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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-20 07:21:23.917517 | 2026-05-20 07:21:27.762452 | 26580014 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2012-04-14 | 2026-05-20 | M | AE | PT | 5504 | SHARPE | 000022789437 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19360170/check_26580014_fe64a4bd-de2a-422c-9233-2aac928377ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19360170/check_26580014_5334ad9a-f4f7-422f-a97d-d3b8d7e8f503.json | N/A | N/A | N/A | N/A | N/A | 000022789437 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-04-14 | 4299028 | 228273 | N/A | N/A | false | SHARPE | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR GOLD DHMO 250/35 MAY PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938469624 | N/A | N/A | 19360170 | 2222 | N/A | 26687377 | N/A | 17177665 | 2026-05-20 07:21:27.762452 | 2026-04-06 20:55:13.364223 |
| 2026-05-20 07:21:23.873213 | 2026-05-20 07:21:26.529336 | 26580012 | N/A | N/A | 41124 | Meritain Health Minneapolis | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-02-28 | 2026-05-20 | M | AE | PT | 5706 | WESTCOTT | 0089746957 | NOLAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19765019/check_26580012_10d2c11b-afe8-4932-8505-8417dace9b17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | N/A | N/A | N/A | N/A | N/A | N/A | 0089746957 | N/A | N/A | AETNA INC | N/A | 1981-02-28 | N/A | N/A | N/A | N/A | false | WESTCOTT | N/A | NOLAN | 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 | 19765019 | 2222 | N/A | N/A | N/A | 17480049 | 2026-05-20 07:21:26.529336 | 2026-04-13 22:29:26.261916 |
| 2026-05-20 07:21:23.688375 | 2026-05-20 07:21:26.749627 | 26579999 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-02-05 | 2026-05-20 | F | AE | PT | 5505 | Hipp | 000021264656 | Zoe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386550/check_26579999_ebcc968f-c3ae-45b1-8d87-59f3c1ae5e22.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_26579999_a654dcdc-9572-4e68-a755-e48e2e4e203f.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | TRINET HR III, INC. - 232021 (APR HMO20) $20 HMO B | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938469600 | N/A | N/A | 18386550 | 2222 | N/A | 26687361 | N/A | 16392592 | 2026-05-20 07:21:26.749627 | 2026-03-19 17:35:27.889788 |
| 2026-05-20 07:21:22.879647 | 2026-05-20 07:21:24.793475 | 26579958 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-05-20 | F | AE | PT | 179129 | MULLEN | 96337043G | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_26579958_c53fc0c1-41f6-4ab7-b7d1-bbd4bb34ff7c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_26579958_d7544a35-2125-4ca2-b726-0f9cd57dba7e.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | 2026-05-20 | 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 | 16579498 | 2222 | N/A | 26687341 | N/A | 14597625 | 2026-05-20 07:21:24.793475 | 2026-02-09 19:54:47.612972 |
| 2026-05-20 07:21:21.882580 | 2026-05-20 07:21:25.733035 | 26579904 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-20 | 2026-05-20 | F | AE | PT | 5505 | Durant | 000008717870 | Jovanna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18270267/check_26579904_21dc3cac-7acb-4e16-b0df-0fdd0dafe42e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_26579904_9f49a0be-57df-4eab-8e66-3ecaa9e4eac1.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 CKPU | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938469464 | N/A | N/A | 18270267 | 2222 | N/A | 26687355 | N/A | 16284557 | 2026-05-20 07:21:25.733035 | 2026-03-22 16:36:56.176369 |
| 2026-05-20 07:21:21.138014 | 2026-05-20 07:21:24.940735 | 26579866 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-02-07 | 2026-05-20 | F | AE | PT | 4211 | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18095882/check_26579866_ef934982-7d02-4d92-9cab-d9b16797d514.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_26579866_d1b0623a-4302-45f7-ac85-90ca42875a0a.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | 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 | 10938469438 | N/A | N/A | 18095882 | 2222 | N/A | 26687344 | N/A | 6219145 | 2026-05-20 07:21:24.940735 | 2025-07-21 16:40:35.276086 |
| 2026-05-20 07:21:21.128729 | 2026-05-20 07:21:25.067951 | 26579865 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-06 | 2026-05-20 | M | 30 | 98 | 4211 | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17509843/check_26579865_92285ec3-b077-4067-9813-94d03db19a6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_26579865_afa01990-37c7-4aa7-8af1-148d5fd052a0.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | 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 | 10938469437 | N/A | N/A | 17509843 | 2222 | N/A | 26687346 | N/A | 15524188 | 2026-05-20 07:21:25.067951 | 2026-03-03 00:12:08.668405 |
| 2026-05-20 07:21:20.860010 | 2026-05-20 07:21:22.869436 | 26579853 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-05-20 | F | AE | PT | 179129 | MULLEN | 96337043G | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_26579853_1e911a41-d0a1-4a04-b36a-e77c71811027.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | N/A | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | 2026-05-20 | 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 | 16579498 | 2222 | N/A | N/A | N/A | 14597625 | 2026-05-20 07:21:22.869436 | 2026-02-09 19:54:47.612972 |
| 2026-05-20 07:21:16.698678 | 2026-05-20 07:21:24.970439 | 26579650 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-25 | 2026-05-20 | M | PT | N/A | 4185 | JEWETT | MNL165W05926 | BRAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542557/check_26579650_4cbc2441-f252-406b-9f65-5f43c6a6e6f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542557/check_26579650_740e0621-8687-4518-bab3-8d5a34f50fe3.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 | 10938469208 | N/A | N/A | 5542557 | 2222 | N/A | 26687343 | N/A | 4214450 | 2026-05-20 07:21:24.970439 | 2026-03-06 00:04:40.436388 |
| 2026-05-20 07:21:16.602868 | 2026-05-20 07:21:24.486630 | 26579642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-01 | 2026-05-20 | F | AE | PT | 4497 | SNYDER | 7D20PV9DX19 | ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16269836/check_26579642_f41b2e89-904c-433c-9ec9-0a400d29d765.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16269836/check_26579642_578f0266-7207-480d-8cf9-ef3f6b9b00e6.json | N/A | N/A | N/A | N/A | N/A | 7D20PV9DX19 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-01 | N/A | N/A | N/A | MA | false | SNYDER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 142360 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938469202 | N/A | N/A | 16269836 | 2222 | N/A | 26687339 | N/A | 14318816 | 2026-05-20 07:21:24.486630 | 2026-02-03 18:58:39.277258 |
| 2026-05-20 07:21:16.590276 | 2026-05-20 07:21:25.411134 | 26579640 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-05-20 | 2026-05-20 | M | AE | PT | 5538 | LIPP | JQC97583205F | ANDREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15487541/check_26579640_c348a327-663a-4eff-a644-a55167989e52.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15487541/check_26579640_b1ef5144-ad5b-4ec0-9295-115b24a27ed3.json | N/A | N/A | N/A | N/A | N/A | 97583205F | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 2000-05-20 | BCSC | BWLLNMEG21 | N/A | N/A | false | LIPP | N/A | ANDREW | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938469203 | N/A | N/A | 15487541 | 2222 | N/A | 26687348 | N/A | 13573473 | 2026-05-20 07:21:25.411134 | 2026-01-26 19:07:00.510896 |
| 2026-05-20 07:21:16.479127 | 2026-05-20 07:21:24.201667 | 26579638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-12 | 2026-05-20 | F | PT | N/A | 4185 | BENSON | 361A55900-40 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11917007/check_26579638_9a527659-f418-4d67-a21b-bcb9e226ddac.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | N/A | N/A | N/A | N/A | N/A | N/A | 361A55900-40 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11917007 | 2222 | N/A | N/A | N/A | 10144918 | 2026-05-20 07:21:24.201667 | 2025-11-17 16:03:18.208475 |
| 2026-05-20 07:21:15.963480 | 2026-05-20 07:21:24.847918 | 26579609 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2026-05-20 | M | PT | N/A | 4185 | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537188/check_26579609_0aa8341c-8e25-49d7-ad14-83b628af817e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_26579609_479faa97-0d71-453b-88ba-623b0b58fad7.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA CA/OOS | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2026-05-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938469176 | N/A | N/A | 5537188 | 2222 | N/A | 26687342 | N/A | 4209789 | 2026-05-20 07:21:24.847918 | 2025-05-13 04:29:37.224215 |
| 2026-05-20 07:21:00.177250 | 2026-05-21 00:46:01.931963 | 26578791 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26578791 | Athletic Physical Therapy Inc | 1948-03-10 | 2026-05-21 | M | AE | PT | N/A | Vasseghi | 35169214211 | Massoud | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.123120247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21110895/check_26578791_006c1121-ec55-47fd-bdfd-8ffde5c27b12.json | N/A | N/A | N/A | N/A | N/A | 35169214211 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-03-10 | N/A | N/A | N/A | SP | false | VASSEGHI | N/A | MASSOUD | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938526536 | N/A | N/A | 21110895 | 2222 | 4802 | 26736867 | N/A | 18398741 | 2026-05-21 00:46:01.931963 | 2026-05-06 01:35:49.065096 |
| 2026-05-20 07:20:59.552418 | 2026-05-21 00:50:17.801502 | 26578762 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 26578762 | Athletic Physical Therapy Inc | 1959-05-04 | 2026-05-22 | F | AE | PT | N/A | COLLIER | 98107188D84191 | TAMMY | Kay | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.123120247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933597/check_26578762_05316813-42c4-48a3-a3e2-7424dc48a38f.json | N/A | N/A | N/A | N/A | N/A | 98107188D84191 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1959-05-04 | N/A | N/A | N/A | N/A | false | COLLIER | N/A | TAMMY | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938526534 | N/A | N/A | 18933597 | 2222 | 4801 | 26738428 | N/A | 4212056 | 2026-05-21 00:50:17.801502 | 2026-02-04 06:36:19.638419 |
| 2026-05-20 07:20:59.338249 | 2026-05-21 00:46:01.192926 | 26578747 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26578747 | Athletic Physical Therapy Inc | 1948-12-19 | 2026-05-22 | F | AE | PT | N/A | SULLIVAN | 06688357812 | CATHERINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.123120247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18458101/check_26578747_e4732561-d124-49e9-9d29-8a4a04e721e9.json | N/A | N/A | N/A | N/A | N/A | 06688357812 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-12-19 | N/A | N/A | N/A | SP | false | SULLIVAN | N/A | CATHERINE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN L | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938526532 | N/A | N/A | 18458101 | 2222 | 4801 | 26736857 | N/A | 16457691 | 2026-05-21 00:46:01.192926 | 2026-03-20 16:17:53.406743 |
| 2026-05-20 07:20:59.056812 | 2026-05-21 00:48:55.024058 | 26578733 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26578733 | Athletic Physical Therapy Inc | 1964-05-26 | 2026-05-22 | F | AE | PT | N/A | FERNANDEZ | JQC95483183F | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.123120247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_26578733_f80a32a6-8533-4ee9-81b8-54658e943f66.json | N/A | N/A | N/A | N/A | N/A | JQC95483183F | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | FERNANDEZ | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938526530 | N/A | N/A | 5858692 | 2222 | 4793 | 26737456 | N/A | 4210649 | 2026-05-21 00:48:55.024058 | 2025-06-19 18:43:58.008751 |
| 2026-05-20 07:20:58.784914 | 2026-05-21 00:46:01.560713 | 26578715 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26578715 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-05-22 | M | AE | PT | N/A | ULLMAN | 03520409411 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.123120247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_26578715_f10c0769-1027-4297-8786-d06b01732764.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938526529 | N/A | N/A | 5535842 | 2222 | 4801 | 26736862 | N/A | 4208696 | 2026-05-21 00:46:01.560713 | 2025-06-07 16:16:45.844566 |
| 2026-05-20 07:18:49.895260 | 2026-05-21 00:33:56.404750 | 26568968 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568968 | Athletic Physical Therapy Inc | 2008-04-02 | 2026-05-21 | M | PT | N/A | N/A | DRELLO | FJB27232467M | WADE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21805185/check_26568968_625c0be6-d1e4-4569-97d4-55a64cd07e62.json | N/A | N/A | N/A | N/A | N/A | FJB27232467M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 2008-04-02 | 101 | 174549M211 | N/A | PR | false | DRELLO | N/A | MICHELLE | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466805 | N/A | N/A | 21805185 | 2222 | 4801 | 26717161 | N/A | 19391227 | 2026-05-21 00:33:56.404750 | 2026-05-21 13:47:33.404319 |
| 2026-05-20 07:18:49.755874 | 2026-05-21 00:34:15.058690 | 26568961 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 26568961 | Athletic Physical Therapy Inc | 1980-05-12 | 2026-05-22 | F | AE | PT | N/A | ARANZAZU | R056692964FM1 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21755089/check_26568961_e0dd80f6-bee0-4a13-be71-284337864570.json | N/A | N/A | N/A | N/A | N/A | R056692964FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1980-05-12 | N/A | N/A | N/A | N/A | false | ARANZAZU | N/A | SANDRA | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466804 | N/A | N/A | 21755089 | 2222 | 4793 | 26717638 | N/A | 19350566 | 2026-05-21 00:34:15.058690 | 2026-05-18 22:13:38.431303 |
| 2026-05-20 07:18:49.626918 | 2026-05-21 00:34:01.878385 | 26568948 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26568948 | Athletic Physical Therapy Inc | 1974-06-12 | 2026-05-22 | F | AE | PT | N/A | ALVARADO | 90551313D | CIRINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21737886/check_26568948_d8ebc7e5-1260-45e8-98c1-b918714f67a6.json | N/A | N/A | N/A | N/A | N/A | 90551313D | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1974-06-12 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | CIRINA | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466799 | N/A | N/A | 21737886 | 2222 | 4802 | 26717303 | 5538 | 19333845 | 2026-05-21 00:34:01.878385 | 2026-05-18 16:47:30.628461 |
| 2026-05-20 07:18:49.538403 | 2026-05-21 00:34:40.184502 | 26568944 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26568944 | Athletic Physical Therapy Inc | 1993-12-14 | 2026-05-22 | M | PT | N/A | N/A | LIOU | UCD914868430 | TODD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21617178/check_26568944_11b31a04-22df-4d25-8a97-ea17281be753.json | N/A | N/A | N/A | N/A | N/A | UCD914868430 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1993-12-14 | 1400PPOX0001 | W3000984 | N/A | PR | false | LIOU | N/A | TODD | N/A | N/A | 2026-05-20 | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466798 | N/A | N/A | 21617178 | 2222 | 4802 | 26718332 | N/A | 19218058 | 2026-05-21 00:34:40.184502 | 2026-05-21 19:38:50.456831 |
| 2026-05-20 07:18:49.438343 | 2026-05-21 00:34:04.512317 | 26568937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568937 | Athletic Physical Therapy Inc | 1968-09-20 | 2026-05-22 | F | PT | N/A | N/A | DUERDEN | NIW508W02335 | SUSAN NICOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21506510/check_26568937_c4214203-73ec-4b92-bca0-c9ccd0b7b2c7.json | N/A | N/A | N/A | N/A | N/A | NIW508W02335 | Preferred Provider Organization (PPO) | TRUSTED MEDIA BRANDS INC | ANTHEM BLUE CROSS | N/A | 1968-09-20 | 243 | 3002340005 | N/A | PR | false | MASSEY | N/A | OWEN | N/A | 2026-12-31 | 2026-01-01 | PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466797 | N/A | N/A | 21506510 | 2222 | 4793 | 26717360 | N/A | 19139215 | 2026-05-21 00:34:04.512317 | 2026-05-13 15:48:24.836651 |
| 2026-05-20 07:18:49.328312 | 2026-05-21 00:34:09.577405 | 26568924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568924 | Athletic Physical Therapy Inc | 1964-12-09 | 2026-05-22 | F | PT | N/A | N/A | RUBENSTEIN | JRTCT7853690 | LISA RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21455030/check_26568924_a3f36e65-bf37-4da3-bba1-71dd0b9654fa.json | N/A | N/A | N/A | N/A | N/A | JRTCT7853690 | Preferred Provider Organization (PPO) | RICH PRODUCTS CORPORATION | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1964-12-09 | 278 | 10803337 | N/A | PR | false | RUBENSTEIN | N/A | LISA | N/A | 9999-12-31 | 2026-01-01 | MPL TPA 27X WNY PPO 90 70 MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466796 | N/A | N/A | 21455030 | 2222 | 4793 | 26717496 | N/A | 19089730 | 2026-05-21 00:34:09.577405 | 2026-05-12 16:16:32.093089 |
| 2026-05-20 07:18:49.221414 | 2026-05-21 00:34:41.919443 | 26568917 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26568917 | Athletic Physical Therapy Inc | 1946-10-26 | 2026-05-21 | F | AE | PT | N/A | PRAISNER | 9VC3AN3YV76 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21388076/check_26568917_eb34adfe-acb0-41f5-85b8-b888cf844408.json | N/A | N/A | N/A | N/A | N/A | 9VC3AN3YV76 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-10-26 | S4802 | N/A | N/A | MA | false | PRAISNER | N/A | LINDA | 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 | 10938466793 | N/A | N/A | 21388076 | 2222 | 4801 | 26718391 | N/A | 18284573 | 2026-05-21 00:34:41.919443 | 2026-05-11 18:07:31.210574 |
| 2026-05-20 07:18:49.111283 | 2026-05-21 00:33:57.075048 | 26568907 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26568907 | Athletic Physical Therapy Inc | 2010-09-14 | 2026-05-22 | M | PT | N/A | N/A | EVANS | 433A6821550 | CADEN | T | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21279715/check_26568907_7f8ed763-9c7b-4f94-9558-f4b6273f18ec.json | N/A | N/A | N/A | N/A | N/A | 433A6821550 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2010-09-14 | N/A | N/A | N/A | N/A | false | EVANS | N/A | CADEN | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466792 | N/A | N/A | 21279715 | 2222 | 4793 | 26717180 | 4184 | 17213360 | 2026-05-21 00:33:57.075048 | 2026-05-08 18:52:21.501045 |
| 2026-05-20 07:18:48.998421 | 2026-05-21 00:34:03.051913 | 26568897 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26568897 | Athletic Physical Therapy Inc | 1993-03-04 | 2026-05-22 | M | AE | PT | N/A | Garcia | 93225317A | Alejandro | Alberto | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21279240/check_26568897_fb4fc57d-1b9c-4da5-84f3-821cdc7187ab.json | N/A | N/A | N/A | N/A | N/A | 93225317A | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1993-03-04 | MCLA | MWLLNMEG21 | N/A | N/A | false | GARCIA | N/A | ALEJANDRO | N/A | 2078-12-31 | 2026-05-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466791 | N/A | N/A | 21279240 | 2222 | 4802 | 26717330 | 5538 | 18921188 | 2026-05-21 00:34:03.051913 | 2026-05-11 12:38:20.857235 |
| 2026-05-20 07:18:48.918101 | 2026-05-21 00:34:34.086627 | 26568890 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26568890 | Athletic Physical Therapy Inc | 1941-03-10 | 2026-05-22 | F | AE | PT | N/A | EMADI | 5XO2H37DQ12 | NAJEEBA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21276332/check_26568890_30794b47-b40b-4b22-9fe6-d42c245236ee.json | N/A | N/A | N/A | N/A | N/A | 5XO2H37DQ12 | N/A | N/A | CMS | N/A | 1941-03-10 | N/A | N/A | N/A | N/A | false | EMADI | N/A | NAJEEBA | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466790 | N/A | N/A | 21276332 | 2222 | 4801 | 26718131 | N/A | 18913409 | 2026-05-21 00:34:34.086627 | 2026-05-20 17:09:52.874954 |
| 2026-05-20 07:18:48.824372 | 2026-05-21 00:33:59.602794 | 26568880 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568880 | Athletic Physical Therapy Inc | 1967-09-17 | 2026-05-22 | F | PT | N/A | N/A | HAINES | JQU293A70306 | CHRISTINE | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21187942/check_26568880_63267dff-8e55-40ff-b11d-0f5193485ed8.json | N/A | N/A | N/A | N/A | N/A | JQU293A70306 | Preferred Provider Organization (PPO) | CENTURY WEST DEVELOPMENT | ANTHEM BLUE CROSS | N/A | 1967-09-17 | 040 | J46617 | N/A | PR | false | HAINES | N/A | CHRISTINE | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466787 | N/A | N/A | 21187942 | 2222 | 4802 | 26717251 | N/A | 18838199 | 2026-05-21 00:33:59.602794 | 2026-06-05 14:12:42.889275 |
| 2026-05-20 07:18:48.737733 | 2026-05-21 00:34:39.229424 | 26568872 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26568872 | Athletic Physical Therapy Inc | 1944-06-20 | 2026-05-22 | M | AE | PT | N/A | MAJORS | 4cp9k09yt44 | DONALD RAYMOND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21152663/check_26568872_dde9fb47-1515-4d54-988f-6cf30baef2ca.json | N/A | N/A | N/A | N/A | N/A | 4CP9K09YT44 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-06-20 | S5660 | N/A | N/A | MB | false | MAJORS | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466785 | N/A | N/A | 21152663 | 2222 | 4793 | 26718299 | N/A | 18816163 | 2026-05-21 00:34:39.229424 | 2026-05-06 22:36:13.858106 |
| 2026-05-20 07:18:48.622981 | 2026-05-21 00:33:52.689488 | 26568865 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568865 | Athletic Physical Therapy Inc | 1966-03-20 | 2026-05-21 | F | PT | N/A | N/A | Clark | BHP839918847 | Elsa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21152629/check_26568865_355690f8-ee8f-40f6-b7e2-2cb4a51bf800.json | N/A | N/A | N/A | N/A | N/A | BHP839918847 | Preferred Provider Organization (PPO) | BOEING ADVANTAGE HEALTH PLAN | CUSTOMER SERVICE | N/A | 1966-03-20 | N/A | 7NUS61 | N/A | PR | false | CLARK | N/A | DONALD | N/A | 9999-12-31 | 2025-04-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466784 | N/A | N/A | 21152629 | 2222 | 4802 | 26717061 | N/A | 18816127 | 2026-05-21 00:33:52.689488 | 2026-05-14 21:37:48.974286 |
| 2026-05-20 07:18:48.530095 | 2026-05-21 00:33:59.996031 | 26568856 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26568856 | Athletic Physical Therapy Inc | 1983-01-14 | 2026-05-22 | M | AE | PT | N/A | Brennan | 000023760451 | Jack | Emmet | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21142597/check_26568856_79927473-0dd9-4eba-9937-55ca877cb188.json | N/A | N/A | N/A | N/A | N/A | 000023760451 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1983-01-14 | 4383886 | 105701 | N/A | N/A | false | BRENNAN | N/A | JACK | N/A | 2026-12-31 | 2026-01-01 | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466783 | N/A | N/A | 21142597 | 2222 | 4802 | 26717259 | N/A | 18806488 | 2026-05-21 00:33:59.996031 | 2026-05-06 19:54:34.180802 |
| 2026-05-20 07:18:48.377196 | 2026-05-21 00:34:06.126267 | 26568844 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26568844 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-05-22 | F | PT | N/A | N/A | OATES | JQS723M87472 | STACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21065825/check_26568844_7ebe1118-7971-4341-8049-5af0446f8a12.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | 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 | 10938465848 | N/A | N/A | 21065825 | 2222 | 4793 | 26717402 | 4184 | 4210449 | 2026-05-21 00:34:06.126267 | 2026-02-25 15:35:31.486496 |
| 2026-05-20 07:18:48.154028 | 2026-05-21 00:34:12.425574 | 26568833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568833 | Athletic Physical Therapy Inc | 1970-12-28 | 2026-05-22 | M | PT | N/A | N/A | ZANGANEH | AZL0974469508 | SHAHRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21044592/check_26568833_691c4781-8ad3-4760-bc85-ba2311b820a9.json | N/A | N/A | N/A | N/A | N/A | AZL0974469508 | Preferred Provider Organization (PPO) | SDG CORPORATION | ANTHEM BLUE CROSS | N/A | 1970-12-28 | 060 | L11571M002 | N/A | PR | false | ZANGANEH PHD | N/A | SHAHRAM | N/A | 2026-12-31 | 2026-01-01 | CT CENTURY PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465847 | N/A | N/A | 21044592 | 2222 | 4793 | 26717566 | N/A | 18721442 | 2026-05-21 00:34:12.425574 | 2026-05-12 15:45:33.048672 |
| 2026-05-20 07:18:47.920123 | 2026-05-21 00:34:10.772055 | 26568816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568816 | Athletic Physical Therapy Inc | 1964-10-17 | 2026-05-21 | M | PT | N/A | N/A | TODD | WKH144A228883 | MARTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21043639/check_26568816_35f3af1b-1e09-4845-ad2e-0b95a9d5bb6e.json | N/A | N/A | N/A | N/A | N/A | WKH144A228883 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-10-17 | N/A | N/A | N/A | N/A | false | TODD | N/A | MARTIN | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465846 | N/A | N/A | 21043639 | 2222 | 4801 | 26717525 | N/A | 18720421 | 2026-05-21 00:34:10.772055 | 2026-05-18 00:05:49.436606 |
| 2026-05-20 07:18:47.720538 | 2026-05-21 00:34:37.359740 | 26568801 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26568801 | Athletic Physical Therapy Inc | 1991-04-08 | 2026-05-21 | F | PT | N/A | N/A | GARDLEY | CYB904959255 | DYANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21039238/check_26568801_2e2490bc-977d-4d21-8130-7c68385c18b1.json | N/A | N/A | N/A | N/A | N/A | CYB904959255 | Preferred Provider Organization (PPO) | CITY OF BAKERSFIELD | BLUE SHIELD CALIFORNIA | N/A | 1991-04-08 | 1002PPOX0002 | W0054380 | N/A | PR | false | GARDLEY | N/A | ERIC | N/A | N/A | 2026-05-20 | CITY OF BAKERSFIELD CUSTOM PPO 90 50 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465845 | N/A | N/A | 21039238 | 2222 | 4801 | 26718236 | N/A | 18715717 | 2026-05-21 00:34:37.359740 | 2026-05-04 21:26:29.015937 |
| 2026-05-20 07:18:47.607650 | 2026-05-21 00:34:07.146607 | 26568794 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26568794 | Athletic Physical Therapy Inc | 1984-09-27 | 2026-05-21 | F | AE | PT | N/A | Mitova | 91564435E | Kristina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21032833/check_26568794_f6060b5c-fa3c-4fd3-843a-8f25ea4049c0.json | N/A | N/A | N/A | N/A | N/A | 91564435E | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1984-09-27 | N/A | N/A | N/A | N/A | false | MITOVA | N/A | KRISTINA | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938465844 | N/A | N/A | 21032833 | 2222 | 4802 | 26717428 | 5538 | 18710006 | 2026-05-21 00:34:07.146607 | 2026-05-04 22:00:09.602788 |
| 2026-05-20 07:18:47.523767 | 2026-05-21 00:34:02.862151 | 26568787 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26568787 | Athletic Physical Therapy Inc | 1971-01-01 | 2026-05-21 | F | AE | PT | N/A | NAVA | 000013186861 | ROSALBA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21030727/check_26568787_92c90410-ba69-4201-89a6-f70f3c153dd5.json | N/A | N/A | N/A | N/A | N/A | 000013186861 | N/A | N/A | KFHP 1000 | MDC - MEDICAID | 1971-01-01 | 4335267 | 114049 | N/A | N/A | false | NAVA | N/A | ROSALBA | N/A | N/A | N/A | MEDI-CAL SCR 56_UIS ADULT EXP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938465843 | N/A | N/A | 21030727 | 2222 | 4801 | 26717326 | N/A | 18708272 | 2026-05-21 00:34:02.862151 | 2026-05-07 02:52:06.063287 |
| 2026-05-20 07:18:47.425803 | 2026-05-21 00:33:48.979904 | 26568783 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568783 | Athletic Physical Therapy Inc | 1992-12-08 | 2026-05-22 | M | PT | N/A | N/A | BECK | EOJM66935220 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21030217/check_26568783_c6e2fd7f-d1f2-4b77-a433-6f8d745101cc.json | N/A | N/A | N/A | N/A | N/A | EOJM66935220 | Preferred Provider Organization (PPO) | SHIFT DIGITAL | ANTHEM BLUE CROSS | N/A | 1992-12-08 | 710 | 0070283300011001 | N/A | PR | false | BECK | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465842 | N/A | N/A | 21030217 | 2222 | 4802 | 26716961 | N/A | 4211611 | 2026-05-21 00:33:48.979904 | 2025-05-13 04:29:37.225936 |
| 2026-05-20 07:18:47.335777 | 2026-05-21 00:33:47.139472 | 26568777 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568777 | Athletic Physical Therapy Inc | 1998-12-19 | 2026-05-21 | F | PT | N/A | N/A | Babilonia | GGS760W05837 | Allison | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20937895/check_26568777_d4cbce6a-5df0-4685-88de-7d282a656915.json | N/A | N/A | N/A | N/A | N/A | GGS760W05837 | Preferred Provider Organization (PPO) | GOOGLE GHIP CHDP HSA W/NON-INT BANKING | ANTHEM BLUE CROSS | N/A | 1998-12-19 | 040 | 174134M7A1 | N/A | PR | false | BABILONIA | N/A | ALLISON | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465841 | N/A | N/A | 20937895 | 2222 | 4802 | 26716908 | N/A | 18629893 | 2026-05-21 00:33:47.139472 | 2026-05-12 15:59:52.639830 |
| 2026-05-20 07:18:47.253377 | 2026-05-21 00:34:43.883129 | 26568770 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26568770 | Athletic Physical Therapy Inc | 1963-11-23 | 2026-05-22 | F | PT | N/A | N/A | WEIMAN | XED913752359 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20935802/check_26568770_3e1c257b-e812-4f31-9af5-8db63cc2e027.json | N/A | N/A | N/A | N/A | N/A | XED913752359 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-11-23 | 2001ZL002175 | X0001004 | N/A | PR | false | WEIZMAN | N/A | MORDECHAI | N/A | 9999-12-31 | 2026-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465840 | N/A | N/A | 20935802 | 2222 | 4793 | 26718458 | N/A | 18627141 | 2026-05-21 00:34:43.883129 | 2026-05-01 21:42:26.428064 |
| 2026-05-20 07:18:47.172863 | 2026-05-21 00:34:10.135243 | 26568761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26568761 | Athletic Physical Therapy Inc | 1959-01-07 | 2026-05-21 | F | PT | N/A | N/A | SAMPOGNA | MBL900W19237 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20933708/check_26568761_220c22c5-27be-435a-95aa-c08a1fc19c17.json | N/A | N/A | N/A | N/A | N/A | MBL900W19237 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1959-01-07 | 040 | CAEGR002 | N/A | N/A | false | SAMPOGNA | N/A | MARY | N/A | 9999-12-31 | 2024-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465839 | N/A | N/A | 20933708 | 2222 | 4801 | 26717509 | N/A | 18624713 | 2026-05-21 00:34:10.135243 | 2026-05-01 20:12:32.186085 |
| 2026-05-20 07:18:47.097074 | 2026-05-21 00:34:48.392492 | 26568756 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26568756 | Athletic Physical Therapy Inc | 1960-02-06 | 2026-05-21 | F | PT | N/A | N/A | HUBERT | JQU383M93029 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20933613/check_26568756_c9da2687-d2c5-4b13-8781-1b1df54df5bf.json | N/A | N/A | N/A | N/A | N/A | JQU383M93029 | Preferred Provider Organization (PPO) | FSAC FERTILITY INC | BLUE SHIELD OF CALIFORNIA | N/A | 1960-02-06 | 040 | K55073 | N/A | PR | false | HUBERT | N/A | GARY | N/A | 2026-12-31 | 2026-03-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465838 | N/A | N/A | 20933613 | 2222 | 4793 | 26718616 | N/A | 18624617 | 2026-05-21 00:34:48.392492 | 2026-05-05 14:33:12.450951 |
| 2026-05-20 07:18:47.013211 | 2026-05-21 00:34:37.933609 | 26568748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26568748 | Athletic Physical Therapy Inc | 1958-02-17 | 2026-05-21 | F | AE | PT | N/A | Javidzad | 6DQ0A89UN21 | JASMIN | H | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20928111/check_26568748_ca1f97cb-e69b-4620-b444-34673bd4fc14.json | N/A | N/A | N/A | N/A | N/A | 6DQ0A89UN21 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-02-17 | S4802 | N/A | N/A | MA | false | JAVIDZAD | N/A | JASMIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 40560 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938465837 | N/A | N/A | 20928111 | 2222 | 4802 | 26718254 | N/A | 17984778 | 2026-05-21 00:34:37.933609 | 2026-04-22 20:21:10.035249 |
| 2026-05-20 07:18:46.923570 | 2026-05-21 00:34:00.380666 | 26568742 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26568742 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-05-22 | M | 30 | 98 | N/A | CIRELLI | 99590067F | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20927506/check_26568742_3811454d-0c2d-4f91-8100-7afe85e685f4.json | N/A | N/A | N/A | N/A | N/A | 99590067F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-01-08 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | CIRELLI | N/A | SCOTT | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10938465836 | N/A | N/A | 20927506 | 2222 | 4802 | 26717269 | 4211 | 18618456 | 2026-05-21 00:34:00.380666 | 2026-05-01 17:24:50.896361 |
| 2026-05-20 07:18:46.846685 | 2026-05-21 00:34:40.992624 | 26568739 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26568739 | Athletic Physical Therapy Inc | 1975-09-03 | 2026-05-22 | M | PT | N/A | N/A | ROBERTSON | XEH911317369 | DOUGLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20926375/check_26568739_3dc651ff-5714-427b-a60e-4a72030b7075.json | N/A | N/A | N/A | N/A | N/A | XEH911317369 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-09-03 | 1477HMOX0001 | W0051411 | N/A | HM | false | ROBERTSON | N/A | DOUGLAS | N/A | N/A | 2026-05-20 | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938465835 | N/A | N/A | 20926375 | 2222 | 4801 | 26718359 | N/A | 18617561 | 2026-05-21 00:34:40.992624 | 2026-05-14 15:35:20.161727 |
| 2026-05-20 07:18:46.749272 | 2026-05-21 00:33:41.653351 | 26568730 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26568730 | Athletic Physical Therapy Inc | 1956-01-22 | 2026-05-21 | F | AE | PT | N/A | LACOUR | 991501601 | SHEILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20835409/check_26568730_f3c1d965-9d33-411b-a081-799a358068ab.json | N/A | N/A | N/A | N/A | N/A | 991501601 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1956-01-22 | N/A | 01991 | N/A | HN | false | LACOUR | N/A | SHEILA | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938465834 | N/A | N/A | 20835409 | 2222 | 4802 | 26716737 | 6411 | 4215197 | 2026-05-21 00:33:41.653351 | 2025-05-21 21:24:09.059162 |
| 2026-05-20 07:18:46.661764 | 2026-05-21 00:34:48.772452 | 26568719 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26568719 | Athletic Physical Therapy Inc | 1948-03-10 | 2026-05-21 | M | AE | PT | N/A | Vasseghi | 6V57AM5PF58 | Massoud | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20789041/check_26568719_a6baa06b-d80c-40e3-9826-171875d7162c.json | N/A | N/A | N/A | N/A | N/A | 6V57AM5PF58 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-10 | S5617 | N/A | N/A | MA | false | VASSEGHI | N/A | MASSOUD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 28419 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938465833 | N/A | N/A | 20789041 | 2222 | 4802 | 26718629 | N/A | 18398741 | 2026-05-21 00:34:48.772452 | 2026-05-06 01:35:49.065096 |
| 2026-05-20 07:18:46.568188 | 2026-05-21 00:34:41.161503 | 26568712 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26568712 | Athletic Physical Therapy Inc | 1952-01-09 | 2026-05-21 | F | AE | PT | N/A | PORTNEY | 5CU7HH0CC35 | LAURA | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20786233/check_26568712_a86e1151-3fda-40f2-914c-926c43eb2a2e.json | N/A | N/A | N/A | N/A | N/A | 5CU7HH0CC35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-09 | S5921 | N/A | N/A | MA | false | PORTNEY | N/A | LAURA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 112066 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938465832 | N/A | N/A | 20786233 | 2222 | 4802 | 26718370 | N/A | 18395399 | 2026-05-21 00:34:41.161503 | 2026-05-06 21:43:00.202823 |
| 2026-05-20 07:18:46.420409 | 2026-05-21 00:33:40.125819 | 26568699 | N/A | N/A | 60054 | Aetna | 1114042165 | 26568699 | Athletic Physical Therapy Inc | 1993-12-17 | 2026-05-22 | M | AE | PT | N/A | PARKER | W287447189 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260520.122325823.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20785925/check_26568699_149723de-79bb-4ff2-8be2-2a6e7d904466.json | N/A | N/A | N/A | N/A | N/A | W287447189 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1993-12-17 | 0232494 | 023249401200063 | N/A | PS | false | PARKER | N/A | JACK | 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 | 10938465831 | N/A | N/A | 20785925 | 2222 | 4802 | 26716689 | N/A | 18395068 | 2026-05-21 00:33:40.125819 | 2026-05-08 20:51:06.646621 |