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 07:19:19.984880 | 2026-06-02 00:54:14.103501 | 27101945 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27101945 | Athletic Physical Therapy Inc | 1968-01-02 | 2026-06-02 | M | AE | PT | GOLDSTEIN | 00000498546 | KEVIN | 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/2222/15830923/check_27101945_7ed4863d-242b-48ed-9bd1-96480fe5d0ce.json | N/A | N/A | N/A | N/A | N/A | 00000498546 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1968-01-02 | H3815028 | N/A | N/A | HM | false | GOLDSTEIN | N/A | KEVIN | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027917 | N/A | N/A | 15830923 | 2222 | 4801 | 27280615 | 2630 | 4212667 | 2026-06-02 00:54:14.103501 | 2026-01-19 00:15:08.972740 |
| 2026-06-01 07:19:19.549483 | 2026-06-02 00:52:58.580131 | 27101906 | N/A | N/A | 60054 | Aetna | 1114042165 | 27101906 | Athletic Physical Therapy Inc | 2011-12-17 | 2026-06-03 | F | AE | PT | Corcoran | W253776089 | Madeline | 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/2222/15813035/check_27101906_99829bcd-fc92-47f7-9ab1-94d336f42ab7.json | N/A | N/A | N/A | N/A | N/A | W253776089 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 2011-12-17 | 0868404 | 086840403200101 | N/A | PS | false | CORCORAN | N/A | MICHAEL | N/A | 2026-01-31 | 2025-01-01 | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027916 | N/A | N/A | 15813035 | 2222 | 4802 | 27279144 | N/A | 13902816 | 2026-06-02 00:52:58.580131 | 2026-02-04 04:01:36.732476 |
| 2026-06-01 07:19:19.304504 | 2026-06-02 00:53:44.399737 | 27101884 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27101884 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-06-04 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | 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/2222/15737586/check_27101884_d3139637-c6c6-473e-b22b-631d29d6b38e.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 | 11046027915 | N/A | N/A | 15737586 | 2222 | 4793 | 27280098 | 6237 | 13837022 | 2026-06-02 00:53:44.399737 | 2026-01-27 20:49:36.385334 |
| 2026-06-01 07:19:18.952600 | 2026-06-02 00:53:44.905434 | 27101846 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27101846 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-06-03 | M | AE | PT | Wilson | 40066267001 | Jesse | 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/2222/15459527/check_27101846_d70a288d-c4e0-4ad1-b0fe-f3349e22bae5.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 | 11046027914 | N/A | N/A | 15459527 | 2222 | 4802 | 27280103 | 6237 | 13546654 | 2026-06-02 00:53:44.905434 | 2026-01-15 21:26:11.579374 |
| 2026-06-01 07:19:18.484202 | 2026-06-02 00:54:51.479954 | 27101792 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27101792 | Athletic Physical Therapy Inc | 1946-06-15 | 2026-06-02 | M | AE | PT | SCHECHTER | 3G33VQ7DQ03 | STEVEN | 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/2222/15414432/check_27101792_34e6a018-d32f-48c0-95bc-10584cf1b5de.json | N/A | N/A | N/A | N/A | N/A | 3G33VQ7DQ03 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-15 | S4802 | N/A | N/A | MA | false | SCHECHTER | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 92037 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027913 | N/A | N/A | 15414432 | 2222 | 4793 | 27281453 | N/A | 7549031 | 2026-06-02 00:54:51.479954 | 2026-05-22 23:37:03.098359 |
| 2026-06-01 07:19:18.184509 | 2026-06-02 00:54:36.009915 | 27101756 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27101756 | Athletic Physical Therapy Inc | 1950-06-28 | 2026-06-04 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | 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/2222/14916087/check_27101756_ba514652-07b3-4f8b-b8fc-e831f1dce823.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MC COWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027912 | N/A | N/A | 14916087 | 2222 | 4802 | 27281048 | N/A | 12476020 | 2026-06-02 00:54:36.009915 | 2025-12-16 21:49:52.634130 |
| 2026-06-01 07:19:17.958155 | 2026-06-02 00:53:10.311143 | 27101737 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27101737 | Athletic Physical Therapy Inc | 1945-05-09 | 2026-06-04 | F | AE | PT | Zhang | 0021384061 | Jin | 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/2222/14705768/check_27101737_294ef390-cac1-4d8d-9b61-bbeac4d0a86f.json | N/A | N/A | N/A | N/A | N/A | 0021384061 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1945-05-09 | N/A | N/A | N/A | N/A | false | ZHANG | N/A | JIN | 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 | 11046027911 | N/A | N/A | 14705768 | 2222 | 4802 | 27279435 | N/A | 12834572 | 2026-06-02 00:53:10.311143 | 2025-12-26 16:36:43.273507 |
| 2026-06-01 07:19:17.018987 | 2026-06-02 00:54:41.731636 | 27101658 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27101658 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-06-03 | M | AE | PT | Maher | 6FT2G33TN93 | Timothy | 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/2222/13655342/check_27101658_5d058d22-7cfc-48a4-93a1-78ffa97a615a.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part A | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MA | false | MAHER | N/A | TIMOTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 279194 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027910 | N/A | N/A | 13655342 | 2222 | 4802 | 27281230 | N/A | 11803316 | 2026-06-02 00:54:41.731636 | 2025-12-16 19:29:59.872631 |
| 2026-06-01 07:19:07.622326 | 2026-06-02 00:54:17.129858 | 27100759 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27100759 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-06-03 | F | AE | PT | watson | 00000380103 | stella | G | 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/2222/13644272/check_27100759_411416d4-c457-4243-9d90-5501ec50524c.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 | 11046027909 | N/A | N/A | 13644272 | 2222 | 4801 | 27280670 | 2630 | 11792017 | 2026-06-02 00:54:17.129858 | 2025-12-04 01:49:08.682293 |
| 2026-06-01 07:19:07.321884 | 2026-06-02 00:53:50.161113 | 27100729 | N/A | N/A | 39026 | UMR | 1114042165 | 27100729 | Athletic Physical Therapy Inc | 1990-06-26 | 2026-06-03 | M | AE | PT | SLACK | 41275875 | COREY | 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/2222/13300394/check_27100729_8e84f876-79f8-4145-a118-1072adcfa86b.json | N/A | N/A | N/A | N/A | N/A | 41275875 | N/A | ZAYO GROUP, LLC | UMR | N/A | 1990-06-26 | 417006416376002 | 76416376 | N/A | N/A | false | SLACK | N/A | COREY | 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 | 11046027908 | N/A | N/A | 13300394 | 2222 | 4801 | 27280203 | N/A | 11448114 | 2026-06-02 00:53:50.161113 | 2025-12-01 21:57:42.015222 |
| 2026-06-01 07:19:06.851961 | 2026-06-02 00:54:39.385263 | 27100677 | N/A | N/A | 61101 | HUMANA | 1114042165 | 27100677 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-06-03 | M | AE | PT | Kisca | H6309049800 | John | C | 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/2222/13037589/check_27100677_1f6608b3-187e-4e90-9454-bd797215c562.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | 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 | 11046027907 | N/A | N/A | 13037589 | 2222 | 4793 | 27281181 | 5349 | 11194723 | 2026-06-02 00:54:39.385263 | 2025-12-17 17:59:32.346197 |
| 2026-06-01 07:19:06.405096 | 2026-06-02 00:53:33.483059 | 27100628 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27100628 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-06-03 | M | AE | PT | Vallez | UZ117007801 | Christopher | 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/2222/11619496/check_27100628_73bf8e14-83a9-46ca-8518-4232e1aaa840.json | N/A | N/A | N/A | N/A | N/A | UZ117007801 | 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. | 1986-03-20 | 67138CA0520015-06 | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | 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 | 11046027906 | N/A | N/A | 11619496 | 2222 | 4802 | 27279872 | 4625 | 9856940 | 2026-06-02 00:53:33.483059 | 2025-11-10 19:43:16.763776 |
| 2026-06-01 07:19:06.131822 | 2026-06-02 00:53:22.360566 | 27100599 | N/A | N/A | 60054 | Aetna | 1114042165 | 27100599 | Athletic Physical Therapy Inc | 1998-11-14 | 2026-06-03 | M | AE | PT | Shirian | W742094344 | Jonathan | 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/2222/11519732/check_27100599_6b904212-0a32-428e-b659-30358ebb645c.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 | 11046027905 | N/A | N/A | 11519732 | 2222 | 4802 | 27279661 | N/A | 9760542 | 2026-06-02 00:53:22.360566 | 2025-10-27 21:44:20.466934 |
| 2026-06-01 07:19:05.685804 | 2026-06-02 00:54:57.284134 | 27100551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100551 | Athletic Physical Therapy Inc | 1950-09-27 | 2026-06-03 | F | AE | PT | THOMSEN | 9K20UN5RX19 | JANET | 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/2222/11096603/check_27100551_4744df6c-4158-4fbc-bbfa-4f840dc628b8.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 | 17146 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027903 | N/A | N/A | 11096603 | 2222 | 4801 | 27281631 | N/A | 4210450 | 2026-06-02 00:54:57.284134 | 2026-05-04 21:51:25.248197 |
| 2026-06-01 07:19:05.297287 | 2026-06-02 00:54:23.645419 | 27100516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27100516 | Athletic Physical Therapy Inc | 1977-11-16 | 2026-06-03 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | 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/2222/10355543/check_27100516_fd9a59bf-4e95-49c1-bb91-4b853f8bda58.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027902 | N/A | N/A | 10355543 | 2222 | 4801 | 27280805 | N/A | 8619978 | 2026-06-02 00:54:23.645419 | 2025-10-13 20:53:09.422541 |
| 2026-06-01 07:19:04.807338 | 2026-06-02 00:53:43.809339 | 27100469 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27100469 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-06-03 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | Denise | 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/2222/10103203/check_27100469_9835f548-0d48-4a11-82fb-b1407e9d818b.json | N/A | N/A | N/A | N/A | N/A | 90443065C | 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 | 1961-11-24 | TFU223BP0000009 | N/A | N/A | MC | false | CRUTCHFIELD | N/A | HELEN | 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 | 11046027901 | N/A | N/A | 10103203 | 2222 | 4802 | 27280088 | 4211 | 8437251 | 2026-06-02 00:53:43.809339 | 2025-10-07 19:08:26.048804 |
| 2026-06-01 07:19:04.376177 | 2026-06-02 00:54:59.942407 | 27100417 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100417 | Athletic Physical Therapy Inc | 1956-07-25 | 2026-06-02 | M | AE | PT | WHITAKER | 2QX8KU9UC57 | RICHARD | 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/2222/10030667/check_27100417_e3a3f3a9-f54b-4860-a503-8eae7b416644.json | N/A | N/A | N/A | N/A | N/A | 2QX8KU9UC57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-25 | S4802 | N/A | N/A | MA | false | WHITAKER | N/A | RICHARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 87026 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027900 | N/A | N/A | 10030667 | 2222 | 4801 | 27281690 | N/A | 8396855 | 2026-06-02 00:54:59.942407 | 2026-04-30 15:25:27.283280 |
| 2026-06-01 07:19:03.881563 | 2026-06-02 00:54:43.954609 | 27100371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100371 | Athletic Physical Therapy Inc | 1960-01-10 | 2026-06-02 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | 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/2222/9765210/check_27100371_9c4adbc5-064b-4c66-8e50-8b6944a69832.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MA | false | MAWAS | N/A | ASMAHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 17666 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027899 | N/A | N/A | 9765210 | 2222 | 4801 | 27281278 | N/A | 8176388 | 2026-06-02 00:54:43.954609 | 2025-10-07 15:06:58.335351 |
| 2026-06-01 07:19:03.585955 | 2026-06-02 00:54:53.455554 | 27100343 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100343 | Athletic Physical Therapy Inc | 1959-02-04 | 2026-06-04 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | 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/2222/9681583/check_27100343_d0ee56b6-829c-4522-a12d-f6975212ce48.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 115883 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027898 | N/A | N/A | 9681583 | 2222 | 4793 | 27281512 | N/A | 8101289 | 2026-06-02 00:54:53.455554 | 2025-09-24 17:05:46.431721 |
| 2026-06-01 07:19:03.282290 | 2026-06-02 00:53:06.314060 | 27100313 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 27100313 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-06-03 | M | AE | PT | HOPE | 101144710900 | 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/2222/9477069/check_27100313_3ef298b9-e564-47e0-a568-bd9cb7b90028.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 | 11046027897 | N/A | N/A | 9477069 | 2222 | 4802 | 27279346 | 3948 | 7927787 | 2026-06-02 00:53:06.314060 | 2025-09-17 17:11:58.574244 |
| 2026-06-01 07:19:02.710873 | 2026-06-02 00:53:38.220664 | 27100251 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 27100251 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-06-04 | M | 96 | N/A | HAUSMAN | 34751866 | GARY | 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/2222/9280203/check_27100251_4e7d286e-dac5-4363-a3bb-5f4dd6747649.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 | 2026-06-01 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 11046027896 | N/A | N/A | 9280203 | 2222 | 4793 | 27279975 | 6798 | 7788651 | 2026-06-02 00:53:38.220664 | 2025-09-10 18:50:22.494063 |
| 2026-06-01 07:19:02.354682 | 2026-06-02 00:54:49.771400 | 27100209 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27100209 | Athletic Physical Therapy Inc | 1962-08-12 | 2026-06-03 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | 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/2222/9087505/check_27100209_1cc63391-6e42-44fb-b3d8-85f68697557c.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M001 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027895 | N/A | N/A | 9087505 | 2222 | 4793 | 27281415 | N/A | 7605100 | 2026-06-02 00:54:49.771400 | 2025-09-11 15:07:41.965017 |
| 2026-06-01 07:19:02.155606 | 2026-06-02 00:54:56.483966 | 27100188 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100188 | Athletic Physical Therapy Inc | 1956-06-26 | 2026-06-03 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | 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/2222/9083354/check_27100188_1e194468-4a90-4988-a4d7-ba4235633c3d.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 | 48332 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027894 | N/A | N/A | 9083354 | 2222 | 4801 | 27281609 | N/A | 7600312 | 2026-06-02 00:54:56.483966 | 2025-09-04 18:19:39.478018 |
| 2026-06-01 07:19:01.896322 | 2026-06-02 00:54:45.289991 | 27100159 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100159 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-06-02 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_27100159_ce8a85a0-93de-4c6b-a95d-b8fa121bbd7d.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 209084 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027893 | N/A | N/A | 8979192 | 2222 | 4793 | 27281308 | N/A | 7498543 | 2026-06-02 00:54:45.289991 | 2025-10-14 17:13:32.178778 |
| 2026-06-01 07:19:01.371464 | 2026-06-02 00:54:25.241162 | 27100102 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100102 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-06-04 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | 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/2222/8477425/check_27100102_01d91375-efc0-42e3-8af8-33c42d5720cb.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 268360 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027892 | N/A | N/A | 8477425 | 2222 | 4802 | 27280840 | N/A | 7146980 | 2026-06-02 00:54:25.241162 | 2025-08-25 22:34:13.951153 |
| 2026-06-01 07:19:00.955609 | 2026-06-02 00:54:27.922528 | 27100056 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27100056 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-06-03 | F | AE | PT | CHICAS | 2VE9DX6NU27 | MARIA | 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/2222/8202975/check_27100056_9aa97562-c0da-49aa-a60b-ed571208e941.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 88032 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027891 | N/A | N/A | 8202975 | 2222 | 4802 | 27280902 | N/A | 6965620 | 2026-06-02 00:54:27.922528 | 2025-09-03 23:20:10.287852 |
| 2026-06-01 07:19:00.646436 | 2026-06-02 00:54:16.951112 | 27100024 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 27100024 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-06-03 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_27100024_c235d562-c5cb-40df-928f-d8f46be95a03.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 | 2026-06-01 | 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 | 11046027890 | N/A | N/A | 7626895 | 2222 | 4793 | 27280668 | 4191 | 6525917 | 2026-06-02 00:54:16.951112 | 2026-05-08 22:53:13.232007 |
| 2026-06-01 07:18:59.958449 | 2026-06-02 00:52:56.313848 | 27099954 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 27099954 | Athletic Physical Therapy Inc | 2010-03-18 | 2026-06-03 | M | PT | N/A | MARTIN | 906532391003 | CHRISTOPHER | 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/2222/6967909/check_27099954_3aea7e80-51ce-4d0c-9640-de5bbc68a1e5.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | DENTAL HMO PLUS | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027889 | N/A | N/A | 6967909 | 2222 | 4793 | 27279079 | N/A | 5990447 | 2026-06-02 00:52:56.313848 | 2025-07-21 18:40:33.917911 |
| 2026-06-01 07:18:59.715840 | 2026-06-02 00:54:59.266332 | 27099935 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27099935 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-06-04 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N | 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/2222/6751304/check_27099935_792c199e-1d8f-4705-9ceb-87b3e46e9aed.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 183080 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027888 | N/A | N/A | 6751304 | 2222 | 4802 | 27281679 | N/A | 5557241 | 2026-06-02 00:54:59.266332 | 2025-07-22 17:08:51.810153 |
| 2026-06-01 07:18:59.214786 | 2026-06-02 00:54:30.412354 | 27099883 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 27099883 | Athletic Physical Therapy Inc | 1953-09-14 | 2026-06-04 | F | PT | N/A | HARMON | 322M9904620 | MONICA | 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/2222/6607546/check_27099883_6d27e95b-f2f4-4976-8966-9fbd211a08ef.json | N/A | N/A | N/A | N/A | N/A | 322M9904620 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-09-14 | N/A | N/A | N/A | N/A | false | HARMON | N/A | MONICA | 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 | 11046027887 | N/A | N/A | 6607546 | 2222 | 4802 | 27280970 | 4184 | 4755187 | 2026-06-02 00:54:30.412354 | 2026-05-20 17:00:41.372553 |
| 2026-06-01 07:18:58.858038 | 2026-06-02 00:53:35.440470 | 27099844 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27099844 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-06-04 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | 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/2222/5874423/check_27099844_6fcb95fc-918a-41b4-8d39-f8b848372861.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | 2026-03-31 | 2024-02-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027886 | N/A | N/A | 5874423 | 2222 | 4802 | 27279912 | 4625 | 4534552 | 2026-06-02 00:53:35.440470 | 2025-05-30 18:01:03.324126 |
| 2026-06-01 07:18:58.596781 | 2026-06-02 00:54:52.822088 | 27099812 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27099812 | Athletic Physical Therapy Inc | 1943-08-03 | 2026-06-02 | M | AE | PT | SMITH JR | 1JQ5Q59TW58 | FRANK | Heyburn | 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/2222/5550469/check_27099812_561b322d-50e7-4780-9dea-ebd08a55a9b1.json | N/A | N/A | N/A | N/A | N/A | 1JQ5Q59TW58 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-08-03 | S5884 | N/A | N/A | MB | false | SMITH JR | N/A | FRANK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027885 | N/A | N/A | 5550469 | 2222 | 4802 | 27281494 | N/A | 4219546 | 2026-06-02 00:54:52.822088 | 2026-05-09 19:52:54.660650 |
| 2026-06-01 07:18:58.087743 | 2026-06-02 00:54:30.821636 | 27099760 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27099760 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-06-02 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549981/check_27099760_0650217d-e961-4103-85be-930bfada7c15.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 184875 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046027884 | N/A | N/A | 5549981 | 2222 | 4802 | 27280981 | N/A | 4219436 | 2026-06-02 00:54:30.821636 | 2025-05-13 04:29:37.230471 |
| 2026-06-01 07:18:57.677833 | 2026-06-02 00:54:41.330778 | 27099720 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27099720 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-06-03 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_27099720_29a003bb-ecae-40a6-9865-a04d2e6c4569.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 | 11046027883 | N/A | N/A | 5549317 | 2222 | 4801 | 27281219 | N/A | 4219010 | 2026-06-02 00:54:41.330778 | 2026-01-09 18:32:07.618867 |
| 2026-06-01 07:18:57.450864 | 2026-06-02 00:54:39.173589 | 27099693 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 27099693 | Athletic Physical Therapy Inc | 1947-11-21 | 2026-06-04 | M | PT | N/A | LOCKHAT | JQS435M97823 | AHMED | 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/2222/5543586/check_27099693_efa18992-8acd-4eac-a89f-53f7d23f7a34.json | N/A | N/A | N/A | N/A | N/A | JQS435M97823 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-11-21 | 040 | CAMCRWP0 | N/A | MP | false | LOCKHAT | N/A | AHMED | N/A | 9999-12-31 | 2026-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046027882 | N/A | N/A | 5543586 | 2222 | 4801 | 27281174 | 4184 | 4215359 | 2026-06-02 00:54:39.173589 | 2026-04-17 05:33:55.315499 |
| 2026-06-01 07:18:57.076199 | 2026-06-02 00:53:41.847887 | 27099643 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27099643 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-06-04 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_27099643_a0bc5653-984c-4c08-9229-60823ed63601.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030508 | N/A | N/A | 5543493 | 2222 | 4793 | 27280050 | 6237 | 4215273 | 2026-06-02 00:53:41.847887 | 2025-05-13 04:29:37.229594 |
| 2026-06-01 07:18:56.474866 | 2026-06-02 00:54:15.179524 | 27099587 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27099587 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-06-04 | F | AE | PT | Sankovich | 00000375069 | Deborah | 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/2222/5543396/check_27099587_6ccc6e9f-f45e-46aa-8270-7d0c85b8ec01.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030483 | N/A | N/A | 5543396 | 2222 | 4793 | 27280637 | 2630 | 4215193 | 2026-06-02 00:54:15.179524 | 2026-01-16 04:38:12.725481 |
| 2026-06-01 07:18:56.185479 | 2026-06-02 00:53:34.831505 | 27099546 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27099546 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-06-03 | F | AE | PT | BALAGHI ASEFI | 91331342H | SAMIRA | 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/2222/5543363/check_27099546_2eee8263-f555-495e-a4ca-c3813c09d408.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030482 | N/A | N/A | 5543363 | 2222 | 4793 | 27279899 | 4625 | 4215163 | 2026-06-02 00:53:34.831505 | 2026-03-24 20:35:50.273384 |
| 2026-06-01 07:18:55.530076 | 2026-06-02 00:53:45.960159 | 27099479 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27099479 | Athletic Physical Therapy Inc | 2001-01-23 | 2026-06-03 | F | 30 | 98 | SILVERS | 634178104 | JOIEMAY | 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/2222/5543335/check_27099479_15981a84-64c2-4d9c-a656-58cad9ae6397.json | N/A | N/A | N/A | N/A | N/A | 634178104 | Commercial | N/A | MOLINA_CA | N/A | 2001-01-23 | 18126CA001000305 | N/A | N/A | C1 | false | SILVERS | N/A | JOIEMAY | N/A | 2026-12-31 | 2026-04-01 | SILVER 87 HMO | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 11046030481 | N/A | N/A | 5543335 | 2222 | 4802 | 27280126 | 4211 | 4215139 | 2026-06-02 00:53:45.960159 | 2025-05-13 21:20:11.455022 |
| 2026-06-01 07:18:55.299255 | 2026-06-02 00:54:57.879254 | 27099456 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27099456 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-06-04 | F | AE | PT | UYGUR | 1VV2MA6GE80 | NUKHET | 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/2222/5543311/check_27099456_ee28d2e8-ed76-4528-98ef-6072923d70e0.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MA | false | UYGUR | N/A | NUKHET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 212473 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030480 | N/A | N/A | 5543311 | 2222 | 4802 | 27281645 | N/A | 4215116 | 2026-06-02 00:54:57.879254 | 2025-05-29 22:32:19.748297 |
| 2026-06-01 07:18:54.928092 | 2026-06-02 00:54:38.598322 | 27099427 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27099427 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-06-04 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_27099427_54a78e7a-6305-45b8-85af-f0fc4b964b2e.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046030479 | N/A | N/A | 5543167 | 2222 | 4793 | 27281166 | N/A | 4214995 | 2026-06-02 00:54:38.598322 | 2025-05-13 04:29:37.229315 |
| 2026-06-01 07:18:54.490100 | 2026-06-02 00:54:32.767450 | 27099390 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27099390 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-06-04 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_27099390_04a37e14-a8a7-4dec-8def-39deaf0886af.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046030478 | N/A | N/A | 5543043 | 2222 | 4801 | 27281029 | N/A | 4214884 | 2026-06-02 00:54:32.767450 | 2025-11-12 00:46:10.301659 |
| 2026-06-01 07:18:54.026901 | 2026-06-02 00:53:43.748968 | 27099336 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27099336 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-06-03 | M | AE | PT | SHADDAY | 40064865601 | STEVEN | 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/2222/5543011/check_27099336_5a7ca673-c4f9-437e-8daf-4aac9768934f.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | 2026H5425001 | H5425M | N/A | N/A | false | SHADDAY | N/A | STEVEN | 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 | 11046030429 | N/A | N/A | 5543011 | 2222 | 4801 | 27280087 | 6237 | 4214861 | 2026-06-02 00:53:43.748968 | 2026-02-04 19:10:58.526441 |
| 2026-06-01 07:18:53.417483 | 2026-06-02 00:53:39.292177 | 27099278 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 27099278 | Athletic Physical Therapy Inc | 2007-12-08 | 2026-06-03 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_27099278_79bb8d70-c50c-4585-96b5-b4e6388e10a7.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2026-02-10 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030426 | N/A | N/A | 5542850 | 2222 | 4793 | 27279997 | 4625 | 4214714 | 2026-06-02 00:53:39.292177 | 2025-05-13 04:29:37.229031 |
| 2026-06-01 07:18:53.002293 | 2026-06-02 00:53:05.255739 | 27099236 | N/A | N/A | 60054 | Aetna | 1114042165 | 27099236 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-06-03 | F | AE | PT | FERRELL | W285064666 | AMELIA | 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/2222/5542678/check_27099236_19f8497e-3638-4621-9155-145c232f7178.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030425 | N/A | N/A | 5542678 | 2222 | 4802 | 27279321 | N/A | 4214560 | 2026-06-02 00:53:05.255739 | 2025-05-13 04:29:37.228883 |
| 2026-06-01 07:18:52.630249 | 2026-06-02 00:53:13.082949 | 27099205 | N/A | N/A | 60054 | Aetna | 1114042165 | 27099205 | Athletic Physical Therapy Inc | 1976-06-02 | 2026-06-03 | M | AE | PT | SINECKY | W232802396 | JAROSLAV | 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/2222/5542411/check_27099205_cb01a05a-66f1-4f83-8104-8f69f4d57af2.json | N/A | N/A | N/A | N/A | N/A | W232802396 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1976-06-02 | 0486873 | 048687302000161 | N/A | PS | false | SINECKY | N/A | JAROSLAV | 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 | 11046030424 | N/A | N/A | 5542411 | 2222 | 4802 | 27279490 | N/A | 4214326 | 2026-06-02 00:53:13.082949 | 2025-05-13 04:29:37.228655 |
| 2026-06-01 07:18:51.966891 | 2026-06-02 00:54:38.825329 | 27099133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27099133 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-06-02 | M | AE | PT | KAYE | 6EC7J10WH65 | ELLIOT | 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/2222/5542249/check_27099133_44b4addb-4c03-462c-920e-e41f2cc4a1d4.json | N/A | N/A | N/A | N/A | N/A | 6EC7J10WH65 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S5617 | N/A | N/A | MA | false | KAYE | N/A | ELLIOT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20041 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030423 | N/A | N/A | 5542249 | 2222 | 4801 | 27281170 | N/A | 4214176 | 2026-06-02 00:54:38.825329 | 2025-05-13 04:29:37.228504 |
| 2026-06-01 07:18:51.710405 | 2026-06-01 07:18:51.955240 | 27099109 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27099109 | Athletic Physical Therapy Inc | 1955-04-23 | 2026-06-04 | M | AE | PT | MERCADO | 00000230883 | PETER | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-04 | 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 | 5542172 | 2222 | 4801 | N/A | 2630 | 4214118 | 2026-06-01 07:18:51.955240 | 2025-05-13 04:29:37.228432 |
| 2026-06-01 07:18:51.279784 | 2026-06-02 00:52:55.696185 | 27099074 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 27099074 | override_provider | 1957-04-11 | 2026-06-03 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_27099074_985a7c4e-e9db-495a-a5eb-9dc306d017ae.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11046030421 | N/A | N/A | 5541841 | 2222 | 4801 | 27279061 | N/A | 4213826 | 2026-06-02 00:52:55.696185 | 2025-05-13 04:29:37.228146 |
| 2026-06-01 07:18:50.910592 | 2026-06-02 00:53:44.316678 | 27099034 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 27099034 | Athletic Physical Therapy Inc | 1963-05-16 | 2026-06-04 | F | AE | PT | KHAMISIAN | 98872882G | ANAHID | 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/2222/5541618/check_27099034_28fcbcf5-f6c9-4da1-9eb9-a1bcb8fa7182.json | N/A | N/A | N/A | N/A | N/A | 98872882G | Medicaid | N/A | MOLINA_CA | MEMBER ECM OPT-IN - NO MEMBER ECM BENEFIT START DATE - NOT APPLICABLE MEMBER ECM PROVIDER - NONE ASSIGNED PROVIDERTYPE/CATEGORY - NOT APPLICABLE MEMBER HAS HOLD RESTRICTION - NO | 1963-05-16 | TFU223BP0000007 | N/A | N/A | MC | false | KHAMISIAN | N/A | ANAHID | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11046030420 | N/A | N/A | 5541618 | 2222 | 4802 | 27280095 | 4211 | 4213623 | 2026-06-02 00:53:44.316678 | 2025-07-29 02:12:05.358371 |