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 07:17:39.506171 | 2026-06-10 00:34:18.418222 | 27672761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672761 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-06-11 | F | PT | Cherry | NCF380A22244 | Megan | 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/2222/14387696/check_27672761_751bd46a-93f0-4c61-aef3-0681f90d0cd4.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240225 | N/A | N/A | 14387696 | 2222 | 4802 | 27803073 | N/A | 12521666 | 2026-06-10 00:34:18.418222 | 2025-12-17 22:18:09.286393 |
| 2026-06-09 07:17:39.399994 | 2026-06-10 00:34:49.611927 | 27672750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672750 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-06-12 | F | PT | Vo | TOA651A68427 | Tram | M | 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/2222/14115191/check_27672750_6f139219-6104-4b16-8a6d-a8e8b22a1fa1.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240224 | N/A | N/A | 14115191 | 2222 | 4802 | 27803703 | N/A | 12253534 | 2026-06-10 00:34:49.611927 | 2025-12-11 19:59:32.714775 |
| 2026-06-09 07:17:39.312165 | 2026-06-10 00:34:22.825553 | 27672738 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27672738 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-06-12 | F | PT | STYLES | XYL990311433 | SUSAN | 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/2222/14110178/check_27672738_f993ec92-9760-49d4-bf6b-f04a560be3fb.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240223 | N/A | N/A | 14110178 | 2222 | 4801 | 27803153 | N/A | 10999467 | 2026-06-10 00:34:22.825553 | 2025-11-14 21:36:13.911423 |
| 2026-06-09 07:17:39.212233 | 2026-06-10 00:34:07.825819 | 27672726 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 27672726 | override_provider | 1962-09-10 | 2026-06-12 | M | PT | M Johnson | KWS141015355001 | David | 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/2222/14108628/check_27672726_39750756-b04c-459d-a10c-f3832b0feee5.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240222 | N/A | N/A | 14108628 | 2222 | 4801 | 27802927 | N/A | 12247347 | 2026-06-10 00:34:07.825819 | 2025-12-10 23:35:09.824882 |
| 2026-06-09 07:17:39.106747 | 2026-06-10 00:35:07.698257 | 27672716 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672716 | Athletic Physical Therapy Inc | 1957-01-26 | 2026-06-12 | M | AE | REED | 00000391094 | JAMES | 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/2222/13634717/check_27672716_5dbfa9ab-f471-4ebf-b1eb-567cfc3333c1.json | N/A | N/A | N/A | N/A | N/A | 00000391094 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-26 | H3815028 | N/A | N/A | HM | false | REED | N/A | JAMES | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240221 | N/A | N/A | 13634717 | 2222 | 4801 | 27804161 | 2630 | 11782524 | 2026-06-10 00:35:07.698257 | 2025-12-08 14:47:13.868275 |
| 2026-06-09 07:17:38.855713 | 2026-06-10 00:35:03.992902 | 27672685 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672685 | Athletic Physical Therapy Inc | 1950-05-22 | 2026-06-12 | F | AE | Cave | 00000272920 | Deborah | 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/2222/13436400/check_27672685_c0c482f2-1eff-48e1-82dc-6008ea79770a.json | N/A | N/A | N/A | N/A | N/A | 00000272920 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-05-22 | H3815028 | N/A | N/A | HM | false | CAVE | N/A | DEBORAH | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240220 | N/A | N/A | 13436400 | 2222 | 4801 | 27804055 | 2630 | 4219166 | 2026-06-10 00:35:03.992902 | 2025-12-05 03:00:39.564193 |
| 2026-06-09 07:17:38.477169 | 2026-06-10 00:35:00.410088 | 27672643 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672643 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-06-11 | M | AE | Marvin | 40059610101 | Terry | 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/2222/11529617/check_27672643_2b3d4f0c-49e2-44da-9a8c-99903bac7066.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240219 | N/A | N/A | 11529617 | 2222 | 4801 | 27803954 | 6237 | 9770503 | 2026-06-10 00:35:00.410088 | 2025-11-05 23:33:36.141284 |
| 2026-06-09 07:17:38.364981 | 2026-06-10 00:35:13.723474 | 27672632 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672632 | Athletic Physical Therapy Inc | 1956-07-25 | 2026-06-11 | M | AE | WHITAKER | 2QX8KU9UC57 | RICHARD | 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/2222/10030667/check_27672632_f1e482cc-beb0-4487-b068-4f812552e89d.json | N/A | N/A | N/A | N/A | N/A | 2QX8KU9UC57 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-25 | S4802 | N/A | N/A | MB | false | WHITAKER | N/A | RICHARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 107214 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128240218 | N/A | N/A | 10030667 | 2222 | 4801 | 27804307 | N/A | 8396855 | 2026-06-10 00:35:13.723474 | 2026-04-30 15:25:27.283280 |
| 2026-06-09 07:17:38.275005 | 2026-06-10 00:35:22.107628 | 27672624 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27672624 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-06-12 | F | PT | LARSON | XAN913804058 | DEBRA | 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/2222/9562148/check_27672624_5a6f4727-c3f0-4978-9f7c-ff401c395dfd.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | 2026-06-09 | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128240217 | N/A | N/A | 9562148 | 2222 | 4793 | 27804462 | N/A | 7997320 | 2026-06-10 00:35:22.107628 | 2025-10-02 21:07:14.563938 |
| 2026-06-09 07:17:38.170529 | 2026-06-10 00:34:30.322692 | 27672611 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 27672611 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-06-10 | M | 96 | HAUSMAN | 34751866 | GARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_27672611_1dfc270f-a369-4681-9a8d-4a80dfe72917.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-06-09 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 11128241146 | N/A | N/A | 9280203 | 2222 | 4793 | 27803302 | 6798 | 7788651 | 2026-06-10 00:34:30.322692 | 2025-09-10 18:50:22.494063 |
| 2026-06-09 07:17:38.051202 | 2026-06-10 00:34:48.799705 | 27672596 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672596 | Athletic Physical Therapy Inc | 1962-08-12 | 2026-06-11 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | 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/2222/9087505/check_27672596_6f93f14d-8193-4f9c-8551-c74f984d2751.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M001 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | 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 | 11128241145 | N/A | N/A | 9087505 | 2222 | 4793 | 27803684 | N/A | 7605100 | 2026-06-10 00:34:48.799705 | 2025-09-11 15:07:41.965017 |
| 2026-06-09 07:17:37.953707 | 2026-06-10 00:35:08.228216 | 27672587 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672587 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-06-12 | M | AE | TSING | 00000282272 | KONGHSUNG | 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/2222/8978036/check_27672587_1b80175f-669e-441e-aab7-98b38dce1508.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241144 | N/A | N/A | 8978036 | 2222 | 4793 | 27804174 | 2630 | 7492332 | 2026-06-10 00:35:08.228216 | 2025-10-01 21:03:48.525986 |
| 2026-06-09 07:17:37.866283 | 2026-06-10 00:34:17.831431 | 27672575 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672575 | Athletic Physical Therapy Inc | 1965-07-08 | 2026-06-12 | F | PT | CHALFIN | WAR121A52220 | LISA | R | 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/2222/7456267/check_27672575_3958cceb-5226-46c5-9423-05e5a6f5a9fe.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241143 | N/A | N/A | 7456267 | 2222 | 4793 | 27803065 | N/A | 6405582 | 2026-06-10 00:34:17.831431 | 2025-08-04 21:58:38.426681 |
| 2026-06-09 07:17:37.773806 | 2026-06-10 00:34:39.385906 | 27672568 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27672568 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-06-10 | M | 30 | Thur | 95641377F | Pyi | N/A | 98 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_27672568_f2f6e7b5-5ad2-4f65-b63d-fea1d58f6285.json | N/A | N/A | N/A | N/A | N/A | 95641377F | 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 | 1962-09-23 | TFU223BP0000007 | N/A | N/A | MC | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 11128241142 | N/A | N/A | 7449843 | 2222 | 4802 | 27803478 | 4211 | 6399635 | 2026-06-10 00:34:39.385906 | 2025-07-29 18:42:47.970149 |
| 2026-06-09 07:17:37.680197 | 2026-06-10 00:34:19.342528 | 27672552 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672552 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-06-11 | F | PT | CLOONAN | 481M9993120 | LINDA | 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/2222/7246170/check_27672552_4ebd5c45-632e-4686-a08b-5bdb43980899.json | N/A | N/A | N/A | N/A | N/A | 481M9993120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-25 | N/A | N/A | N/A | N/A | false | CLOONAN | N/A | LINDA | N/A | N/A | 2026-06-09 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241141 | N/A | N/A | 7246170 | 2222 | 4801 | 27803088 | 4185 | 4837995 | 2026-06-10 00:34:19.342528 | 2025-06-13 00:15:18.726975 |
| 2026-06-09 07:17:37.583197 | 2026-06-10 00:35:02.657774 | 27672541 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672541 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-06-10 | M | AE | SIMMONS | 40055722801 | J | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_27672541_8303bfe8-d556-4ded-a1da-7f44d29567ab.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241140 | N/A | N/A | 6685251 | 2222 | 4793 | 27804017 | 6237 | 4209868 | 2026-06-10 00:35:02.657774 | 2025-08-15 22:13:56.514261 |
| 2026-06-09 07:17:37.471971 | 2026-06-10 00:34:21.572388 | 27672525 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27672525 | Athletic Physical Therapy Inc | 2002-02-06 | 2026-06-11 | F | PT | MANALO LAMANNA | GSC134174111001 | ISADORE | Marie | 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/2222/6554790/check_27672525_5b113c4b-15e9-482f-93a5-ac2f38aa449e.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | WTW/ PE CONSTELLATION SOFTWARE INC. $20 /$50 COPAY | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 08407400 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241139 | N/A | N/A | 6554790 | 2222 | 4793 | 27803129 | N/A | 5177947 | 2026-06-10 00:34:21.572388 | 2026-05-11 21:31:25.186699 |
| 2026-06-09 07:17:37.315205 | 2026-06-10 00:34:46.719733 | 27672506 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27672506 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-06-11 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | 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/2222/5874423/check_27672506_f557f24a-d493-4209-a70d-f8ebb5cf01fa.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | 2026-03-31 | 2024-02-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241138 | N/A | N/A | 5874423 | 2222 | 4802 | 27803637 | 4625 | 4534552 | 2026-06-10 00:34:46.719733 | 2025-05-30 18:01:03.324126 |
| 2026-06-09 07:17:37.154240 | 2026-06-10 00:34:44.793894 | 27672487 | N/A | N/A | 60054 | Aetna | 1114042165 | 27672487 | Athletic Physical Therapy Inc | 1988-03-26 | 2026-06-11 | F | AE | STEINSAPIR | W283758452 | NEGAR | 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/2222/5550984/check_27672487_ba702011-1fbc-46b5-9e44-f0c2b3175002.json | N/A | N/A | N/A | N/A | N/A | W283758452 | Point of Service (POS) | MAD ENGINE GLOBAL, LLC. | AETNA | N/A | 1988-03-26 | 0237681 | 023768101100001 | N/A | PS | false | STEINSAPIR | N/A | NOAH | 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 | 11128241137 | N/A | N/A | 5550984 | 2222 | 4793 | 27803596 | N/A | 4219810 | 2026-06-10 00:34:44.793894 | 2026-05-31 23:30:11.309806 |
| 2026-06-09 07:17:36.937964 | 2026-06-10 00:35:25.819361 | 27672462 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672462 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-06-12 | F | PT | ANDERSON | XDP564A24389 | ERIN | 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/2222/5549780/check_27672462_5730d8f1-7fed-423f-bff4-c8c0a119f4c2.json | N/A | N/A | N/A | N/A | N/A | XDP564A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1972-06-11 | 040 | 275928M001 | N/A | PR | false | ANDERSON | N/A | ERIN | 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 | 11128241136 | N/A | N/A | 5549780 | 2222 | 4801 | 27804524 | N/A | 4219374 | 2026-06-10 00:35:25.819361 | 2025-05-13 04:29:37.230399 |
| 2026-06-09 07:17:36.837054 | 2026-06-10 00:35:04.697566 | 27672450 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672450 | Athletic Physical Therapy Inc | 1957-05-10 | 2026-06-12 | F | AE | GRIFFITH | 00000279235 | KAREN | 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/2222/5549621/check_27672450_e8bcf52f-ce35-4247-a424-a08cfb29d543.json | N/A | N/A | N/A | N/A | N/A | 00000279235 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-05-10 | H3815028 | N/A | N/A | HM | false | GRIFFITH | N/A | KAREN | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241135 | N/A | N/A | 5549621 | 2222 | 4801 | 27804077 | 2630 | 4219248 | 2026-06-10 00:35:04.697566 | 2025-05-13 04:29:37.230263 |
| 2026-06-09 07:17:36.758905 | 2026-06-10 00:35:00.001537 | 27672442 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672442 | Athletic Physical Therapy Inc | 1937-07-22 | 2026-06-12 | F | AE | HOFFMAN | 5UG3WN1PE87 | BETH | 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/2222/5549385/check_27672442_b7d813cb-5249-4aba-bc03-b33a7d012e30.json | N/A | N/A | N/A | N/A | N/A | 5UG3WN1PE87 | Medicare Part A | N/A | CALIFORNIA CASUALTY INS CO | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-07-22 | N/A | DOL 03021988 | N/A | MA | false | HOFFMAN | N/A | BETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20939 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241134 | N/A | N/A | 5549385 | 2222 | 4801 | 27803942 | N/A | 4219058 | 2026-06-10 00:35:00.001537 | 2025-05-13 04:29:37.230075 |
| 2026-06-09 07:17:36.665846 | 2026-06-10 00:34:56.997406 | 27672429 | N/A | N/A | 61101 | HUMANA | 1114042165 | 27672429 | Athletic Physical Therapy Inc | 1943-07-20 | 2026-06-12 | F | AE | TODD | H7478001300 | MARY | 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/2222/5549088/check_27672429_428574e8-9046-4433-ac93-3a1ec10b594d.json | N/A | N/A | N/A | N/A | N/A | H74780013 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1943-07-20 | N/A | 2B863001 | N/A | HN | false | TODD | N/A | MARY | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241133 | N/A | N/A | 5549088 | 2222 | 4801 | 27803870 | 5349 | 4218817 | 2026-06-10 00:34:56.997406 | 2025-05-13 04:29:37.229812 |
| 2026-06-09 07:17:36.561579 | 2026-06-10 00:34:58.754641 | 27672421 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672421 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-06-11 | M | AE | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_27672421_2c5554d7-cc02-4b79-a970-ec6c37617b4c.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241132 | N/A | N/A | 5543493 | 2222 | 4793 | 27803914 | 6237 | 4215273 | 2026-06-10 00:34:58.754641 | 2025-05-13 04:29:37.229594 |
| 2026-06-09 07:17:36.481498 | 2026-06-10 00:35:13.088272 | 27672413 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672413 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-06-11 | F | AE | UYGUR | 1VV2MA6GE80 | NUKHET | 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/2222/5543311/check_27672413_d6e3b057-929e-4774-85d8-18165cc3e7d0.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MB | false | UYGUR | N/A | NUKHET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 234092 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241131 | N/A | N/A | 5543311 | 2222 | 4802 | 27804292 | N/A | 4215116 | 2026-06-10 00:35:13.088272 | 2025-05-29 22:32:19.748297 |
| 2026-06-09 07:17:36.390363 | 2026-06-10 00:35:01.724821 | 27672400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672400 | Athletic Physical Therapy Inc | 1948-07-16 | 2026-06-12 | M | AE | KANDELA | 6J42U95NP24 | IMAD | 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/2222/5543177/check_27672400_0365ec06-675e-4366-b139-b52e2ba9bdb6.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 0 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241130 | N/A | N/A | 5543177 | 2222 | 4793 | 27803987 | N/A | 4215003 | 2026-06-10 00:35:01.724821 | 2025-05-13 04:29:37.229322 |
| 2026-06-09 07:17:36.261102 | 2026-06-10 00:34:28.987297 | 27672386 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672386 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-06-12 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_27672386_19b8b977-99e5-4e5d-8898-23d4173eb08e.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241129 | N/A | N/A | 5543043 | 2222 | 4801 | 27803271 | N/A | 4214884 | 2026-06-10 00:34:28.987297 | 2025-11-12 00:46:10.301659 |
| 2026-06-09 07:17:36.182925 | 2026-06-10 00:34:45.686828 | 27672381 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 27672381 | override_provider | 1972-07-22 | 2026-06-12 | M | AE | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_27672381_546d9f6e-ffaa-45b0-b731-f024ded183e7.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241128 | N/A | N/A | 5542709 | 2222 | 4802 | 27803614 | N/A | 4214582 | 2026-06-10 00:34:45.686828 | 2025-12-02 00:00:04.433236 |
| 2026-06-09 07:17:36.108596 | 2026-06-10 00:35:03.778113 | 27672372 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672372 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-06-12 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | 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/2222/5542318/check_27672372_fde1b085-8309-4304-83dc-f7e128c35043.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111820 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241127 | N/A | N/A | 5542318 | 2222 | 4802 | 27804048 | N/A | 4214241 | 2026-06-10 00:35:03.778113 | 2025-05-13 04:29:37.228574 |
| 2026-06-09 07:17:35.845960 | 2026-06-10 00:34:23.002673 | 27672341 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672341 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-06-12 | M | PT | FERNANDEZ | JQS315W00257 | FREDERICO | 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/2222/5542274/check_27672341_862e13da-96e8-4730-b786-6c2b1609fb36.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241126 | N/A | N/A | 5542274 | 2222 | 4801 | 27803155 | 4185 | 4214212 | 2026-06-10 00:34:23.002673 | 2025-05-13 04:29:37.228546 |
| 2026-06-09 07:17:35.575562 | 2026-06-10 00:35:02.348877 | 27672312 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672312 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-06-11 | M | AE | KAYE | 6EC7J10WH65 | ELLIOT | 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/2222/5542249/check_27672312_dc522571-a4a3-4261-bd2d-d2840580229a.json | N/A | N/A | N/A | N/A | N/A | 6EC7J10WH65 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S5617 | N/A | N/A | MA | false | KAYE | N/A | ELLIOT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 30135 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241125 | N/A | N/A | 5542249 | 2222 | 4801 | 27804006 | N/A | 4214176 | 2026-06-10 00:35:02.348877 | 2025-05-13 04:29:37.228504 |
| 2026-06-09 07:17:35.421845 | 2026-06-10 00:35:07.084824 | 27672293 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672293 | Athletic Physical Therapy Inc | 1955-04-23 | 2026-06-12 | M | AE | MERCADO | 00000230883 | PETER | 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/2222/5542172/check_27672293_d5a65749-e13b-4f5d-a0e1-d606b82fbaf8.json | N/A | N/A | N/A | N/A | N/A | 00000230883 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-04-23 | H3815028 | N/A | N/A | HM | false | MERCADO | N/A | PETER | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241124 | N/A | N/A | 5542172 | 2222 | 4801 | 27804142 | 2630 | 4214118 | 2026-06-10 00:35:07.084824 | 2025-05-13 04:29:37.228432 |
| 2026-06-09 07:17:35.294467 | 2026-06-10 00:35:06.625368 | 27672276 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27672276 | Athletic Physical Therapy Inc | 1957-10-24 | 2026-06-12 | F | AE | MCSHEA | 00000364203 | SANDRA | 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/2222/5542046/check_27672276_d45d6bd7-51a7-4aac-9bc4-b00567da026f.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241123 | N/A | N/A | 5542046 | 2222 | 4801 | 27804131 | 2630 | 4214001 | 2026-06-10 00:35:06.625368 | 2025-05-13 04:29:37.228323 |
| 2026-06-09 07:17:35.207903 | 2026-06-10 00:34:38.476603 | 27672266 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27672266 | Athletic Physical Therapy Inc | 1963-05-16 | 2026-06-11 | F | AE | KHAMISIAN | 98872882G | ANAHID | 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/2222/5541618/check_27672266_1f1637b2-cb5f-4645-9ce4-bdd64a576a72.json | N/A | N/A | N/A | N/A | N/A | 98872882G | 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 | 1963-05-16 | TFU223BP0000007 | N/A | N/A | MC | false | KHAMISIAN | N/A | ANAHID | 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 | 11128241122 | N/A | N/A | 5541618 | 2222 | 4802 | 27803462 | 4211 | 4213623 | 2026-06-10 00:34:38.476603 | 2025-07-29 02:12:05.358371 |
| 2026-06-09 07:17:35.127850 | 2026-06-10 00:34:25.930910 | 27672260 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672260 | Athletic Physical Therapy Inc | 1962-06-16 | 2026-06-12 | M | PT | GREENE | SIF090W13952 | DANIEL | 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/2222/5541308/check_27672260_f9960fef-b062-40cd-908a-d4b3af418030.json | N/A | N/A | N/A | N/A | N/A | SIF090W13952 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1962-06-16 | 040 | 40954E | N/A | PR | false | GREENE | N/A | KAREN | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241121 | N/A | N/A | 5541308 | 2222 | 4801 | 27803211 | N/A | 4213339 | 2026-06-10 00:34:25.930910 | 2025-05-13 04:29:37.227665 |
| 2026-06-09 07:17:35.023433 | 2026-06-10 00:35:21.072776 | 27672248 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 27672248 | Athletic Physical Therapy Inc | 1963-01-05 | 2026-06-12 | F | PT | HADDAD | 903253604000 | THERESA | 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/2222/5540636/check_27672248_af458227-5651-4eaf-ba3b-137c746ca3d5.json | N/A | N/A | N/A | N/A | N/A | XEH903253604 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-01-05 | 1002HMOX0001 | W0051411 | N/A | HM | false | HADDAD | N/A | THERESA | N/A | N/A | 2026-06-09 | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241120 | N/A | N/A | 5540636 | 2222 | 4793 | 27804445 | 4191 | 4212764 | 2026-06-10 00:35:21.072776 | 2025-05-13 04:29:37.227099 |
| 2026-06-09 07:17:34.927979 | 2026-06-10 00:35:00.911904 | 27672239 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672239 | Athletic Physical Therapy Inc | 1951-04-04 | 2026-06-12 | F | AD | RALPH | 40064977001 | RAJINDER | 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/2222/5540393/check_27672239_defd4e23-135e-4d38-9310-88c2c3c26744.json | N/A | N/A | N/A | N/A | N/A | 40064977001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-04-04 | 2026H5425001 | H5425M | N/A | N/A | false | RALPH | N/A | RAJINDER | 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 | 11128241119 | N/A | N/A | 5540393 | 2222 | 4801 | 27803963 | 6237 | 4212560 | 2026-06-10 00:35:00.911904 | 2026-06-09 17:58:35.143222 |
| 2026-06-09 07:17:34.848110 | 2026-06-10 00:35:26.866427 | 27672229 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672229 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-06-11 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_27672229_e1c99228-c39c-47f7-be74-ed583b92f9c4.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241118 | N/A | N/A | 5540074 | 2222 | 4802 | 27804547 | N/A | 4212282 | 2026-06-10 00:35:26.866427 | 2025-05-13 04:29:37.226623 |
| 2026-06-09 07:17:34.748915 | 2026-06-10 00:35:18.879392 | 27672219 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 27672219 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-06-12 | M | AE | RUIZ | 594887901 | EDUARDO | 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/2222/5539853/check_27672219_ffcbcb5b-3c10-4bf3-bb25-f1d9e054a7ac.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | CALPERS-LTB050H | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | 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 | 11128241117 | N/A | N/A | 5539853 | 2222 | 4801 | 27804404 | 6411 | 4212098 | 2026-06-10 00:35:18.879392 | 2025-05-13 04:29:37.226429 |
| 2026-06-09 07:17:34.648549 | 2026-06-10 00:34:31.357767 | 27672206 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 27672206 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-06-10 | F | 96 | HAUSMAN | 34751865 | JUDITH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539527/check_27672206_6f1dc044-5060-4322-a5b5-2795d51655ad.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | N/A | N/A | 2026-06-09 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 11128241116 | N/A | N/A | 5539527 | 2222 | 4793 | 27803327 | 6798 | 4211820 | 2026-06-10 00:34:31.357767 | 2026-04-10 18:02:32.809721 |
| 2026-06-09 07:17:34.528525 | 2026-06-10 00:35:03.216225 | 27672194 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672194 | Athletic Physical Therapy Inc | 1949-11-29 | 2026-06-12 | F | AE | TAYLOR | 40055314001 | KAMILLA | 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/2222/5539380/check_27672194_de7dcc6d-e2be-49b6-9d13-99846a8f9e8e.json | N/A | N/A | N/A | N/A | N/A | 40055314001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-11-29 | 2026H5425006 | H5425M | N/A | N/A | false | TAYLOR | N/A | KAMILLA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241115 | N/A | N/A | 5539380 | 2222 | 4793 | 27804032 | 6237 | 4211702 | 2026-06-10 00:35:03.216225 | 2026-05-13 01:43:42.890329 |
| 2026-06-09 07:17:34.416307 | 2026-06-10 00:34:58.037095 | 27672181 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672181 | Athletic Physical Therapy Inc | 1964-05-26 | 2026-06-10 | F | AE | FERNANDEZ | 7XX5TU4CF61 | LISA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.100938776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_27672181_77063790-6ee9-4ae5-9920-79bb1035e0e2.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S4802 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 54710 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241114 | N/A | N/A | 5538194 | 2222 | 4793 | 27803895 | N/A | 4210649 | 2026-06-10 00:34:58.037095 | 2025-06-19 18:43:58.008751 |
| 2026-06-09 07:17:34.345027 | 2026-06-10 00:34:38.441530 | 27672170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27672170 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-06-11 | M | PT | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_27672170_fa4f9dfc-251e-4ebc-a093-3b61d7650642.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241113 | N/A | N/A | 5536896 | 2222 | 4793 | 27803459 | N/A | 4209567 | 2026-06-10 00:34:38.441530 | 2025-05-13 04:29:37.223990 |
| 2026-06-09 07:17:34.250933 | 2026-06-10 00:34:25.159689 | 27672160 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27672160 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-06-12 | M | PT | GOTLER | NCF018M77628 | RONALD | 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/2222/5536875/check_27672160_8ecb5047-a86f-4107-bbe4-066602918304.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11128241112 | N/A | N/A | 5536875 | 2222 | 4802 | 27803198 | 4185 | 4209547 | 2026-06-10 00:34:25.159689 | 2025-05-13 04:29:37.223974 |
| 2026-06-09 07:17:34.172227 | 2026-06-10 00:34:55.565439 | 27672156 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672156 | Athletic Physical Therapy Inc | 1948-07-13 | 2026-06-11 | M | AE | DENNIS | 8ME0Y56JD14 | CECIL | 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/2222/5536377/check_27672156_19a8c6b6-55d0-4909-92b1-aa96bc1875af.json | N/A | N/A | N/A | N/A | N/A | 8ME0Y56JD14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-13 | S5617 | N/A | N/A | MA | false | DENNIS | N/A | CECIL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20041 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241111 | N/A | N/A | 5536377 | 2222 | 4801 | 27803841 | N/A | 4209131 | 2026-06-10 00:34:55.565439 | 2025-09-25 15:49:36.327996 |
| 2026-06-09 07:17:34.095671 | 2026-06-10 00:35:11.875330 | 27672143 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27672143 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-06-11 | F | AE | SPIGELMAN | 8FK0QJ6EQ10 | JUDY | 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/2222/5536255/check_27672143_8c3f2cec-58ee-4dc9-a8a4-3e7ae373fc9c.json | N/A | N/A | N/A | N/A | N/A | 8FK0QJ6EQ10 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-23 | N/A | N/A | N/A | MA | false | SPIGELMAN | N/A | JUDY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 194190 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128241110 | N/A | N/A | 5536255 | 2222 | 4802 | 27804262 | N/A | 4209028 | 2026-06-10 00:35:11.875330 | 2026-03-12 23:35:58.198593 |
| 2026-06-09 07:17:34.003515 | 2026-06-10 00:35:05.761201 | 27672133 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672133 | Athletic Physical Therapy Inc | 1953-07-18 | 2026-06-12 | F | AD | VASQUEZ | 40051519301 | DAYSI | 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/2222/5536211/check_27672133_d8f2d06f-d685-4573-98be-27923258b2f1.json | N/A | N/A | N/A | N/A | N/A | 40051519301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-07-18 | 2026CA200ABDLAC | H0976DSNP | N/A | N/A | false | VASQUEZ | N/A | DAYSI | N/A | N/A | 2026-01-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 11128241109 | N/A | N/A | 5536211 | 2222 | 4802 | 27804106 | 6237 | 4208998 | 2026-06-10 00:35:05.761201 | 2026-06-02 13:07:46.369902 |
| 2026-06-09 07:17:33.911449 | 2026-06-10 00:35:01.518878 | 27672123 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27672123 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-06-12 | F | AD | RYAN | 31026142401 | CAROL | 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/2222/5535455/check_27672123_ff23c888-d7fd-4bf1-abd1-6888b2f164c7.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 11128241108 | N/A | N/A | 5535455 | 2222 | 4793 | 27803981 | 6237 | 4208375 | 2026-06-10 00:35:01.518878 | 2025-08-08 21:08:12.459471 |
| 2026-06-09 07:17:33.037580 | 2026-06-10 00:49:47.534549 | 27672019 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27672019 | Athletic Physical Therapy Inc | 1961-04-15 | 2026-06-11 | F | AE | PLANCHER | XEM915084488 | DARYN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.101315458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22429335/check_27672019_4e9d9364-f42d-4a1c-822a-8f3e16d8a776.json | N/A | N/A | N/A | N/A | N/A | XEM915084488 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1961-04-15 | 2002SFW00028 | X0001002 | N/A | OT | false | PLANCHER | N/A | DARYN | N/A | N/A | 2026-06-09 | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128290107 | N/A | N/A | 22429335 | 2222 | 4802 | 27821929 | N/A | 19980863 | 2026-06-10 00:49:47.534549 | 2026-06-01 18:20:17.404104 |
| 2026-06-09 07:17:32.934375 | 2026-06-10 00:47:03.928140 | 27672000 | N/A | N/A | 13193 | Continental General Insurance Company - Medicare Supplement | 1114042165 | 27672000 | Athletic Physical Therapy Inc | 1948-07-13 | 2026-06-11 | M | AE | DENNIS | 36Y0251652 | CECIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260609.101315458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22004695/check_27672000_faa4df49-ee3d-4ccb-9004-537c7d668349.json | N/A | N/A | N/A | N/A | N/A | 36Y0251652 | N/A | N/A | GREAT AMERICAN | N/A | 1948-07-13 | MSM13F36 | N/A | N/A | N/A | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11128290106 | N/A | N/A | 22004695 | 2222 | 4801 | 27819037 | N/A | 4209131 | 2026-06-10 00:47:03.928140 | 2025-09-25 15:49:36.327996 |