10-24 | 423 | 201052M4A1 | N/A | PR | false | CROWLEY | N/A | KAMEY L | N/A | 9999-12-31 | 2018-01-01 | BC PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231418560 | N/A | N/A | 6493087 | 2222 | 4793 | 9475073 | N/A | 5122224 | 2025-07-12 09:09:35.133423 | 2025-07-03 20:38:26.526222 |
| 2025-07-11 09:05:59.186846 | 2025-07-11 09:06:00.979837 | 9713212 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-11-30 | 2025-07-11 | M | AE | PT | FITZGIBBON | R1075485200 | MICHAEL | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541889/check_9713212_b648aa71-2bf8-4b05-99f6-9ad9a2cfb187.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_9713212_7bae7066-a75e-4b46-967d-490e01df91a2.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 | N/A | N/A | N/A | 5541889 | 2222 | N/A | 9439474 | N/A | 4213867 | 2025-07-11 09:06:00.979837 | 2025-05-13 04:29:37.228184 |
| 2025-07-11 09:05:57.409973 | 2025-07-11 09:06:01.330217 | 9713104 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-08 | 2025-07-11 | F | AD | N/A | SMALLWOOD | 109798591 | CORINNE | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543189/check_9713104_39bbffa3-df0c-4642-bdea-5194c2cf0889.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_9713104_fb1bd862-8180-4f21-8b3b-83c064041455.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8231344607 | N/A | N/A | 5543189 | 2222 | N/A | 9439476 | N/A | 4215016 | 2025-07-11 09:06:01.330217 | 2025-05-13 04:29:37.229333 |
| 2025-07-11 09:05:57.279852 | 2025-07-11 09:05:59.306252 | 9713094 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-18 | 2025-07-11 | M | AE | PT | STECHER | 4P42WA3QM82 | BRIAN | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9713094_f959ab22-c199-4b8d-8c21-273d0a464a4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9713094_3ff0b564-e47a-4104-b1fa-c07a63e9c38b.json | N/A | N/A | N/A | N/A | N/A | 4P42WA3QM82 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-18 | S4802 | N/A | N/A | MA | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231344620 | N/A | N/A | 5543052 | 2222 | N/A | 9439471 | N/A | 4214891 | 2025-07-11 09:05:59.306252 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 09:05:57.265140 | 2025-07-11 09:05:59.181642 | 9713090 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-11-30 | 2025-07-11 | M | AE | PT | FITZGIBBON | R1075485200 | MICHAEL | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541889/check_9713090_07ab9d34-df66-45ab-8b4f-b726e34444fd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | N/A | 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 | N/A | N/A | N/A | 5541889 | 2222 | N/A | N/A | N/A | 4213867 | 2025-07-11 09:05:59.181642 | 2025-05-13 04:29:37.228184 |
| 2025-07-11 09:05:55.769251 | 2025-07-12 09:13:24.948130 | 9713019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9713019 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-07-14 | F | AE | PT | KUDLATOVA | JQE069W14577 | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_9713019_15b42dc8-f1cc-42f3-8902-026fed93a409.json | N/A | N/A | N/A | N/A | N/A | JQE069W14577 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-02-24 | 040 | CASUPWP0 | N/A | N/A | false | KUDLATOVA | N/A | MARIE | N/A | 9999-12-31 | 2023-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380523 | N/A | N/A | 5549472 | 2222 | 4801 | 9477478 | N/A | 4219128 | 2025-07-12 09:13:24.948130 | 2025-05-13 04:29:37.230146 |
| 2025-07-11 09:05:53.572886 | 2025-07-12 09:13:25.341852 | 9712929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9712929 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-07-14 | F | AE | PT | SINGER | XEM911011492 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543248/check_9712929_7c140f71-415d-47f2-932b-d57782e541b2.json | N/A | N/A | N/A | N/A | N/A | XEM911011492 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-05-17 | 2004SF000028 | X0001002 | N/A | SP | false | SINGER | N/A | JOEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380514 | N/A | N/A | 5543248 | 2222 | 4793 | 9477481 | N/A | 4215066 | 2025-07-12 09:13:25.341852 | 2025-05-13 04:29:37.229384 |
| 2025-07-11 09:05:53.372563 | 2025-07-12 09:10:27.188811 | 9712919 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9712919 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-07-14 | M | AE | PT | GOLDBERG | U5126496602 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_9712919_6b4c4662-e585-4aa4-bef6-90763088d07b.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380513 | N/A | N/A | 5542973 | 2222 | 4802 | 9475596 | N/A | 4214820 | 2025-07-12 09:10:27.188811 | 2025-06-30 02:56:23.324592 |
| 2025-07-11 09:05:53.180857 | 2025-07-12 09:10:26.721054 | 9712913 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9712913 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-07-14 | F | AE | PT | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_9712913_dd2c56b7-48db-4b49-9d88-2cb72c18d48e.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380512 | N/A | N/A | 5542937 | 2222 | 4802 | 9475590 | N/A | 4214789 | 2025-07-12 09:10:26.721054 | 2025-12-11 23:30:31.319246 |
| 2025-07-11 09:05:52.981199 | 2025-07-12 09:13:25.655879 | 9712905 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9712905 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-07-14 | M | AE | PT | WOLFE | JQE620W02902 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542524/check_9712905_39ad0f37-c464-4a11-85a4-b18fb1126e09.json | N/A | N/A | N/A | N/A | N/A | JQE620W02902 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-11-21 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | KEVIN | N/A | 9999-12-31 | 2019-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380511 | N/A | N/A | 5542524 | 2222 | 4801 | 9477485 | N/A | 4214422 | 2025-07-12 09:13:25.655879 | 2025-05-13 04:29:37.228745 |
| 2025-07-11 09:05:52.883262 | 2025-07-12 09:14:38.550670 | 9712901 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9712901 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-07-14 | M | AE | PT | WALDEN | 5AF5PY3HV89 | REGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9712901_e5440c7c-5714-4b63-97a5-a1bdd7b6c35b.json | N/A | N/A | N/A | N/A | N/A | 5AF5PY3HV89 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-29 | S5921 | N/A | N/A | MA | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231418851 | N/A | N/A | 6472393 | 2222 | 4801 | 9478199 | N/A | 5105545 | 2025-07-12 09:14:38.550670 | 2025-07-07 15:29:01.484955 |
| 2025-07-11 09:05:52.592225 | 2025-07-12 09:09:35.974348 | 9712890 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 9712890 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-14 | F | AE | PT | GNAD | H71897184 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9712890_e29ee76e-de95-4423-93af-265fb9bfb089.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380510 | N/A | N/A | 5540682 | 2222 | 4801 | 9475081 | N/A | 4212792 | 2025-07-12 09:09:35.974348 | 2025-10-07 20:33:25.637997 |
| 2025-07-11 09:05:52.536171 | 2025-07-12 09:09:35.977433 | 9712889 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9712889 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-07-14 | F | PT | N/A | HAZARD | NCF794W22253 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9712889_72a4ad7f-77a1-4e73-b226-36e2fef20550.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231418847 | N/A | N/A | 6472283 | 2222 | 4801 | 9475082 | N/A | 5105323 | 2025-07-12 09:09:35.977433 | 2025-07-02 18:01:41.077949 |
| 2025-07-11 09:05:52.153782 | 2025-07-12 09:14:05.972988 | 9712874 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9712874 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-14 | M | AE | PT | EGGLETON | XEM090112120 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9712874_13c50d93-b980-4b61-84d1-95271b15e4c5.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380508 | N/A | N/A | 5536871 | 2222 | 4801 | 9477927 | N/A | 4209543 | 2025-07-12 09:14:05.972988 | 2025-06-18 17:33:51.700160 |
| 2025-07-11 09:05:51.996022 | 2025-07-12 09:13:24.610607 | 9712869 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9712869 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-14 | F | AE | PT | ELDRIDGE | JQE441W06248 | MARGARET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115619856.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536112/check_9712869_063b143b-baa1-4558-abda-01686a6c282d.json | N/A | N/A | N/A | N/A | N/A | JQE441W06248 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-09-13 | N/A | N/A | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231380507 | N/A | N/A | 5536112 | 2222 | 4793 | 9477473 | N/A | 4208915 | 2025-07-12 09:13:24.610607 | 2025-07-25 17:30:46.084330 |
| 2025-07-11 09:05:45.924048 | 2025-07-12 09:02:25.829888 | 9712587 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9712587 | Athletic Physical Therapy Inc | 2005-06-10 | 2025-07-14 | F | PT | N/A | Kassi | 957A5554370 | Keira | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113467/check_9712587_ef793e63-a2b3-467e-8b23-ddfcfb2f87fe.json | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373456 | N/A | N/A | 6113467 | 2222 | 4801 | 9471608 | N/A | 4756194 | 2025-07-12 09:02:25.829888 | 2025-06-02 23:03:52.087356 |