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 | 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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-08 11:13:53.806166 | 2025-07-08 11:13:57.787786 | 9619868 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-05-27 | 2025-07-08 | M | AE | PT | 3948 | KIM | W288897308 | JOSHUA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134150/check_9619868_a38d8a89-a530-47d6-a519-d143109251cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134150/check_9619868_c873e2ba-f964-4c44-8790-cf76617a235b.json | N/A | N/A | N/A | N/A | N/A | W288897308 | Point of Service (POS) | ARES MANAGEMENT LLC | AETNA | N/A | 1995-05-27 | 0804939 | 080493901000051 | N/A | PS | false | KIM | N/A | JOSHUA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196846569 | N/A | N/A | 6134150 | 2222 | N/A | 9344425 | N/A | 4775588 | 2025-07-08 11:13:57.787786 | 2025-12-10 22:39:33.219148 |
| 2025-07-08 11:13:46.894298 | 2025-07-08 11:13:52.492145 | 9619655 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-04-09 | 2025-07-08 | F | AE | PT | 3948 | LIGONDE | W292325041 | KANDICE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6084294/check_9619655_83990b31-5cc2-441d-b8d2-b7d84ee62026.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6084294/check_9619655_5eea9456-304f-43a5-bc91-8d26c0046a72.json | N/A | N/A | N/A | N/A | N/A | W292325041 | Point of Service (POS) | ADVOCATE INC., DBA NAVA BENEFITS | AETNA | N/A | 1986-04-09 | 0194013 | 019401301000001 | N/A | PS | false | LIGONDE | N/A | EDWIGE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196846235 | N/A | N/A | 6084294 | 2222 | N/A | 9344407 | N/A | 4727372 | 2025-07-08 11:13:52.492145 | 2025-06-03 17:00:01.144712 |
| 2025-07-08 11:13:44.029661 | 2025-07-09 02:18:55.261603 | 9619561 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9619561 | Athletic Physical Therapy Inc | 1951-07-19 | 2025-07-11 | M | AE | PT | N/A | HARVEY | 8YE6EE0UG57 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993966/check_9619561_e2457e51-f890-42bc-a37a-226e7bb7638e.json | N/A | N/A | N/A | N/A | N/A | 8YE6EE0UG57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-07-19 | S4802 | N/A | N/A | MA | false | HARVEY | N/A | CHRISTOPHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196890112 | N/A | N/A | 5993966 | 2222 | 4801 | 9375206 | N/A | 4642895 | 2025-07-09 02:18:55.261603 | 2025-06-04 22:10:38.563345 |
| 2025-07-08 11:13:43.928521 | 2025-07-09 02:04:11.109830 | 9619558 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9619558 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-07-09 | M | PT | N/A | N/A | BRUNO | NCF254A54902 | PHILLIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_9619558_a97339ea-cadc-4cbc-8cc1-54fb768241e4.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-09-09 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | PHILLIP | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196890111 | N/A | N/A | 5993958 | 2222 | 4801 | 9363450 | N/A | 4642892 | 2025-07-09 02:04:11.109830 | 2025-05-29 23:29:01.820749 |
| 2025-07-08 11:13:43.821749 | 2025-07-09 02:07:03.196162 | 9619555 | N/A | N/A | 60054 | Aetna | 1114042165 | 9619555 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-07-11 | F | AE | PT | N/A | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_9619555_6fe2f31b-a455-4e41-adf4-dd06ea04d045.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196890110 | N/A | N/A | 5993951 | 2222 | 4802 | 9365470 | N/A | 4642884 | 2025-07-09 02:07:03.196162 | 2025-12-02 20:19:19.910444 |
| 2025-07-08 11:13:43.716607 | 2025-07-09 02:07:03.734905 | 9619548 | N/A | N/A | 60054 | Aetna | 1114042165 | 9619548 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-07-11 | M | AE | PT | N/A | ROSS | W292476869 | BRYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_9619548_9f874548-3a7c-4fa1-9c96-061ffaea0dca.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196890109 | N/A | N/A | 5993949 | 2222 | 4793 | 9365479 | N/A | 4642881 | 2025-07-09 02:07:03.734905 | 2025-06-06 02:27:19.212061 |
| 2025-07-08 11:13:43.514036 | 2025-07-09 02:12:53.834278 | 9619543 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9619543 | Athletic Physical Therapy Inc | 1965-06-11 | 2025-07-10 | F | PT | N/A | N/A | MEDINA | XDP628W03244 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_9619543_72b58c2e-7cec-4660-9ec2-b25f36e087b7.json | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | Preferred Provider Organization (PPO) | CF ENTERTAINMENT INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1965-06-11 | 040 | 282803M001 | N/A | PR | false | MEDINA | N/A | RACHEL | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196890108 | N/A | N/A | 5993935 | 2222 | 4802 | 9370341 | N/A | 4642857 | 2025-07-09 02:12:53.834278 | 2025-07-07 14:11:20.082988 |
| 2025-07-08 11:13:43.409920 | 2025-07-09 02:04:11.513998 | 9619541 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9619541 | Athletic Physical Therapy Inc | 1949-09-25 | 2025-07-11 | M | AE | PT | N/A | LOPEZ | 31183522601 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993934/check_9619541_a7b7d935-da11-4547-9843-bacc5bb92e4d.json | N/A | N/A | N/A | N/A | N/A | 31183522601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-09-25 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196890107 | N/A | N/A | 5993934 | 2222 | 4801 | 9363454 | N/A | 4642871 | 2025-07-09 02:04:11.513998 | 2025-06-02 21:57:45.887368 |
| 2025-07-08 11:13:43.312801 | 2025-07-09 02:12:58.047869 | 9619538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9619538 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-07-11 | F | PT | N/A | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_9619538_cb94c1cc-31fb-4b2a-af46-f8192b5bb1e2.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196890106 | N/A | N/A | 5993479 | 2222 | 4801 | 9370399 | N/A | 4219476 | 2025-07-09 02:12:58.047869 | 2025-05-28 20:18:04.039855 |
| 2025-07-08 11:12:56.746158 | 2025-07-09 02:14:19.546946 | 9618311 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9618311 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-07-09 | F | PT | N/A | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9618311_1d5bb785-e494-439c-8964-1ffb903e8e50.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889621 | N/A | N/A | 5874430 | 2222 | 4802 | 9371487 | N/A | 4534559 | 2025-07-09 02:14:19.546946 | 2025-06-06 02:13:35.698378 |
| 2025-07-08 11:12:56.570514 | 2025-07-09 02:18:53.768969 | 9618308 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9618308 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-07-11 | M | AE | PT | N/A | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9618308_ed77a2a1-1191-4023-b7fb-b37c484ab8da.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889619 | N/A | N/A | 5874420 | 2222 | 4793 | 9375188 | N/A | 4534550 | 2025-07-09 02:18:53.768969 | 2025-10-15 18:36:58.255255 |
| 2025-07-08 11:12:53.081533 | 2025-07-09 02:04:14.367561 | 9618224 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | 9618224 | Athletic Physical Therapy Inc | 2007-11-16 | 2025-07-10 | M | AE | PT | N/A | MUELLER | 23746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858728/check_9618224_59957f9a-9a16-4e6e-af18-095da3b5e29a.json | N/A | N/A | N/A | N/A | N/A | 23746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196887325 | N/A | N/A | 5858728 | 2222 | 4793 | 9363477 | N/A | 4214856 | 2025-07-09 02:04:14.367561 | 2025-05-13 04:29:37.229180 |
| 2025-07-08 11:12:49.901971 | 2025-07-08 11:12:52.734777 | 9618136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-05-26 | 2025-07-08 | F | AE | PT | 4497 | FERNANDEZ | 7XX5TU4CF61 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9618136_b53cb4be-72d4-4c09-8063-7c700166b1a0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9618136_477a645f-14f5-4888-87b5-c707169148ba.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196840944 | N/A | N/A | 5538194 | 2222 | N/A | 9344246 | N/A | 4210649 | 2025-07-08 11:12:52.734777 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 11:12:47.549672 | 2025-07-09 02:12:09.904061 | 9618071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9618071 | Athletic Physical Therapy Inc | 2015-04-28 | 2025-07-11 | F | PT | N/A | N/A | HARRIS | ZTQ074A70562 | ADELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222060/check_9618071_0fc3d38a-f1a6-4b87-9698-2ee5e91a6b0c.json | N/A | N/A | N/A | N/A | N/A | ZTQ074A70562 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC SCIENTIFIC & IMAGING | ANTHEM BLUE CROSS | N/A | 2015-04-28 | 040 | 174249M3BE | N/A | PR | false | VILLASANTA | N/A | VERONICA | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196993892 | N/A | N/A | 6222060 | 2222 | 4801 | 9369693 | N/A | 4866077 | 2025-07-09 02:12:09.904061 | 2025-06-30 23:43:30.307325 |
| 2025-07-08 11:12:08.861274 | 2025-07-09 02:18:55.073992 | 9617182 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9617182 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-11 | M | AE | PT | N/A | GRANT | 2p67ae9mf59 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_9617182_334a0f82-32e6-45a1-b66d-72ea3770f7ec.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part B | N/A | AETNA HEALTH INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | 019303801200001 | N/A | MB | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196993649 | N/A | N/A | 6211373 | 2222 | 4793 | 9375204 | N/A | 4214087 | 2025-07-09 02:18:55.073992 | 2025-05-13 04:29:37.228402 |
| 2025-07-08 11:12:04.797865 | 2025-07-09 02:11:34.882741 | 9617102 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9617102 | Athletic Physical Therapy Inc | 1953-09-16 | 2025-07-11 | F | AE | PT | N/A | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_9617102_ff6c177f-1add-42bd-a9c6-cc783d42415a.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196993640 | N/A | N/A | 6210775 | 2222 | 4793 | 9369204 | 2630 | 4215193 | 2025-07-09 02:11:34.882741 | 2026-01-16 04:38:12.725481 |
| 2025-07-08 11:12:02.720644 | 2025-07-09 02:11:34.313816 | 9617081 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9617081 | Athletic Physical Therapy Inc | 1957-01-07 | 2025-07-11 | M | AE | PT | N/A | Placeres | 00000387571 | Gerald | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210310/check_9617081_85076711-0576-498b-825e-6a59d9c30f77.json | N/A | N/A | N/A | N/A | N/A | 00000387571 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-07 | H3815028 | N/A | N/A | HM | false | PLACERES | N/A | GERALD | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196993636 | N/A | N/A | 6210310 | 2222 | 4801 | 9369196 | N/A | 4853176 | 2025-07-09 02:11:34.313816 | 2025-06-11 16:41:23.932807 |
| 2025-07-08 11:11:49.185894 | 2025-07-09 02:10:44.728741 | 9616839 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9616839 | Athletic Physical Therapy Inc | 1980-01-01 | 2025-07-10 | M | AE | PT | N/A | BAKER | 856047151 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676404/check_9616839_0cd1560c-1f87-4d0c-b04c-c729158351e0.json | N/A | N/A | N/A | N/A | N/A | 856047151 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1980-01-01 | N/A | N/A | N/A | N/A | false | BAKER | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196888787 | N/A | N/A | 5676404 | 2222 | 4802 | 9368519 | N/A | 4343463 | 2025-07-09 02:10:44.728741 | 2025-05-13 04:29:37.230940 |
| 2025-07-08 11:10:57.831893 | 2025-07-09 02:12:07.592614 | 9616254 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9616254 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-07-11 | F | PT | N/A | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_9616254_216370d2-1ebf-42ee-8a35-ac8f2df73d16.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196993816 | N/A | N/A | 6193751 | 2222 | 4801 | 9369665 | N/A | 4837995 | 2025-07-09 02:12:07.592614 | 2025-06-13 00:15:18.726975 |
| 2025-07-08 11:10:29.742817 | 2025-07-09 02:11:41.455254 | 9615690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9615690 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-07-11 | M | PT | AE | N/A | NOVORR | U5X043M87191 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550909/check_9615690_d998d525-6951-4c5c-8106-e6648be8d740.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1958-07-03 | 040 | 280509C475 | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2024-11-01 | UC MEDICARE PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8196998622 | N/A | N/A | 5550909 | 2222 | 4801 | 9369297 | N/A | 4219758 | 2025-07-09 02:11:41.455254 | 2025-05-13 04:29:37.230800 |
| 2025-07-08 11:10:28.276014 | 2025-07-09 02:11:42.042967 | 9615661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9615661 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-07-11 | F | AE | PT | N/A | SINGER | XEM911011492 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543248/check_9615661_689321ae-aee9-480b-9f4d-8804ed214fe3.json | N/A | N/A | N/A | N/A | N/A | XEM911011492 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-05-17 | 2004SF000028 | X0001002 | N/A | SP | false | SINGER | N/A | JOEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998619 | N/A | N/A | 5543248 | 2222 | 4793 | 9369304 | N/A | 4215066 | 2025-07-09 02:11:42.042967 | 2025-05-13 04:29:37.229384 |
| 2025-07-08 11:10:27.837579 | 2025-07-09 02:12:44.396990 | 9615652 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9615652 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-07-11 | F | AE | PT | N/A | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_9615652_47097e17-ff73-4cb5-9cb7-b3d420144c52.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998618 | N/A | N/A | 5542324 | 2222 | 4802 | 9370194 | N/A | 4214241 | 2025-07-09 02:12:44.396990 | 2025-05-13 04:29:37.228574 |
| 2025-07-08 11:10:27.397232 | 2025-07-09 02:03:23.339602 | 9615642 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9615642 | Athletic Physical Therapy Inc | 1933-03-03 | 2025-07-11 | M | AE | PT | N/A | FISCHEL | 04588955211 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539218/check_9615642_4eecb2dd-1b81-462e-b33c-5f6c7775f218.json | N/A | N/A | N/A | N/A | N/A | 04588955211 | 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. | 1933-03-03 | N/A | N/A | N/A | SP | false | FISCHEL | N/A | DONALD | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998617 | N/A | N/A | 5539218 | 2222 | 4801 | 9363073 | N/A | 4211550 | 2025-07-09 02:03:23.339602 | 2025-07-06 18:22:48.105422 |
| 2025-07-08 11:10:26.672363 | 2025-07-09 02:11:40.984240 | 9615628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9615628 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-07-11 | F | AE | PT | N/A | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539052/check_9615628_a37a2b2d-3579-4592-b52e-9c19e94f4fc8.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998616 | N/A | N/A | 5539052 | 2222 | 4801 | 9369289 | N/A | 4211368 | 2025-07-09 02:11:40.984240 | 2025-05-13 04:29:37.225728 |
| 2025-07-08 11:10:26.601246 | 2025-07-09 02:12:38.751938 | 9615625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9615625 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-07-11 | M | AE | PT | N/A | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9615625_41e6bc33-181d-436e-b5b4-b955495716ef.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196995854 | N/A | N/A | 6583825 | 2222 | 4802 | 9370114 | N/A | 5202586 | 2025-07-09 02:12:38.751938 | 2025-06-25 17:55:27.155518 |
| 2025-07-08 11:10:25.877795 | 2025-07-09 02:03:22.931642 | 9615611 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9615611 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-07-11 | F | AE | PT | N/A | CHADORCHI | 33261790711 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_9615611_78c62c77-153b-4bb1-bdac-66291dcd1d00.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998615 | N/A | N/A | 5537483 | 2222 | 4802 | 9363068 | N/A | 4210038 | 2025-07-09 02:03:22.931642 | 2025-06-02 14:57:36.820684 |
| 2025-07-08 11:10:25.110003 | 2025-07-09 02:12:43.433351 | 9615596 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9615596 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-11 | M | AE | PT | N/A | EGGLETON | XEM090112120 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9615596_19bc3f60-0775-45d0-8045-b187550b3651.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998614 | N/A | N/A | 5536871 | 2222 | 4801 | 9370182 | N/A | 4209543 | 2025-07-09 02:12:43.433351 | 2025-06-18 17:33:51.700160 |
| 2025-07-08 11:10:24.559116 | 2025-07-09 02:03:23.737396 | 9615587 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9615587 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-07-11 | M | AE | PT | N/A | GORMLEY | 0105598581 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536819/check_9615587_59470c25-9282-459c-989f-fcf006a50178.json | N/A | N/A | N/A | N/A | N/A | 0105598581 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1945-08-03 | N/A | N/A | N/A | N/A | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196998613 | N/A | N/A | 5536819 | 2222 | 4802 | 9363077 | N/A | 4209498 | 2025-07-09 02:03:23.737396 | 2025-09-22 06:46:20.286658 |
| 2025-07-08 11:10:23.880728 | 2025-07-09 02:03:24.085636 | 9615576 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9615576 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-07-11 | M | PT | AE | N/A | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_9615576_e80e92c9-04fa-42ad-bb8c-59d6e8576011.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8196998612 | N/A | N/A | 5535842 | 2222 | 4801 | 9363083 | N/A | 4208696 | 2025-07-09 02:03:24.085636 | 2025-06-07 16:16:45.844566 |
| 2025-07-08 11:10:16.715095 | 2025-07-09 02:12:35.787429 | 9615429 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9615429 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-07-11 | M | AE | PT | N/A | HACKBARTH | 00000294758 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9615429_a69d9a3d-2a0d-4981-b96c-9d2416d86517.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889467 | N/A | N/A | 5568081 | 2222 | 4801 | 9370067 | N/A | 4212656 | 2025-07-09 02:12:35.787429 | 2025-08-12 21:09:57.607033 |
| 2025-07-08 11:10:16.423250 | 2025-07-09 02:04:08.036542 | 9615424 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9615424 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-07-11 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_9615424_c98f811f-937f-4e36-acc9-c6f244355068.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889466 | N/A | N/A | 5568076 | 2222 | 4802 | 9363416 | N/A | 4209480 | 2025-07-09 02:04:08.036542 | 2026-04-10 02:05:15.976484 |
| 2025-07-08 11:10:06.856487 | 2025-07-09 02:08:50.726499 | 9615235 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9615235 | Athletic Physical Therapy Inc | 1989-06-30 | 2025-07-11 | M | AE | PT | N/A | HASSEL | 10933434100 | AARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6173580/check_9615235_d493d1df-4eef-4056-92ad-77e6ea571223.json | N/A | N/A | N/A | N/A | N/A | 10933434100 | N/A | RAWLINGS SPORTING GOODS COMPANY, INC | CHLIC | COMPLETE CARE MANAGEMENT | 1989-06-30 | N/A | 00623156 | N/A | N/A | false | HASSEL | N/A | AARON | N/A | N/A | N/A | HRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196992872 | N/A | N/A | 6173580 | 2222 | 4802 | 9367022 | N/A | 4814860 | 2025-07-09 02:08:50.726499 | 2026-03-05 17:32:00.360896 |
| 2025-07-08 11:09:50.800797 | 2025-07-09 02:16:10.741350 | 9614922 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614922 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-07-10 | M | PT | N/A | N/A | BOLTON | XEK910377236 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141240807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_9614922_36693c50-2593-488b-8f4a-a4f8f790a2ba.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196875736 | N/A | N/A | 6814151 | 2222 | 4793 | 9372967 | N/A | 5856522 | 2025-07-09 02:16:10.741350 | 2025-07-10 02:16:48.328344 |
| 2025-07-08 11:09:46.151426 | 2025-07-09 02:09:25.409395 | 9614839 | N/A | N/A | 60054 | Aetna | 1114042165 | 9614839 | Athletic Physical Therapy Inc | 1982-01-04 | 2025-07-10 | F | AE | PT | N/A | BURKE | W288072188 | DANIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141240807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813488/check_9614839_8855f632-d8b9-4773-84e3-eea886b7183c.json | N/A | N/A | N/A | N/A | N/A | W288072188 | Point of Service (POS) | PRECISION CASTPARTS CORP. | AETNA | N/A | 1982-01-04 | 0804202 | 080420201400030 | N/A | PS | false | BURKE | N/A | DANIELLE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196875713 | N/A | N/A | 6813488 | 2222 | 4793 | 9367540 | N/A | 5855703 | 2025-07-09 02:09:25.409395 | 2025-07-09 18:25:42.890614 |
| 2025-07-08 11:09:41.189302 | 2025-07-09 02:12:48.012974 | 9614727 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614727 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-07-11 | M | PT | N/A | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9614727_01048480-00fd-4dc9-9ce4-597b6bf15cc0.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889148 | N/A | N/A | 5551045 | 2222 | 4793 | 9370251 | N/A | 4219851 | 2025-07-09 02:12:48.012974 | 2025-05-13 04:29:37.230897 |
| 2025-07-08 11:09:40.755299 | 2025-07-09 02:04:09.482433 | 9614719 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9614719 | Athletic Physical Therapy Inc | 1952-08-05 | 2025-07-11 | F | AE | PT | N/A | WOOTEN | 40041245701 | GAYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_9614719_33afa8d1-e9b8-4003-8f8f-597cdf913856.json | N/A | N/A | N/A | N/A | N/A | 40041245701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-08-05 | N/A | N/A | N/A | N/A | false | WOOTEN | N/A | GAYLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889147 | N/A | N/A | 5551018 | 2222 | 4801 | 9363431 | N/A | 4219841 | 2025-07-09 02:04:09.482433 | 2025-05-13 04:29:37.230890 |
| 2025-07-08 11:09:40.367081 | 2025-07-09 02:12:57.321140 | 9614712 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614712 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-07-11 | M | PT | N/A | N/A | VARON | MPI101422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_9614712_4a2a3532-7bad-48a6-8524-bd14b06cf6f7.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889146 | N/A | N/A | 5550992 | 2222 | 4793 | 9370390 | N/A | 4219816 | 2025-07-09 02:12:57.321140 | 2025-05-13 04:29:37.230863 |
| 2025-07-08 11:09:39.915923 | 2025-07-09 02:12:50.156779 | 9614703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614703 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-07-11 | F | PT | N/A | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_9614703_8ee4ecaa-8295-415a-a019-ea7f25605f00.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889145 | N/A | N/A | 5550973 | 2222 | 4793 | 9370279 | N/A | 4219803 | 2025-07-09 02:12:50.156779 | 2025-05-13 04:29:37.230842 |
| 2025-07-08 11:09:39.441524 | 2025-07-09 02:18:56.641303 | 9614692 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614692 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-07-11 | M | PT | AE | N/A | NOVORR | 8UK6F04XX74 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550906/check_9614692_3811e747-b12b-4416-a63b-c0458ccbfc0d.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-03 | S9701 | N/A | N/A | MA | false | NOVORR | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8196889144 | N/A | N/A | 5550906 | 2222 | 4801 | 9375223 | N/A | 4219758 | 2025-07-09 02:18:56.641303 | 2025-05-13 04:29:37.230800 |
| 2025-07-08 11:09:38.972233 | 2025-07-09 02:12:52.845636 | 9614683 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614683 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-07-11 | F | PT | N/A | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9614683_4cb5f908-e195-4315-8efc-de42fa2b7379.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. 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 USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889142 | N/A | N/A | 5549317 | 2222 | 4801 | 9370323 | N/A | 4219010 | 2025-07-09 02:12:52.845636 | 2026-01-09 18:32:07.618867 |
| 2025-07-08 11:09:35.295552 | 2025-07-09 02:12:54.323506 | 9614603 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9614603 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-07-11 | M | PT | N/A | N/A | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9614603_97d06155-891c-43b3-a472-aff58db8b785.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889127 | N/A | N/A | 5543360 | 2222 | 4793 | 9370348 | 4184 | 4215161 | 2025-07-09 02:12:54.323506 | 2025-05-13 04:29:37.229478 |
| 2025-07-08 11:09:34.922357 | 2025-07-09 02:05:49.529345 | 9614594 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 9614594 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-07-11 | F | AE | PT | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_9614594_fa3fe45b-da97-4b42-9c9c-a21458ffb4f3.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889126 | N/A | N/A | 5543301 | 2222 | 4802 | 9364510 | N/A | 4215112 | 2025-07-09 02:05:49.529345 | 2026-02-20 19:52:51.272757 |
| 2025-07-08 11:09:34.543521 | 2025-07-09 02:04:08.565065 | 9614587 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9614587 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-07-11 | M | AE | PT | N/A | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9614587_ca7fd283-93ad-4325-8914-29c624cbe99e.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889125 | N/A | N/A | 5543270 | 2222 | 4793 | 9363421 | N/A | 4215086 | 2025-07-09 02:04:08.565065 | 2025-05-13 04:29:37.229401 |
| 2025-07-08 11:09:34.015090 | 2025-07-09 02:09:37.980489 | 9614573 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9614573 | Athletic Physical Therapy Inc | 1995-03-21 | 2025-07-10 | F | AD | N/A | N/A | PATEL | U8560212501 | RONAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_9614573_272f8445-0952-4f54-8c5b-cdd665b8df6e.json | N/A | N/A | N/A | N/A | N/A | U8560212501 | N/A | SOCIAL FINANCE, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-03-21 | N/A | 3342825 | N/A | N/A | false | PATEL | N/A | RONAK | N/A | N/A | N/A | OPEN ACCESS PLUS HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8196889124 | N/A | N/A | 5543267 | 2222 | 4793 | 9367702 | N/A | 4215084 | 2025-07-09 02:09:37.980489 | 2025-05-13 04:29:37.229400 |
| 2025-07-08 11:09:33.593301 | 2025-07-09 02:18:56.960797 | 9614563 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614563 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-07-11 | F | AE | PT | N/A | SINGER | 8XN3QF1XM78 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_9614563_feab54d1-e6ff-4c31-97b9-87294b7fc0a4.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MB | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889123 | N/A | N/A | 5543247 | 2222 | 4793 | 9375227 | N/A | 4215066 | 2025-07-09 02:18:56.960797 | 2025-05-13 04:29:37.229384 |
| 2025-07-08 11:09:33.180440 | 2025-07-09 02:14:24.966917 | 9614553 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614553 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-07-11 | M | PT | N/A | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9614553_de672458-5be2-44db-ba19-e614dd0bd5bc.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889122 | N/A | N/A | 5543237 | 2222 | 4802 | 9371552 | N/A | 4215054 | 2025-07-09 02:14:24.966917 | 2025-05-13 04:29:37.229375 |
| 2025-07-08 11:09:33.000177 | 2025-07-09 02:09:24.075326 | 9614551 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614551 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-07-11 | F | PT | N/A | N/A | Deschatres | XED912070650 | Nathalie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_9614551_cd638b21-6124-42bf-b76b-4511c3989d35.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196995617 | N/A | N/A | 6577909 | 2222 | 4802 | 9367525 | N/A | 4766701 | 2025-07-09 02:09:24.075326 | 2025-06-03 21:11:46.573919 |
| 2025-07-08 11:09:32.853443 | 2025-07-09 02:12:52.083411 | 9614548 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9614548 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-07-11 | M | PT | N/A | N/A | LEO | NCF949A57364 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9614548_07fa720b-5474-4d8f-a086-7c31eb97d8a2.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889121 | N/A | N/A | 5543220 | 2222 | 4793 | 9370309 | 4184 | 4215036 | 2025-07-09 02:12:52.083411 | 2025-05-13 04:29:37.229353 |
| 2025-07-08 11:09:32.541818 | 2025-07-09 02:12:54.687586 | 9614539 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614539 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-07-11 | F | PT | N/A | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_9614539_0f76b265-bd3f-46ef-a66d-3b85efd3ac22.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889120 | N/A | N/A | 5543190 | 2222 | 4793 | 9370356 | N/A | 4215014 | 2025-07-09 02:12:54.687586 | 2025-06-01 22:57:55.386960 |
| 2025-07-08 11:09:32.285468 | 2025-07-09 02:12:53.482966 | 9614531 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614531 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-07-11 | F | PT | N/A | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9614531_b75b3c5e-7fc9-4cc8-99d2-3ff4c8b3070c.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889119 | N/A | N/A | 5543178 | 2222 | 4802 | 9370330 | N/A | 4215006 | 2025-07-09 02:12:53.482966 | 2025-05-13 04:29:37.229325 |