API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-11 09:05:05.531715 | 2025-07-12 02:05:28.182173 | 9710833 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9710833 | N/A | 1958-02-11 | 2025-07-14 | F | AE | PT | LEVESQUE | 097A2439020 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_9710833_e6f94d86-5db3-4570-a55f-4b629ef44ed2.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231357037 | N/A | N/A | 5539382 | 2222 | 4793 | 9459775 | N/A | 4211704 | 2025-07-12 02:05:28.182173 | 2025-06-06 23:08:42.876895 |
| 2025-07-11 09:05:05.280865 | 2025-07-12 02:04:50.511431 | 9710824 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9710824 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-07-14 | F | AD | N/A | CHUNG | U8197480201 | KRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9710824_b130592c-895f-4f1b-9959-28efbc5e042e.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8231357036 | N/A | N/A | 5539237 | 2222 | 4802 | 9459431 | N/A | 4211568 | 2025-07-12 02:04:50.511431 | 2025-05-13 04:29:37.225900 |
| 2025-07-11 09:05:04.752501 | 2025-07-12 02:06:27.336505 | 9710800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9710800 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-07-14 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_9710800_a185372d-b735-4270-a3a4-608d67f023ea.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357034 | N/A | N/A | 5538693 | 2222 | 4793 | 9460319 | N/A | 4211081 | 2025-07-12 02:06:27.336505 | 2025-05-13 04:29:37.225492 |
| 2025-07-11 09:05:04.564055 | 2025-07-12 02:07:01.339047 | 9710790 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9710790 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-07-14 | M | PT | N/A | WARD | XED913389013 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9710790_58bcf730-c202-417f-9f96-5fc0b4861c80.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357033 | N/A | N/A | 5538129 | 2222 | 4802 | 9460644 | N/A | 4210590 | 2025-07-12 02:07:01.339047 | 2025-05-13 04:29:37.225004 |
| 2025-07-11 09:05:04.416232 | 2025-07-12 02:07:09.304413 | 9710779 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9710779 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-07-14 | M | PT | N/A | RITENOUR | NCF553A20679 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9710779_3c26e1de-c5d7-4ff4-b6f9-e89196f5ef2d.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357032 | N/A | N/A | 5537911 | 2222 | 4793 | 9460712 | N/A | 4210415 | 2025-07-12 02:07:09.304413 | 2025-06-11 20:40:26.862752 |
| 2025-07-11 09:05:04.251425 | 2025-07-12 02:06:30.737246 | 9710771 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9710771 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-07-14 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9710771_25d00db6-09f6-49ce-b7e4-f11e51daffa0.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357031 | N/A | N/A | 5537188 | 2222 | 4802 | 9460352 | N/A | 4209789 | 2025-07-12 02:06:30.737246 | 2025-05-13 04:29:37.224215 |
| 2025-07-11 09:05:04.105540 | 2025-07-12 02:06:30.410657 | 9710763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9710763 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-07-14 | M | PT | N/A | MILES | MBL835W05431 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_9710763_37cfc384-b6dc-451d-8b86-574dc6f9e198.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 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357030 | N/A | N/A | 5536896 | 2222 | 4793 | 9460349 | N/A | 4209567 | 2025-07-12 02:06:30.410657 | 2025-05-13 04:29:37.223990 |
| 2025-07-11 09:05:03.979432 | 2025-07-12 02:09:51.975867 | 9710756 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9710756 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-14 | M | AE | PT | EGGLETON | 9HG9HV5AM53 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9710756_c1091c25-4a03-45f6-8a6a-3f2eaaf292a6.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231357029 | N/A | N/A | 5536868 | 2222 | 4801 | 9462120 | N/A | 4209543 | 2025-07-12 02:09:51.975867 | 2025-06-18 17:33:51.700160 |
| 2025-07-11 09:05:03.837581 | 2025-07-12 02:07:09.668701 | 9710749 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9710749 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-07-14 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_9710749_a17919d0-05b4-41e9-b9dc-95d7d0f0d638.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357028 | N/A | N/A | 5536323 | 2222 | 4793 | 9460715 | N/A | 4209086 | 2025-07-12 02:07:09.668701 | 2025-05-13 04:29:37.223507 |
| 2025-07-11 09:05:03.723679 | 2025-07-12 02:09:52.292746 | 9710743 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9710743 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-14 | F | AE | PT | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9710743_a37e7288-42fa-4bd0-994b-76449fd0e533.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231357027 | N/A | N/A | 5536109 | 2222 | 4793 | 9462122 | N/A | 4208915 | 2025-07-12 02:09:52.292746 | 2025-07-25 17:30:46.084330 |
| 2025-07-11 09:05:03.544026 | 2025-07-12 02:01:29.351346 | 9710733 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9710733 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-07-14 | F | PT | N/A | BRACKEN | NCF378A67692 | CELINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_9710733_9a4b0f19-b110-4434-8c41-ca03d064c894.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231357026 | N/A | N/A | 5535853 | 2222 | 4793 | 9457973 | N/A | 4208702 | 2025-07-12 02:01:29.351346 | 2025-05-13 04:29:37.223129 |
| 2025-07-11 09:05:03.396824 | 2025-07-12 02:09:53.695948 | 9710724 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9710724 | Athletic Physical Therapy Inc | 1952-10-01 | 2025-07-14 | M | AE | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_9710724_980c666c-ec86-4d8f-955b-933492d21c68.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231357025 | N/A | N/A | 5535551 | 2222 | 4801 | 9462132 | N/A | 4208460 | 2025-07-12 02:09:53.695948 | 2026-01-01 00:19:01.120151 |
| 2025-07-11 09:05:03.263581 | 2025-07-12 02:01:26.913102 | 9710717 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9710717 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-07-14 | F | AE | PT | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9710717_9314ac7d-96ba-4fc3-9b57-2b0ab99d176a.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231357024 | N/A | N/A | 5535455 | 2222 | 4793 | 9457965 | N/A | 4208375 | 2025-07-12 02:01:26.913102 | 2025-08-08 21:08:12.459471 |
| 2025-07-11 09:04:51.453370 | 2025-07-12 09:09:27.158947 | 9710150 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9710150 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-07-14 | F | AE | PT | ROBERTS | 00000402630 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_9710150_595aba5c-e280-43c2-882d-79101e45f619.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231374053 | N/A | N/A | 6085762 | 2222 | 4793 | 9474990 | N/A | 4729138 | 2025-07-12 09:09:27.158947 | 2025-05-31 14:20:56.156252 |
| 2025-07-11 09:04:45.817925 | 2025-07-12 02:12:37.422743 | 9709852 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9709852 | Athletic Physical Therapy Inc | 2011-09-28 | 2025-07-14 | F | PT | N/A | RANGEL | 906212052003 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6673106/check_9709852_76761357-1280-42cf-8305-207af7e1ab61.json | N/A | N/A | N/A | N/A | N/A | 906212052003 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2011-09-28 | N/A | N/A | N/A | N/A | false | RANGEL | N/A | MAKENA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231359374 | N/A | N/A | 6673106 | 2222 | 4793 | 9463648 | 4184 | 5285724 | 2025-07-12 02:12:37.422743 | 2025-07-06 14:44:13.621956 |
| 2025-07-11 09:04:41.827478 | 2025-07-12 09:11:34.296610 | 9709645 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9709645 | Athletic Physical Therapy Inc | 2010-02-15 | 2025-07-14 | F | AE | PT | IRETON | U8391216403 | DAYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115922229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6919829/check_9709645_0c33f4b8-0778-4b06-baa5-326a8e34227b.json | N/A | N/A | N/A | N/A | N/A | U8391216403 | Health Maintenance Organization (HMO) | SHEPHERD OF THE HILLS CHURCH DBA SHEPHER | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 2010-02-15 | N/A | 3344770 | N/A | HM | false | IRETON | N/A | DAYLA | N/A | N/A | N/A | HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231408999 | N/A | N/A | 6919829 | 2222 | 4801 | 9476296 | N/A | 5950865 | 2025-07-12 09:11:34.296610 | 2025-07-13 21:54:48.808763 |
| 2025-07-11 09:04:37.751110 | 2025-07-12 02:13:57.288878 | 9709452 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9709452 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-07-14 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_9709452_1211947e-128f-4206-acf8-d81e5513d833.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231358196 | N/A | N/A | 6668755 | 2222 | 4801 | 9464294 | N/A | 5282877 | 2025-07-12 02:13:57.288878 | 2025-07-01 15:56:36.473431 |
| 2025-07-11 09:04:35.845661 | 2025-07-12 02:02:35.488788 | 9709358 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9709358 | Athletic Physical Therapy Inc | 1958-03-25 | 2025-07-14 | F | AE | PT | RABASA | H9002483100 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9709358_db728216-bf4a-4cce-9a79-fc4dcd7f4a80.json | N/A | N/A | N/A | N/A | N/A | H9002483100 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1958-03-25 | N/A | N/A | N/A | N/A | false | RABASA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231358182 | N/A | N/A | 6667925 | 2222 | 4793 | 9458266 | N/A | 5281834 | 2025-07-12 02:02:35.488788 | 2025-09-11 16:48:19.720660 |
| 2025-07-11 09:04:33.887644 | 2025-07-12 09:10:49.420489 | 9709265 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9709265 | Athletic Physical Therapy Inc | 1961-05-24 | 2025-07-14 | M | PT | N/A | TIDMORE | XOX826489646 | FRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_9709265_903d330d-58f5-45f4-ad1e-c45eced10da5.json | N/A | N/A | N/A | N/A | N/A | XOX826489646 | Preferred Provider Organization (PPO) | SODICK, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1961-05-24 | N/A | 327914 | N/A | PR | false | TIDMORE | N/A | FRED | N/A | 9999-12-31 | 2023-10-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373889 | N/A | N/A | 6079116 | 2222 | 4801 | 9475809 | N/A | 4723148 | 2025-07-12 09:10:49.420489 | 2025-05-30 15:53:57.629593 |
| 2025-07-11 09:04:32.390744 | 2025-07-12 09:05:18.202902 | 9709184 | N/A | N/A | 60054 | Aetna | 1114042165 | 9709184 | Athletic Physical Therapy Inc | 1999-04-14 | 2025-07-14 | M | AE | PT | FAGAN | W275345811 | ARIEH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9709184_b698ff04-f3e0-4e4b-aef5-1738409d1a10.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373877 | N/A | N/A | 6078250 | 2222 | 4802 | 9472544 | N/A | 4722504 | 2025-07-12 09:05:18.202902 | 2025-06-19 03:19:24.165458 |
| 2025-07-11 09:04:32.173734 | 2025-07-12 09:02:20.688930 | 9709171 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9709171 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-07-14 | M | PT | N/A | BARNETT | JMV357W05874 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_9709171_54af7936-9ea1-4c7b-ae5b-f7e9f07c466d.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373875 | N/A | N/A | 6078082 | 2222 | 4793 | 9471605 | N/A | 4722340 | 2025-07-12 09:02:20.688930 | 2025-06-06 20:33:59.683125 |
| 2025-07-11 09:04:27.014185 | 2025-07-12 09:02:17.656241 | 9708890 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9708890 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-07-14 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_9708890_882cf6bf-ce57-4f69-84a1-9f2292b1e2d4.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231372980 | N/A | N/A | 6074035 | 2222 | 4801 | 9471593 | N/A | 4718592 | 2025-07-12 09:02:17.656241 | 2025-05-29 20:00:22.627186 |
| 2025-07-11 09:04:26.809674 | 2025-07-12 09:09:46.175001 | 9708876 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9708876 | Athletic Physical Therapy Inc | 2005-11-11 | 2025-07-14 | M | PT | N/A | GORMLEY | SIF727A55596 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_9708876_e9f968b3-6df9-41d9-8a11-699337f9d054.json | N/A | N/A | N/A | N/A | N/A | SIF727A55596 | Preferred Provider Organization (PPO) | SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2005-11-11 | 040 | 40963A | N/A | PR | false | GORMLEY | N/A | BRYNN | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231372979 | N/A | N/A | 6074031 | 2222 | 4802 | 9475178 | N/A | 4718585 | 2025-07-12 09:09:46.175001 | 2025-05-29 22:33:31.881575 |
| 2025-07-11 09:04:25.760960 | 2025-07-12 09:14:36.639500 | 9708817 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9708817 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-07-14 | U | AE | PT | BARRE | 4WR8HF0MV28 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_9708817_3bb24a62-ff03-43a0-af03-47ece6e7297e.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MB | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231418201 | N/A | N/A | 6418037 | 2222 | 4802 | 9478190 | N/A | 5065797 | 2025-07-12 09:14:36.639500 | 2025-07-28 17:08:00.544400 |
| 2025-07-11 09:04:17.622480 | 2025-07-12 09:09:36.713125 | 9708460 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9708460 | Athletic Physical Therapy Inc | 2004-01-06 | 2025-07-14 | M | PT | N/A | SHIFRIN | JQV205W22902 | BORUCH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415606/check_9708460_12cefcdc-5f56-4f3a-9fae-98271c271715.json | N/A | N/A | N/A | N/A | N/A | JQV205W22902 | Health Maintenance Organization (HMO) | ROYAL WINE CORP | ANTHEM BLUE CROSS | N/A | 2004-01-06 | 040 | U21029 | N/A | HM | false | SHIFRIN | N/A | ZEV | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231418145 | N/A | N/A | 6415606 | 2222 | 4793 | 9475089 | N/A | 5063399 | 2025-07-12 09:09:36.713125 | 2025-06-30 20:57:45.480688 |
| 2025-07-11 09:04:13.340421 | 2025-07-12 09:10:41.234602 | 9708276 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9708276 | Athletic Physical Therapy Inc | 2005-10-28 | 2025-07-14 | M | PT | N/A | SIKDER | XEZ900049108 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414459/check_9708276_6df9b43b-797e-4117-a125-49de7dbcc879.json | N/A | N/A | N/A | N/A | N/A | XEK900049108 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-10-28 | 2001ZJ002648 | X0001000 | N/A | PR | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231417936 | N/A | N/A | 6414459 | 2222 | 4802 | 9475735 | N/A | 5061929 | 2025-07-12 09:10:41.234602 | 2025-06-19 23:42:27.460818 |
| 2025-07-11 09:04:09.478118 | 2025-07-12 09:09:36.351404 | 9708130 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9708130 | Athletic Physical Therapy Inc | 1983-10-26 | 2025-07-14 | F | PT | N/A | HSU | PVG127A71148 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414019/check_9708130_f9967fd7-61d3-49a9-94b9-ca765ecc7448.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 1983-10-26 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231417926 | N/A | N/A | 6414019 | 2222 | 4793 | 9475087 | N/A | 5061374 | 2025-07-12 09:09:36.351404 | 2025-06-17 16:22:41.102955 |
| 2025-07-11 09:03:51.200147 | 2025-07-12 02:12:13.210203 | 9707446 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9707446 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-07-14 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_9707446_3b0f4d10-6288-4c0a-a333-b5b0d43b272b.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231363064 | N/A | N/A | 6577665 | 2222 | 4793 | 9463416 | N/A | 5197700 | 2025-07-12 02:12:13.210203 | 2025-06-30 15:33:47.069983 |
| 2025-07-11 09:03:38.710886 | 2025-07-12 02:01:51.736867 | 9706887 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9706887 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-07-14 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_9706887_db6d9116-1b95-4789-99b1-5dd8e4b433de.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362328 | N/A | N/A | 6528155 | 2222 | 4793 | 9458054 | N/A | 4214447 | 2025-07-12 02:01:51.736867 | 2026-04-23 20:11:34.441054 |
| 2025-07-11 09:03:30.214335 | 2025-07-12 02:03:34.018489 | 9706478 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9706478 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-07-14 | M | AE | PT | WALDEN | 33405035111 | REGAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_9706478_b08aa45d-abf5-44b2-affd-6c273039712f.json | N/A | N/A | N/A | N/A | N/A | 33405035111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1957-03-29 | N/A | N/A | N/A | SP | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362178 | N/A | N/A | 6472487 | 2222 | 4801 | 9458739 | N/A | 5105545 | 2025-07-12 02:03:34.018489 | 2025-07-07 15:29:01.484955 |
| 2025-07-11 09:03:28.287255 | 2025-07-12 09:09:35.584752 | 9706360 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9706360 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-07-14 | M | PT | N/A | HARDING | XDP157A51099 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_9706360_0dd7c477-230f-4c02-bd0f-e323741947c7.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1967-08-29 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231417818 | N/A | N/A | 6398773 | 2222 | 4801 | 9475077 | N/A | 5046326 | 2025-07-12 09:09:35.584752 | 2025-06-30 17:04:21.721546 |
| 2025-07-11 09:03:27.442963 | 2025-07-12 09:14:37.113696 | 9706317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9706317 | Athletic Physical Therapy Inc | 1955-03-14 | 2025-07-14 | M | AE | PT | GOTTLIEB | 5QC5Y42RU84 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398701/check_9706317_7d1f511d-cd18-43e3-b87a-acc030534c8d.json | N/A | N/A | N/A | N/A | N/A | 5QC5Y42RU84 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-03-14 | S5617 | N/A | N/A | MB | false | GOTTLIEB | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231417815 | N/A | N/A | 6398701 | 2222 | 4793 | 9478194 | N/A | 5046257 | 2025-07-12 09:14:37.113696 | 2025-06-15 19:16:28.356486 |
| 2025-07-11 09:03:08.894163 | 2025-07-12 02:12:11.687641 | 9705642 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9705642 | Athletic Physical Therapy Inc | 1955-03-14 | 2025-07-14 | M | AE | PT | GOTTLIEB | XEM909776828 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398702/check_9705642_711fc2c8-8d66-4ba8-9914-c88116487c23.json | N/A | N/A | N/A | N/A | N/A | XEM909776828 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-03-14 | 2002SF000029 | X0001002 | N/A | OT | false | GOTTLIEB | N/A | ROY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231363011 | N/A | N/A | 6398702 | 2222 | 4793 | 9463400 | N/A | 5046257 | 2025-07-12 02:12:11.687641 | 2025-06-15 19:16:28.356486 |
| 2025-07-11 09:02:54.378604 | 2025-07-12 02:12:12.260737 | 9705151 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9705151 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-14 | M | AE | PT | GRANT | xem914408420 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9705151_bb0b5e4b-4158-4a44-80c1-6c614b38c04c.json | N/A | N/A | N/A | N/A | N/A | XEM914408420 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-04-20 | 2002SEW00028 | X0001002 | N/A | OT | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362874 | N/A | N/A | 6211380 | 2222 | 4793 | 9463405 | N/A | 4214087 | 2025-07-12 02:12:12.260737 | 2025-05-13 04:29:37.228402 |
| 2025-07-11 09:02:50.582040 | 2025-07-12 02:12:11.243028 | 9705025 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9705025 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-07-14 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_9705025_83f2b1ee-91a3-4311-825d-16a2c3d629e8.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362850 | N/A | N/A | 6203312 | 2222 | 4801 | 9463394 | N/A | 4846213 | 2025-07-12 02:12:11.243028 | 2025-06-10 21:58:09.734801 |
| 2025-07-11 09:02:40.028620 | 2025-07-12 02:12:12.784793 | 9704627 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9704627 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-07-14 | F | AE | PT | MAYER | XEM912219422 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175091/check_9704627_7a1fa0b0-6546-4c63-b538-eeb4bce30fc7.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362112 | N/A | N/A | 6175091 | 2222 | 4801 | 9463410 | N/A | 4213917 | 2025-07-12 02:12:12.784793 | 2025-06-25 01:53:37.609327 |
| 2025-07-11 09:02:39.826049 | 2025-07-12 09:02:40.523603 | 9704618 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9704618 | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | GOODIN IV | 240431503 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115922229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9704618_49b74350-4675-40a7-9e3f-28a0181d7af1.json | N/A | N/A | N/A | N/A | N/A | 240431503 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231407077 | N/A | N/A | 6821324 | 2222 | 4793 | 9471666 | N/A | 5863588 | 2025-07-12 09:02:40.523603 | 2025-07-14 15:42:23.336140 |
| 2025-07-11 09:02:38.809812 | 2025-07-12 09:07:36.990117 | 9704578 | N/A | N/A | 60054 | Aetna | 1114042165 | 9704578 | Athletic Physical Therapy Inc | 1988-05-26 | 2025-07-14 | M | AE | PT | Leonard | W268995406 | Alistar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115922229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821106/check_9704578_30327e35-3573-4be6-9911-8927dbd5caa0.json | N/A | N/A | N/A | N/A | N/A | W268995406 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1988-05-26 | 0657263 | 065726301000101 | N/A | PS | false | LEONARD | N/A | ALISTAIR | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231406950 | N/A | N/A | 6821106 | 2222 | 4802 | 9473900 | N/A | 5863122 | 2025-07-12 09:07:36.990117 | 2025-07-09 19:37:46.077751 |
| 2025-07-11 09:02:31.863441 | 2025-07-12 09:09:09.626756 | 9704301 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9704301 | Athletic Physical Therapy Inc | 2002-09-02 | 2025-07-14 | M | AE | PT | TCHORBAJIAN | 000015560662 | AREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993954/check_9704301_ea0a8609-ac19-497c-a4ea-4354548e5343.json | N/A | N/A | N/A | N/A | N/A | 000015560662 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2002-09-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | AREN | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373309 | N/A | N/A | 5993954 | 2222 | 4801 | 9474827 | N/A | 4642889 | 2025-07-12 09:09:09.626756 | 2025-06-13 05:53:58.450942 |
| 2025-07-11 09:02:31.742566 | 2025-07-12 09:02:16.941675 | 9704295 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9704295 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-07-14 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_9704295_0b819cb6-c111-47ab-b4ed-59ac611d4595.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373308 | N/A | N/A | 5993940 | 2222 | 4802 | 9471591 | N/A | 4642877 | 2025-07-12 09:02:16.941675 | 2025-12-23 23:49:16.627667 |
| 2025-07-11 09:02:31.733514 | 2025-07-12 02:02:38.754250 | 9704293 | N/A | N/A | 92916 | UNITED AMERICAN INSURANCE COMPANY | 1114042165 | 9704293 | Athletic Physical Therapy Inc | 1994-04-04 | 2025-07-14 | F | AE | PT | Nowain | 980712601 | Ashley | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6612596/check_9704293_8e6a165b-3f97-4f87-934c-6780848e8188.json | N/A | N/A | N/A | N/A | N/A | 980712601 | N/A | N/A | UNITED AMERICAN INSURANCE COMPANY | N/A | 1994-04-04 | N/A | N/A | N/A | N/A | false | NOWAIN | N/A | ASHLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231358634 | N/A | N/A | 6612596 | 2222 | 4802 | 9458289 | N/A | 5231036 | 2025-07-12 02:02:38.754250 | 2025-07-02 23:02:21.641930 |
| 2025-07-11 09:02:31.638038 | 2025-07-12 09:10:33.609784 | 9704287 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9704287 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-07-14 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_9704287_99b4daed-8c59-46da-aef2-d201d00d8598.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373307 | N/A | N/A | 5993926 | 2222 | 4802 | 9475664 | N/A | 4642862 | 2025-07-12 09:10:33.609784 | 2025-05-28 20:59:09.029689 |
| 2025-07-11 09:02:31.509807 | 2025-07-12 09:14:34.678534 | 9704280 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9704280 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-07-14 | F | AE | PT | PARLIER | 7D70AM9KX14 | MERILEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993924/check_9704280_774deafe-9303-4c78-93f9-ad0fba8133c5.json | N/A | N/A | N/A | N/A | N/A | 7D70AM9KX14 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-01 | H4036 | N/A | N/A | MA | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373306 | N/A | N/A | 5993924 | 2222 | 4801 | 9478176 | N/A | 4642861 | 2025-07-12 09:14:34.678534 | 2025-11-25 19:25:55.074534 |
| 2025-07-11 09:02:31.377162 | 2025-07-12 09:10:34.083810 | 9704269 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9704269 | Athletic Physical Therapy Inc | 1984-05-19 | 2025-07-14 | F | PT | N/A | DANG | XAN913823841 | TRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993908/check_9704269_e6afeea7-9b31-4ab5-a18a-e7af06ba9322.json | N/A | N/A | N/A | N/A | N/A | XAN913823841 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1984-05-16 | 1479PPOX0002 | W0051411 | N/A | PR | false | DANG | N/A | TRAM | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373305 | N/A | N/A | 5993908 | 2222 | 4802 | 9475667 | N/A | 4534561 | 2025-07-12 09:10:34.083810 | 2025-06-02 15:59:21.578406 |
| 2025-07-11 09:02:31.248567 | 2025-07-12 09:09:09.984049 | 9704261 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9704261 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-07-14 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_9704261_14c27711-7c32-4387-985b-96c55f0cd471.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | K7Z PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231373304 | N/A | N/A | 5993907 | 2222 | 4793 | 9474832 | N/A | 4534544 | 2025-07-12 09:09:09.984049 | 2025-05-28 20:51:40.104091 |
| 2025-07-11 09:02:31.069170 | 2025-07-12 09:09:47.654200 | 9704254 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9704254 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-07-14 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_9704254_9c029af5-1765-4cb5-9ae0-b4a06ef55315.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231373303 | N/A | N/A | 5993479 | 2222 | 4801 | 9475192 | N/A | 4219476 | 2025-07-12 09:09:47.654200 | 2025-05-28 20:18:04.039855 |
| 2025-07-11 09:02:30.958832 | 2025-07-12 02:12:36.036422 | 9704247 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9704247 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-07-14 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9704247_b8bf6549-6639-44aa-89d4-68fc0f62d858.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231358630 | N/A | N/A | 6611912 | 2222 | 4793 | 9463636 | N/A | 5230345 | 2025-07-12 02:12:36.036422 | 2025-07-11 20:32:03.183345 |
| 2025-07-11 09:02:25.884289 | 2025-07-12 02:11:09.864480 | 9703982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9703982 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-07-14 | F | AE | PT | PARLIER | MBL624W07406 | MERILEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_9703982_5affe65c-99eb-44f9-a17b-177f54861106.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1955-12-01 | 040 | CAEGR002 | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231362676 | N/A | N/A | 6143804 | 2222 | 4801 | 9462822 | N/A | 4642861 | 2025-07-12 02:11:09.864480 | 2025-11-25 19:25:55.074534 |
| 2025-07-11 09:02:25.224255 | 2025-07-12 09:21:00.256803 | 9703946 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9703946 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-07-14 | M | PT | N/A | Lane | XEK904721388 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115922229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_9703946_af64a713-1cd8-4e7c-91a9-85701613187f.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8231406905 | N/A | N/A | 6814774 | 2222 | 4802 | 9480613 | N/A | 5857104 | 2025-07-12 09:21:00.256803 | 2025-07-08 17:08:11.593095 |
| 2025-07-11 09:02:24.775424 | 2025-07-12 02:10:03.495694 | 9703922 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9703922 | N/A | 1954-03-02 | 2025-07-14 | F | AE | PT | THOMPSON | 40064864701 | PORNTIPA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6609536/check_9703922_528a55bf-2843-4d35-8caf-688da78c9078.json | N/A | N/A | N/A | N/A | N/A | 40064864701 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1954-03-02 | N/A | N/A | N/A | N/A | false | THOMPSON | N/A | PORNTIPA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8231358316 | N/A | N/A | 6609536 | 2222 | 4801 | 9462215 | N/A | 4209233 | 2025-07-12 02:10:03.495694 | 2025-06-26 16:05:40.963247 |