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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-20 07:18:31.680100 | 2026-05-21 00:34:36.657091 | 26567482 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567482 | Athletic Physical Therapy Inc | 1955-07-13 | 2026-05-22 | M | AE | PT | GROSS | 5J34NT0FH08 | HUGH | 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/2222/15810927/check_26567482_405f1eb9-265d-43c2-9953-434db2f4b11c.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MB | false | GROSS | N/A | HUGH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 152540 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466208 | N/A | N/A | 15810927 | 2222 | 4802 | 26718211 | N/A | 13900460 | 2026-05-21 00:34:36.657091 | 2026-01-27 16:41:56.120390 |
| 2026-05-20 07:18:31.551605 | 2026-05-21 00:34:09.568373 | 26567472 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26567472 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-05-22 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | 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/2222/15534853/check_26567472_5988ad1a-6fc0-41a6-aade-1ecf277a1a44.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10938466207 | N/A | N/A | 15534853 | 2222 | 4801 | 26717495 | 6237 | 4219334 | 2026-05-21 00:34:09.568373 | 2025-05-13 04:29:37.230357 |
| 2026-05-20 07:18:31.430684 | 2026-05-21 00:34:08.400950 | 26567459 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 26567459 | override_provider | 1936-04-17 | 2026-05-21 | F | AE | PT | Frank | 000010875705 | Lya | 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/2222/15509616/check_26567459_0be4be61-4712-4239-9f8d-31b54762bd87.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION-SOUTH KPSA B SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466206 | N/A | N/A | 15509616 | 2222 | 4802 | 26717463 | N/A | 13596403 | 2026-05-21 00:34:08.400950 | 2026-01-16 22:31:54.907256 |
| 2026-05-20 07:18:31.218625 | 2026-05-21 00:34:10.132743 | 26567445 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26567445 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-05-21 | M | AE | PT | Wilson | 40066267001 | Jesse | 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/2222/15459527/check_26567445_b2e47654-4b05-4087-bbe4-18cfbf720b9e.json | N/A | N/A | N/A | N/A | N/A | 40066267001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-08-30 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | 2026-01-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466205 | N/A | N/A | 15459527 | 2222 | 4802 | 26717507 | 6237 | 13546654 | 2026-05-21 00:34:10.132743 | 2026-01-15 21:26:11.579374 |
| 2026-05-20 07:18:30.935685 | 2026-05-21 00:33:58.509157 | 26567430 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26567430 | Athletic Physical Therapy Inc | 1978-10-10 | 2026-05-21 | M | AE | PT | DRAKE | 0021909753 | COLIN | B | 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/2222/15416889/check_26567430_7204fc27-4295-4b7c-80ff-0c35d67cd662.json | N/A | N/A | N/A | N/A | N/A | 0021909753 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1978-10-10 | N/A | N/A | N/A | N/A | false | DRAKE | N/A | COLIN | 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 | 10938466201 | N/A | N/A | 15416889 | 2222 | 4802 | 26717221 | N/A | 13507066 | 2026-05-21 00:33:58.509157 | 2026-01-15 00:19:55.179902 |
| 2026-05-20 07:18:30.639201 | 2026-05-21 00:34:43.012404 | 26567413 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567413 | Athletic Physical Therapy Inc | 1946-06-15 | 2026-05-22 | M | AE | PT | SCHECHTER | 3G33VQ7DQ03 | STEVEN | 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/2222/15414432/check_26567413_4156050c-7a5c-4f45-a8d8-e17eff822b4f.json | N/A | N/A | N/A | N/A | N/A | 3G33VQ7DQ03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-15 | S4802 | N/A | N/A | MB | false | SCHECHTER | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 51316 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466200 | N/A | N/A | 15414432 | 2222 | 4793 | 26718427 | N/A | 7549031 | 2026-05-21 00:34:43.012404 | 2026-05-22 23:37:03.098359 |
| 2026-05-20 07:18:30.479401 | 2026-05-21 00:33:39.385742 | 26567399 | N/A | N/A | 60054 | Aetna | 1114042165 | 26567399 | Athletic Physical Therapy Inc | 1970-07-14 | 2026-05-22 | M | AE | PT | KELKAR | W293958328 | SHASHANK | 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/2222/15126340/check_26567399_8b2d37b6-4ba9-4762-82ef-5e77c45513e5.json | N/A | N/A | N/A | N/A | N/A | W293958328 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 1970-07-14 | 0192654 | 019265403800001 | N/A | PS | false | KELKAR | N/A | SHASHANK | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466199 | N/A | N/A | 15126340 | 2222 | 4801 | 26716669 | N/A | 13234520 | 2026-05-21 00:33:39.385742 | 2026-01-09 18:02:31.951552 |
| 2026-05-20 07:18:30.306025 | 2026-05-21 00:34:36.633966 | 26567381 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26567381 | Athletic Physical Therapy Inc | 1991-09-17 | 2026-05-22 | F | PT | N/A | Levitt | XEA906302743 | Hannah | 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/2222/14999324/check_26567381_f73d6cfa-8ad5-478c-8227-9506526709f1.json | N/A | N/A | N/A | N/A | N/A | XEA906302743 | Preferred Provider Organization (PPO) | AETHER FILMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-09-17 | 1000VX000103 | W0065938 | N/A | PR | false | DILILLO | N/A | DAVIS | N/A | 9999-12-31 | 2025-10-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC CCSB MIR | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466198 | N/A | N/A | 14999324 | 2222 | 4802 | 26718209 | N/A | 13112676 | 2026-05-21 00:34:36.633966 | 2026-01-05 17:03:35.278778 |
| 2026-05-20 07:18:30.206666 | 2026-05-21 00:34:49.290811 | 26567372 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26567372 | Athletic Physical Therapy Inc | 1950-06-28 | 2026-05-22 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | 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/2222/14916087/check_26567372_3cb4144d-9af1-466d-97c6-ece838a135bc.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MC COWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466197 | N/A | N/A | 14916087 | 2222 | 4802 | 26718643 | N/A | 12476020 | 2026-05-21 00:34:49.290811 | 2025-12-16 21:49:52.634130 |
| 2026-05-20 07:18:30.077735 | 2026-05-21 00:34:17.404920 | 26567367 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26567367 | Athletic Physical Therapy Inc | 1997-12-06 | 2026-05-21 | F | AE | PT | GHARAVI | 99570419E | JASMINE | S | 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/2222/14856447/check_26567367_6e0113c3-5389-499f-9bcb-0cb1d8b9ed65.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-03-31 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466196 | N/A | N/A | 14856447 | 2222 | 4802 | 26717706 | 4625 | 12968899 | 2026-05-21 00:34:17.404920 | 2026-01-05 20:58:07.379737 |
| 2026-05-20 07:18:29.954944 | 2026-05-21 00:34:38.711623 | 26567356 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26567356 | Athletic Physical Therapy Inc | 2013-04-23 | 2026-05-22 | M | PT | N/A | KRASNO | 907100781003 | ETHAN | 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/2222/14697078/check_26567356_5131fda2-9856-4f61-b6ce-b864fe8f9269.json | N/A | N/A | N/A | N/A | N/A | XEH907100781 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 2013-04-23 | 1000HMOX0002 | W0067449 | N/A | HM | false | KRASNO | N/A | JOSEPH | N/A | 2039-04-22 | 2026-01-01 | HSA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466195 | N/A | N/A | 14697078 | 2222 | 4801 | 26718281 | 4191 | 12124199 | 2026-05-21 00:34:38.711623 | 2025-12-09 19:44:50.970187 |
| 2026-05-20 07:18:29.849540 | 2026-05-21 00:33:52.067433 | 26567350 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26567350 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-05-21 | F | PT | N/A | Cherry | NCF380A22244 | Megan | 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/2222/14387696/check_26567350_ff8d0c0d-1f8e-4da0-827c-e57f18783d55.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466193 | N/A | N/A | 14387696 | 2222 | 4802 | 26717043 | N/A | 12521666 | 2026-05-21 00:33:52.067433 | 2025-12-17 22:18:09.286393 |
| 2026-05-20 07:18:29.750082 | 2026-05-21 00:34:11.863848 | 26567344 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26567344 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-05-22 | F | PT | N/A | Vo | TOA651A68427 | Tram | M | 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/2222/14115191/check_26567344_2dc454a3-1418-4ead-85fd-717acb177e66.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | 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 | 10938466192 | N/A | N/A | 14115191 | 2222 | 4802 | 26717554 | N/A | 12253534 | 2026-05-21 00:34:11.863848 | 2025-12-11 19:59:32.714775 |
| 2026-05-20 07:18:29.557994 | 2026-05-21 00:34:50.088083 | 26567331 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26567331 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-05-22 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | 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/2222/14110178/check_26567331_3a24863e-52e9-4833-b760-f7a4cde55c0e.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466191 | N/A | N/A | 14110178 | 2222 | 4801 | 26718669 | N/A | 10999467 | 2026-05-21 00:34:50.088083 | 2025-11-14 21:36:13.911423 |
| 2026-05-20 07:18:29.416016 | 2026-05-21 00:33:54.043573 | 26567323 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26567323 | Athletic Physical Therapy Inc | 1955-04-09 | 2026-05-22 | F | AE | PT | TEETERS | 00000389272 | APRIL | C | 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/2222/14096166/check_26567323_cb9edcd6-3e6e-4826-9717-3bbd22532b56.json | N/A | N/A | N/A | N/A | N/A | 00000389272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-04-09 | H3815050 | N/A | N/A | HM | false | TEETERS | N/A | APRIL | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466188 | N/A | N/A | 14096166 | 2222 | 4793 | 26717100 | 2630 | 12234988 | 2026-05-21 00:33:54.043573 | 2026-01-01 18:08:02.280495 |
| 2026-05-20 07:18:29.274234 | 2026-05-21 00:34:51.036162 | 26567313 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26567313 | Athletic Physical Therapy Inc | 1970-06-25 | 2026-05-22 | M | PT | N/A | WEISS | BMO846339245 | JASON | 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/2222/14060119/check_26567313_21824814-304b-412a-bf5d-bccb5a344421.json | N/A | N/A | N/A | N/A | N/A | BMO846339245 | Preferred Provider Organization (PPO) | ACTIVES | BLUE SHIELD OF CALIFORNIA | N/A | 1970-06-25 | N/A | 190565 | N/A | PR | false | WEISS | N/A | JULIE | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466187 | N/A | N/A | 14060119 | 2222 | 4802 | 26718701 | N/A | 12204561 | 2026-05-21 00:34:51.036162 | 2025-12-11 19:10:26.555726 |
| 2026-05-20 07:18:29.022737 | 2026-05-21 00:33:53.082908 | 26567294 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26567294 | Athletic Physical Therapy Inc | 1957-01-26 | 2026-05-21 | M | AE | PT | REED | 00000391094 | JAMES | 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/2222/13634717/check_26567294_67fd12dc-f9f8-47bb-bfe1-331378a3ff48.json | N/A | N/A | N/A | N/A | N/A | 00000391094 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-26 | H3815028 | N/A | N/A | HM | false | REED | N/A | JAMES | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466186 | N/A | N/A | 13634717 | 2222 | 4801 | 26717074 | 2630 | 11782524 | 2026-05-21 00:33:53.082908 | 2025-12-08 14:47:13.868275 |
| 2026-05-20 07:18:28.879242 | 2026-05-21 00:33:48.350916 | 26567286 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26567286 | Athletic Physical Therapy Inc | 1950-05-22 | 2026-05-22 | F | AE | PT | Cave | 00000272920 | Deborah | 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/2222/13436400/check_26567286_e9f30b77-78c1-46c9-9ab8-92e58b041a5d.json | N/A | N/A | N/A | N/A | N/A | 00000272920 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-05-22 | H3815028 | N/A | N/A | HM | false | CAVE | N/A | DEBORAH | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466185 | N/A | N/A | 13436400 | 2222 | 4801 | 26716944 | 2630 | 4219166 | 2026-05-21 00:33:48.350916 | 2025-12-05 03:00:39.564193 |
| 2026-05-20 07:18:28.753021 | 2026-05-21 00:33:57.113425 | 26567273 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26567273 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-05-22 | M | AE | PT | Kisca | H6309049800 | John | C | 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/2222/13037589/check_26567273_cbc3334d-2d41-40fd-84d5-619a75834f1f.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466184 | N/A | N/A | 13037589 | 2222 | 4793 | 26717181 | 5349 | 11194723 | 2026-05-21 00:33:57.113425 | 2025-12-17 17:59:32.346197 |
| 2026-05-20 07:18:28.609130 | 2026-05-21 00:33:49.921364 | 26567261 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26567261 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-05-22 | F | PT | N/A | BENSON | 361A5590040 | ELIZABETH | 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/2222/11917007/check_26567261_8b5347ae-0731-4a18-85d6-c7c77c611c78.json | N/A | N/A | N/A | N/A | N/A | 361A5590040 | 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 | 10938466183 | N/A | N/A | 11917007 | 2222 | 4793 | 26716987 | 4185 | 10144918 | 2026-05-21 00:33:49.921364 | 2025-11-17 16:03:18.208475 |
| 2026-05-20 07:18:28.445079 | 2026-05-21 00:33:50.726875 | 26567247 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26567247 | Athletic Physical Therapy Inc | 1951-07-21 | 2026-05-22 | F | AE | PT | IBARRA | 00000514324 | DAWN | F | 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/2222/11792119/check_26567247_2c2e82db-3eac-481a-a432-ee1895edebeb.json | N/A | N/A | N/A | N/A | N/A | 00000514324 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1951-07-21 | H3815028 | N/A | N/A | HM | false | IBARRA | N/A | DAWN | N/A | N/A | 2026-02-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466182 | N/A | N/A | 11792119 | 2222 | 4793 | 26717009 | 2630 | 10026102 | 2026-05-21 00:33:50.726875 | 2026-04-08 23:28:25.085718 |
| 2026-05-20 07:18:28.280254 | 2026-05-21 00:34:11.433465 | 26567236 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26567236 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-05-22 | M | AE | PT | Vallez | UZ117007801 | Christopher | 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/2222/11619496/check_26567236_eea23e14-7217-450a-8f20-aacf69b5e074.json | N/A | N/A | N/A | N/A | N/A | UZ117007801 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1986-03-20 | 67138CA0520015-06 | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466181 | N/A | N/A | 11619496 | 2222 | 4802 | 26717542 | 4625 | 9856940 | 2026-05-21 00:34:11.433465 | 2025-11-10 19:43:16.763776 |
| 2026-05-20 07:18:28.110591 | 2026-05-21 00:34:04.973685 | 26567228 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26567228 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-05-21 | M | AE | PT | Marvin | 40059610101 | Terry | 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/2222/11529617/check_26567228_05f953a2-fc31-4460-b7f0-e322e843dfba.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | 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 | 10938466180 | N/A | N/A | 11529617 | 2222 | 4801 | 26717371 | 6237 | 9770503 | 2026-05-21 00:34:04.973685 | 2025-11-05 23:33:36.141284 |
| 2026-05-20 07:18:27.845281 | 2026-05-21 00:34:00.859266 | 26567206 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26567206 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-05-22 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | Denise | 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/2222/10103203/check_26567206_33ac7931-03c3-4ee1-a935-aaad805235d9.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466179 | N/A | N/A | 10103203 | 2222 | 4802 | 26717282 | 4211 | 8437251 | 2026-05-21 00:34:00.859266 | 2025-10-07 19:08:26.048804 |
| 2026-05-20 07:18:27.473920 | 2026-05-21 00:34:49.390668 | 26567180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567180 | Athletic Physical Therapy Inc | 1956-07-25 | 2026-05-21 | M | AE | PT | WHITAKER | 2QX8KU9UC57 | RICHARD | 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/2222/10030667/check_26567180_6cbb8882-1ba1-489e-a7c1-15ea875c4478.json | N/A | N/A | N/A | N/A | N/A | 2QX8KU9UC57 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-25 | S4802 | N/A | N/A | MB | false | WHITAKER | N/A | RICHARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 56744 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466178 | N/A | N/A | 10030667 | 2222 | 4801 | 26718649 | N/A | 8396855 | 2026-05-21 00:34:49.390668 | 2026-04-30 15:25:27.283280 |
| 2026-05-20 07:18:27.239810 | 2026-05-21 00:34:09.201326 | 26567160 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26567160 | Athletic Physical Therapy Inc | 1971-01-02 | 2026-05-21 | F | AE | PT | SIVAMALAR | 98940148E | THANGIAH | 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/2222/9854943/check_26567160_06ee4055-8b27-42e0-b75d-27a08604627c.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | 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 | 10938466177 | N/A | N/A | 9854943 | 2222 | 4802 | 26717486 | 5538 | 8251172 | 2026-05-21 00:34:09.201326 | 2025-10-03 18:17:22.871347 |
| 2026-05-20 07:18:27.088306 | 2026-05-21 00:34:08.206990 | 26567151 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26567151 | Athletic Physical Therapy Inc | 1944-03-02 | 2026-05-22 | F | AE | PT | SETRAK | 40064880801 | SETA | M | 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/2222/9634904/check_26567151_9d92fdb0-d006-4154-82e2-be13eb5531c2.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-03-02 | N/A | N/A | N/A | N/A | false | SETRAK | N/A | SETA | 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 | 10938466176 | N/A | N/A | 9634904 | 2222 | 4801 | 26717459 | 6237 | 8061360 | 2026-05-21 00:34:08.206990 | 2025-09-22 21:51:14.372865 |
| 2026-05-20 07:18:26.963822 | 2026-05-21 00:34:39.402219 | 26567142 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26567142 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-05-22 | F | PT | N/A | LARSON | XAN913804058 | DEBRA | 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/2222/9562148/check_26567142_2ae2611f-a988-4bfb-b882-e80ec89c1f19.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | 2026-05-20 | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466175 | N/A | N/A | 9562148 | 2222 | 4793 | 26718307 | N/A | 7997320 | 2026-05-21 00:34:39.402219 | 2025-10-02 21:07:14.563938 |
| 2026-05-20 07:18:26.808209 | 2026-05-21 00:33:49.802143 | 26567133 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26567133 | Athletic Physical Therapy Inc | 1956-11-29 | 2026-05-22 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | 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/2222/9555104/check_26567133_b82651f5-b5d3-49ba-b178-2bf1f80b8e2e.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-29 | H3815050 | N/A | N/A | HM | false | GOMEZ | N/A | ALICIA | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466174 | N/A | N/A | 9555104 | 2222 | 4801 | 26716985 | 2630 | 7990617 | 2026-05-21 00:33:49.802143 | 2025-09-29 20:34:47.088032 |
| 2026-05-20 07:18:26.667364 | 2026-05-21 00:34:39.836144 | 26567123 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567123 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-05-22 | F | AE | PT | NATALI | 2XU8UK4DF50 | 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/2222/8979192/check_26567123_d46570e4-435e-4adc-8e62-d747549e78f8.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 201301 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466173 | N/A | N/A | 8979192 | 2222 | 4793 | 26718320 | N/A | 7498543 | 2026-05-21 00:34:39.836144 | 2025-10-14 17:13:32.178778 |
| 2026-05-20 07:18:26.565510 | 2026-05-21 00:34:38.038020 | 26567114 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26567114 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-05-22 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_26567114_78824914-9ce3-4bd6-a7fa-607c48a0cf7a.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | 2026-05-20 | 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 | 10938466172 | N/A | N/A | 7626895 | 2222 | 4793 | 26718259 | N/A | 6525917 | 2026-05-21 00:34:38.038020 | 2026-05-08 22:53:13.232007 |
| 2026-05-20 07:18:26.453622 | 2026-05-21 00:34:47.517000 | 26567106 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567106 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-05-22 | M | AE | PT | ULLMAN | 8HC8F35AX50 | DAVID | 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/2222/7589050/check_26567106_5066d7c7-fb03-41b8-af2a-5b165ecb08ef.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 172745 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466171 | N/A | N/A | 7589050 | 2222 | 4801 | 26718585 | N/A | 4208696 | 2026-05-21 00:34:47.517000 | 2025-06-07 16:16:45.844566 |
| 2026-05-20 07:18:26.374399 | 2026-05-21 00:34:31.644310 | 26567103 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567103 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-05-21 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | 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/2222/7442857/check_26567103_27979085-1d35-4110-9468-0e49e05439b5.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MB | false | BHAMRAH | N/A | KULDIP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 197678 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466170 | N/A | N/A | 7442857 | 2222 | 4801 | 26718059 | N/A | 6393941 | 2026-05-21 00:34:31.644310 | 2025-08-13 16:33:53.313259 |
| 2026-05-20 07:18:26.248535 | 2026-05-21 00:33:53.197559 | 26567093 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26567093 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-05-22 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | 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/2222/7246170/check_26567093_44233eb3-3c09-49c9-8a38-a097d0c76930.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466169 | N/A | N/A | 7246170 | 2222 | 4801 | 26717075 | 4185 | 4837995 | 2026-05-21 00:33:53.197559 | 2025-06-13 00:15:18.726975 |
| 2026-05-20 07:18:26.131937 | 2026-05-21 00:33:53.522973 | 26567086 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26567086 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-05-22 | F | AE | PT | STEVENS | 00000348252 | JANET | Sue | 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/2222/6967938/check_26567086_567b3d15-f439-41cc-9b67-899ef63605fc.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | N/A | N/A | 2024-10-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466168 | N/A | N/A | 6967938 | 2222 | 4801 | 26717087 | 2630 | 4212773 | 2026-05-21 00:33:53.522973 | 2026-04-04 05:51:01.155131 |
| 2026-05-20 07:18:26.011405 | 2026-05-21 00:33:30.009272 | 26567078 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 26567078 | Athletic Physical Therapy Inc | 2010-03-18 | 2026-05-22 | M | PT | N/A | MARTIN | 906532391003 | CHRISTOPHER | 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/2222/6967909/check_26567078_71da7a55-a15d-40af-8408-7ad2d6be9b93.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | DENTAL HMO PLUS | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466167 | N/A | N/A | 6967909 | 2222 | 4793 | 26716398 | N/A | 5990447 | 2026-05-21 00:33:30.009272 | 2025-07-21 18:40:33.917911 |
| 2026-05-20 07:18:25.870805 | 2026-05-21 00:33:42.779262 | 26567067 | N/A | N/A | 60054 | AETNA | 1114042165 | 26567067 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-05-21 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | L | 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/2222/6786642/check_26567067_3b2359ae-76a0-4ef6-a371-a99b00e11e38.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000104 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE EXTRA (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466166 | N/A | N/A | 6786642 | 2222 | 4793 | 26716770 | 3939 | 5818009 | 2026-05-21 00:33:42.779262 | 2025-07-15 23:19:05.900633 |
| 2026-05-20 07:18:25.747506 | 2026-05-21 00:33:58.930402 | 26567053 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26567053 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-05-22 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | 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/2222/6721942/check_26567053_ef0c96fe-f252-4b1e-93ee-046569f4eff7.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466165 | N/A | N/A | 6721942 | 2222 | 4793 | 26717234 | N/A | 5322280 | 2026-05-21 00:33:58.930402 | 2025-07-01 21:45:15.878047 |
| 2026-05-20 07:18:25.604251 | 2026-05-21 00:33:52.063736 | 26567046 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26567046 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-05-22 | F | 96 | N/A | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_26567046_2181d435-9b99-4bd3-b29a-e4604943c9a2.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10938466164 | N/A | N/A | 6711965 | 2222 | 4793 | 26717042 | 6798 | 4210430 | 2026-05-21 00:33:52.063736 | 2025-05-13 04:29:37.224841 |
| 2026-05-20 07:18:25.469880 | 2026-05-21 00:34:37.265243 | 26567037 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26567037 | Athletic Physical Therapy Inc | 1939-06-25 | 2026-05-22 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | 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/2222/6068049/check_26567037_622a301c-df4c-46c4-a66b-7ba23431b03e.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 123281 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466163 | N/A | N/A | 6068049 | 2222 | 4793 | 26718230 | N/A | 4642852 | 2026-05-21 00:34:37.265243 | 2025-11-21 18:38:17.056437 |
| 2026-05-20 07:18:25.348919 | 2026-05-21 00:33:53.675703 | 26567025 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26567025 | Athletic Physical Therapy Inc | 1977-09-14 | 2026-05-22 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | 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/2222/5993920/check_26567025_5c50a291-b6e6-46b2-85a9-e67113643049.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466162 | N/A | N/A | 5993920 | 2222 | 4793 | 26717093 | 4184 | 4642859 | 2026-05-21 00:33:53.675703 | 2026-04-10 21:27:25.225083 |
| 2026-05-20 07:18:25.176719 | 2026-05-21 00:34:16.472562 | 26567016 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26567016 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-05-22 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | 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/2222/5874423/check_26567016_9a915d8b-df66-4bb6-a65b-49219987697d.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | 2026-03-31 | 2024-02-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466161 | N/A | N/A | 5874423 | 2222 | 4802 | 26717680 | 4625 | 4534552 | 2026-05-21 00:34:16.472562 | 2025-05-30 18:01:03.324126 |
| 2026-05-20 07:18:24.930607 | 2026-05-21 00:34:10.379014 | 26567000 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26567000 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-05-21 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_26567000_80463cf3-fbf0-4e72-8be2-19ec7128670a.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466160 | N/A | N/A | 5568076 | 2222 | 4802 | 26717516 | 4625 | 4209480 | 2026-05-21 00:34:10.379014 | 2026-04-10 02:05:15.976484 |
| 2026-05-20 07:18:24.747272 | 2026-05-21 00:34:43.687053 | 26566985 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26566985 | Athletic Physical Therapy Inc | 1943-08-03 | 2026-05-22 | M | AE | PT | SMITH JR | 1JQ5Q59TW58 | FRANK | Heyburn | 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/2222/5550469/check_26566985_7b0f3103-b434-4676-8f36-2b98bddb5718.json | N/A | N/A | N/A | N/A | N/A | 1JQ5Q59TW58 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-08-03 | S5884 | N/A | N/A | MB | false | SMITH JR | N/A | FRANK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466159 | N/A | N/A | 5550469 | 2222 | 4802 | 26718450 | N/A | 4219546 | 2026-05-21 00:34:43.687053 | 2026-05-09 19:52:54.660650 |
| 2026-05-20 07:18:24.614156 | 2026-05-21 00:33:22.352329 | 26566976 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 26566976 | Athletic Physical Therapy Inc | 1977-05-04 | 2026-05-21 | M | AE | PT | SANCHEZ | R07827214MS1 | DAVID | 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/2222/5549832/check_26566976_68a80374-a06e-4a3a-b0ce-e8f64220d29a.json | N/A | N/A | N/A | N/A | N/A | R07827214MS1 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1977-05-04 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | DAVID | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466158 | N/A | N/A | 5549832 | 2222 | 4801 | 26716206 | N/A | 4219391 | 2026-05-21 00:33:22.352329 | 2025-05-13 04:29:37.230420 |
| 2026-05-20 07:18:24.497227 | 2026-05-21 00:33:50.218789 | 26566964 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26566964 | Athletic Physical Therapy Inc | 1957-05-10 | 2026-05-22 | F | AE | PT | GRIFFITH | 00000279235 | KAREN | 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/2222/5549621/check_26566964_17e86ffc-d12b-48a6-bf58-d4cf177719f8.json | N/A | N/A | N/A | N/A | N/A | 00000279235 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-05-10 | H3815028 | N/A | N/A | HM | false | GRIFFITH | N/A | KAREN | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466157 | N/A | N/A | 5549621 | 2222 | 4801 | 26716996 | 2630 | 4219248 | 2026-05-21 00:33:50.218789 | 2025-05-13 04:29:37.230263 |
| 2026-05-20 07:18:24.411315 | 2026-05-21 00:34:03.351495 | 26566959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26566959 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-05-22 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_26566959_93711adc-d7f1-4668-b659-8b36942eaa14.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10938466156 | N/A | N/A | 5549317 | 2222 | 4801 | 26717336 | N/A | 4219010 | 2026-05-21 00:34:03.351495 | 2026-01-09 18:32:07.618867 |
| 2026-05-20 07:18:24.307826 | 2026-05-21 00:33:59.843737 | 26566955 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26566955 | Athletic Physical Therapy Inc | 1943-07-20 | 2026-05-22 | F | AE | PT | TODD | H7478001300 | MARY | 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/2222/5549088/check_26566955_dcc2c7e9-fbca-49c1-8bab-ef7c9c0e5b3c.json | N/A | N/A | N/A | N/A | N/A | H74780013 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1943-07-20 | N/A | 2B863001 | N/A | HN | false | TODD | N/A | MARY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10938466155 | N/A | N/A | 5549088 | 2222 | 4801 | 26717254 | 5349 | 4218817 | 2026-05-21 00:33:59.843737 | 2025-05-13 04:29:37.229812 |
| 2026-05-20 07:18:24.173423 | 2026-05-21 00:33:51.565771 | 26566945 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26566945 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-05-22 | F | 96 | N/A | REGGIANI | 41813758 | SUSANA | 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/2222/5549015/check_26566945_4e6ddc19-753e-44da-8efa-b142bda4a189.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10938466154 | N/A | N/A | 5549015 | 2222 | 4801 | 26717029 | 6798 | 4208849 | 2026-05-21 00:33:51.565771 | 2025-05-13 04:29:37.223279 |
| 2026-05-20 07:18:24.063338 | 2026-05-21 00:34:02.233963 | 26566937 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26566937 | Athletic Physical Therapy Inc | 1947-11-21 | 2026-05-22 | M | PT | N/A | LOCKHAT | 435M9782310 | AHMED | 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/2222/5543586/check_26566937_b4ae58e7-9031-48d7-a381-eb3ac3cc54d0.json | N/A | N/A | N/A | N/A | N/A | 435M9782310 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-11-21 | N/A | N/A | N/A | N/A | false | LOCKHAT | N/A | AHMED | 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 | 10938466153 | N/A | N/A | 5543586 | 2222 | 4801 | 26717309 | 4184 | 4215359 | 2026-05-21 00:34:02.233963 | 2026-04-17 05:33:55.315499 |