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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-23 07:13:03.188696 | 2026-05-24 00:33:51.195775 | 26715228 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26715228 | Athletic Physical Therapy Inc | 1991-07-29 | 2026-05-26 | M | AE | PT | Mandich | 633559419 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19870251/check_26715228_347bfeb6-6aeb-4df9-97b4-569262d80dc7.json | N/A | N/A | N/A | N/A | N/A | 633559419 | N/A | L.A. CARE COVERED PLATINUM 90 HMO | LA CARE HEALTH PLAN | N/A | 1991-07-29 | LACC | 92815CA001000601 | N/A | N/A | false | MANDICH | N/A | ROBERT | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427018 | N/A | N/A | 19870251 | 2222 | 4802 | 26859442 | 5538 | 17567785 | 2026-05-24 00:33:51.195775 | 2026-05-22 13:54:19.321746 |
| 2026-05-23 07:13:02.866928 | 2026-05-24 00:33:38.077924 | 26715215 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26715215 | Athletic Physical Therapy Inc | 1957-12-02 | 2026-05-26 | F | AE | PT | Page | 8E45GQ6HQ74 | Manjeh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19742093/check_26715215_7536e8aa-9820-4fc6-9d81-603c2a059a55.json | N/A | N/A | N/A | N/A | N/A | 8E45GQ6HQ74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-02 | S5617 | N/A | N/A | MB | false | PAGE | N/A | MANEJEH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 158764 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427017 | N/A | N/A | 19742093 | 2222 | 4802 | 26859138 | N/A | 17456094 | 2026-05-24 00:33:38.077924 | 2026-05-27 20:46:49.607010 |
| 2026-05-23 07:13:02.761067 | 2026-05-23 07:13:02.863809 | 26715210 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26715210 | Athletic Physical Therapy Inc | 1967-03-27 | 2026-05-26 | F | AE | PT | MEISTER | 00000444131 | DARLA | j | N/A | WAYSTAR | N/A | BATCH | 2026-05-26 | 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 | 19739685 | 2222 | 4801 | N/A | 2630 | 17453639 | 2026-05-23 07:13:02.863809 | 2026-04-13 18:38:38.338204 |
| 2026-05-23 07:13:02.668884 | 2026-05-24 00:33:57.056516 | 26715206 | N/A | N/A | 60054 | Aetna | 1114042165 | 26715206 | Athletic Physical Therapy Inc | 1979-10-20 | 2026-05-26 | F | AE | PT | LOCH | W265281678 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19733004/check_26715206_a218f472-5177-4e14-abc6-216500ab6529.json | N/A | N/A | N/A | N/A | N/A | W265281678 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 1979-10-20 | 0868403 | 086840303200001 | N/A | PS | false | LOCH | N/A | JULIE | N/A | N/A | N/A | AHF CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427015 | N/A | N/A | 19733004 | 2222 | 4802 | 26859582 | N/A | 17447424 | 2026-05-24 00:33:57.056516 | 2026-04-20 01:45:45.579144 |
| 2026-05-23 07:13:02.499637 | 2026-05-24 00:34:14.622999 | 26715199 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26715199 | Athletic Physical Therapy Inc | 1995-04-12 | 2026-05-26 | M | PT | N/A | Seraphim | BLI911865119 | Hans | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19663974/check_26715199_240edcb8-c801-4d7c-b5fb-b221a7e7330d.json | N/A | N/A | N/A | N/A | N/A | BLI911865119 | Preferred Provider Organization (PPO) | BLACKLINE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1995-04-12 | 1000PPOX0001 | W8002402 | N/A | PR | false | SERAPHIM | N/A | HANS | N/A | N/A | 2026-05-23 | BLACKLINE SYSTEMS INC PPO COMBINED DEDUCTIBLE 15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971427014 | N/A | N/A | 19663974 | 2222 | 4793 | 26860069 | N/A | 17397168 | 2026-05-24 00:34:14.622999 | 2026-04-10 21:47:38.367634 |
| 2026-05-23 07:13:02.314385 | 2026-05-24 00:34:12.654559 | 26715189 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26715189 | Athletic Physical Therapy Inc | 1947-03-29 | 2026-05-26 | F | PT | N/A | OWENS | 980274448000 | BRENDA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19661632/check_26715189_45287e4b-e936-4127-ae20-43691d12632f.json | N/A | N/A | N/A | N/A | N/A | XEE980274448 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1947-03-29 | 1000HMOX0019 | W0051752 | N/A | OT | false | OWENS | N/A | BRENDA | N/A | 9999-12-31 | 2026-01-01 | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL H | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971427013 | N/A | N/A | 19661632 | 2222 | 4793 | 26860010 | 4191 | 17394794 | 2026-05-24 00:34:12.654559 | 2026-04-13 20:12:07.470356 |
| 2026-05-23 07:13:02.214480 | 2026-05-24 00:33:25.052171 | 26715184 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 26715184 | Athletic Physical Therapy Inc | 1976-04-11 | 2026-05-26 | F | AE | PT | O Grady | 000026073551 | Caitlin | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567718/check_26715184_7d857b64-e16b-4d72-aff7-63209dd91886.json | N/A | N/A | N/A | N/A | N/A | 000026073551 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1976-04-11 | 4388738 | 102601 | N/A | N/A | false | O'GRADY | N/A | CAITLIN | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427012 | N/A | N/A | 19567718 | 2222 | 4802 | 26858869 | N/A | 17320461 | 2026-05-24 00:33:25.052171 | 2026-04-15 03:56:30.903691 |
| 2026-05-23 07:13:02.126769 | 2026-05-24 00:33:25.628306 | 26715180 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 26715180 | Athletic Physical Therapy Inc | 1977-12-29 | 2026-05-26 | M | AE | PT | RETIZ | 000022539507 | ARTHUR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567462/check_26715180_25f1e191-d9e9-47ad-a788-5e664ef9f1a0.json | N/A | N/A | N/A | N/A | N/A | 000022539507 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1977-12-29 | 4362456 | 1650095001 | N/A | N/A | false | RETIZ | N/A | ARTHUR | N/A | 2026-12-31 | 2026-01-01 | KP INDIVIDUAL AND FAMILY SILVER 70 HMO OFF EXCHANG | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427011 | N/A | N/A | 19567462 | 2222 | 4802 | 26858882 | N/A | 17320186 | 2026-05-24 00:33:25.628306 | 2026-04-09 21:37:54.901530 |
| 2026-05-23 07:13:02.023343 | 2026-05-24 00:34:51.459117 | 26715175 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26715175 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-05-26 | F | AE | PT | TOBOLSKI | 40031694701 | MARSHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19453691/check_26715175_e2dbc054-071e-4a9d-ac62-30393271052a.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | 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 | 10971427010 | N/A | N/A | 19453691 | 2222 | 4801 | 26860841 | 6237 | 14110956 | 2026-05-24 00:34:51.459117 | 2026-01-29 19:04:39.423629 |
| 2026-05-23 07:13:01.904334 | 2026-05-24 00:34:47.673749 | 26715170 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26715170 | Athletic Physical Therapy Inc | 1951-12-05 | 2026-05-26 | M | AD | 30 | Daradics | 40087014601 | Peter | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19421991/check_26715170_7e7a6e65-b368-4808-8eba-22114e00ae3c.json | N/A | N/A | N/A | N/A | N/A | 40087014601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-12-05 | 2026H5425001 | H5425M | N/A | N/A | false | DARADICS | N/A | PETER | 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 | 10971427009 | N/A | N/A | 19421991 | 2222 | 4793 | 26860772 | 6237 | 17222519 | 2026-05-24 00:34:47.673749 | 2026-04-07 21:04:48.057565 |
| 2026-05-23 07:13:01.799487 | 2026-05-24 00:34:10.323340 | 26715166 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26715166 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-05-26 | M | PT | N/A | Brodersen | XEA904512777 | Russell | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_26715166_40a2cf2b-41f4-4745-9998-761811b6ab15.json | N/A | N/A | N/A | N/A | N/A | XEA904512777 | Preferred Provider Organization (PPO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 2015-09-12 | 1000PPOX0004 | W0051513 | N/A | PR | false | BRODERSEN | N/A | ROBERT | N/A | 2041-09-30 | 2026-05-01 | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1700 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971427005 | N/A | N/A | 19420394 | 2222 | 4793 | 26859938 | N/A | 17221001 | 2026-05-24 00:34:10.323340 | 2026-04-07 20:28:25.222608 |
| 2026-05-23 07:13:01.671455 | 2026-05-24 00:33:51.735458 | 26715159 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26715159 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-05-26 | M | AE | PT | MAPARA | 97729763H | VISHAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19412512/check_26715159_a1b75233-3508-4efa-b384-905158fa95da.json | N/A | N/A | N/A | N/A | N/A | 97729763H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-19 | MCLA | MWLLNMEG21 | N/A | N/A | false | MAPARA | N/A | VISHAL | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427004 | N/A | N/A | 19412512 | 2222 | 4802 | 26859454 | 5538 | 17213425 | 2026-05-24 00:33:51.735458 | 2026-04-07 17:44:37.574880 |
| 2026-05-23 07:13:01.545697 | 2026-05-24 00:33:23.230278 | 26715155 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26715155 | Athletic Physical Therapy Inc | 1982-08-27 | 2026-05-26 | M | AE | PT | NADERI | 000012407283 | HODAD | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19372752/check_26715155_e0ad9452-4d39-4bd0-bd98-31f5b598e8de.json | N/A | N/A | N/A | N/A | N/A | 000012407283 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-08-27 | 4391203 | 100201 | N/A | N/A | false | NADERI | N/A | HODAD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971427003 | N/A | N/A | 19372752 | 2222 | 4802 | 26858833 | N/A | 17186688 | 2026-05-24 00:33:23.230278 | 2026-04-07 00:23:42.741818 |
| 2026-05-23 07:13:01.328446 | 2026-05-24 00:34:28.393179 | 26715143 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26715143 | Athletic Physical Therapy Inc | 1939-06-15 | 2026-05-26 | M | PT | N/A | NEPOMUCENO | MNL164W26534 | MODESTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19372018/check_26715143_310b572a-fc16-472d-bc1d-c0aa7ba43562.json | N/A | N/A | N/A | N/A | N/A | MNL164W26534 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1939-06-15 | 040 | CAMCRWP0 | N/A | MP | false | NEPOMUCENO | N/A | MODESTO | N/A | 9999-12-31 | 2026-02-01 | 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 | 10971427001 | N/A | N/A | 19372018 | 2222 | 4802 | 26860411 | 4184 | 17186158 | 2026-05-24 00:34:28.393179 | 2026-04-15 19:23:33.335773 |
| 2026-05-23 07:13:01.068675 | 2026-05-24 00:33:49.394424 | 26715132 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26715132 | Athletic Physical Therapy Inc | 2008-09-22 | 2026-05-26 | M | AE | PT | Jacobs | 98514465G | Max | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249456/check_26715132_b8965eeb-9fe4-4059-b962-9b956eca14d9.json | N/A | N/A | N/A | N/A | N/A | 98514465G | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2008-09-22 | MCLA | MCLANFAL19 | N/A | N/A | false | JACOBS | N/A | MAX | N/A | 2078-12-31 | 2025-11-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426999 | N/A | N/A | 19249456 | 2222 | 4802 | 26859403 | 5538 | 17114888 | 2026-05-24 00:33:49.394424 | 2026-04-03 22:39:25.409755 |
| 2026-05-23 07:13:00.927585 | 2026-05-24 00:33:27.584465 | 26715126 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26715126 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-05-26 | M | AE | PT | Weiner | 000000201398 | Bernard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_26715126_0d0e6329-bdb9-44be-8b7b-b5b8af84c1c7.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426998 | N/A | N/A | 19076126 | 2222 | 4802 | 26858923 | N/A | 17061917 | 2026-05-24 00:33:27.584465 | 2026-04-02 22:23:37.722121 |
| 2026-05-23 07:13:00.653508 | 2026-05-24 00:33:38.532984 | 26715112 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26715112 | Athletic Physical Therapy Inc | 1941-08-29 | 2026-05-26 | M | PT | N/A | Parker | 6R16K92AR73 | james | Alan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19036496/check_26715112_5d877ebe-e000-49c3-a673-098c8825a557.json | N/A | N/A | N/A | N/A | N/A | 6R16K92AR73 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-29 | S5884 | N/A | N/A | MA | false | PARKER | N/A | JAMES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426997 | N/A | N/A | 19036496 | 2222 | 4801 | 26859151 | N/A | 15775532 | 2026-05-24 00:33:38.532984 | 2026-03-06 21:09:06.720810 |
| 2026-05-23 07:13:00.332929 | 2026-05-24 00:33:57.859102 | 26715095 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 26715095 | Athletic Physical Therapy Inc | 2012-07-04 | 2026-05-26 | F | AE | PT | Sikiric | W22669289903 | Iva | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935993/check_26715095_4099bc80-db61-4d75-8d74-dc257f4091f4.json | N/A | N/A | N/A | N/A | N/A | W226692899 | Health Maintenance Organization (HMO) | MITSUWA CORPORATION | AETNA | N/A | 2012-07-04 | EAB93J14 | 081059802500001 | N/A | HM | false | SIKIRIC | N/A | KRUNOSLAV | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426995 | N/A | N/A | 18935993 | 2222 | 4802 | 26859606 | 3948 | 16921302 | 2026-05-24 00:33:57.859102 | 2026-03-31 19:23:59.156343 |
| 2026-05-23 07:13:00.094804 | 2026-05-24 00:33:56.907876 | 26715083 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26715083 | Athletic Physical Therapy Inc | 1934-08-28 | 2026-05-26 | F | AE | PT | INAO | H9810673000 | JANE | Y | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933246/check_26715083_2f6c31b4-ec41-4db1-a9b3-ee24412d1fff.json | N/A | N/A | N/A | N/A | N/A | H98106730 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1934-08-28 | N/A | 2B722001 | N/A | HN | false | INAO | N/A | JANE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426386 | N/A | N/A | 18933246 | 2222 | 4801 | 26859578 | 5349 | 16918423 | 2026-05-24 00:33:56.907876 | 2026-03-31 19:05:41.556695 |
| 2026-05-23 07:12:59.933835 | 2026-05-23 07:13:00.090062 | 26715075 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26715075 | Athletic Physical Therapy Inc | 1953-10-25 | 2026-05-26 | F | AE | PT | BELTRAN | 00000360105 | MARIA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-26 | 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 | 18879903 | 2222 | 4801 | N/A | 2630 | 16864702 | 2026-05-23 07:13:00.090062 | 2026-04-07 15:33:52.222007 |
| 2026-05-23 07:12:59.773170 | 2026-05-24 00:33:59.209453 | 26715066 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 26715066 | Athletic Physical Therapy Inc | 1983-01-16 | 2026-05-26 | F | AE | PT | Tumas | W208899907 | Marina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18777299/check_26715066_8e4473b3-7a1a-4524-98a5-6d30a9eb4b21.json | N/A | N/A | N/A | N/A | N/A | W208899907 | Health Maintenance Organization (HMO) | GENE FONG ASSOCIATES | AETNA | N/A | 1983-01-16 | EADPFC01 | 072219203500017 | N/A | HM | false | TUMAS | N/A | MARINA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO GOLD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426384 | N/A | N/A | 18777299 | 2222 | 4802 | 26859641 | 3948 | 16750601 | 2026-05-24 00:33:59.209453 | 2026-03-26 23:59:30.103152 |
| 2026-05-23 07:12:59.523574 | 2026-05-24 00:34:12.973125 | 26715051 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26715051 | Athletic Physical Therapy Inc | 1968-09-02 | 2026-05-26 | F | PT | N/A | Cantwell | JQW959W11453 | Jody | Leigh | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18773917/check_26715051_296e6308-47b9-4744-807b-5a1817359b48.json | N/A | N/A | N/A | N/A | N/A | JQW959W11453 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1968-09-02 | 040 | CAMCRWP0 | N/A | MP | false | CANTWELL | N/A | JODY | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426383 | N/A | N/A | 18773917 | 2222 | 4793 | 26860018 | 4184 | 16747520 | 2026-05-24 00:34:12.973125 | 2026-04-01 16:54:36.862494 |
| 2026-05-23 07:12:59.374377 | 2026-05-24 00:33:26.598005 | 26715043 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26715043 | Athletic Physical Therapy Inc | 2011-05-29 | 2026-05-26 | F | AE | PT | Snider | 000019675824 | RACHEL | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18753996/check_26715043_19ba5b63-f70e-4e68-953d-532e318d7bd0.json | N/A | N/A | N/A | N/A | N/A | 000019675824 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2011-05-29 | 3076628 | 102601 | N/A | N/A | false | SNIDER | N/A | RACHEL | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426382 | N/A | N/A | 18753996 | 2222 | 4802 | 26858902 | N/A | 16734592 | 2026-05-24 00:33:26.598005 | 2026-03-26 18:52:03.602043 |
| 2026-05-23 07:12:59.157560 | 2026-05-24 00:33:57.206836 | 26715032 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26715032 | Athletic Physical Therapy Inc | 1941-12-28 | 2026-05-26 | F | AE | PT | KATZOFF | H5070031200 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18459155/check_26715032_f7dd20cd-769b-4057-be55-da931aca69bf.json | N/A | N/A | N/A | N/A | N/A | H50700312 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-12-28 | N/A | 2B722001 | N/A | HN | false | KATZOFF | N/A | CAROLYN | 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 | 10971426381 | N/A | N/A | 18459155 | 2222 | 4801 | 26859589 | 5349 | 16458858 | 2026-05-24 00:33:57.206836 | 2026-03-20 17:56:12.644597 |
| 2026-05-23 07:12:59.027024 | 2026-05-24 00:33:04.496071 | 26715026 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 26715026 | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-26 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_26715026_20fe4f51-a361-4e21-9b15-ba13f8e5cf79.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-23 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426380 | N/A | N/A | 18413277 | 2222 | 4793 | 26858426 | N/A | 16416105 | 2026-05-24 00:33:04.496071 | 2026-03-19 22:25:59.413894 |
| 2026-05-23 07:12:58.860138 | 2026-05-24 00:33:48.822200 | 26715018 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26715018 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-05-26 | M | AE | PT | JACOBS | 909763451 | JESSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_26715018_9fdde416-87b8-4dbe-a077-b51e24f36544.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426379 | N/A | N/A | 18407669 | 2222 | 4802 | 26859393 | 5538 | 16411150 | 2026-05-24 00:33:48.822200 | 2026-03-20 21:53:00.475363 |
| 2026-05-23 07:12:58.684949 | 2026-05-24 00:33:56.698946 | 26715007 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 26715007 | Athletic Physical Therapy Inc | 1988-02-19 | 2026-05-26 | F | AE | PT | KOVACEVICH | W27795397803 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_26715007_a8240f98-46be-4de5-8378-6516c44cfc43.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426378 | N/A | N/A | 18394146 | 2222 | 4793 | 26859573 | 3948 | 16398404 | 2026-05-24 00:33:56.698946 | 2026-03-30 15:35:26.924597 |
| 2026-05-23 07:12:58.599804 | 2026-05-24 00:34:17.366217 | 26715003 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26715003 | Athletic Physical Therapy Inc | 2009-09-02 | 2026-05-26 | F | PT | N/A | DECKER | JQU849A78963 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18328449/check_26715003_fb904f7e-81e9-4ca8-9e2b-1314eba1cbf7.json | N/A | N/A | N/A | N/A | N/A | JQU849A78963 | Preferred Provider Organization (PPO) | ROLLING OAKS RADIOLOGY ME | ANTHEM BLUE CROSS | N/A | 2009-09-02 | 040 | 422228 | N/A | PR | false | DECKER | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER PPO HSA/H 2300/3400/4600 30% PREVRX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426377 | N/A | N/A | 18328449 | 2222 | 4801 | 26860151 | N/A | 16339129 | 2026-05-24 00:34:17.366217 | 2026-03-26 22:11:26.115150 |
| 2026-05-23 07:12:58.396182 | 2026-05-24 00:33:29.818141 | 26714990 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26714990 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-26 | F | AE | PT | RASHIDI | 93712342E | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_26714990_7297e4da-decd-4b86-953a-eb6d32aebb69.json | N/A | N/A | N/A | N/A | N/A | 93712342E | Medicaid | N/A | MOLINA_CA | MEMBER ECM OPT-IN - NO MEMBER ECM BENEFIT START DATE - NOT APPLICABLE MEMBER ECM PROVIDER - NONE ASSIGNED PROVIDERTYPE/CATEGORY - NOT APPLICABLE MEMBER HAS HOLD RESTRICTION - NO | 1964-11-22 | TFU223BP0000007 | N/A | N/A | MC | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426376 | N/A | N/A | 18279699 | 2222 | 4802 | 26858962 | 4211 | 16293253 | 2026-05-24 00:33:29.818141 | 2026-03-17 23:01:51.545839 |
| 2026-05-23 07:12:58.252208 | 2026-05-24 00:33:28.982461 | 26714983 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26714983 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-05-26 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_26714983_078ade79-eb06-4c83-9066-d0af3489612a.json | N/A | N/A | N/A | N/A | N/A | 94237973H | Medicaid | N/A | MOLINA_CA | MEMBER ECM OPT-IN - NO MEMBER ECM BENEFIT START DATE - NOT APPLICABLE MEMBER ECM PROVIDER - NONE ASSIGNED PROVIDERTYPE/CATEGORY - NOT APPLICABLE MEMBER HAS HOLD RESTRICTION - NO | 1976-02-07 | TFU223BP0000007 | N/A | N/A | MC | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426375 | N/A | N/A | 18095882 | 2222 | 4802 | 26858946 | 4211 | 6219145 | 2026-05-24 00:33:28.982461 | 2025-07-21 16:40:35.276086 |
| 2026-05-23 07:12:58.144445 | 2026-05-24 00:34:25.041345 | 26714974 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26714974 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-05-26 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_26714974_64079055-a6db-4a44-80d8-44636a401e9e.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426374 | N/A | N/A | 18029271 | 2222 | 4793 | 26860332 | N/A | 16057887 | 2026-05-24 00:34:25.041345 | 2026-03-23 17:30:23.761066 |
| 2026-05-23 07:12:58.004472 | 2026-05-24 00:33:43.233889 | 26714971 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26714971 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-05-26 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_26714971_6e2b7996-7019-4136-bfda-ae46d76a78d1.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 181545 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426373 | N/A | N/A | 17961735 | 2222 | 4801 | 26859276 | N/A | 15883502 | 2026-05-24 00:33:43.233889 | 2026-03-11 00:48:56.434845 |
| 2026-05-23 07:12:57.834434 | 2026-05-24 00:34:29.671726 | 26714963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26714963 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-05-26 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_26714963_38e58082-cff7-4d1d-ab61-f4d161cb2aeb.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426372 | N/A | N/A | 17868567 | 2222 | 4802 | 26860438 | N/A | 15913011 | 2026-05-24 00:34:29.671726 | 2026-03-16 22:33:11.392245 |
| 2026-05-23 07:12:57.678968 | 2026-05-24 00:33:49.881860 | 26714957 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26714957 | Athletic Physical Therapy Inc | 1989-07-23 | 2026-05-26 | F | AE | PT | Latty | 93805163F | Maura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_26714957_7bcd52dc-5331-411c-bcb1-046f721bfe1a.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426371 | N/A | N/A | 17826505 | 2222 | 4793 | 26859415 | 5538 | 15870859 | 2026-05-24 00:33:49.881860 | 2026-03-16 15:31:01.741367 |
| 2026-05-23 07:12:57.508122 | 2026-05-24 00:33:37.654069 | 26714946 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26714946 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-05-26 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_26714946_6c5ad889-32f5-42f4-872e-e9c3a24aeee1.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MB | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 240000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426370 | N/A | N/A | 17663491 | 2222 | 4802 | 26859073 | N/A | 4213453 | 2026-05-24 00:33:37.654069 | 2025-05-13 04:29:37.227772 |
| 2026-05-23 07:12:57.386822 | 2026-05-24 00:33:47.769344 | 26714940 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 26714940 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-05-26 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_26714940_b5d28b78-8a2c-4fc6-8a29-03bf200ad21c.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426369 | N/A | N/A | 17650446 | 2222 | 4802 | 26859373 | N/A | 9635663 | 2026-05-24 00:33:47.769344 | 2025-10-22 19:43:50.510670 |
| 2026-05-23 07:12:57.281687 | 2026-05-24 00:33:44.396000 | 26714935 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26714935 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-05-26 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_26714935_07c4f3cd-26d5-445a-8992-f7a7c4f6d4fb.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 126402 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426368 | N/A | N/A | 17600400 | 2222 | 4793 | 26859300 | N/A | 15647296 | 2026-05-24 00:33:44.396000 | 2026-03-04 22:22:31.397944 |
| 2026-05-23 07:12:57.130558 | 2026-05-24 00:34:49.808284 | 26714928 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26714928 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-05-26 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_26714928_baf5a206-6a7d-48fa-8f38-6ca9abcd83d2.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | 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 | 10971426367 | N/A | N/A | 17533302 | 2222 | 4793 | 26860814 | 6237 | 15565486 | 2026-05-24 00:34:49.808284 | 2026-03-17 20:55:49.152309 |
| 2026-05-23 07:12:56.763207 | 2026-05-24 00:33:30.282834 | 26714912 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26714912 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-05-26 | M | 30 | 98 | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_26714912_cb19c98a-9cd6-4326-8c3a-7b7d6f629e91.json | N/A | N/A | N/A | N/A | N/A | 97633918F | Medicaid | N/A | MEDICARE PLAN B | MEMBER ECM OPT-IN - NO MEMBER ECM BENEFIT START DATE - NOT APPLICABLE MEMBER ECM PROVIDER - NONE ASSIGNED PROVIDERTYPE/CATEGORY - NOT APPLICABLE MEMBER HAS HOLD RESTRICTION - NO | 1957-02-06 | TFU223BP0000009 | N/A | N/A | MC | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10971426366 | N/A | N/A | 17509843 | 2222 | 4802 | 26858970 | 4211 | 15524188 | 2026-05-24 00:33:30.282834 | 2026-03-03 00:12:08.668405 |
| 2026-05-23 07:12:56.396337 | 2026-05-24 00:33:31.356479 | 26714896 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26714896 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-05-26 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_26714896_a8cd5ff2-7c1a-4735-8568-ae8e06a32649.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | 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. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426365 | N/A | N/A | 17492780 | 2222 | 4802 | 26858992 | 4625 | 15085116 | 2026-05-24 00:33:31.356479 | 2026-02-18 20:26:50.354139 |
| 2026-05-23 07:12:56.183073 | 2026-05-23 07:12:56.391423 | 26714886 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26714886 | Athletic Physical Therapy Inc | 1952-06-09 | 2026-05-26 | M | AE | PT | HINTZ | 00000306882 | THOMAS | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17287303 | 2222 | 4801 | N/A | 2630 | 15305290 | 2026-05-23 07:12:56.391423 | 2026-02-24 20:11:50.485490 |
| 2026-05-23 07:12:55.959334 | 2026-05-24 00:34:16.784044 | 26714876 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26714876 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-05-26 | M | PT | N/A | DE LUNA | JMV025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17274520/check_26714876_da7db76e-097f-41da-aac7-009fbfb041db.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426363 | N/A | N/A | 17274520 | 2222 | 4801 | 26860133 | 4185 | 4343453 | 2026-05-24 00:34:16.784044 | 2025-05-13 04:29:37.230931 |
| 2026-05-23 07:12:55.780760 | 2026-05-24 00:33:44.794187 | 26714869 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26714869 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-05-26 | M | AE | PT | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_26714869_899cc7a2-03b8-4251-8225-cd322a67ad72.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | YOUHANAIE | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 195110 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426362 | N/A | N/A | 17247515 | 2222 | 4793 | 26859313 | N/A | 4211122 | 2026-05-24 00:33:44.794187 | 2025-05-13 04:29:37.225524 |
| 2026-05-23 07:12:55.616593 | 2026-05-24 00:33:52.992623 | 26714858 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26714858 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-05-26 | F | AE | PT | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_26714858_d5901add-cc0d-4ce5-be73-49cbb20a674f.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426361 | N/A | N/A | 17099336 | 2222 | 4802 | 26859481 | 5538 | 6725117 | 2026-05-24 00:33:52.992623 | 2026-02-18 22:27:04.950292 |
| 2026-05-23 07:12:55.313688 | 2026-05-24 00:33:55.442813 | 26714846 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 26714846 | override_provider | 1979-02-02 | 2026-05-26 | F | PT | N/A | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_26714846_10ee08c6-b659-4c7e-a596-dc632bd316a5.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426360 | N/A | N/A | 17094664 | 2222 | 4802 | 26859541 | N/A | 15086531 | 2026-05-24 00:33:55.442813 | 2026-02-18 21:22:56.146803 |
| 2026-05-23 07:12:55.068362 | 2026-05-24 00:35:05.046458 | 26714833 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26714833 | Athletic Physical Therapy Inc | 1963-03-21 | 2026-05-26 | F | AE | PT | Bischoff | 890196802 | Kaycee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17003130/check_26714833_02b83fb8-327b-4054-a8f2-0407a44f2383.json | N/A | N/A | N/A | N/A | N/A | 890196802 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1963-03-21 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | KAYCEE | 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 | 10971426359 | N/A | N/A | 17003130 | 2222 | 4801 | 26861161 | 6411 | 14999773 | 2026-05-24 00:35:05.046458 | 2026-02-17 00:31:52.140400 |
| 2026-05-23 07:12:54.762288 | 2026-05-24 00:33:28.624552 | 26714822 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26714822 | Athletic Physical Therapy Inc | 1963-11-15 | 2026-05-26 | F | AE | PT | DIBAEI | 95643445F | ATEFEH | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_26714822_a78fb587-287f-4513-9c91-f37eaf4df8da.json | N/A | N/A | N/A | N/A | N/A | 95643445F | 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 | 1963-11-15 | TFU223BP0000007 | N/A | N/A | MC | false | DIBAEI | N/A | ATEFEH | 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 | 10971426358 | N/A | N/A | 16929305 | 2222 | 4802 | 26858941 | 4211 | 14928874 | 2026-05-24 00:33:28.624552 | 2026-02-13 23:07:04.697142 |
| 2026-05-23 07:12:54.542409 | 2026-05-24 00:34:10.698651 | 26714812 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26714812 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-05-26 | F | PT | N/A | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_26714812_6bfd86ef-de5b-48f6-abed-9dae37cc4932.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10971426357 | N/A | N/A | 16765713 | 2222 | 4801 | 26859951 | 4185 | 14776656 | 2026-05-24 00:34:10.698651 | 2026-02-10 18:58:53.303852 |
| 2026-05-23 07:12:54.305676 | 2026-05-24 00:33:32.304605 | 26714801 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26714801 | Athletic Physical Therapy Inc | 1964-09-03 | 2026-05-26 | F | AE | PT | REZAYANI | 97093372E | SOHAYLA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_26714801_cca6a077-eed8-49c5-a3e9-e8a3d4587c06.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | 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 | 10971426356 | N/A | N/A | 16679973 | 2222 | 4802 | 26859009 | 4625 | 4213366 | 2026-05-24 00:33:32.304605 | 2025-07-14 15:29:50.728003 |
| 2026-05-23 07:12:54.123264 | 2026-05-24 00:33:22.644073 | 26714793 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26714793 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-05-26 | F | AE | PT | Kantor | 000002491752 | Judith | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260523.122029246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_26714793_007bfb82-631b-409f-bb2e-6afa0cf29158.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 RET | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10971426355 | N/A | N/A | 16357604 | 2222 | 4802 | 26858821 | N/A | 14403242 | 2026-05-24 00:33:22.644073 | 2026-02-04 22:38:19.962874 |