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 | subscriber_middle_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 | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-06-09 07:17:46.046439 | 2026-06-10 00:35:19.264492 | 27673527 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27673527 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-06-11 | M | PT | Brodersen | XEA904512777 | Russell | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_27673527_18e91376-dbcb-4a1f-aab5-c3273dbd9c2d.json | N/A | N/A | N/A | N/A | N/A | XEA904512777 | Preferred Provider Organization (PPO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 2015-09-12 | 1000PPOX0004 | W0051513 | N/A | PR | false | BRODERSEN | N/A | ROBERT | N/A | 2041-09-30 | 2026-05-01 | HRA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240813 | N/A | N/A | 19420394 | 2222 | 4793 | 27804412 | N/A | 17221001 | 2026-06-10 00:35:19.264492 | 2026-04-07 20:28:25.222608 |
| 2026-06-09 07:17:45.866911 | 2026-06-10 00:35:32.079113 | 27673511 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27673511 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-06-11 | M | AE | MAPARA | 97729763H | VISHAL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19412512/check_27673511_abbbb6e1-3f6c-4d95-8cc2-dca4ec8e7865.json | N/A | N/A | N/A | N/A | N/A | 97729763H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-19 | MCLA | MWLLNMEG21 | N/A | N/A | false | MAPARA | N/A | VISHAL | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240812 | N/A | N/A | 19412512 | 2222 | 4802 | 27804664 | 5538 | 17213425 | 2026-06-10 00:35:32.079113 | 2026-04-07 17:44:37.574880 |
| 2026-06-09 07:17:45.694473 | 2026-06-10 00:34:37.550620 | 27673494 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27673494 | Athletic Physical Therapy Inc | 1982-08-27 | 2026-06-12 | M | AE | NADERI | 000012407283 | HODAD | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19372752/check_27673494_edf5f9f1-2b6b-4e4e-a200-f904c6f6f119.json | N/A | N/A | N/A | N/A | N/A | 000012407283 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-08-27 | 4391203 | 100201 | N/A | N/A | false | NADERI | N/A | HODAD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240811 | N/A | N/A | 19372752 | 2222 | 4802 | 27803442 | N/A | 17186688 | 2026-06-10 00:34:37.550620 | 2026-04-07 00:23:42.741818 |
| 2026-06-09 07:17:45.494987 | 2026-06-10 00:34:40.299556 | 27673471 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 27673471 | Athletic Physical Therapy Inc | 1939-06-15 | 2026-06-12 | M | PT | NEPOMUCENO | MNL164W26534 | MODESTO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19372018/check_27673471_537c4542-d102-40f0-9279-aa9657bf84d5.json | N/A | N/A | N/A | N/A | N/A | MNL164W26534 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1939-06-15 | 040 | CAMCRWP0 | N/A | MP | false | NEPOMUCENO | N/A | MODESTO | N/A | 9999-12-31 | 2026-02-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240272 | N/A | N/A | 19372018 | 2222 | 4802 | 27803495 | 4184 | 17186158 | 2026-06-10 00:34:40.299556 | 2026-04-15 19:23:33.335773 |
| 2026-06-09 07:17:45.361406 | 2026-06-10 00:34:33.689764 | 27673459 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27673459 | Athletic Physical Therapy Inc | 2012-01-08 | 2026-06-12 | F | AE | IVOSHKUS | 000021390363 | MARIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19351613/check_27673459_322e2626-415c-4852-8328-b887670872ef.json | N/A | N/A | N/A | N/A | N/A | 000021390363 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2012-01-08 | 4327748 | 231629 | N/A | N/A | false | IVOSHKUS | N/A | MARIA | N/A | N/A | N/A | MEDI-CAL GOLD COAST HF TRANSITIONAL AID CODE 5C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240271 | N/A | N/A | 19351613 | 2222 | 4801 | 27803376 | N/A | 17160109 | 2026-06-10 00:34:33.689764 | 2026-04-06 15:40:30.105869 |
| 2026-06-09 07:17:45.231185 | 2026-06-10 00:35:10.605685 | 27673442 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27673442 | Athletic Physical Therapy Inc | 1955-02-18 | 2026-06-12 | M | AE | Savatteri | 6A84AX2EY86 | Roger | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249807/check_27673442_fa83df1d-9f2c-4cde-aadc-7a488fd60c2a.json | N/A | N/A | N/A | N/A | N/A | 6A84AX2EY86 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-02-18 | S4802 | N/A | N/A | MA | false | SAVATTERI | N/A | ROGER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 116298 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240270 | N/A | N/A | 19249807 | 2222 | 4793 | 27804232 | N/A | 17115438 | 2026-06-10 00:35:10.605685 | 2026-04-10 14:10:46.417236 |
| 2026-06-09 07:17:45.074425 | 2026-06-10 00:34:27.936487 | 27673427 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27673427 | Athletic Physical Therapy Inc | 1965-01-02 | 2026-06-12 | F | PT | HERNANDEZ | NCF321A21996 | JUDITH | I | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248858/check_27673427_dbc80828-c46e-4e0b-820a-ed5d83532d9f.json | N/A | N/A | N/A | N/A | N/A | NCF321A21996 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-01-02 | 040 | 276193H001 | N/A | HM | false | HERNANDEZ | N/A | JUDITH | N/A | 9999-12-31 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240269 | N/A | N/A | 19248858 | 2222 | 4801 | 27803250 | 4185 | 17114281 | 2026-06-10 00:34:27.936487 | 2026-04-24 21:39:06.960668 |
| 2026-06-09 07:17:44.950673 | 2026-06-10 00:34:53.747499 | 27673412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27673412 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-06-11 | F | AE | Bokron | 8WT2XY5VC04 | Diana | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_27673412_6d69acf1-8dab-43bd-b9fc-e381d95b5157.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MB | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 74728 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240268 | N/A | N/A | 19240401 | 2222 | 4793 | 27803801 | N/A | 17105178 | 2026-06-10 00:34:53.747499 | 2026-04-03 17:25:31.987996 |
| 2026-06-09 07:17:44.795887 | 2026-06-10 00:34:42.185682 | 27673396 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27673396 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-06-11 | M | AE | Weiner | 000000201398 | Bernard | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_27673396_48aabcd0-01ab-4156-8f38-09c3256699bb.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240267 | N/A | N/A | 19076126 | 2222 | 4802 | 27803535 | N/A | 17061917 | 2026-06-10 00:34:42.185682 | 2026-04-02 22:23:37.722121 |
| 2026-06-09 07:17:44.303683 | 2026-06-10 00:34:32.080995 | 27673349 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27673349 | Athletic Physical Therapy Inc | 1958-12-02 | 2026-06-11 | M | PT | KOCOGLU | MMA694W17659 | GARABET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19027766/check_27673349_7ec1c1f5-1b1b-4e42-9e64-afdcc85306e9.json | N/A | N/A | N/A | N/A | N/A | MMA694W17659 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-02 | 040 | CAMCRWP0 | N/A | MP | false | KOCOGLU | N/A | GARABET | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240266 | N/A | N/A | 19027766 | 2222 | 4801 | 27803342 | 4185 | 17007847 | 2026-06-10 00:34:32.080995 | 2026-04-02 19:44:37.790679 |
| 2026-06-09 07:17:44.075136 | 2026-06-10 00:34:47.778354 | 27673322 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27673322 | Athletic Physical Therapy Inc | 2000-01-16 | 2026-06-12 | M | AE | COHEN | R15053348MM1 | BEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18898121/check_27673322_ae7f378b-defd-47a0-b321-e56e5a54f6a3.json | N/A | N/A | N/A | N/A | N/A | R15053348MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 2000-01-16 | N/A | N/A | N/A | N/A | false | COHEN | N/A | BENJAMIN | N/A | 2026-05-07 | 2026-01-01 | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240265 | N/A | N/A | 18898121 | 2222 | 4802 | 27803661 | 4625 | 16884375 | 2026-06-10 00:34:47.778354 | 2026-04-01 15:30:39.812102 |
| 2026-06-09 07:17:43.966491 | 2026-06-10 00:34:42.682584 | 27673307 | N/A | N/A | 60054 | Aetna | 1114042165 | 27673307 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-06-12 | M | AE | Benson | W241108199 | Charles | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_27673307_194bb6a1-51e0-4bec-8bb4-728c4a9c4255.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240264 | N/A | N/A | 18897636 | 2222 | 4802 | 27803547 | N/A | 16883637 | 2026-06-10 00:34:42.682584 | 2026-04-06 22:06:37.386389 |
| 2026-06-09 07:17:43.823085 | 2026-06-10 00:35:30.664419 | 27673290 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27673290 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-06-11 | M | AE | JACOBS | 909763451 | JESSE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_27673290_b8b8f663-ef76-47db-b305-0df17b298142.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240263 | N/A | N/A | 18407669 | 2222 | 4802 | 27804628 | 5538 | 16411150 | 2026-06-10 00:35:30.664419 | 2026-03-20 21:53:00.475363 |
| 2026-06-09 07:17:43.741356 | 2026-06-10 00:34:27.335388 | 27673280 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27673280 | Athletic Physical Therapy Inc | 1989-09-17 | 2026-06-12 | F | PT | Hasan | C2Z2996060LM | Eeman | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18405329/check_27673280_20ed873d-d087-4a80-a22b-3c486c7d62e5.json | N/A | N/A | N/A | N/A | N/A | C2Z2996060LM | Preferred Provider Organization (PPO) | CLINICAS DEL CAMINO REAL INC | ANTHEM BLUE CROSS | N/A | 1989-09-17 | 040 | L13905M001 | N/A | PR | false | HASAN | N/A | EEMAN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240262 | N/A | N/A | 18405329 | 2222 | 4793 | 27803239 | N/A | 16408977 | 2026-06-10 00:34:27.335388 | 2026-04-08 19:03:33.886645 |
| 2026-06-09 07:17:43.652744 | 2026-06-10 00:34:21.742201 | 27673272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27673272 | Athletic Physical Therapy Inc | 2009-09-02 | 2026-06-12 | F | PT | DECKER | JQU849A78963 | ELIZABETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18328449/check_27673272_412c0465-d8a5-4fd1-bed7-01ea02ef2f5b.json | N/A | N/A | N/A | N/A | N/A | JQU849A78963 | Preferred Provider Organization (PPO) | ROLLING OAKS RADIOLOGY ME | ANTHEM BLUE CROSS | N/A | 2009-09-02 | 040 | 422228 | N/A | PR | false | DECKER | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER PPO HSA/H 2300/3400/4600 30% PREVRX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240261 | N/A | N/A | 18328449 | 2222 | 4801 | 27803133 | N/A | 16339129 | 2026-06-10 00:34:21.742201 | 2026-03-26 22:11:26.115150 |
| 2026-06-09 07:17:43.562400 | 2026-06-10 00:34:31.316307 | 27673259 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27673259 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-06-12 | F | AE | Durant | 000008717870 | Jovanna | Sharelle Shishonna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_27673259_5ca6be84-f024-444c-a743-0e58084480a1.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 CKPU | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240260 | N/A | N/A | 18270267 | 2222 | 4802 | 27803326 | N/A | 16284557 | 2026-06-10 00:34:31.316307 | 2026-03-22 16:36:56.176369 |
| 2026-06-09 07:17:43.455434 | 2026-06-10 00:35:04.442375 | 27673246 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27673246 | Athletic Physical Therapy Inc | 1956-01-25 | 2026-06-12 | F | AE | URIBE | 40085522401 | ROSA | I | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18084855/check_27673246_73ec39b0-9130-47b2-a695-5288b72dfd6d.json | N/A | N/A | N/A | N/A | N/A | 40085522401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-25 | 2026CA200ABDLAC | H0976DSNP | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | 2026-03-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240259 | N/A | N/A | 18084855 | 2222 | 4802 | 27804068 | 6237 | 13816533 | 2026-06-10 00:35:04.442375 | 2026-03-06 21:23:14.977254 |
| 2026-06-09 07:17:43.363924 | 2026-06-10 00:35:09.776697 | 27673235 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27673235 | Athletic Physical Therapy Inc | 1950-08-28 | 2026-06-11 | F | AE | RODRIGUEZ | 7MG2YG8PF88 | BERTHA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076982/check_27673235_f90e3346-5fe7-4656-a8a4-52b198507ff2.json | N/A | N/A | N/A | N/A | N/A | 7MG2YG8PF88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-28 | S4802 | N/A | N/A | MB | false | RODRIGUEZ | N/A | BERTHA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 17666 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240258 | N/A | N/A | 18076982 | 2222 | 4801 | 27804212 | N/A | 16103079 | 2026-06-10 00:35:09.776697 | 2026-05-20 02:47:01.452599 |
| 2026-06-09 07:17:43.289231 | 2026-06-10 00:34:34.834007 | 27673223 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27673223 | Athletic Physical Therapy Inc | 1974-07-05 | 2026-06-11 | F | AE | Lopez Parker | 000016557541 | Brenda | I | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17924114/check_27673223_cda0aada-1be1-4511-8c46-11e62ec73ab0.json | N/A | N/A | N/A | N/A | N/A | 000016557541 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-07-05 | N/A | N/A | N/A | N/A | false | LOPEZ PARKER | N/A | BRENDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240257 | N/A | N/A | 17924114 | 2222 | 4802 | 27803395 | N/A | 15963069 | 2026-06-10 00:34:34.834007 | 2026-05-29 22:16:21.036276 |
| 2026-06-09 07:17:43.205807 | 2026-06-10 00:34:43.465625 | 27673212 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27673212 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-06-11 | F | PT | PATTERSON | MUU796W26629 | SARAH | A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_27673212_9bd33a26-7db2-45b3-b00a-8baa06654078.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240256 | N/A | N/A | 17868567 | 2222 | 4802 | 27803566 | N/A | 15913011 | 2026-06-10 00:34:43.465625 | 2026-03-16 22:33:11.392245 |
| 2026-06-09 07:17:43.088495 | 2026-06-10 00:35:14.258004 | 27673200 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27673200 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-06-11 | F | AE | Wolfe | 5F67H30WC46 | Nancee | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_27673200_fd35ea02-6a8d-4075-8bca-9ce86e250507.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 147584 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240255 | N/A | N/A | 17600400 | 2222 | 4793 | 27804318 | N/A | 15647296 | 2026-06-10 00:35:14.258004 | 2026-03-04 22:22:31.397944 |
| 2026-06-09 07:17:43.001283 | 2026-06-10 00:34:31.233945 | 27673184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27673184 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-06-11 | F | PT | Jimenez | MPI30060766Q | Arabelle | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_27673184_7df01bb3-1da7-469b-9c19-796e4172b6bb.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240254 | N/A | N/A | 17497004 | 2222 | 4802 | 27803323 | N/A | 15511990 | 2026-06-10 00:34:31.233945 | 2026-03-02 20:39:57.609466 |
| 2026-06-09 07:17:42.899894 | 2026-06-10 00:34:44.822877 | 27673174 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27673174 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-06-11 | F | AE | SALIMIAN | UZ110324601 | NASHMIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_27673174_e337ec79-0668-480c-a39c-2fc9eaf06018.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240253 | N/A | N/A | 17492780 | 2222 | 4802 | 27803597 | 4625 | 15085116 | 2026-06-10 00:34:44.822877 | 2026-02-18 20:26:50.354139 |
| 2026-06-09 07:17:42.818372 | 2026-06-10 00:35:12.529132 | 27673162 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27673162 | Athletic Physical Therapy Inc | 1947-01-16 | 2026-06-12 | F | AE | Teichner | 8GX9YP6RV43 | Miriam | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492302/check_27673162_7ae00d81-a6b2-416d-8098-859773070659.json | N/A | N/A | N/A | N/A | N/A | 8GX9YP6RV43 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-16 | S4802 | N/A | N/A | MA | false | TEICHNER | N/A | MIRIAM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 129231 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240252 | N/A | N/A | 17492302 | 2222 | 4793 | 27804280 | N/A | 15507331 | 2026-06-10 00:35:12.529132 | 2026-03-02 19:12:00.362589 |
| 2026-06-09 07:17:42.726839 | 2026-06-10 00:34:28.500652 | 27673150 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27673150 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-06-12 | M | PT | Higa | NCF843A55961 | Parrish | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_27673150_d5725d32-24da-4768-916d-ff97901ec95e.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240251 | N/A | N/A | 17446858 | 2222 | 4801 | 27803261 | 4185 | 14698980 | 2026-06-10 00:34:28.500652 | 2026-02-09 18:51:36.820546 |
| 2026-06-09 07:17:42.626640 | 2026-06-10 00:35:39.598027 | 27673136 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27673136 | Athletic Physical Therapy Inc | 1997-12-31 | 2026-06-12 | F | AE | TABATABAI | 94947179G | NIKKI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17353836/check_27673136_a7708a31-45ec-4ffb-b91a-d8829fa8b80d.json | N/A | N/A | N/A | N/A | N/A | 94947179G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1997-12-31 | MCLA | MWLLNMEG21 | N/A | N/A | false | TABATABAI | N/A | NIKKI | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240250 | N/A | N/A | 17353836 | 2222 | 4802 | 27804811 | 5538 | 15365501 | 2026-06-10 00:35:39.598027 | 2026-02-25 23:23:03.660443 |
| 2026-06-09 07:17:42.521767 | 2026-06-10 00:34:50.935207 | 27673120 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27673120 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-06-12 | M | AE | GRAY | R15051156MM1 | DAVID | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_27673120_71f69dd0-927b-4cfc-a7fa-ba6ed022f599.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240249 | N/A | N/A | 17309570 | 2222 | 4802 | 27803729 | 4625 | 15324565 | 2026-06-10 00:34:50.935207 | 2026-02-27 21:58:34.959613 |
| 2026-06-09 07:17:42.406050 | 2026-06-10 00:34:21.113938 | 27673106 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27673106 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-06-11 | M | PT | DE LUNA | JMV025A51982 | NOEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17274520/check_27673106_3d119e33-a9c5-4f76-a14b-929ef26820e7.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240248 | N/A | N/A | 17274520 | 2222 | 4801 | 27803121 | 4185 | 4343453 | 2026-06-10 00:34:21.113938 | 2025-05-13 04:29:37.230931 |
| 2026-06-09 07:17:42.311350 | 2026-06-10 00:34:33.980496 | 27673093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27673093 | Athletic Physical Therapy Inc | 1969-05-12 | 2026-06-11 | M | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17122946/check_27673093_4901ef8e-7057-4d3e-bf9e-b48ba6e659e0.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1969-05-12 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 2026-12-31 | 2026-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240247 | N/A | N/A | 17122946 | 2222 | 4793 | 27803382 | N/A | 15113667 | 2026-06-10 00:34:33.980496 | 2026-02-24 15:18:30.819287 |
| 2026-06-09 07:17:42.203934 | 2026-06-10 00:34:08.715955 | 27673081 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 27673081 | override_provider | 1979-02-02 | 2026-06-11 | F | PT | Roozrokh | R60967659 | Peyman | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_27673081_bb95c797-9ed5-4454-b5fe-ff0336b55ab3.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240246 | N/A | N/A | 17094664 | 2222 | 4802 | 27802939 | N/A | 15086531 | 2026-06-10 00:34:08.715955 | 2026-02-18 21:22:56.146803 |
| 2026-06-09 07:17:42.111080 | 2026-06-10 00:34:27.848227 | 27673068 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27673068 | Athletic Physical Therapy Inc | 1992-08-31 | 2026-06-12 | M | AE | August Schmidt | 000010564062 | Alex | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17055953/check_27673068_021e1338-4d29-4c04-8134-026187e0d84d.json | N/A | N/A | N/A | N/A | N/A | 000010564062 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1992-08-31 | N/A | N/A | N/A | N/A | false | AUGUST SCHMIDT | N/A | ALEX | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240245 | N/A | N/A | 17055953 | 2222 | 4802 | 27803248 | N/A | 15047404 | 2026-06-10 00:34:27.848227 | 2026-03-19 15:45:14.156442 |
| 2026-06-09 07:17:41.806715 | 2026-06-10 00:35:17.836992 | 27673038 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 27673038 | Athletic Physical Therapy Inc | 1963-03-21 | 2026-06-11 | F | AE | Bischoff | 890196802 | Kaycee | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17003130/check_27673038_6d4c2224-e130-4db5-8855-318f58e98bcd.json | N/A | N/A | N/A | N/A | N/A | 890196802 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1963-03-21 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | KAYCEE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240244 | N/A | N/A | 17003130 | 2222 | 4801 | 27804385 | 6411 | 14999773 | 2026-06-10 00:35:17.836992 | 2026-02-17 00:31:52.140400 |
| 2026-06-09 07:17:41.336254 | 2026-06-10 00:34:37.559726 | 27672991 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27672991 | Athletic Physical Therapy Inc | 1963-11-15 | 2026-06-12 | F | AE | DIBAEI | 95643445F | ATEFEH | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_27672991_e88c2745-a056-4502-9dbe-91be707bbff0.json | N/A | N/A | N/A | N/A | N/A | 95643445F | Medicaid | N/A | MOLINA_CA | MEMBER ECM OPT-IN - NO MEMBER ECM BENEFIT START DATE - NOT APPLICABLE MEMBER ECM PROVIDER - NONE ASSIGNED PROVIDERTYPE/CATEGORY - NOT APPLICABLE MEMBER HAS HOLD RESTRICTION - NO | 1963-11-15 | TFU223BP0000007 | N/A | N/A | MC | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240243 | N/A | N/A | 16929305 | 2222 | 4802 | 27803443 | 4211 | 14928874 | 2026-06-10 00:34:37.559726 | 2026-02-13 23:07:04.697142 |
| 2026-06-09 07:17:41.172714 | 2026-06-10 00:35:25.259092 | 27672973 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672973 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-06-11 | F | PT | Amstutz | KXJ396W12867 | Lauren | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_27672973_53c60498-1b24-4a1a-a71e-05dbf1df65f4.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240242 | N/A | N/A | 16765713 | 2222 | 4801 | 27804511 | 4185 | 14776656 | 2026-06-10 00:35:25.259092 | 2026-02-10 18:58:53.303852 |
| 2026-06-09 07:17:41.075133 | 2026-06-10 00:33:51.562492 | 27672962 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 27672962 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-06-12 | F | AE | CHUN | ICA068643 | LINDA | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579154/check_27672962_a27fb032-a5e2-49b8-8847-98357d651017.json | N/A | N/A | N/A | N/A | N/A | ICA068643 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-01-13 | N/A | N/A | N/A | N/A | false | CHUN | N/A | LINDA | N/A | N/A | 2026-06-09 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240241 | N/A | N/A | 16579154 | 2222 | 4793 | 27802673 | N/A | 14597301 | 2026-06-10 00:33:51.562492 | 2026-02-06 23:30:42.528802 |
| 2026-06-09 07:17:40.966963 | 2026-06-10 00:35:05.439545 | 27672948 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672948 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-06-12 | F | AE | LAVORATO | 00000290307 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314847/check_27672948_d3937cd6-7585-48fa-934f-68bb6a0a39de.json | N/A | N/A | N/A | N/A | N/A | 00000290307 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1948-02-13 | H3815048 | N/A | N/A | HM | false | LAVORATO | N/A | MARY | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240240 | N/A | N/A | 16314847 | 2222 | 4793 | 27804098 | 2630 | 14364421 | 2026-06-10 00:35:05.439545 | 2026-03-10 17:29:39.446746 |
| 2026-06-09 07:17:40.873173 | 2026-06-10 00:34:54.790592 | 27672937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672937 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-06-12 | M | AE | BROSH | 1AC1KJ0CT14 | RAMI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_27672937_c369ef74-28a8-40e7-b683-7fe1e66fe923.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MB | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 190294 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240239 | N/A | N/A | 16113776 | 2222 | 4793 | 27803827 | N/A | 14174363 | 2026-06-10 00:34:54.790592 | 2026-05-29 18:00:53.778221 |
| 2026-06-09 07:17:40.722924 | 2026-06-10 00:34:51.782833 | 27672918 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27672918 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-06-12 | M | AE | IRWIN | R07798606MM1 | ROBERT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16037337/check_27672918_5d911190-3abf-4d4e-bf3a-0c9139395c30.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-03-31 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240238 | N/A | N/A | 16037337 | 2222 | 4801 | 27803754 | 4625 | 14107775 | 2026-06-10 00:34:51.782833 | 2026-01-29 17:51:43.526882 |
| 2026-06-09 07:17:40.608171 | 2026-06-10 00:34:59.192449 | 27672900 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672900 | Athletic Physical Therapy Inc | 1955-07-13 | 2026-06-12 | M | AE | GROSS | 5J34NT0FH08 | HUGH | R | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810927/check_27672900_313041d7-b275-4949-95a7-a1cbf718aaf9.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MB | false | GROSS | N/A | HUGH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 172900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240237 | N/A | N/A | 15810927 | 2222 | 4802 | 27803926 | N/A | 13900460 | 2026-06-10 00:34:59.192449 | 2026-01-27 16:41:56.120390 |
| 2026-06-09 07:17:40.525880 | 2026-06-10 00:35:02.049852 | 27672891 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672891 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-06-12 | F | AD | SHOTWELL | 40070614601 | KATHY | Z | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15737586/check_27672891_680bcb68-09e7-459d-820c-24f6feaec47c.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 11128240236 | N/A | N/A | 15737586 | 2222 | 4793 | 27803997 | 6237 | 13837022 | 2026-06-10 00:35:02.049852 | 2026-01-27 20:49:36.385334 |
| 2026-06-09 07:17:40.423648 | 2026-06-10 00:35:06.254389 | 27672875 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672875 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-06-12 | M | AD | WIGGINS | 40072875001 | DAVID | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534853/check_27672875_8e5fbc16-7db0-4918-b537-2d3f1bf52c5d.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 11128240235 | N/A | N/A | 15534853 | 2222 | 4801 | 27804119 | 6237 | 4219334 | 2026-06-10 00:35:06.254389 | 2025-05-13 04:29:37.230357 |
| 2026-06-09 07:17:40.323967 | 2026-06-10 00:35:11.294679 | 27672865 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672865 | Athletic Physical Therapy Inc | 1946-06-15 | 2026-06-12 | M | AE | SCHECHTER | 3G33VQ7DQ03 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15414432/check_27672865_b1ef480b-b890-4978-af2b-336ba520016a.json | N/A | N/A | N/A | N/A | N/A | 3G33VQ7DQ03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-15 | S4802 | N/A | N/A | MB | false | SCHECHTER | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 112397 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240234 | N/A | N/A | 15414432 | 2222 | 4793 | 27804249 | N/A | 7549031 | 2026-06-10 00:35:11.294679 | 2026-05-22 23:37:03.098359 |
| 2026-06-09 07:17:40.242364 | 2026-06-10 00:34:20.526782 | 27672852 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672852 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-06-11 | F | PT | DE LUNA | JMV025A51982 | MARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15276776/check_27672852_fa2483b1-c672-46ff-ab36-3fba0236e9c4.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240233 | N/A | N/A | 15276776 | 2222 | 4801 | 27803109 | 4185 | 9766947 | 2026-06-10 00:34:20.526782 | 2025-11-11 21:32:02.372730 |
| 2026-06-09 07:17:40.155942 | 2026-06-10 00:34:39.325532 | 27672837 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672837 | Athletic Physical Therapy Inc | 1988-10-28 | 2026-06-12 | M | PT | MORRIS | ILL532A77856 | ERIC | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15236605/check_27672837_79c2e986-4141-4091-a8d8-3cc1e61e61ed.json | N/A | N/A | N/A | N/A | N/A | ILL532A77856 | Preferred Provider Organization (PPO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1988-10-28 | 040 | 1854GAR000 | N/A | PR | false | MORRIS | N/A | ERIC | N/A | 2026-06-30 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240232 | N/A | N/A | 15236605 | 2222 | 4802 | 27803476 | N/A | 13337595 | 2026-06-10 00:34:39.325532 | 2026-01-13 22:56:53.164172 |
| 2026-06-09 07:17:40.071271 | 2026-06-10 00:34:23.719519 | 27672828 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672828 | Athletic Physical Therapy Inc | 2000-08-07 | 2026-06-12 | M | PT | Friedman | PDA8735243AB | Max | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15072800/check_27672828_f12caa3a-bfb7-463c-b29d-d2cb63060d3e.json | N/A | N/A | N/A | N/A | N/A | PDA8735243AB | Preferred Provider Organization (PPO) | PUBLIC STORAGE INC | ANTHEM BLUE CROSS | N/A | 2000-08-07 | 040 | JNT239M3A1 | N/A | PR | false | FRIEDMAN | N/A | ANDRES | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240231 | N/A | N/A | 15072800 | 2222 | 4802 | 27803172 | N/A | 12900230 | 2026-06-10 00:34:23.719519 | 2025-12-29 17:30:18.319338 |
| 2026-06-09 07:17:39.985221 | 2026-06-10 00:34:29.653897 | 27672820 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672820 | Athletic Physical Therapy Inc | 1976-11-10 | 2026-06-12 | F | PT | HUYNH | NCF560A74564 | NHUNG | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14985541/check_27672820_3bde5c44-6200-4647-97d0-fca0532be621.json | N/A | N/A | N/A | N/A | N/A | NCF560A74564 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1976-11-10 | 040 | 57ADZG | N/A | HM | false | HUYNH | N/A | NHUNG HONG | N/A | 2026-12-31 | 2026-04-27 | HMO CEDARS SINAI ONLY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240230 | N/A | N/A | 14985541 | 2222 | 4801 | 27803289 | 4185 | 11833771 | 2026-06-10 00:34:29.653897 | 2025-12-10 10:41:11.441314 |
| 2026-06-09 07:17:39.895898 | 2026-06-10 00:34:22.094017 | 27672810 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27672810 | Athletic Physical Therapy Inc | 1950-06-28 | 2026-06-12 | F | PT | MCCOWAN | R57824861 | ANNAMARIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14916087/check_27672810_c25e7a64-578d-4239-91e1-4b2866b96393.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MC COWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240229 | N/A | N/A | 14916087 | 2222 | 4802 | 27803139 | N/A | 12476020 | 2026-06-10 00:34:22.094017 | 2025-12-16 21:49:52.634130 |
| 2026-06-09 07:17:39.781987 | 2026-06-10 00:34:49.931864 | 27672792 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27672792 | Athletic Physical Therapy Inc | 1997-12-06 | 2026-06-12 | F | AE | GHARAVI | 99570419E | JASMINE | S | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856447/check_27672792_4a94c6d3-48af-4c2a-915f-25ad330fea01.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-03-31 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240228 | N/A | N/A | 14856447 | 2222 | 4802 | 27803707 | 4625 | 12968899 | 2026-06-10 00:34:49.931864 | 2026-01-05 20:58:07.379737 |
| 2026-06-09 07:17:39.689896 | 2026-06-10 00:35:21.551167 | 27672782 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 27672782 | Athletic Physical Therapy Inc | 2013-04-23 | 2026-06-12 | M | PT | KRASNO | 907100781003 | ETHAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14697078/check_27672782_5df57546-8aa9-4539-ad30-59ecb81a8172.json | N/A | N/A | N/A | N/A | N/A | XEH907100781 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 2013-04-23 | 1000HMOX0002 | W0067449 | N/A | HM | false | KRASNO | N/A | JOSEPH | N/A | 2039-04-22 | 2026-01-01 | HSA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240227 | N/A | N/A | 14697078 | 2222 | 4801 | 27804454 | 4191 | 12124199 | 2026-06-10 00:35:21.551167 | 2025-12-09 19:44:50.970187 |
| 2026-06-09 07:17:39.592137 | 2026-06-10 00:34:33.098786 | 27672769 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672769 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-06-11 | M | PT | LANDAVERDE | MMA833W19349 | OSCAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_27672769_8d3f8333-fc86-4c81-82dc-21c7fc66e8f8.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240226 | N/A | N/A | 14413682 | 2222 | 4802 | 27803363 | 4185 | 12549123 | 2026-06-10 00:34:33.098786 | 2025-12-18 17:22:21.485744 |