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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-26 07:17:33.784853 | 2026-05-27 01:01:01.145662 | 26764636 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764636 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-05-28 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_26764636_9e513151-aa17-4478-8ce7-ce9c5e5a15e3.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 377079 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905722 | N/A | N/A | 6752936 | 2222 | 4801 | 26956648 | N/A | 5065602 | 2026-05-27 01:01:01.145662 | 2025-07-01 17:25:13.681724 |
| 2026-05-26 07:17:33.604982 | 2026-05-27 01:00:27.730974 | 26764609 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764609 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-05-28 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_26764609_cc79bb8d-9e94-4c4d-a7e6-07984d683450.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 | 172900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905721 | N/A | N/A | 6751304 | 2222 | 4802 | 26955812 | N/A | 5557241 | 2026-05-27 01:00:27.730974 | 2025-07-22 17:08:51.810153 |
| 2026-05-26 07:17:33.461062 | 2026-05-27 01:00:38.614675 | 26764584 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26764584 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-05-27 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_26764584_bd1f67d8-9a29-4fe1-97f9-ee161110c5bb.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT & FAMILY | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905720 | N/A | N/A | 6721942 | 2222 | 4793 | 26956074 | N/A | 5322280 | 2026-05-27 01:00:38.614675 | 2025-07-01 21:45:15.878047 |
| 2026-05-26 07:17:33.304261 | 2026-05-27 01:01:18.681093 | 26764559 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26764559 | Athletic Physical Therapy Inc | 1953-09-14 | 2026-05-27 | F | PT | N/A | HARMON | 322M9904620 | MONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6607546/check_26764559_93e3421f-1d29-4fbb-a918-92ed3713a87d.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 | 2026-05-26 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905719 | N/A | N/A | 6607546 | 2222 | 4802 | 26957065 | 4184 | 4755187 | 2026-05-27 01:01:18.681093 | 2026-05-20 17:00:41.372553 |
| 2026-05-26 07:17:33.066046 | 2026-05-27 01:00:44.720391 | 26764531 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26764531 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-05-27 | M | AD | 30 | NOWAK | 31172069101 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_26764531_110e24a9-bd6c-4f09-9eba-3814378da999.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10986905718 | N/A | N/A | 6492025 | 2222 | 4793 | 26956220 | 6237 | 5121181 | 2026-05-27 01:00:44.720391 | 2025-06-19 16:42:31.208252 |
| 2026-05-26 07:17:32.895634 | 2026-05-27 01:01:24.684949 | 26764506 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764506 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-05-28 | F | AE | PT | MORALES | 7XX8HG0UK25 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_26764506_88f1711c-b63e-477e-8afc-bbd9b837ec9d.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MA | false | MORALES | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 219173 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905717 | N/A | N/A | 6076917 | 2222 | 4793 | 26957223 | N/A | 4718913 | 2026-05-27 01:01:24.684949 | 2025-05-29 22:23:40.462913 |
| 2026-05-26 07:17:32.662525 | 2026-05-27 01:01:01.856719 | 26764485 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26764485 | Athletic Physical Therapy Inc | 1977-09-14 | 2026-05-27 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_26764485_982c76e3-3079-428a-a668-88ce1ea2216d.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905716 | N/A | N/A | 5993920 | 2222 | 4793 | 26956668 | 4184 | 4642859 | 2026-05-27 01:01:01.856719 | 2026-04-10 21:27:25.225083 |
| 2026-05-26 07:17:32.296318 | 2026-05-27 01:00:17.529047 | 26764438 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26764438 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-05-28 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_26764438_484b8826-b4ee-40ea-a48a-e959b73d9bae.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 | 10986905715 | N/A | N/A | 5874423 | 2222 | 4802 | 26955591 | 4625 | 4534552 | 2026-05-27 01:00:17.529047 | 2025-05-30 18:01:03.324126 |
| 2026-05-26 07:17:31.990888 | 2026-05-27 01:01:31.917447 | 26764392 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764392 | Athletic Physical Therapy Inc | 1943-08-03 | 2026-05-28 | M | AE | PT | SMITH JR | 1JQ5Q59TW58 | FRANK | Heyburn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550469/check_26764392_b7307961-297c-4c4e-a916-716da616adaf.json | N/A | N/A | N/A | N/A | N/A | 1JQ5Q59TW58 | Medicare Part A | 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 | MA | false | SMITH JR | N/A | FRANK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905714 | N/A | N/A | 5550469 | 2222 | 4802 | 26957384 | N/A | 4219546 | 2026-05-27 01:01:31.917447 | 2026-05-09 19:52:54.660650 |
| 2026-05-26 07:17:31.847061 | 2026-05-27 00:59:40.962627 | 26764369 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 26764369 | Athletic Physical Therapy Inc | 1977-05-04 | 2026-05-28 | M | AE | PT | SANCHEZ | R07827214MS1 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549832/check_26764369_086f3984-e120-4c3e-b4af-9c01ee29f883.json | N/A | N/A | N/A | N/A | N/A | R07827214MS1 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1977-05-04 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | DAVID | N/A | N/A | 2026-05-26 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905713 | N/A | N/A | 5549832 | 2222 | 4801 | 26954653 | N/A | 4219391 | 2026-05-27 00:59:40.962627 | 2025-05-13 04:29:37.230420 |
| 2026-05-26 07:17:31.668725 | 2026-05-27 01:00:34.883529 | 26764345 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26764345 | Athletic Physical Therapy Inc | 1957-05-10 | 2026-05-29 | F | AE | PT | GRIFFITH | 00000279235 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549621/check_26764345_483e86fa-8af6-4544-af41-a7e084371bcd.json | N/A | N/A | N/A | N/A | N/A | 00000279235 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-05-10 | H3815028 | N/A | N/A | HM | false | GRIFFITH | N/A | KAREN | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905712 | N/A | N/A | 5549621 | 2222 | 4801 | 26955974 | 2630 | 4219248 | 2026-05-27 01:00:34.883529 | 2025-05-13 04:29:37.230263 |
| 2026-05-26 07:17:31.557448 | 2026-05-27 01:00:27.175209 | 26764327 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26764327 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-05-27 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_26764327_bf01a7cc-1d9c-4ad4-b266-da115e0271c4.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 | 10986905711 | N/A | N/A | 5549317 | 2222 | 4801 | 26955801 | N/A | 4219010 | 2026-05-27 01:00:27.175209 | 2026-01-09 18:32:07.618867 |
| 2026-05-26 07:17:31.435079 | 2026-05-27 01:01:15.585736 | 26764310 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764310 | Athletic Physical Therapy Inc | 1941-09-16 | 2026-05-29 | F | AE | PT | HAGOPIAN | 1J28W45KP32 | MARYANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549214/check_26764310_c9f8a717-be1b-4a8f-85ce-7a86647ea3c6.json | N/A | N/A | N/A | N/A | N/A | 1J28W45KP32 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-09-16 | S2468 | N/A | N/A | MA | false | HAGOPIAN | N/A | MARYANN | 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 | 10986905710 | N/A | N/A | 5549214 | 2222 | 4802 | 26956987 | N/A | 4218927 | 2026-05-27 01:01:15.585736 | 2025-05-13 04:29:37.229939 |
| 2026-05-26 07:17:31.269641 | 2026-05-27 01:00:20.495841 | 26764282 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26764282 | Athletic Physical Therapy Inc | 1943-07-20 | 2026-05-29 | F | AE | PT | TODD | H7478001300 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549088/check_26764282_cf50cdb5-9326-49fe-97c3-4af9799ce1d6.json | N/A | N/A | N/A | N/A | N/A | H74780013 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1943-07-20 | N/A | 2B863001 | N/A | HN | false | TODD | N/A | MARY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905709 | N/A | N/A | 5549088 | 2222 | 4801 | 26955659 | 5349 | 4218817 | 2026-05-27 01:00:20.495841 | 2025-05-13 04:29:37.229812 |
| 2026-05-26 07:17:31.121928 | 2026-05-27 01:01:01.608275 | 26764262 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764262 | Athletic Physical Therapy Inc | 1946-03-10 | 2026-05-28 | F | AE | PT | CLARK | 8KR2PU6TJ09 | CARLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549005/check_26764262_efc4ed27-c5a2-4efa-b26e-1c3bb6afd862.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part A | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MA | false | CLARK | N/A | CARLA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 40229 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905708 | N/A | N/A | 5549005 | 2222 | 4801 | 26956663 | N/A | 4218754 | 2026-05-27 01:01:01.608275 | 2025-05-13 04:29:37.229746 |
| 2026-05-26 07:17:30.828180 | 2026-05-27 01:00:25.789486 | 26764222 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26764222 | Athletic Physical Therapy Inc | 1947-11-21 | 2026-05-28 | M | PT | N/A | LOCKHAT | JQS435M97823 | AHMED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543586/check_26764222_8525b36d-e42b-4394-941c-07b964567a7f.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 | 10986905707 | N/A | N/A | 5543586 | 2222 | 4801 | 26955770 | 4184 | 4215359 | 2026-05-27 01:00:25.789486 | 2026-04-17 05:33:55.315499 |
| 2026-05-26 07:17:30.413928 | 2026-05-26 07:17:30.813835 | 26764175 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26764175 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-05-28 | F | AE | PT | Sankovich | 00000375069 | Deborah | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-28 | 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 | 5543396 | 2222 | 4793 | N/A | 2630 | 4215193 | 2026-05-26 07:17:30.813835 | 2026-01-16 04:38:12.725481 |
| 2026-05-26 07:17:30.246264 | 2026-05-27 01:00:25.209423 | 26764152 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26764152 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-05-28 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_26764152_1c5801fc-7617-4e54-968a-361d34dab115.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 | 10986905705 | N/A | N/A | 5543167 | 2222 | 4793 | 26955760 | N/A | 4214995 | 2026-05-27 01:00:25.209423 | 2025-05-13 04:29:37.229315 |
| 2026-05-26 07:17:30.063931 | 2026-05-27 01:01:21.311730 | 26764124 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26764124 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-05-27 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_26764124_715d76c7-3d33-45bb-8959-d08149efd676.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 | 10986905704 | N/A | N/A | 5543043 | 2222 | 4801 | 26957141 | N/A | 4214884 | 2026-05-27 01:01:21.311730 | 2025-11-12 00:46:10.301659 |
| 2026-05-26 07:17:29.911285 | 2026-05-27 01:00:02.081845 | 26764097 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26764097 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-05-28 | M | AE | PT | SHADDAY | 40064865601 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_26764097_e34a5cff-b920-46d0-850a-c66ff0d75d7d.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 | 10986905703 | N/A | N/A | 5543011 | 2222 | 4801 | 26955213 | 6237 | 4214861 | 2026-05-27 01:00:02.081845 | 2026-02-04 19:10:58.526441 |
| 2026-05-26 07:17:29.778678 | 2026-05-27 01:01:13.071554 | 26764076 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764076 | Athletic Physical Therapy Inc | 1940-11-11 | 2026-05-28 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_26764076_c26ebd07-a1c5-4be0-9947-c31a6211f349.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 180700 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905702 | N/A | N/A | 5542970 | 2222 | 4802 | 26956920 | N/A | 4214820 | 2026-05-27 01:01:13.071554 | 2025-06-30 02:56:23.324592 |
| 2026-05-26 07:17:29.623834 | 2026-05-27 01:01:12.628562 | 26764047 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26764047 | Athletic Physical Therapy Inc | 1944-10-29 | 2026-05-28 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_26764047_d67ae4c9-b790-40a0-b043-62d93220f4c7.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 172900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905701 | N/A | N/A | 5542935 | 2222 | 4802 | 26956909 | N/A | 4214789 | 2026-05-27 01:01:12.628562 | 2025-12-11 23:30:31.319246 |
| 2026-05-26 07:17:29.461449 | 2026-05-27 01:00:16.575490 | 26764024 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 26764024 | override_provider | 1972-07-22 | 2026-05-29 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_26764024_78e0d7e3-e647-494d-9edc-429e8614ac82.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905700 | N/A | N/A | 5542709 | 2222 | 4802 | 26955563 | N/A | 4214582 | 2026-05-27 01:00:16.575490 | 2025-12-02 00:00:04.433236 |
| 2026-05-26 07:17:29.261909 | 2026-05-27 00:59:47.014037 | 26763997 | N/A | N/A | 60054 | Aetna | 1114042165 | 26763997 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-05-27 | F | AE | PT | FERRELL | W285064666 | AMELIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_26763997_ebbc531a-1a31-4a57-9f45-0ec77bf972f2.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 | 10986905658 | N/A | N/A | 5542678 | 2222 | 4802 | 26954818 | N/A | 4214560 | 2026-05-27 00:59:47.014037 | 2025-05-13 04:29:37.228883 |
| 2026-05-26 07:17:29.047940 | 2026-05-27 01:01:23.539304 | 26763971 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26763971 | Athletic Physical Therapy Inc | 1955-08-25 | 2026-05-28 | M | PT | N/A | JEWETT | MNL165W05926 | BRAD | R R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542557/check_26763971_161140e8-e709-4e63-aa41-3d34061fa9cf.json | N/A | N/A | N/A | N/A | N/A | MNL165W05926 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-08-25 | 040 | CAMCRWP0 | N/A | MP | false | JEWETT | N/A | BRAD | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905657 | N/A | N/A | 5542557 | 2222 | 4802 | 26957191 | 4185 | 4214450 | 2026-05-27 01:01:23.539304 | 2026-03-06 00:04:40.436388 |
| 2026-05-26 07:17:28.789030 | 2026-05-27 00:59:51.078223 | 26763935 | N/A | N/A | 60054 | Aetna | 1114042165 | 26763935 | Athletic Physical Therapy Inc | 1976-06-02 | 2026-05-28 | M | AE | PT | SINECKY | W232802396 | JAROSLAV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542411/check_26763935_a84a1251-9c51-42bf-9eaa-d4b4f3873c09.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 | 10986905656 | N/A | N/A | 5542411 | 2222 | 4802 | 26954930 | N/A | 4214326 | 2026-05-27 00:59:51.078223 | 2025-05-13 04:29:37.228655 |
| 2026-05-26 07:17:28.456287 | 2026-05-27 01:01:17.625617 | 26763898 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26763898 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-05-29 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_26763898_2ac5fae8-cd2c-44c1-9fab-e1dd28d55403.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 182478 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905655 | N/A | N/A | 5542251 | 2222 | 4802 | 26957036 | N/A | 4214191 | 2026-05-27 01:01:17.625617 | 2025-05-13 04:29:37.228525 |
| 2026-05-26 07:17:28.259841 | 2026-05-27 01:00:30.803989 | 26763874 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26763874 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-05-27 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_26763874_87e47dc6-6bd2-494c-ab20-0c95cf0c0c11.json | N/A | N/A | N/A | N/A | N/A | 95596436F | 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 | 1975-03-26 | TFU223BP0000007 | N/A | N/A | MC | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905654 | N/A | N/A | 5542233 | 2222 | 4793 | 26955881 | 4211 | 4214178 | 2026-05-27 01:00:30.803989 | 2025-05-13 04:29:37.228506 |
| 2026-05-26 07:17:28.078158 | 2026-05-27 01:00:36.601211 | 26763845 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26763845 | Athletic Physical Therapy Inc | 1955-04-23 | 2026-05-29 | M | AE | PT | MERCADO | 00000230883 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542172/check_26763845_b98e3970-6163-46ef-8a99-da16620a4143.json | N/A | N/A | N/A | N/A | N/A | 00000230883 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-04-23 | H3815028 | N/A | N/A | HM | false | MERCADO | N/A | PETER | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905653 | N/A | N/A | 5542172 | 2222 | 4801 | 26956026 | 2630 | 4214118 | 2026-05-27 01:00:36.601211 | 2025-05-13 04:29:37.228432 |
| 2026-05-26 07:17:27.930247 | 2026-05-27 01:00:29.916835 | 26763823 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 26763823 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-05-28 | M | AE | PT | VLAHOVICH | 34035035 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_26763823_b9f6c765-8b31-46b0-9a7c-211915a65b5f.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-05-26 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905652 | N/A | N/A | 5542048 | 2222 | 4802 | 26955862 | N/A | 4214003 | 2026-05-27 01:00:29.916835 | 2025-05-13 04:29:37.228325 |
| 2026-05-26 07:17:27.735011 | 2026-05-26 07:17:27.925487 | 26763793 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26763793 | Athletic Physical Therapy Inc | 1957-10-24 | 2026-05-29 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-29 | 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 | 5542046 | 2222 | 4801 | N/A | 2630 | 4214001 | 2026-05-26 07:17:27.925487 | 2025-05-13 04:29:37.228323 |
| 2026-05-26 07:17:27.547216 | 2026-05-27 00:59:41.082879 | 26763765 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 26763765 | override_provider | 1957-04-11 | 2026-05-28 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_26763765_363694c2-cfd3-48af-9176-55501fafe2d0.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 | 10986905650 | N/A | N/A | 5541841 | 2222 | 4801 | 26954658 | N/A | 4213826 | 2026-05-27 00:59:41.082879 | 2025-05-13 04:29:37.228146 |
| 2026-05-26 07:17:27.358619 | 2026-05-27 01:00:33.671602 | 26763742 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26763742 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-05-29 | M | PT | N/A | TESAR | V6D954A52172 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541690/check_26763742_858a5a8f-2adb-44ee-8937-25b55552cd03.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | 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 | 10986905649 | N/A | N/A | 5541690 | 2222 | 4801 | 26955942 | N/A | 4213669 | 2026-05-27 01:00:33.671602 | 2026-02-11 01:39:53.284479 |
| 2026-05-26 07:17:27.218386 | 2026-05-27 01:01:04.040548 | 26763722 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26763722 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-05-27 | M | AE | PT | DOUGHERTY | 7EE9WG6YG17 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541619/check_26763722_2cbdf21f-999b-4634-a85a-b7e8844448f0.json | N/A | N/A | N/A | N/A | N/A | 7EE9WG6YG17 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-19 | S5601 | N/A | N/A | MA | false | DOUGHERTY | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 216233 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905648 | N/A | N/A | 5541619 | 2222 | 4793 | 26956727 | N/A | 4213619 | 2026-05-27 01:01:04.040548 | 2025-05-13 04:29:37.227951 |
| 2026-05-26 07:17:27.012283 | 2026-05-27 01:00:31.243188 | 26763693 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26763693 | Athletic Physical Therapy Inc | 1963-05-16 | 2026-05-27 | F | AE | PT | KHAMISIAN | 98872882G | ANAHID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541618/check_26763693_f25a287c-915a-44a1-b24f-987fa2f6c697.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 | 10986905647 | N/A | N/A | 5541618 | 2222 | 4802 | 26955891 | 4211 | 4213623 | 2026-05-27 01:00:31.243188 | 2025-07-29 02:12:05.358371 |
| 2026-05-26 07:17:26.685647 | 2026-05-27 01:00:21.390658 | 26763653 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26763653 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-05-28 | F | AE | PT | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_26763653_0f9666e3-9eea-46a4-82ce-ee55b2d775f9.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905646 | N/A | N/A | 5541519 | 2222 | 4802 | 26955678 | 4625 | 4213530 | 2026-05-27 01:00:21.390658 | 2025-05-13 04:29:37.227860 |
| 2026-05-26 07:17:26.353096 | 2026-05-27 01:00:36.211354 | 26763613 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26763613 | Athletic Physical Therapy Inc | 1951-08-31 | 2026-05-27 | F | AE | PT | MEDINA | 00000271339 | BEATRIZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541480/check_26763613_e7ba6a9a-43ba-4bc1-8fa5-bb8658b032e5.json | N/A | N/A | N/A | N/A | N/A | 00000271339 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1951-08-31 | H3815028 | N/A | N/A | HM | false | MEDINA | N/A | BEATRIZ | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905645 | N/A | N/A | 5541480 | 2222 | 4801 | 26956014 | 2630 | 4213492 | 2026-05-27 01:00:36.211354 | 2025-05-13 04:29:37.227810 |
| 2026-05-26 07:17:26.233349 | 2026-05-27 01:00:27.186523 | 26763592 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26763592 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-05-28 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_26763592_78ba0059-4ea0-4e64-9a6c-cab251d97cc6.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905644 | N/A | N/A | 5541315 | 2222 | 4793 | 26955802 | N/A | 4213344 | 2026-05-27 01:00:27.186523 | 2025-05-13 04:29:37.227667 |
| 2026-05-26 07:17:26.120317 | 2026-05-27 01:01:16.473842 | 26763577 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26763577 | Athletic Physical Therapy Inc | 1962-06-16 | 2026-05-28 | M | PT | N/A | GREENE | SIF090W13952 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541308/check_26763577_b85ea70e-2905-4bce-9f9e-5088a27a3280.json | N/A | N/A | N/A | N/A | N/A | SIF090W13952 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1962-06-16 | 040 | 40954E | N/A | PR | false | GREENE | N/A | KAREN | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905643 | N/A | N/A | 5541308 | 2222 | 4801 | 26957010 | N/A | 4213339 | 2026-05-27 01:01:16.473842 | 2025-05-13 04:29:37.227665 |
| 2026-05-26 07:17:25.986104 | 2026-05-27 01:00:46.129224 | 26763554 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26763554 | Athletic Physical Therapy Inc | 1951-04-04 | 2026-05-27 | F | AD | 30 | RALPH | 40064977001 | RAJINDER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540393/check_26763554_ccd0fbc2-cb0f-4990-9a7d-2d54cbb3ecd3.json | N/A | N/A | N/A | N/A | N/A | 40064977001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-04-04 | 2026H5425001 | H5425M | N/A | N/A | false | RALPH | N/A | RAJINDER | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10986905642 | N/A | N/A | 5540393 | 2222 | 4801 | 26956257 | 6237 | 4212560 | 2026-05-27 01:00:46.129224 | 2026-06-09 17:58:35.143222 |
| 2026-05-26 07:17:25.852786 | 2026-05-27 01:00:56.128147 | 26763535 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26763535 | Athletic Physical Therapy Inc | 1954-06-15 | 2026-05-29 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_26763535_956c4456-23a8-4ae3-a9a3-8fef33aae122.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part A | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MA | false | ADIB | N/A | JILA | 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 | 10986905641 | N/A | N/A | 5540303 | 2222 | 4801 | 26956505 | N/A | 4212486 | 2026-05-27 01:00:56.128147 | 2025-09-30 02:32:14.808821 |
| 2026-05-26 07:17:25.678508 | 2026-05-27 01:00:57.543153 | 26763511 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26763511 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-05-28 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_26763511_c47cd783-5f94-4aa8-aad6-063f4fffcb81.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905640 | N/A | N/A | 5540074 | 2222 | 4802 | 26956546 | N/A | 4212282 | 2026-05-27 01:00:57.543153 | 2025-05-13 04:29:37.226623 |
| 2026-05-26 07:17:25.508326 | 2026-05-27 00:59:52.855316 | 26763486 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 26763486 | Athletic Physical Therapy Inc | 1963-12-27 | 2026-05-27 | F | AE | PT | DAVIS | W244942359 | CHLOE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540035/check_26763486_72dddc70-8a59-4fd5-97cc-5e0cce9ebc87.json | N/A | N/A | N/A | N/A | N/A | W244942359 | Health Maintenance Organization (HMO) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1963-12-27 | EADN7801 | 025939902300113 | N/A | HM | false | THOMSEN | N/A | WILLIAM | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905639 | N/A | N/A | 5540035 | 2222 | 4793 | 26954982 | 3948 | 4212250 | 2026-05-27 00:59:52.855316 | 2026-04-13 18:21:37.989674 |
| 2026-05-26 07:17:25.340016 | 2026-05-27 01:00:49.338885 | 26763464 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26763464 | Athletic Physical Therapy Inc | 1967-09-30 | 2026-05-29 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_26763464_dce48c96-3392-4677-b00b-65ea29d07010.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 2026-12-31 | 2026-04-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905638 | N/A | N/A | 5539919 | 2222 | 4802 | 26956345 | N/A | 4212155 | 2026-05-27 01:00:49.338885 | 2025-05-13 04:29:37.226493 |
| 2026-05-26 07:17:25.130402 | 2026-05-27 01:00:16.122834 | 26763441 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26763441 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-05-29 | M | AE | PT | RUIZ | 594887901 | EDUARDO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_26763441_6feb658d-7bd0-4d1e-8f34-252cadef9e6c.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | CALPERS-LTB050H | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905637 | N/A | N/A | 5539853 | 2222 | 4801 | 26955551 | 6411 | 4212098 | 2026-05-27 01:00:16.122834 | 2025-05-13 04:29:37.226429 |
| 2026-05-26 07:17:24.682848 | 2026-05-27 01:00:29.118391 | 26763388 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26763388 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-05-27 | F | 96 | N/A | HAUSMAN | 34751865 | JUDITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539527/check_26763388_5659fdb8-0bd3-47c3-8d99-41e88cf712b8.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | N/A | N/A | 2026-05-26 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10986905636 | N/A | N/A | 5539527 | 2222 | 4793 | 26955843 | 6798 | 4211820 | 2026-05-27 01:00:29.118391 | 2026-04-10 18:02:32.809721 |
| 2026-05-26 07:17:24.454781 | 2026-05-27 00:59:49.404115 | 26763353 | N/A | N/A | 60054 | Aetna | 1114042165 | 26763353 | Athletic Physical Therapy Inc | 1976-02-11 | 2026-05-27 | M | AE | PT | LUNA | W257149471 | JORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539260/check_26763353_a0c408a1-9412-46ed-8feb-5918d6ec67ab.json | N/A | N/A | N/A | N/A | N/A | W257149471 | Exclusive Provider Organization | EQUINOX HOLDINGS, INC | AETNA | N/A | 1976-02-11 | 0143757 | 014375701100014 | N/A | EP | false | LUNA | N/A | JORGE | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10986905635 | N/A | N/A | 5539260 | 2222 | 4802 | 26954882 | N/A | 4211586 | 2026-05-27 00:59:49.404115 | 2025-05-13 04:29:37.225914 |
| 2026-05-26 07:17:24.304701 | 2026-05-27 01:01:15.934476 | 26763331 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26763331 | Athletic Physical Therapy Inc | 1968-08-02 | 2026-05-28 | F | PT | N/A | GRACE | JMV327A51898 | TAMMY | Marie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539246/check_26763331_516bcb77-f38e-460f-839c-fb9b487ce64c.json | N/A | N/A | N/A | N/A | N/A | JMV327A51898 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1968-08-02 | 040 | 56677NR000 | N/A | HM | false | GRACE | N/A | MICHAEL | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905634 | N/A | N/A | 5539246 | 2222 | 4801 | 26956994 | 4185 | 4211573 | 2026-05-27 01:01:15.934476 | 2026-04-21 18:20:57.169579 |
| 2026-05-26 07:17:24.134538 | 2026-05-27 01:01:24.643387 | 26763312 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26763312 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-05-27 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260526.122832527.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_26763312_2a800243-ef0f-4a69-9ae0-775d33ea60a5.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10986905633 | N/A | N/A | 5539188 | 2222 | 4801 | 26957221 | 4185 | 4211521 | 2026-05-27 01:01:24.643387 | 2025-10-19 23:43:25.603984 |
| 2026-05-26 07:17:23.948848 | 2026-05-26 07:17:24.126507 | 26763288 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26763288 | Athletic Physical Therapy Inc | 1955-08-03 | 2026-05-28 | M | AE | PT | SIEGEL | 00000481103 | DAVID | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-28 | 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 | 5538991 | 2222 | 4793 | N/A | 2630 | 4211321 | 2026-05-26 07:17:24.126507 | 2026-04-09 17:35:10.856621 |