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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-06-01 07:19:35.052118 | 2026-06-02 00:54:26.665224 | 27103491 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27103491 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-06-03 | F | AE | PT | Bokron | 8WT2XY5VC04 | Diana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_27103491_8c9ddaad-0aa6-4acd-99a9-660f25e11405.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MA | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 64028 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029969 | N/A | N/A | 19240401 | 2222 | 4793 | 27280870 | N/A | 17105178 | 2026-06-02 00:54:26.665224 | 2026-04-03 17:25:31.987996 |
| 2026-06-01 07:19:34.844456 | 2026-06-02 00:53:12.966144 | 27103468 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27103468 | Athletic Physical Therapy Inc | 1990-04-19 | 2026-06-04 | F | AE | PT | Dattner | 000022376092 | Laura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19074959/check_27103468_9ca26b55-e645-4483-a39f-c4668dfe5acf.json | N/A | N/A | N/A | N/A | N/A | 000022376092 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1990-04-19 | 4335730 | 227134 | N/A | N/A | false | DATTNER | N/A | LAURA | N/A | 2026-12-31 | 2026-01-01 | HOUZZ, INC HOUZZ, INC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029968 | N/A | N/A | 19074959 | 2222 | 4802 | 27279488 | N/A | 17060842 | 2026-06-02 00:53:12.966144 | 2026-04-02 21:50:52.549307 |
| 2026-06-01 07:19:34.553511 | 2026-06-02 00:54:24.264551 | 27103439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27103439 | Athletic Physical Therapy Inc | 2013-08-16 | 2026-06-03 | F | PT | N/A | Corriveau | HFD100011220104 | Tabitha | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19073381/check_27103439_6dee247a-a540-42a0-af96-de46276747f3.json | N/A | N/A | N/A | N/A | N/A | HFD100011220104 | 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." | 2013-08-16 | N/A | 716116N04 | N/A | PR | false | CORRIVEAU | N/A | BRIAN | 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 | 11046029967 | N/A | N/A | 19073381 | 2222 | 4793 | 27280819 | N/A | 17057081 | 2026-06-02 00:54:24.264551 | 2026-04-13 19:30:47.842734 |
| 2026-06-01 07:19:34.247540 | 2026-06-02 00:54:22.929456 | 27103399 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27103399 | Athletic Physical Therapy Inc | 1954-10-21 | 2026-06-04 | F | PT | N/A | CARVOTTA | 041W2530320 | LINDA | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19025880/check_27103399_f1d83e31-23ea-4297-9006-8be4d7a0b6de.json | N/A | N/A | N/A | N/A | N/A | 041W2530320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-10-21 | N/A | N/A | N/A | N/A | false | CARVOTTA | N/A | LINDA | N/A | N/A | 2026-06-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046029966 | N/A | N/A | 19025880 | 2222 | 4793 | 27280768 | 4185 | 17005668 | 2026-06-02 00:54:22.929456 | 2026-05-04 18:50:34.802967 |
| 2026-06-01 07:19:33.909870 | 2026-06-02 00:53:26.032027 | 27103361 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27103361 | Athletic Physical Therapy Inc | 1962-12-13 | 2026-06-03 | F | AE | PT | LOZANO | JQC94977924H | CRISTINA | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19003465/check_27103361_86ae0c7e-036a-46ee-a02a-ab5f23047a8b.json | N/A | N/A | N/A | N/A | N/A | 94977924H | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1962-12-13 | BCSC | BWLLNMEG21 | N/A | N/A | false | LOZANO | N/A | CRISTINA | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029965 | N/A | N/A | 19003465 | 2222 | 4802 | 27279736 | 5538 | 16984833 | 2026-06-02 00:53:26.032027 | 2026-04-08 05:02:50.255936 |
| 2026-06-01 07:19:33.331298 | 2026-06-02 00:54:38.300206 | 27103307 | N/A | N/A | 61101 | HUMANA | 1114042165 | 27103307 | Athletic Physical Therapy Inc | 1934-08-28 | 2026-06-04 | F | AE | PT | INAO | H9810673000 | JANE | Y | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933246/check_27103307_3ac8cedb-80ac-4d4f-ad84-2ab8f1da1c20.json | N/A | N/A | N/A | N/A | N/A | H98106730 | 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 | 1934-08-28 | N/A | 2B722001 | N/A | HN | false | INAO | N/A | JANE | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029964 | N/A | N/A | 18933246 | 2222 | 4801 | 27281158 | 5349 | 16918423 | 2026-06-02 00:54:38.300206 | 2026-03-31 19:05:41.556695 |
| 2026-06-01 07:19:33.074453 | 2026-06-02 00:52:57.802054 | 27103283 | N/A | N/A | 60054 | Aetna | 1114042165 | 27103283 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-06-03 | M | AE | PT | Benson | W241108199 | Charles | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_27103283_39bffff7-0122-4d98-9b27-02877c55534c.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029963 | N/A | N/A | 18897636 | 2222 | 4802 | 27279120 | N/A | 16883637 | 2026-06-02 00:52:57.802054 | 2026-04-06 22:06:37.386389 |
| 2026-06-01 07:19:32.828959 | 2026-06-02 00:53:21.617978 | 27103257 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 27103257 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-06-03 | M | AE | PT | LIBERMAN | 000022717735 | ANDREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775389/check_27103257_90853e57-4b36-4c5b-a98f-ce46b8cf7dea.json | N/A | N/A | N/A | N/A | N/A | 000022717735 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1950-04-13 | 4378810 | 1650095002 | N/A | N/A | false | LIBERMAN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | SPECIAL NEEDS PLAN SCR SPECIAL NEEDS PLAN SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029962 | N/A | N/A | 18775389 | 2222 | 4802 | 27279647 | N/A | 16749367 | 2026-06-02 00:53:21.617978 | 2026-03-26 23:17:06.136103 |
| 2026-06-01 07:19:32.614214 | 2026-06-02 00:54:45.953833 | 27103231 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27103231 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-06-03 | M | AE | PT | O NEILL | 3VD0U34GW90 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_27103231_e2c94b60-2499-4d4f-a475-3c8d7a5a9e8a.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MB | false | O'NEILL | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 160432 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029961 | N/A | N/A | 18472576 | 2222 | 4802 | 27281324 | N/A | 16472791 | 2026-06-02 00:54:45.953833 | 2026-03-20 22:44:48.876499 |
| 2026-06-01 07:19:32.477300 | 2026-06-02 00:53:11.035861 | 27103210 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27103210 | Athletic Physical Therapy Inc | 1963-01-15 | 2026-06-03 | F | AE | PT | Adams | 000008863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_27103210_597be30c-5c7a-4962-b229-a2f34641a80b.json | N/A | N/A | N/A | N/A | N/A | 000008863593 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1963-01-15 | 4308537 | 105705 | N/A | N/A | false | ADAMS | N/A | TONI | N/A | 2026-12-31 | 2026-01-01 | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 46 - $1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029960 | N/A | N/A | 18427607 | 2222 | 4802 | 27279451 | N/A | 16428516 | 2026-06-02 00:53:11.035861 | 2026-03-20 01:42:19.868288 |
| 2026-06-01 07:19:32.317332 | 2026-06-02 00:53:07.573434 | 27103193 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 27103193 | Athletic Physical Therapy Inc | 1988-02-19 | 2026-06-04 | F | AE | PT | KOVACEVICH | W27795397803 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_27103193_039c3ac0-8b8a-4b25-be44-81b0e15b77fa.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029959 | N/A | N/A | 18394146 | 2222 | 4793 | 27279377 | 3948 | 16398404 | 2026-06-02 00:53:07.573434 | 2026-03-30 15:35:26.924597 |
| 2026-06-01 07:19:32.158778 | 2026-06-02 00:53:18.301701 | 27103169 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27103169 | Athletic Physical Therapy Inc | 1992-02-05 | 2026-06-03 | F | AE | PT | Hipp | 000021264656 | Zoe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_27103169_76c2e041-52a3-482a-b426-2f33a474509c.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029958 | N/A | N/A | 18386550 | 2222 | 4802 | 27279583 | N/A | 16392592 | 2026-06-02 00:53:18.301701 | 2026-03-19 17:35:27.889788 |
| 2026-06-01 07:19:31.934145 | 2026-06-02 00:54:25.784874 | 27103148 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27103148 | Athletic Physical Therapy Inc | 2009-09-02 | 2026-06-04 | F | PT | N/A | DECKER | JQU849A78963 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18328449/check_27103148_a3648c54-1621-4fd9-a084-d8431003b4b1.json | N/A | N/A | N/A | N/A | N/A | JQU849A78963 | Preferred Provider Organization (PPO) | ROLLING OAKS RADIOLOGY ME | ANTHEM BLUE CROSS | N/A | 2009-09-02 | 040 | 422228 | N/A | PR | false | DECKER | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER PPO HSA/H 2300/3400/4600 30% PREVRX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046029957 | N/A | N/A | 18328449 | 2222 | 4801 | 27280851 | N/A | 16339129 | 2026-06-02 00:54:25.784874 | 2026-03-26 22:11:26.115150 |
| 2026-06-01 07:19:31.607116 | 2026-06-02 00:53:44.874516 | 27103113 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27103113 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-06-03 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_27103113_4c8cb46a-77e6-4b02-b69b-f866e95116d8.json | N/A | N/A | N/A | N/A | N/A | 94237973H | 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 | 1976-02-07 | TFU223BP0000007 | N/A | N/A | MC | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029956 | N/A | N/A | 18095882 | 2222 | 4802 | 27280102 | 4211 | 6219145 | 2026-06-02 00:53:44.874516 | 2025-07-21 16:40:35.276086 |
| 2026-06-01 07:19:31.194802 | 2026-06-02 00:54:31.040649 | 27103070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27103070 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-06-03 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_27103070_7b3c34ab-1fc4-43bf-8ecf-f4a8183e9e4a.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 | 11046029955 | N/A | N/A | 18029271 | 2222 | 4793 | 27280985 | N/A | 16057887 | 2026-06-02 00:54:31.040649 | 2026-03-23 17:30:23.761066 |
| 2026-06-01 07:19:31.055937 | 2026-06-02 00:54:31.585693 | 27103052 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27103052 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-06-04 | F | AE | PT | FLEMING | 1R95FV2XE71 | LORIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_27103052_8c815c28-1c7c-46ef-bc57-8af8a2cb6dad.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MB | false | FLEMING | N/A | LORIE | N/A | 2026-03-31 | 2026-01-01 | N/A | N/A | N/A | 109592 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029954 | N/A | N/A | 17944211 | 2222 | 4801 | 27281001 | N/A | 15983370 | 2026-06-02 00:54:31.585693 | 2026-03-16 17:56:49.633280 |
| 2026-06-01 07:19:30.913094 | 2026-06-02 00:53:11.699864 | 27103037 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27103037 | Athletic Physical Therapy Inc | 1976-02-21 | 2026-06-03 | F | AE | PT | Cohen | 000026138884 | Hally | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938276/check_27103037_fe4adfc1-c719-4024-b106-cc70253a24f7.json | N/A | N/A | N/A | N/A | N/A | 000026138884 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1976-02-21 | 4388738 | 102601 | N/A | N/A | false | COHEN | N/A | HALLY | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029953 | N/A | N/A | 17938276 | 2222 | 4802 | 27279462 | N/A | 15976613 | 2026-06-02 00:53:11.699864 | 2026-03-11 20:32:37.861830 |
| 2026-06-01 07:19:30.739849 | 2026-06-02 00:53:22.631690 | 27103018 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27103018 | Athletic Physical Therapy Inc | 1974-07-05 | 2026-06-04 | F | AE | PT | Lopez Parker | 000016557541 | Brenda | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17924114/check_27103018_3fa3d216-b573-427a-834c-a1a689598737.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 | 11046029952 | N/A | N/A | 17924114 | 2222 | 4802 | 27279668 | N/A | 15963069 | 2026-06-02 00:53:22.631690 | 2026-05-29 22:16:21.036276 |
| 2026-06-01 07:19:30.552480 | 2026-06-02 00:54:29.964265 | 27102997 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 27102997 | Athletic Physical Therapy Inc | 1958-08-20 | 2026-06-03 | F | PT | N/A | HAILEMICHAEL | JQQ291W22868 | ABEBU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17880760/check_27102997_3d26ce36-a33e-4ba0-b013-d1b95ac1e433.json | N/A | N/A | N/A | N/A | N/A | JQQ291W22868 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-08-20 | 040 | CAMCRWP0 | N/A | MP | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | 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 | 11046029951 | N/A | N/A | 17880760 | 2222 | 4802 | 27280957 | 4184 | 4534565 | 2026-06-02 00:54:29.964265 | 2026-03-10 20:57:14.661259 |
| 2026-06-01 07:19:30.388152 | 2026-06-02 00:54:45.776640 | 27102979 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27102979 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-06-03 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_27102979_16b90ef7-9392-4f97-a444-3e645b8a5e14.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 | 11046029950 | N/A | N/A | 17868567 | 2222 | 4802 | 27281321 | N/A | 15913011 | 2026-06-02 00:54:45.776640 | 2026-03-16 22:33:11.392245 |
| 2026-06-01 07:19:30.165747 | 2026-06-02 00:53:45.382843 | 27102951 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27102951 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-06-03 | M | 30 | 98 | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_27102951_047f53f8-c5d8-4934-919c-d3edeaa13888.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 | 11046029949 | N/A | N/A | 17744755 | 2222 | 4802 | 27280114 | 4211 | 4213934 | 2026-06-02 00:53:45.382843 | 2026-01-27 23:36:44.802366 |
| 2026-06-01 07:19:29.787179 | 2026-06-02 00:53:31.911961 | 27102912 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 27102912 | override_provider | 2010-06-05 | 2026-06-04 | F | AE | PT | Tal | 000032073042 | Ella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17718829/check_27102912_520efbe7-a4c1-48ca-aeda-5fa1ed71d0e0.json | N/A | N/A | N/A | N/A | N/A | 000032073042 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2010-06-05 | 4378733 | 1650095001 | N/A | N/A | false | TAL | N/A | ELLA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029948 | N/A | N/A | 17718829 | 2222 | 4802 | 27279845 | N/A | 15764652 | 2026-06-02 00:53:31.911961 | 2026-03-20 01:39:52.693368 |
| 2026-06-01 07:19:29.330564 | 2026-06-02 00:54:44.676846 | 27102870 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27102870 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-06-04 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_27102870_cd27ebb0-eb78-452e-ab3a-23477bc69a57.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 | 240000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029926 | N/A | N/A | 17663491 | 2222 | 4802 | 27281293 | N/A | 4213453 | 2026-06-02 00:54:44.676846 | 2025-05-13 04:29:37.227772 |
| 2026-06-01 07:19:29.103166 | 2026-06-02 00:53:23.874527 | 27102842 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 27102842 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-06-03 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_27102842_1d24c3fd-8162-4938-861f-1289d44302ca.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 | 11046029923 | N/A | N/A | 17650446 | 2222 | 4802 | 27279692 | N/A | 9635663 | 2026-06-02 00:53:23.874527 | 2025-10-22 19:43:50.510670 |
| 2026-06-01 07:19:28.905350 | 2026-06-02 00:55:00.559154 | 27102822 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27102822 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-06-02 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_27102822_f35eddcd-e7e5-4014-b436-4813c1962edb.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 126402 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029922 | N/A | N/A | 17600400 | 2222 | 4793 | 27281704 | N/A | 15647296 | 2026-06-02 00:55:00.559154 | 2026-03-04 22:22:31.397944 |
| 2026-06-01 07:19:28.684903 | 2026-06-02 00:53:25.900836 | 27102791 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27102791 | Athletic Physical Therapy Inc | 1981-07-18 | 2026-06-03 | F | AE | PT | Peterson | 000022138564 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_27102791_d1e2321d-2d16-4658-a3e1-1ec98e70f5a5.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029921 | N/A | N/A | 17598240 | 2222 | 4802 | 27279731 | N/A | 15645175 | 2026-06-02 00:53:25.900836 | 2026-03-04 21:28:46.922129 |
| 2026-06-01 07:19:28.445504 | 2026-06-02 00:53:58.396091 | 27102763 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 27102763 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-06-03 | F | AE | PT | Barrientos | 958247698 | Antoniette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_27102763_b73550e6-83d9-427e-b664-1e2dcc50da43.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029920 | N/A | N/A | 17540931 | 2222 | 4801 | 27280349 | 6411 | 15585907 | 2026-06-02 00:53:58.396091 | 2026-03-09 18:22:22.279915 |
| 2026-06-01 07:19:28.224141 | 2026-06-02 00:53:46.506377 | 27102739 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27102739 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-06-03 | M | 30 | 98 | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_27102739_517a4f03-2f84-4226-8b18-d8b1d163b72c.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 | 11046029919 | N/A | N/A | 17509843 | 2222 | 4802 | 27280134 | 4211 | 15524188 | 2026-06-02 00:53:46.506377 | 2026-03-03 00:12:08.668405 |
| 2026-06-01 07:19:28.025304 | 2026-06-02 00:53:42.323192 | 27102722 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27102722 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-06-04 | F | AE | PT | RODRIGUEZ | M013647 | MARIA | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_27102722_36e93049-3d64-406b-8414-5fcd5cf63dc9.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | 2078-12-31 | 2023-01-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046029918 | N/A | N/A | 17501934 | 2222 | 4802 | 27280061 | 5538 | 15517334 | 2026-06-02 00:53:42.323192 | 2026-03-02 22:33:54.498929 |
| 2026-06-01 07:19:27.558123 | 2026-06-02 00:54:37.220850 | 27102681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27102681 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-06-03 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_27102681_5421cbd3-584d-448c-b714-dbbe863f134e.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027940 | N/A | N/A | 17497004 | 2222 | 4802 | 27281133 | N/A | 15511990 | 2026-06-02 00:54:37.220850 | 2026-03-02 20:39:57.609466 |
| 2026-06-01 07:19:27.152980 | 2026-06-02 00:54:32.276655 | 27102634 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27102634 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-06-04 | M | PT | N/A | Higa | NCF843A55961 | Parrish | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_27102634_71aeadce-8a89-4d36-a1c5-8a0e04f622d8.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 | 11046027939 | N/A | N/A | 17446858 | 2222 | 4801 | 27281018 | 4185 | 14698980 | 2026-06-02 00:54:32.276655 | 2026-02-09 18:51:36.820546 |
| 2026-06-01 07:19:26.966450 | 2026-06-02 00:54:34.405537 | 27102611 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27102611 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-06-03 | M | PT | N/A | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_27102611_8e634973-2f79-4648-858a-7a0f33d9a825.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 | 11046027938 | N/A | N/A | 17346208 | 2222 | 4802 | 27281071 | N/A | 15356693 | 2026-06-02 00:54:34.405537 | 2026-02-25 22:30:35.848496 |
| 2026-06-01 07:19:26.828878 | 2026-06-02 00:55:01.158923 | 27102596 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27102596 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-06-03 | M | AE | PT | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_27102596_c2c058be-65f7-4591-b267-a0ab6fbd1987.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | YOUHANAIE | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 195110 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027937 | N/A | N/A | 17247515 | 2222 | 4793 | 27281716 | N/A | 4211122 | 2026-06-02 00:55:01.158923 | 2025-05-13 04:29:37.225524 |
| 2026-06-01 07:19:26.661721 | 2026-06-02 00:53:47.087433 | 27102577 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27102577 | Athletic Physical Therapy Inc | 1989-11-05 | 2026-06-03 | M | AE | PT | WALTHER | 91450497C | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145820/check_27102577_26151db8-87e3-43a3-995f-a0bc4ed2e7ca.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 | 11046027936 | N/A | N/A | 17145820 | 2222 | 4802 | 27280147 | 4211 | 15134963 | 2026-06-02 00:53:47.087433 | 2026-03-05 23:10:38.165816 |
| 2026-06-01 07:19:26.465023 | 2026-06-02 00:54:18.110595 | 27102563 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 27102563 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-06-03 | F | PT | N/A | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_27102563_18490575-a648-45b2-a7c1-5a05192ee36c.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027935 | N/A | N/A | 16765713 | 2222 | 4801 | 27280689 | 4185 | 14776656 | 2026-06-02 00:54:18.110595 | 2026-02-10 18:58:53.303852 |
| 2026-06-01 07:19:26.301547 | 2026-06-02 00:52:55.496026 | 27102548 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 27102548 | Athletic Physical Therapy Inc | 1983-04-17 | 2026-06-03 | F | AE | PT | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_27102548_c085d851-f334-4ad8-a925-875537c9d54b.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 | 2026-06-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027934 | N/A | N/A | 16579498 | 2222 | 4793 | 27279054 | N/A | 14597625 | 2026-06-02 00:52:55.496026 | 2026-02-09 19:54:47.612972 |
| 2026-06-01 07:19:25.986957 | 2026-06-01 07:19:26.297012 | 27102520 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27102520 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-06-02 | F | AE | PT | LAVORATO | 00000290307 | MARY | E | N/A | WAYSTAR | N/A | BATCH | 2026-06-02 | 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 | 16314847 | 2222 | 4793 | N/A | 2630 | 14364421 | 2026-06-01 07:19:26.297012 | 2026-03-10 17:29:39.446746 |
| 2026-06-01 07:19:25.600936 | 2026-06-02 00:53:17.162472 | 27102480 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27102480 | Athletic Physical Therapy Inc | 1993-04-05 | 2026-06-04 | M | AE | PT | GREY | 000023251060 | MO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284323/check_27102480_d6cea72d-f2ee-45e3-b0bb-bca0185ea7a5.json | N/A | N/A | N/A | N/A | N/A | 000023251060 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1993-04-05 | 4285549 | 296002 | N/A | N/A | false | GREY | N/A | MO | N/A | 2026-12-31 | 2026-01-01 | RIOT GAMES RIOT GAMES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027932 | N/A | N/A | 16284323 | 2222 | 4802 | 27279562 | N/A | 14332946 | 2026-06-02 00:53:17.162472 | 2026-02-11 16:44:34.390628 |
| 2026-06-01 07:19:25.167123 | 2026-06-02 00:54:54.117505 | 27102437 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27102437 | Athletic Physical Therapy Inc | 1956-06-01 | 2026-06-02 | F | AE | PT | SNYDER | 7D20PV9DX19 | ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16269836/check_27102437_f3a799ba-3bc2-41fa-a05b-8bc1933661b0.json | N/A | N/A | N/A | N/A | N/A | 7D20PV9DX19 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-01 | N/A | N/A | N/A | MA | false | SNYDER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 162720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027931 | N/A | N/A | 16269836 | 2222 | 4793 | 27281532 | N/A | 14318816 | 2026-06-02 00:54:54.117505 | 2026-02-03 18:58:39.277258 |
| 2026-06-01 07:19:24.913479 | 2026-06-02 00:53:42.511208 | 27102412 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27102412 | Athletic Physical Therapy Inc | 1955-10-13 | 2026-06-03 | F | AE | PT | HA | 40065178501 | LYNN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16264977/check_27102412_4bbc7079-43f6-4f62-b165-08794ad0f778.json | N/A | N/A | N/A | N/A | N/A | 40065178501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-10-13 | 2026H5425001 | H5425M | N/A | N/A | false | HA | N/A | LYNN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027930 | N/A | N/A | 16264977 | 2222 | 4793 | 27280063 | 6237 | 14314351 | 2026-06-02 00:53:42.511208 | 2026-03-09 22:16:11.719455 |
| 2026-06-01 07:19:24.399734 | 2026-06-02 00:54:38.242501 | 27102357 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27102357 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-06-04 | F | AE | PT | KATKHOUDA | 9RE0KT7PD34 | RYME | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16240625/check_27102357_3db4de92-13f2-4958-95b2-a2b91578757d.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 | 191794 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027929 | N/A | N/A | 16240625 | 2222 | 4802 | 27281157 | N/A | 10954913 | 2026-06-02 00:54:38.242501 | 2026-02-03 00:31:49.512761 |
| 2026-06-01 07:19:23.718419 | 2026-06-01 07:19:24.394947 | 27102288 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27102288 | Athletic Physical Therapy Inc | 1959-05-04 | 2026-06-03 | F | AE | PT | COLLIER | 00000362820 | TAMMY | Kay | N/A | WAYSTAR | N/A | BATCH | 2026-06-03 | 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 | 16231354 | 2222 | 4801 | N/A | 2630 | 4212056 | 2026-06-01 07:19:24.394947 | 2026-02-04 06:36:19.638419 |
| 2026-06-01 07:19:23.345324 | 2026-06-02 00:54:17.728815 | 27102257 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 27102257 | Athletic Physical Therapy Inc | 1999-04-02 | 2026-06-03 | M | PT | N/A | LORRAINE | XEH911817270 | ELIJAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_27102257_58444292-72fc-4682-823e-fff1e69e0dcb.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027925 | N/A | N/A | 16132086 | 2222 | 4801 | 27280684 | 4191 | 14191252 | 2026-06-02 00:54:17.728815 | 2026-03-12 15:28:35.280372 |
| 2026-06-01 07:19:22.931705 | 2026-06-02 00:54:27.292190 | 27102219 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27102219 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-06-03 | M | AE | PT | BROSH | 1AC1KJ0CT14 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_27102219_e3400c40-eabd-48c5-8b2e-110dc8edd11b.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 | 169305 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027924 | N/A | N/A | 16113776 | 2222 | 4793 | 27280882 | N/A | 14174363 | 2026-06-02 00:54:27.292190 | 2026-05-29 18:00:53.778221 |
| 2026-06-01 07:19:22.411288 | 2026-06-02 00:54:42.638066 | 27102175 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27102175 | Athletic Physical Therapy Inc | 2000-09-19 | 2026-06-04 | M | PT | N/A | Malouf | NP2044528 | Jarett | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16013458/check_27102175_3710f096-be66-450f-9429-3ab6f45ce83b.json | N/A | N/A | N/A | N/A | N/A | TRJNP2044528 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 2000-09-19 | 040 | 276727M001 | N/A | PR | false | MALOUF | N/A | BRIAN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027923 | N/A | N/A | 16013458 | 2222 | 4802 | 27281247 | N/A | 14085065 | 2026-06-02 00:54:42.638066 | 2026-01-29 00:27:52.581972 |
| 2026-06-01 07:19:22.101820 | 2026-06-02 00:54:20.633846 | 27102148 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 27102148 | Athletic Physical Therapy Inc | 1963-02-16 | 2026-06-03 | F | PT | N/A | PISANIS SANDWICK | 908865057001 | OLIVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15994551/check_27102148_5b97ad29-eebd-4167-8824-5430c3f06138.json | N/A | N/A | N/A | N/A | N/A | XEH908865057 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA RETIREES | BLUE SHIELD CALIFORNIA | N/A | 1963-02-16 | 1000HMOX0002 | W0067630 | N/A | HM | false | SANDWICK | N/A | MICHAEL | N/A | N/A | 2026-06-01 | COUNTY OF VENTURA RETIREES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027922 | N/A | N/A | 15994551 | 2222 | 4801 | 27280737 | 4191 | 4211481 | 2026-06-02 00:54:20.633846 | 2025-05-13 04:29:37.225817 |
| 2026-06-01 07:19:21.851739 | 2026-06-02 00:54:28.864944 | 27102126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27102126 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-06-04 | F | PT | N/A | ZONANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_27102126_f2e12d26-5fe3-4c44-a9bf-2da1ddde6410.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027921 | N/A | N/A | 15960874 | 2222 | 4802 | 27280924 | N/A | 14041811 | 2026-06-02 00:54:28.864944 | 2026-03-06 22:13:33.515742 |
| 2026-06-01 07:19:21.499776 | 2026-06-02 00:54:40.344625 | 27102089 | N/A | N/A | 61101 | HUMANA | 1114042165 | 27102089 | Athletic Physical Therapy Inc | 1958-08-15 | 2026-06-03 | M | AE | PT | MARTIN | H90190700 | JAMES | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15941985/check_27102089_a24bcd30-8e08-4a0f-8295-67a3482384bc.json | N/A | N/A | N/A | N/A | N/A | H90190700 | 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 | 1958-08-15 | N/A | 2B722001 | N/A | HN | false | MARTIN | N/A | JAMES | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027920 | N/A | N/A | 15941985 | 2222 | 4793 | 27281199 | 5349 | 14024715 | 2026-06-02 00:54:40.344625 | 2026-02-27 22:16:01.917155 |
| 2026-06-01 07:19:20.791198 | 2026-06-02 00:53:08.544967 | 27102032 | N/A | N/A | 60054 | AETNA | 1114042165 | 27102032 | Athletic Physical Therapy Inc | 2012-11-05 | 2026-06-03 | F | AE | PT | SCHWARTZ | W29928822803 | KATYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15940921/check_27102032_bd606226-b930-4bf7-8145-66ac9d31e2cf.json | N/A | N/A | N/A | N/A | N/A | W299288228 | Health Maintenance Organization (HMO) | LIFETECH RESOURCES LLC | AETNA | N/A | 2012-11-05 | EADOKN01 | 026948001000001 | N/A | HM | false | SCHWARTZ | N/A | JOSHUA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027919 | N/A | N/A | 15940921 | 2222 | 4793 | 27279399 | 3939 | 14023699 | 2026-06-02 00:53:08.544967 | 2026-02-04 01:25:53.978492 |
| 2026-06-01 07:19:20.547330 | 2026-06-02 00:53:31.403246 | 27102001 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 27102001 | override_provider | 1970-10-11 | 2026-06-03 | M | AE | PT | Downes | 000032002308 | Gile | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260601.123538164.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_27102001_fb0a5fc3-5bf7-4bd9-b38d-bcb6d5a719ff.json | N/A | N/A | N/A | N/A | N/A | 000032002308 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1970-10-11 | 4362456 | 1650095001 | N/A | N/A | false | DOWNES | N/A | GILE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027918 | N/A | N/A | 15904788 | 2222 | 4802 | 27279836 | N/A | 13988678 | 2026-06-02 00:53:31.403246 | 2026-01-26 21:20:00.552687 |