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 | subscriber_middle_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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-06-05 07:14:18.774457 | 2026-06-06 00:36:58.948751 | 27456350 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27456350 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-06-08 | F | 30 | 98 | RASHIDI | 93712342E | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_27456350_9dd97a7d-0875-4d00-90ac-47c08d6e78a8.json | N/A | N/A | N/A | N/A | N/A | 93712342E | 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 | 1964-11-22 | TFU223BP0000007 | N/A | N/A | MC | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 11093208904 | N/A | N/A | 18279699 | 2222 | 4802 | 27589273 | 4211 | 16293253 | 2026-06-06 00:36:58.948751 | 2026-03-17 23:01:51.545839 |
| 2026-06-05 07:14:18.697829 | 2026-06-06 00:37:38.279202 | 27456341 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27456341 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-06-08 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_27456341_88af17df-252a-4256-a0be-c8cbe03788a8.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | 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 | 11093208903 | N/A | N/A | 18029271 | 2222 | 4793 | 27590166 | N/A | 16057887 | 2026-06-06 00:37:38.279202 | 2026-03-23 17:30:23.761066 |
| 2026-06-05 07:14:18.628158 | 2026-06-06 00:38:26.007658 | 27456331 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27456331 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-06-08 | M | AE | PT | HARY | 2YH6T54NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_27456331_6e52d373-7caf-4b4b-ab8b-8b3e78acc8d3.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MB | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 236379 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208902 | N/A | N/A | 18020019 | 2222 | 4802 | 27591249 | N/A | 16048388 | 2026-06-06 00:38:26.007658 | 2026-03-12 19:28:18.393557 |
| 2026-06-05 07:14:18.532757 | 2026-06-06 00:37:14.910833 | 27456318 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27456318 | Athletic Physical Therapy Inc | 1974-07-05 | 2026-06-08 | F | AE | PT | Lopez Parker | 000016557541 | Brenda | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17924114/check_27456318_7f1af454-9ad6-4656-81bd-d7156e99f0f5.json | N/A | N/A | N/A | N/A | N/A | 000016557541 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-07-05 | N/A | N/A | N/A | N/A | false | LOPEZ PARKER | N/A | BRENDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208901 | N/A | N/A | 17924114 | 2222 | 4802 | 27589610 | N/A | 15963069 | 2026-06-06 00:37:14.910833 | 2026-05-29 22:16:21.036276 |
| 2026-06-05 07:14:18.468745 | 2026-06-06 00:37:47.473049 | 27456310 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27456310 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-06-08 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_27456310_6bf53720-db16-4bd3-8ac4-ff3d4c018dfa.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11093208900 | N/A | N/A | 17868567 | 2222 | 4802 | 27590365 | N/A | 15913011 | 2026-06-06 00:37:47.473049 | 2026-03-16 22:33:11.392245 |
| 2026-06-05 07:14:18.388336 | 2026-06-06 00:36:59.750260 | 27456300 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27456300 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-06-08 | M | 30 | 98 | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_27456300_0038cb3f-69a5-4f61-9dec-43965172bb31.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | MEDICARE PART AB - CI003 | N/A | 1961-02-27 | QMXBPREG020038 | N/A | N/A | HN | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 11093208899 | N/A | N/A | 17744755 | 2222 | 4802 | 27589292 | 4211 | 4213934 | 2026-06-06 00:36:59.750260 | 2026-01-27 23:36:44.802366 |
| 2026-06-05 07:14:18.170492 | 2026-06-06 00:38:29.596580 | 27456271 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27456271 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-06-08 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_27456271_88a7c838-7df8-418f-be19-cad472c45b13.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 248000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208898 | N/A | N/A | 17663491 | 2222 | 4802 | 27591325 | N/A | 4213453 | 2026-06-06 00:38:29.596580 | 2025-05-13 04:29:37.227772 |
| 2026-06-05 07:14:17.928582 | 2026-06-06 00:38:05.546397 | 27456242 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 27456242 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-06-08 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_27456242_1026dd57-f959-4dbf-bb58-f7ab669eeb27.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208897 | N/A | N/A | 17650446 | 2222 | 4802 | 27590793 | N/A | 9635663 | 2026-06-06 00:38:05.546397 | 2025-10-22 19:43:50.510670 |
| 2026-06-05 07:14:17.829375 | 2026-06-06 00:37:11.648058 | 27456230 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27456230 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-06-08 | M | 30 | 98 | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_27456230_e1477275-82c0-41b4-beb3-2c79190596ec.json | N/A | N/A | N/A | N/A | N/A | 97633918F | Medicaid | N/A | MEDICARE PLAN B | 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 | 1957-02-06 | TFU223BP0000009 | N/A | N/A | MC | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 11093208896 | N/A | N/A | 17509843 | 2222 | 4802 | 27589494 | 4211 | 15524188 | 2026-06-06 00:37:11.648058 | 2026-03-03 00:12:08.668405 |
| 2026-06-05 07:14:17.722698 | 2026-06-06 00:37:39.965274 | 27456209 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27456209 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-06-08 | M | PT | N/A | Higa | NCF843A55961 | Parrish | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_27456209_55ae32ab-cce6-4a03-aaba-98b48d916cdd.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11093208895 | N/A | N/A | 17446858 | 2222 | 4801 | 27590199 | 4185 | 14698980 | 2026-06-06 00:37:39.965274 | 2026-02-09 18:51:36.820546 |
| 2026-06-05 07:14:17.620484 | 2026-06-06 00:37:19.209813 | 27456198 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27456198 | Athletic Physical Therapy Inc | 1997-04-29 | 2026-06-08 | M | AE | PT | Nguyen | 000025947427 | Taylor | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_27456198_e52e9799-84e4-4f4d-9aa6-c16f16a14d86.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | 2026-12-31 | 2026-01-01 | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208894 | N/A | N/A | 17435550 | 2222 | 4802 | 27589713 | N/A | 15447177 | 2026-06-06 00:37:19.209813 | 2026-02-27 22:36:21.536137 |
| 2026-06-05 07:14:17.546303 | 2026-06-06 00:38:30.602287 | 27456189 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27456189 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-06-08 | F | AE | PT | MOLAYEM | 1FP8YH1EQ32 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17392566/check_27456189_0dad41e7-a256-4a3b-8efa-922fe917f460.json | N/A | N/A | N/A | N/A | N/A | 1FP8YH1EQ32 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-24 | S5617 | N/A | N/A | MA | false | MOLAYEM | N/A | JILLA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 258180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208893 | N/A | N/A | 17392566 | 2222 | 4802 | 27591350 | N/A | 14498125 | 2026-06-06 00:38:30.602287 | 2026-03-11 14:35:29.812051 |
| 2026-06-05 07:14:17.473146 | 2026-06-06 00:37:41.510784 | 27456180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27456180 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-06-08 | M | PT | N/A | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_27456180_b510f504-b081-4548-b46d-88ff147c7c04.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 2026-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11093208892 | N/A | N/A | 17346208 | 2222 | 4802 | 27590234 | N/A | 15356693 | 2026-06-06 00:37:41.510784 | 2026-02-25 22:30:35.848496 |
| 2026-06-05 07:14:17.384974 | 2026-06-05 07:14:17.470633 | 27456167 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27456167 | Athletic Physical Therapy Inc | 1952-06-09 | 2026-06-08 | M | AE | PT | HINTZ | 00000306882 | THOMAS | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17287303 | 2222 | 4801 | N/A | 2630 | 15305290 | 2026-06-05 07:14:17.470633 | 2026-02-24 20:11:50.485490 |
| 2026-06-05 07:14:17.277709 | 2026-06-06 00:36:52.783941 | 27456156 | N/A | N/A | 60054 | Aetna | 1114042165 | 27456156 | Athletic Physical Therapy Inc | 1999-07-02 | 2026-06-08 | M | AE | PT | Clemen | IDN268756197 | Tate | W | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_27456156_1cf2b989-6d50-4b8f-a792-d4f43c35caaf.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208890 | N/A | N/A | 17257296 | 2222 | 4802 | 27589157 | N/A | 15274431 | 2026-06-06 00:36:52.783941 | 2026-02-26 01:15:47.249061 |
| 2026-06-05 07:14:17.196401 | 2026-06-06 00:37:13.156145 | 27456140 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27456140 | Athletic Physical Therapy Inc | 1989-11-05 | 2026-06-08 | M | AE | PT | WALTHER | 91450497C | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145820/check_27456140_b1986c75-9c9e-4c46-a100-86584caebe40.json | N/A | N/A | N/A | N/A | N/A | 91450497C | 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 | 1989-11-05 | TFU223BP0000009 | N/A | N/A | MC | false | WALTHER | N/A | EDGAR | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208889 | N/A | N/A | 17145820 | 2222 | 4802 | 27589571 | 4211 | 15134963 | 2026-06-06 00:37:13.156145 | 2026-03-05 23:10:38.165816 |
| 2026-06-05 07:14:17.103698 | 2026-06-06 00:37:31.367433 | 27456127 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27456127 | Athletic Physical Therapy Inc | 1967-09-14 | 2026-06-08 | M | PT | N/A | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_27456127_951dcabf-48c4-4d4c-8bf9-dccebb421cb4.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11093208888 | N/A | N/A | 17088157 | 2222 | 4801 | 27590013 | 4185 | 15079739 | 2026-06-06 00:37:31.367433 | 2026-02-18 19:01:28.651126 |
| 2026-06-05 07:14:17.008478 | 2026-06-06 00:36:54.810672 | 27456118 | N/A | N/A | 60054 | Aetna | 1114042165 | 27456118 | Athletic Physical Therapy Inc | 1995-07-01 | 2026-06-08 | F | AE | PT | Hope | W267739977 | Amanda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16682795/check_27456118_d8938c11-97d3-4174-afa0-b7ea23c55c26.json | N/A | N/A | N/A | N/A | N/A | W267739977 | Point of Service (POS) | KERING AMERICAS, INC. | AETNA | N/A | 1995-07-01 | 0837253 | 083725301600014 | N/A | PS | false | HOPE | N/A | AMANDA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208887 | N/A | N/A | 16682795 | 2222 | 4802 | 27589192 | N/A | 14697020 | 2026-06-06 00:36:54.810672 | 2026-02-09 18:13:43.754543 |
| 2026-06-05 07:14:16.912766 | 2026-06-06 00:36:30.017500 | 27456109 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 27456109 | Athletic Physical Therapy Inc | 1983-04-17 | 2026-06-08 | F | AE | PT | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_27456109_39cbe9d8-89dc-4be3-bb12-9abae5b9b945.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | 2026-06-05 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208886 | N/A | N/A | 16579498 | 2222 | 4793 | 27588713 | N/A | 14597625 | 2026-06-06 00:36:30.017500 | 2026-02-09 19:54:47.612972 |
| 2026-06-05 07:14:16.823872 | 2026-06-06 00:36:24.121165 | 27456097 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 27456097 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-06-08 | F | AE | PT | CHUN | ICA068643 | LINDA | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579154/check_27456097_99e26d17-141a-445a-9701-7d1f4a5dc031.json | N/A | N/A | N/A | N/A | N/A | ICA068643 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-01-13 | N/A | N/A | N/A | N/A | false | CHUN | N/A | LINDA | N/A | N/A | 2026-06-05 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208885 | N/A | N/A | 16579154 | 2222 | 4793 | 27588576 | N/A | 14597301 | 2026-06-06 00:36:24.121165 | 2026-02-06 23:30:42.528802 |
| 2026-06-05 07:14:16.746702 | 2026-06-06 00:37:14.149155 | 27456087 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27456087 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-06-08 | F | AE | PT | Kantor | 000002491752 | Judith | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_27456087_16d5294b-45ba-4a59-9e63-c7315c78e49d.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES STATE ADMINISTE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208884 | N/A | N/A | 16357604 | 2222 | 4802 | 27589594 | N/A | 14403242 | 2026-06-06 00:37:14.149155 | 2026-02-04 22:38:19.962874 |
| 2026-06-05 07:14:16.671088 | 2026-06-06 00:38:27.475128 | 27456080 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27456080 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-06-08 | F | AE | PT | KATKHOUDA | 9RE0KT7PD34 | RYME | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16240625/check_27456080_9eddf350-d4eb-41bd-91af-d7cb9d004758.json | N/A | N/A | N/A | N/A | N/A | 9RE0KT7PD34 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1961-02-08 | S5617 | N/A | N/A | MA | false | KATKHOUDA | N/A | RYME | N/A | 2026-12-31 | 2026-02-01 | N/A | N/A | N/A | 212590 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208883 | N/A | N/A | 16240625 | 2222 | 4802 | 27591280 | N/A | 10954913 | 2026-06-06 00:38:27.475128 | 2026-02-03 00:31:49.512761 |
| 2026-06-05 07:14:16.550771 | 2026-06-06 00:37:52.164098 | 27456064 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27456064 | Athletic Physical Therapy Inc | 1959-05-04 | 2026-06-08 | F | AE | PT | COLLIER | 00000362820 | TAMMY | Kay | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16231354/check_27456064_56d64641-c425-45b1-98f7-cf2268b1576e.json | N/A | N/A | N/A | N/A | N/A | 00000362820 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-05-04 | H3815030 | N/A | N/A | HM | false | COLLIER | N/A | TAMMY | N/A | N/A | 2024-11-01 | ALIGNMENT HEALTH CALPLUSDUALS (HMO D-SNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208882 | N/A | N/A | 16231354 | 2222 | 4801 | 27590483 | 2630 | 4212056 | 2026-06-06 00:37:52.164098 | 2026-02-04 06:36:19.638419 |
| 2026-06-05 07:14:16.371788 | 2026-06-06 00:38:21.355919 | 27456041 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27456041 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-06-08 | M | AE | PT | BROSH | 1AC1KJ0CT14 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_27456041_dea13d4b-269a-47fc-aa81-81910b3f164c.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MA | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 179594 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208881 | N/A | N/A | 16113776 | 2222 | 4793 | 27591161 | N/A | 14174363 | 2026-06-06 00:38:21.355919 | 2026-05-29 18:00:53.778221 |
| 2026-06-05 07:14:16.086688 | 2026-06-06 00:37:28.661005 | 27456007 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27456007 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-06-08 | M | AE | PT | IRWIN | R07798606MM1 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16037337/check_27456007_bbb51073-e410-4cd6-9c72-846cd53c002d.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-03-31 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208880 | N/A | N/A | 16037337 | 2222 | 4801 | 27589939 | 4625 | 14107775 | 2026-06-06 00:37:28.661005 | 2026-01-29 17:51:43.526882 |
| 2026-06-05 07:14:15.937090 | 2026-06-06 00:36:56.127611 | 27455988 | N/A | N/A | 61101 | HUMANA | 1114042165 | 27455988 | Athletic Physical Therapy Inc | 1958-08-15 | 2026-06-08 | M | AE | PT | MARTIN | H90190700 | JAMES | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15941985/check_27455988_4e8fbe2d-e627-4aa3-a271-054bdd0cc282.json | N/A | N/A | N/A | N/A | N/A | H90190700 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 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 | 1958-08-15 | N/A | 2B722001 | N/A | HN | false | MARTIN | N/A | JAMES | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208879 | N/A | N/A | 15941985 | 2222 | 4793 | 27589216 | 5349 | 14024715 | 2026-06-06 00:36:56.127611 | 2026-02-27 22:16:01.917155 |
| 2026-06-05 07:14:15.825918 | 2026-06-06 00:37:21.359905 | 27455969 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27455969 | Athletic Physical Therapy Inc | 1969-08-02 | 2026-06-08 | F | AE | PT | Tchorbajian | 000011878915 | Tamar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15811539/check_27455969_205fc2a9-caca-414d-b646-fa71259ca4bf.json | N/A | N/A | N/A | N/A | N/A | 000011878915 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1969-08-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF DHMO DEDUCTIBLE HMO $1500 W/CHIR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208878 | N/A | N/A | 15811539 | 2222 | 4801 | 27589762 | N/A | 13901033 | 2026-06-06 00:37:21.359905 | 2026-02-23 00:55:06.143481 |
| 2026-06-05 07:14:15.728567 | 2026-06-06 00:37:17.825769 | 27455958 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27455958 | Athletic Physical Therapy Inc | 1990-06-02 | 2026-06-08 | M | AE | PT | Marroquin | 000015025200 | Adrian | Daniel | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15800298/check_27455958_debe8e52-6e2b-4e87-ac52-624555105cf7.json | N/A | N/A | N/A | N/A | N/A | 000015025200 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1990-06-02 | 4308213 | 228273 | N/A | N/A | false | MARROQUIN | N/A | ADRIAN | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF SOUTHERN CALIFORNIA USC/ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208877 | N/A | N/A | 15800298 | 2222 | 4802 | 27589681 | N/A | 13889062 | 2026-06-06 00:37:17.825769 | 2026-01-23 08:12:26.923252 |
| 2026-06-05 07:14:15.641767 | 2026-06-06 00:37:39.511128 | 27455945 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27455945 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-06-08 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15737586/check_27455945_3fe8bcd2-7cb2-4f75-a3d0-aec498f93b78.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 11093208876 | N/A | N/A | 15737586 | 2222 | 4793 | 27590193 | 6237 | 13837022 | 2026-06-06 00:37:39.511128 | 2026-01-27 20:49:36.385334 |
| 2026-06-05 07:14:15.539994 | 2026-06-06 00:37:42.363534 | 27455937 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27455937 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-06-08 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534853/check_27455937_d9d16cf2-7c02-40b8-9267-a5945e2d1301.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 11093208875 | N/A | N/A | 15534853 | 2222 | 4801 | 27590252 | 6237 | 4219334 | 2026-06-06 00:37:42.363534 | 2025-05-13 04:29:37.230357 |
| 2026-06-05 07:14:15.405620 | 2026-06-06 00:37:43.094475 | 27455921 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27455921 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-06-08 | M | AE | PT | Wilson | 40066267001 | Jesse | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_27455921_b7fca09f-2c2c-4506-8b05-09c5dc9063c5.json | N/A | N/A | N/A | N/A | N/A | 40066267001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-08-30 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | 2026-01-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208874 | N/A | N/A | 15459527 | 2222 | 4802 | 27590264 | 6237 | 13546654 | 2026-06-06 00:37:43.094475 | 2026-01-15 21:26:11.579374 |
| 2026-06-05 07:14:15.335824 | 2026-06-06 00:37:12.950421 | 27455913 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27455913 | Athletic Physical Therapy Inc | 1978-10-10 | 2026-06-08 | M | AE | PT | DRAKE | 000021909753 | COLIN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15416889/check_27455913_c2b41afe-c477-4be0-88bf-5abe840ecfc0.json | N/A | N/A | N/A | N/A | N/A | 000021909753 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1978-10-10 | 4319828 | 102255 | N/A | N/A | false | DRAKE | N/A | COLIN | N/A | 2026-12-31 | 2026-01-01 | NETFLIX, INC. NETFLIX STREAMING | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208873 | N/A | N/A | 15416889 | 2222 | 4802 | 27589564 | N/A | 13507066 | 2026-06-06 00:37:12.950421 | 2026-01-15 00:19:55.179902 |
| 2026-06-05 07:14:15.254580 | 2026-06-06 00:38:12.724804 | 27455902 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27455902 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-06-08 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14110178/check_27455902_55dc9780-0f74-4193-b758-22abbf55cacd.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 | 11093208535 | N/A | N/A | 14110178 | 2222 | 4801 | 27590971 | N/A | 10999467 | 2026-06-06 00:38:12.724804 | 2025-11-14 21:36:13.911423 |
| 2026-06-05 07:14:15.164689 | 2026-06-06 00:37:55.414800 | 27455890 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27455890 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-06-08 | F | AE | PT | watson | 00000380103 | stella | G | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_27455890_7b5cecb7-74f9-4ded-98ae-b79c3a4b23db.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-18 | H3815050 | N/A | N/A | HM | false | WATSON | N/A | STELLA | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208534 | N/A | N/A | 13644272 | 2222 | 4801 | 27590566 | 2630 | 11792017 | 2026-06-06 00:37:55.414800 | 2025-12-04 01:49:08.682293 |
| 2026-06-05 07:14:15.077751 | 2026-06-06 00:37:04.274982 | 27455882 | N/A | N/A | 60054 | Aetna | 1114042165 | 27455882 | Athletic Physical Therapy Inc | 1998-11-14 | 2026-06-08 | M | AE | PT | Shirian | W742094344 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_27455882_8281de49-3521-4c55-8d28-d8e74376d5b2.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208533 | N/A | N/A | 11519732 | 2222 | 4802 | 27589388 | N/A | 9760542 | 2026-06-06 00:37:04.274982 | 2025-10-27 21:44:20.466934 |
| 2026-06-05 07:14:14.999288 | 2026-06-06 00:38:35.136874 | 27455875 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27455875 | Athletic Physical Therapy Inc | 1950-09-27 | 2026-06-08 | F | AE | PT | THOMSEN | 9K20UN5RX19 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096603/check_27455875_a628f811-e839-4a6e-960e-9bfe988e3897.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MB | false | THOMSEN | N/A | JANET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 47281 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208532 | N/A | N/A | 11096603 | 2222 | 4801 | 27591463 | N/A | 4210450 | 2026-06-06 00:38:35.136874 | 2026-05-04 21:51:25.248197 |
| 2026-06-05 07:14:14.918363 | 2026-06-06 00:36:55.845157 | 27455860 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 27455860 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-06-08 | M | AE | PT | HOPE | 101144710900 | LYNN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_27455860_fae07907-8e6b-414e-8eab-090129f083c0.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208531 | N/A | N/A | 9477069 | 2222 | 4802 | 27589212 | 3948 | 7927787 | 2026-06-06 00:36:55.845157 | 2025-09-17 17:11:58.574244 |
| 2026-06-05 07:14:14.839529 | 2026-06-06 00:36:40.204893 | 27455852 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 27455852 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-06-08 | M | 96 | N/A | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_27455852_f79755a4-62e5-4f4d-b25d-389ed1559c39.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 | 2026-06-05 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 11093208530 | N/A | N/A | 9280203 | 2222 | 4793 | 27588908 | 6798 | 7788651 | 2026-06-06 00:36:40.204893 | 2025-09-10 18:50:22.494063 |
| 2026-06-05 07:14:14.765228 | 2026-06-06 00:38:34.493679 | 27455841 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27455841 | Athletic Physical Therapy Inc | 1956-06-26 | 2026-06-08 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_27455841_e038523d-b761-4e1b-b35e-8abd0520a558.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 58426 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208529 | N/A | N/A | 9083354 | 2222 | 4801 | 27591444 | N/A | 7600312 | 2026-06-06 00:38:34.493679 | 2025-09-04 18:19:39.478018 |
| 2026-06-05 07:14:14.699828 | 2026-06-06 00:36:51.579297 | 27455834 | N/A | N/A | 60054 | Aetna | 1114042165 | 27455834 | Athletic Physical Therapy Inc | 2007-05-15 | 2026-06-08 | M | AE | PT | BAIRD | W295329957 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8391594/check_27455834_39139e45-0628-4bd9-a75c-e1433c366a13.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208528 | N/A | N/A | 8391594 | 2222 | 4793 | 27589135 | N/A | 4214747 | 2026-06-06 00:36:51.579297 | 2025-05-13 04:29:37.229066 |
| 2026-06-05 07:14:14.586584 | 2026-06-06 00:37:58.169541 | 27455819 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 27455819 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-06-08 | M | PT | N/A | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_27455819_ffe53372-bf7a-4904-8ec7-502d56c2d5f1.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | 2026-06-05 | 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 | 11093208527 | N/A | N/A | 7626895 | 2222 | 4793 | 27590630 | 4191 | 6525917 | 2026-06-06 00:37:58.169541 | 2026-05-08 22:53:13.232007 |
| 2026-06-05 07:14:14.494483 | 2026-06-06 00:37:37.022164 | 27455806 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 27455806 | Athletic Physical Therapy Inc | 1953-09-14 | 2026-06-08 | F | PT | N/A | HARMON | JQQ322M99046 | MONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6607546/check_27455806_9fe0cc20-29dd-4b8f-aa9a-9c498bde1a98.json | N/A | N/A | N/A | N/A | N/A | JQQ322M99046 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-09-14 | 040 | CAMCRWP0 | N/A | MP | false | HARMON | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11093208526 | N/A | N/A | 6607546 | 2222 | 4802 | 27590142 | 4184 | 4755187 | 2026-06-06 00:37:37.022164 | 2026-05-20 17:00:41.372553 |
| 2026-06-05 07:14:14.425132 | 2026-06-06 00:38:26.657349 | 27455798 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27455798 | Athletic Physical Therapy Inc | 1948-07-16 | 2026-06-08 | M | AE | PT | KANDELA | 6J42U95NP24 | IMAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6483553/check_27455798_a56356f9-b704-435a-bdc3-6b97d13c9edc.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MB | 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 | 11093208525 | N/A | N/A | 6483553 | 2222 | 4793 | 27591263 | N/A | 4215003 | 2026-06-06 00:38:26.657349 | 2025-05-13 04:29:37.229322 |
| 2026-06-05 07:14:14.326422 | 2026-06-06 00:37:25.431164 | 27455787 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27455787 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-06-08 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_27455787_077c7e21-2959-422b-be4b-46cc51179942.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208524 | N/A | N/A | 5568076 | 2222 | 4802 | 27589858 | 4625 | 4209480 | 2026-06-06 00:37:25.431164 | 2026-04-10 02:05:15.976484 |
| 2026-06-05 07:14:14.101471 | 2026-06-06 00:37:30.058780 | 27455757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27455757 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-06-08 | F | PT | N/A | ANDERSON | XDP564A24389 | ERIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549780/check_27455757_cd4e1f5b-1413-44f5-9c7e-e0fe3ae16efd.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 | 11093208523 | N/A | N/A | 5549780 | 2222 | 4801 | 27589976 | N/A | 4219374 | 2026-06-06 00:37:30.058780 | 2025-05-13 04:29:37.230399 |
| 2026-06-05 07:14:13.915457 | 2026-06-06 00:37:44.555738 | 27455728 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27455728 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-06-08 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_27455728_1d007a47-7ae9-4fac-b4de-81206fd5fd37.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11093208522 | N/A | N/A | 5549317 | 2222 | 4801 | 27590298 | N/A | 4219010 | 2026-06-06 00:37:44.555738 | 2026-01-09 18:32:07.618867 |
| 2026-06-05 07:14:13.792803 | 2026-06-06 00:36:56.787908 | 27455711 | N/A | N/A | 61101 | HUMANA | 1114042165 | 27455711 | Athletic Physical Therapy Inc | 1943-07-20 | 2026-06-08 | F | AE | PT | TODD | H7478001300 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549088/check_27455711_f8e19bf3-5f7c-4f44-837e-49f32ff3bf55.json | N/A | N/A | N/A | N/A | N/A | H74780013 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO LAKESIDE MEDICAL GROUP | 1943-07-20 | N/A | 2B863001 | N/A | HN | false | TODD | N/A | MARY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208521 | N/A | N/A | 5549088 | 2222 | 4801 | 27589227 | 5349 | 4218817 | 2026-06-06 00:36:56.787908 | 2025-05-13 04:29:37.229812 |
| 2026-06-05 07:14:13.687948 | 2026-06-06 00:36:41.714856 | 27455700 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 27455700 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-06-08 | F | 96 | N/A | REGGIANI | 41813758 | SUSANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_27455700_52facc9e-4a1a-46a1-88ba-932183e44802.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | 2026-06-05 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 11093208520 | N/A | N/A | 5549015 | 2222 | 4801 | 27588942 | 6798 | 4208849 | 2026-06-06 00:36:41.714856 | 2025-05-13 04:29:37.223279 |
| 2026-06-05 07:14:13.612886 | 2026-06-06 00:38:22.969013 | 27455688 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27455688 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-06-08 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_27455688_319de6ba-0819-4d12-be91-44a212c8b235.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 193100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11093208519 | N/A | N/A | 5548965 | 2222 | 4802 | 27591189 | N/A | 4218725 | 2026-06-06 00:38:22.969013 | 2025-05-13 04:29:37.229715 |
| 2026-06-05 07:14:13.533110 | 2026-06-06 00:38:28.940405 | 27455676 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27455676 | Athletic Physical Therapy Inc | 1946-01-01 | 2026-06-08 | F | AE | PT | MENG | 9XR8YK9UF46 | BARBARA | Ann | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260605.121833224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543419/check_27455676_5e7f568f-0902-4804-99b0-bf5aeac9e849.json | N/A | N/A | N/A | N/A | N/A | 9XR8YK9UF46 | Medicare Part B | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-01-01 | S9701 | N/A | N/A | MB | false | MENG | N/A | BARBARA | 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 | 11093208518 | N/A | N/A | 5543419 | 2222 | 4802 | 27591315 | N/A | 4215219 | 2026-06-06 00:38:28.940405 | 2026-05-26 17:44:09.850962 |