API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-18 07:33:49.496833 | 2026-05-18 07:33:57.701012 | 26466602 | N/A | N/A | AETNA | AETNA - CHOICE POS II | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-05-21 | M | AE | PT | 3937 | ANDERSON | 102222917400 | ERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16321061/check_26466602_d6db8faa-111f-442e-8e01-f8bd0b901fdc.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16321061/check_26466602_b141e303-4bd6-4f59-889c-1f75a5b48330.json | N/A | N/A | N/A | N/A | N/A | 102222917400 | Preferred Provider Organization (PPO) | MA Individual - California | AETNA INC | Medicare | 1952-05-31 | N/A | 000003-CA | N/A | PR | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | Aetna Medicare Signature (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16321061 | 2222 | N/A | 26561093 | N/A | 14369748 | 2026-05-18 07:33:57.701012 | 2026-03-09 18:36:27.636026 |
| 2026-05-18 07:33:48.864376 | 2026-05-18 07:33:56.326538 | 26466600 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2017-01-28 | 2026-05-20 | M | AE | PT | 6341 | STAFFA | 00248442809 | CALEB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14216115/check_26466600_78c373da-eacb-4515-bfe8-4cff35cc35f7.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14216115/check_26466600_65c7bbf0-d58c-4d23-a4f6-12535c85c197.json | N/A | N/A | N/A | N/A | N/A | 00248442809 | N/A | N/A | TRIWEST - TRICARE | N/A | 2017-01-28 | N/A | N/A | N/A | N/A | false | STAFFA | N/A | CALEB | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14216115 | 2222 | N/A | 26561089 | N/A | 12347849 | 2026-05-18 07:33:56.326538 | 2026-04-13 21:13:21.533158 |
| 2026-05-18 07:33:48.816279 | 2026-05-18 07:33:57.097091 | 26466599 | N/A | N/A | AETNA | AETNA - CHOICE POS II | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-17 | 2026-05-21 | F | AE | PT | 3937 | WEISMAN | W291476472 | LORI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538972/check_26466599_4adb7381-fd50-4e78-a836-7481db3e7c71.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538972/check_26466599_6476e044-8b3a-4f85-a1c8-4263663d8e8e.json | N/A | N/A | N/A | N/A | N/A | W291476472 | Point of Service (POS) | PROVIDENCE HEALTH AND SERVICES | AETNA INC | N/A | 1959-04-17 | N/A | 023759003300001 | N/A | PS | false | WEISMAN | N/A | LORI | N/A | N/A | N/A | Aetna Supplemental Contraceptive PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538972 | 2222 | N/A | 26561092 | N/A | 4211305 | 2026-05-18 07:33:57.097091 | 2025-05-13 04:29:37.225664 |
| 2026-05-18 07:33:48.795865 | 2026-05-18 07:33:59.399018 | 26466598 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-11 | 2026-05-20 | F | AE | PT | 6341 | YOUNG | 01170933200 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110854/check_26466598_f56d6124-b8f6-439c-ac90-8a39ca511ff8.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14110854/check_26466598_e6adcb10-0530-465b-8728-2870badcd881.json | N/A | N/A | N/A | N/A | N/A | 01170933200 | N/A | N/A | TRIWEST - TRICARE | N/A | 1988-05-11 | N/A | N/A | N/A | N/A | false | YOUNG | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14110854 | 2222 | N/A | 26561102 | N/A | 12249693 | 2026-05-18 07:33:59.399018 | 2025-12-11 01:09:37.722947 |
| 2026-05-18 07:33:48.759362 | 2026-05-18 07:33:56.258613 | 26466597 | N/A | N/A | AETNA | AETNA - CHOICE POS II | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-30 | 2026-05-20 | M | AE | PT | 3937 | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173116/check_26466597_1b78dfad-9efc-451b-927f-4bbe38e4bf37.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_26466597_1bddf564-3ba9-468b-8485-7fcf370be679.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA INC | N/A | 1972-12-30 | N/A | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | 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 | N/A | N/A | N/A | 8173116 | 2222 | N/A | 26561088 | N/A | 6939617 | 2026-05-18 07:33:56.258613 | 2025-09-16 00:28:24.457071 |
| 2026-05-18 07:24:07.142373 | 2026-05-19 00:55:05.075186 | 26458750 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26458750 | Athletic Physical Therapy Inc | 1946-12-18 | 2026-05-21 | M | AE | PT | N/A | VARNEY | 00000304351 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21655135/check_26458750_4fabbc0f-7a6a-418d-997f-556583ef1292.json | N/A | N/A | N/A | N/A | N/A | 00000304351 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1946-12-18 | N/A | N/A | N/A | N/A | false | VARNEY | N/A | GARY | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503212 | N/A | N/A | 21655135 | 2222 | 4793 | 26609452 | 2630 | 18394330 | 2026-05-19 00:55:05.075186 | 2026-04-29 21:03:23.286620 |
| 2026-05-18 07:24:07.033210 | 2026-05-19 00:54:41.398714 | 26458741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458741 | Athletic Physical Therapy Inc | 1968-04-25 | 2026-05-20 | F | PT | N/A | N/A | BREEN | WRXA12657536 | MONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21615037/check_26458741_f366d3c5-914f-4f70-97bb-41aeb8e4e85f.json | N/A | N/A | N/A | N/A | N/A | WRXA12657536 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1968-04-25 | 040 | 277242M002 | N/A | PR | false | BREEN | N/A | MONICA | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503210 | N/A | N/A | 21615037 | 2222 | 4802 | 26609069 | N/A | 19216914 | 2026-05-19 00:54:41.398714 | 2026-05-20 00:40:44.061758 |
| 2026-05-18 07:24:06.911327 | 2026-05-19 00:53:22.153107 | 26458738 | N/A | N/A | 60054 | Aetna | 1114042165 | 26458738 | Athletic Physical Therapy Inc | 1958-05-26 | 2026-05-21 | M | AE | PT | N/A | Albinsson | w28064245201 | Peter | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21607553/check_26458738_1238c1f6-8390-4204-9fc4-4b134a4ec5d4.json | N/A | N/A | N/A | N/A | N/A | W280642452 | Health Maintenance Organization (HMO) | GALPIN MOTORS, INC. | AETNA | N/A | 1958-05-26 | EACSS507 | 018614201100001 | N/A | HM | false | ALBINSSON | N/A | PETER | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503209 | N/A | N/A | 21607553 | 2222 | 4802 | 26607622 | N/A | 19211025 | 2026-05-19 00:53:22.153107 | 2026-05-14 16:22:49.150107 |
| 2026-05-18 07:24:06.805147 | 2026-05-19 00:54:19.100157 | 26458732 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458732 | Athletic Physical Therapy Inc | 1964-08-04 | 2026-05-20 | U | AE | PT | N/A | CANTRELL | JQC92880750C | CYNTHIA | V | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21523881/check_26458732_e6db911f-57d7-46d5-b7ff-d6840b7457a1.json | N/A | N/A | N/A | N/A | N/A | JQC92880750C | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1964-08-04 | N/A | N/A | N/A | N/A | false | CANTRELL | N/A | CYNTHIA | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503208 | N/A | N/A | 21523881 | 2222 | 4802 | 26608677 | 5538 | 19155016 | 2026-05-19 00:54:19.100157 | 2026-05-18 18:26:17.217989 |
| 2026-05-18 07:24:06.676147 | 2026-05-19 00:52:55.566616 | 26458723 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 26458723 | Athletic Physical Therapy Inc | 1981-04-01 | 2026-05-21 | U | AE | PT | N/A | MALEKI | 95040113H | BAHARE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21515907/check_26458723_7a353359-bfec-4681-b3ac-34b65ea89bdc.json | N/A | N/A | N/A | N/A | N/A | 95040113H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1981-04-01 | N/A | N/A | N/A | N/A | false | MALEKI | N/A | BAHARE | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503207 | N/A | N/A | 21515907 | 2222 | 4802 | 26607188 | N/A | 19148185 | 2026-05-19 00:52:55.566616 | 2026-05-22 15:27:43.508734 |
| 2026-05-18 07:24:06.573114 | 2026-05-19 00:54:36.472292 | 26458718 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 26458718 | override_provider | 2009-07-23 | 2026-05-20 | F | AE | PT | N/A | Morge | 000026334921 | Lillian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21507849/check_26458718_2ded2b73-9b45-4468-8e9e-2e81184d4f79.json | N/A | N/A | N/A | N/A | N/A | 000026334921 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2009-07-23 | 4378639 | 338805 | N/A | N/A | false | MORGE | N/A | LILLIAN | N/A | 2026-12-31 | 2026-01-01 | RUGGED INFORMATION TECHNOLOGY EQUIPMENT CORPORATIO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503206 | N/A | N/A | 21507849 | 2222 | 4793 | 26608982 | N/A | 19140478 | 2026-05-19 00:54:36.472292 | 2026-05-13 16:13:03.367104 |
| 2026-05-18 07:24:06.484047 | 2026-05-19 00:54:41.388579 | 26458713 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 26458713 | Athletic Physical Therapy Inc | 1991-02-02 | 2026-05-20 | F | AE | PT | N/A | RASOOL | 972999934D | ROYA AZIMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21473783/check_26458713_ae9edc8e-768a-43f9-bbfd-7b00cc1dd6b7.json | N/A | N/A | N/A | N/A | N/A | 972999934D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1991-02-02 | N/A | N/A | N/A | N/A | false | RASOOL | N/A | ROYA AZIMA | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503205 | N/A | N/A | 21473783 | 2222 | 4793 | 26609068 | N/A | 19106387 | 2026-05-19 00:54:41.388579 | 2026-05-12 21:38:42.846045 |
| 2026-05-18 07:24:06.370655 | 2026-05-19 00:54:44.124057 | 26458709 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26458709 | Athletic Physical Therapy Inc | 1941-04-13 | 2026-05-21 | F | AE | PT | N/A | CANTIZANO | 3FN1JYYM08 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21463951/check_26458709_cb3d615b-1a3b-4866-a740-b0407753c028.json | N/A | N/A | N/A | N/A | N/A | 3FN1JYYM08 | N/A | N/A | CMS | N/A | 1941-04-13 | N/A | N/A | N/A | N/A | false | CANTIZANO | N/A | LETICIA | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503204 | N/A | N/A | 21463951 | 2222 | 4802 | 26609107 | N/A | 19097253 | 2026-05-19 00:54:44.124057 | 2026-05-12 18:31:40.219279 |
| 2026-05-18 07:24:06.245259 | 2026-05-19 00:54:07.204331 | 26458702 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458702 | Athletic Physical Therapy Inc | 1962-08-10 | 2026-05-20 | M | AE | PT | N/A | ARRAZOLA ZAMORA | 91973825G | RICARDO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21455012/check_26458702_1fecd5a8-7bd3-4fe3-b308-7ef4e36ee1cb.json | N/A | N/A | N/A | N/A | N/A | 91973825G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1962-08-10 | MCLA | MWLLNMEG21 | N/A | N/A | false | ARRAZOLA ZAMORA | N/A | RICARDO | N/A | 2078-12-31 | 2022-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503203 | N/A | N/A | 21455012 | 2222 | 4802 | 26608482 | 5538 | 19089713 | 2026-05-19 00:54:07.204331 | 2026-05-20 13:12:56.832199 |
| 2026-05-18 07:24:06.164008 | 2026-05-19 00:54:15.999101 | 26458699 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458699 | Athletic Physical Therapy Inc | 1975-09-20 | 2026-05-21 | F | PT | N/A | N/A | SABITSANA | JXN963A76393 | VICKIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21404879/check_26458699_40f1461e-1a37-4a2b-9dd0-4ef57dfefee3.json | N/A | N/A | N/A | N/A | N/A | JXN963A76393 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1975-09-20 | 040 | 174222M2A1 | N/A | PR | false | SABITSANA | N/A | VICTORIA | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503202 | N/A | N/A | 21404879 | 2222 | 4793 | 26608618 | N/A | 19055041 | 2026-05-19 00:54:15.999101 | 2026-05-20 18:08:27.115775 |
| 2026-05-18 07:24:06.062753 | 2026-05-19 00:54:10.831895 | 26458696 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458696 | Athletic Physical Therapy Inc | 2026-02-26 | 2026-05-20 | F | AE | PT | N/A | Mazariegos | M007824 | Beatriz | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21395567/check_26458696_43bb3c01-068f-4129-979d-8aada114a2b4.json | N/A | N/A | N/A | N/A | N/A | M007824 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1952-02-26 | DSNP | DSNP001 | N/A | N/A | false | MAZARIEGOS | N/A | BEATRIZ | N/A | 2078-12-31 | 2024-05-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503201 | N/A | N/A | 21395567 | 2222 | 4802 | 26608534 | 5538 | 19045000 | 2026-05-19 00:54:10.831895 | 2026-05-18 17:24:40.648491 |
| 2026-05-18 07:24:05.956431 | 2026-05-19 00:54:43.454162 | 26458691 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458691 | Athletic Physical Therapy Inc | 1956-11-15 | 2026-05-20 | F | PT | N/A | N/A | COLETTA | MMA224W14584 | GESSI MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21390818/check_26458691_74e0c785-24ba-4291-a1d6-ef5fd64d69a7.json | N/A | N/A | N/A | N/A | N/A | MMA224W14584 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1956-11-15 | 040 | CAMCRWP0 | N/A | MP | false | COLETTA | N/A | GESSI | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503200 | N/A | N/A | 21390818 | 2222 | 4793 | 26609100 | N/A | 19040640 | 2026-05-19 00:54:43.454162 | 2026-05-11 18:55:59.652399 |
| 2026-05-18 07:24:05.865916 | 2026-05-19 00:54:44.150499 | 26458686 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 26458686 | override_provider | 1978-06-14 | 2026-05-20 | F | AE | PT | N/A | Glickman | 9515212H | Kasey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21384495/check_26458686_222ae93c-c2a0-4f68-af83-bae89ffd37a7.json | N/A | N/A | N/A | N/A | N/A | R14323301FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1978-06-14 | N/A | N/A | N/A | N/A | false | GLICKMAN | N/A | KASEY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503199 | N/A | N/A | 21384495 | 2222 | 4793 | 26609110 | N/A | 19034492 | 2026-05-19 00:54:44.150499 | 2026-05-11 17:02:19.109031 |
| 2026-05-18 07:24:05.778091 | 2026-05-19 00:54:42.712115 | 26458681 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26458681 | Athletic Physical Therapy Inc | 1997-04-20 | 2026-05-20 | F | PT | N/A | N/A | Rouben | XEA914110100 | Sevanna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21382862/check_26458681_b6fb92b4-bbb0-4f7f-8aef-8f9c5d88a1cf.json | N/A | N/A | N/A | N/A | N/A | XEA914110100 | Preferred Provider Organization (PPO) | EACCIDENTS APC | BLUE SHIELD CALIFORNIA | N/A | 1997-04-20 | 1000VX000102 | W0126891 | N/A | PR | false | HASSID | N/A | TAL | N/A | 9999-12-31 | 2024-12-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503198 | N/A | N/A | 21382862 | 2222 | 4802 | 26609088 | N/A | 19032688 | 2026-05-19 00:54:42.712115 | 2026-05-11 16:24:10.490860 |
| 2026-05-18 07:24:05.656141 | 2026-05-19 00:54:47.190635 | 26458673 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458673 | Athletic Physical Therapy Inc | 1984-10-07 | 2026-05-21 | F | PT | N/A | N/A | Ellis | JQY212W18868 | Porsha | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21279932/check_26458673_90b5719b-fc40-447b-9fc4-cc25c359139e.json | N/A | N/A | N/A | N/A | N/A | JQY212W18868 | Preferred Provider Organization (PPO) | LET IT BREAK LLC | ANTHEM BLUE CROSS | N/A | 1984-10-07 | 040 | Q28610 | N/A | PR | false | ELLIS | N/A | PORSHA | N/A | 2026-12-31 | 2026-01-01 | CA SG SELECT PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503196 | N/A | N/A | 21279932 | 2222 | 4802 | 26609154 | N/A | 18922044 | 2026-05-19 00:54:47.190635 | 2026-05-08 21:51:19.275920 |
| 2026-05-18 07:24:05.559603 | 2026-05-19 00:54:34.257296 | 26458670 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 26458670 | override_provider | 1947-10-17 | 2026-05-20 | F | AE | PT | N/A | Davidoff | 000015462776 | Rihan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21267093/check_26458670_b6ba8b2d-a703-40d7-abe8-ad2c4068fd1d.json | N/A | N/A | N/A | N/A | N/A | 000015462776 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-17 | 3044252 | 100201 | N/A | N/A | false | DAVIDOFF | N/A | RIHAN | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG - PHYSICIANS DEPENDENT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503195 | N/A | N/A | 21267093 | 2222 | 4802 | 26608944 | N/A | 18905811 | 2026-05-19 00:54:34.257296 | 2026-05-08 18:55:18.789352 |
| 2026-05-18 07:24:05.466095 | 2026-05-19 00:55:01.735593 | 26458664 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458664 | Athletic Physical Therapy Inc | 1979-03-25 | 2026-05-20 | M | PT | N/A | N/A | MANGILIT | C2Z30369LM | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21263251/check_26458664_0c335f77-94f7-4603-b9a1-06eacf8edc45.json | N/A | N/A | N/A | N/A | N/A | C2Z30369LM | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1979-03-25 | N/A | N/A | N/A | N/A | false | MANGILIT | N/A | MARK | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503193 | N/A | N/A | 21263251 | 2222 | 4793 | 26609367 | N/A | 4213892 | 2026-05-19 00:55:01.735593 | 2025-05-13 04:29:37.228208 |
| 2026-05-18 07:24:05.355757 | 2026-05-19 00:54:56.461580 | 26458660 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26458660 | Athletic Physical Therapy Inc | 1945-11-05 | 2026-05-21 | M | AE | PT | N/A | BARRIENTOS | 912087075 | ANTONIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21262499/check_26458660_a1e9a1d8-806d-423e-ba46-097d129fbac6.json | N/A | N/A | N/A | N/A | N/A | 912087075 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1945-11-05 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIO | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503192 | N/A | N/A | 21262499 | 2222 | 4801 | 26609309 | 6411 | 4213486 | 2026-05-19 00:54:56.461580 | 2025-05-13 04:29:37.227804 |
| 2026-05-18 07:24:05.236076 | 2026-05-19 00:54:08.877070 | 26458658 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26458658 | Athletic Physical Therapy Inc | 1987-02-20 | 2026-05-21 | F | AE | PT | N/A | PITKIN | 0021799163 | MORGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21261091/check_26458658_89a444cf-4061-4f5e-a80e-7942a12e95d9.json | N/A | N/A | N/A | N/A | N/A | 0021799163 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1987-02-20 | N/A | N/A | N/A | N/A | false | PITKIN | N/A | MORGAN | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503191 | N/A | N/A | 21261091 | 2222 | 4801 | 26608505 | N/A | 18900723 | 2026-05-19 00:54:08.877070 | 2026-05-08 17:03:17.598392 |
| 2026-05-18 07:24:05.129199 | 2026-05-19 00:55:02.600404 | 26458649 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458649 | Athletic Physical Therapy Inc | 1980-11-16 | 2026-05-20 | M | PT | N/A | N/A | Martinez | MTI200079152 | Francisco | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21210006/check_26458649_e957ca6b-54c3-41fd-bbca-966c391a651b.json | N/A | N/A | N/A | N/A | N/A | MTI200079152 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-11-16 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | FRANCISCO | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503190 | N/A | N/A | 21210006 | 2222 | 4801 | 26609414 | N/A | 18857583 | 2026-05-19 00:55:02.600404 | 2026-05-07 20:50:50.616926 |
| 2026-05-18 07:24:05.025750 | 2026-05-19 00:54:13.057567 | 26458645 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458645 | Athletic Physical Therapy Inc | 1985-08-16 | 2026-05-21 | M | AE | PT | N/A | NOLT | 91809013F | DAVID | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21199184/check_26458645_7ccd2c3f-2f6b-4b7f-a185-f2d3af80f2c0.json | N/A | N/A | N/A | N/A | N/A | 91809013F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1985-08-16 | MCLA | MWLLNMEG21 | N/A | N/A | false | NOLT | N/A | DAVID | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503189 | N/A | N/A | 21199184 | 2222 | 4802 | 26608568 | 5538 | 17225302 | 2026-05-19 00:54:13.057567 | 2026-04-07 21:40:33.029600 |
| 2026-05-18 07:24:04.936341 | 2026-05-19 00:54:58.799273 | 26458642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26458642 | Athletic Physical Therapy Inc | 1952-06-14 | 2026-05-20 | F | AE | PT | N/A | MARCUS | 9FE2M65VR05 | KATHERINE FLORENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21194738/check_26458642_acefb2f6-9376-4cf3-a7b7-d3d423398bb3.json | N/A | N/A | N/A | N/A | N/A | 9FE2M65VR05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-06-14 | S5617 | N/A | N/A | MA | false | MARCUS | N/A | KATHERINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 52198 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503188 | N/A | N/A | 21194738 | 2222 | 4793 | 26609353 | N/A | 18844450 | 2026-05-19 00:54:58.799273 | 2026-05-07 17:57:03.869067 |
| 2026-05-18 07:24:04.841279 | 2026-05-19 00:54:14.974913 | 26458638 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458638 | Athletic Physical Therapy Inc | 1988-11-15 | 2026-05-20 | M | AE | PT | N/A | RHODES | 914491557 | THOMAS | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21141447/check_26458638_97c82240-004b-49ba-8a8f-d785d64d5bfd.json | N/A | N/A | N/A | N/A | N/A | 96424634H | N/A | CFST WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-15 | CFST | CWLLNMEG21 | N/A | N/A | false | RHODES | N/A | THOMAS | N/A | 2078-12-31 | 2025-07-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503186 | N/A | N/A | 21141447 | 2222 | 4802 | 26608601 | 5538 | 16267835 | 2026-05-19 00:54:14.974913 | 2026-04-21 18:01:49.356237 |
| 2026-05-18 07:24:04.725780 | 2026-05-19 00:54:40.415175 | 26458630 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26458630 | Athletic Physical Therapy Inc | 1951-06-02 | 2026-05-21 | F | AE | PT | N/A | ABNER | 7XN9A75UJ36 | ZIBA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21140877/check_26458630_cdab9729-1d03-4e01-a709-ea2aeb1ce122.json | N/A | N/A | N/A | N/A | N/A | 7XN9A75UJ36 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-02 | S4802 | N/A | N/A | MB | false | ABNER | N/A | ZIBA | 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 | 10917503185 | N/A | N/A | 21140877 | 2222 | 4802 | 26609056 | N/A | 18804729 | 2026-05-19 00:54:40.415175 | 2026-05-06 17:44:32.674164 |
| 2026-05-18 07:24:04.628562 | 2026-05-19 00:54:18.058914 | 26458624 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458624 | Athletic Physical Therapy Inc | 1985-07-19 | 2026-05-20 | F | AE | PT | N/A | STEELMAN | 908793363 | NATANYA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21139280/check_26458624_100b4c02-dc2c-43fc-8306-28042f4e1744.json | N/A | N/A | N/A | N/A | N/A | 94092306F | N/A | CFST WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1985-07-19 | CFST | CWLLNMEG21 | N/A | N/A | false | STEELMAN | N/A | NATANYA | N/A | 2078-12-31 | 2024-12-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503183 | N/A | N/A | 21139280 | 2222 | 4802 | 26608660 | 5538 | 18593170 | 2026-05-19 00:54:18.058914 | 2026-04-30 22:38:49.837502 |
| 2026-05-18 07:24:04.532642 | 2026-05-19 00:53:21.516247 | 26458620 | N/A | N/A | 60054 | Aetna | 1114042165 | 26458620 | Athletic Physical Therapy Inc | 1989-06-05 | 2026-05-21 | M | AE | PT | N/A | ACKERMAN | W278645775 | BRUCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21131259/check_26458620_2cd25ec3-0811-4900-91e5-3e561dc56ff8.json | N/A | N/A | N/A | N/A | N/A | W278645775 | Point of Service (POS) | INKTAVO LLC | AETNA | N/A | 1989-06-05 | 0266689 | 026668901000709 | N/A | PS | false | ACKERMAN | N/A | BRUCE | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503181 | N/A | N/A | 21131259 | 2222 | 4802 | 26607605 | N/A | 18793673 | 2026-05-19 00:53:21.516247 | 2026-05-13 15:33:45.142532 |
| 2026-05-18 07:24:04.420182 | 2026-05-19 00:52:57.102156 | 26458612 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 26458612 | Athletic Physical Therapy Inc | 1967-07-24 | 2026-05-21 | M | AE | PT | N/A | Shaw | 94490515F | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21110524/check_26458612_d8501384-1b6b-4823-aa95-834b07c37ae3.json | N/A | N/A | N/A | N/A | N/A | 94490515F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1967-07-24 | N/A | N/A | N/A | N/A | false | SHAW | N/A | MICHAEL | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503180 | N/A | N/A | 21110524 | 2222 | 4802 | 26607209 | N/A | 14700178 | 2026-05-19 00:52:57.102156 | 2026-02-09 18:13:32.617059 |
| 2026-05-18 07:24:04.333876 | 2026-05-19 00:54:21.727533 | 26458610 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26458610 | Athletic Physical Therapy Inc | 1994-10-22 | 2026-05-21 | F | AE | PT | N/A | Le | 000011455400 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21105285/check_26458610_84a92257-ca96-43cd-8d73-e250afe70630.json | N/A | N/A | N/A | N/A | N/A | 000011455400 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1994-10-22 | 3044280 | 101640 | N/A | N/A | false | LE | N/A | STEPHANIE | N/A | 2026-12-31 | 2026-01-01 | SOUTHERN CALIFORNIA BAKERY & CONFECTIONERY UNION & | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503178 | N/A | N/A | 21105285 | 2222 | 4802 | 26608722 | N/A | 18771569 | 2026-05-19 00:54:21.727533 | 2026-05-06 19:45:36.468610 |
| 2026-05-18 07:24:04.233216 | 2026-05-19 00:54:11.367282 | 26458603 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458603 | Athletic Physical Therapy Inc | 1958-05-16 | 2026-05-20 | M | AE | PT | N/A | MOHAGEN | 8300000057307 | DAVID | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21104785/check_26458603_848812f5-aa3d-4e9a-ace5-683560ae838e.json | N/A | N/A | N/A | N/A | N/A | 8300000057307 | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1958-05-16 | N/A | N/A | N/A | N/A | false | MOHAGEN | N/A | DAVID | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503176 | N/A | N/A | 21104785 | 2222 | 4802 | 26608544 | 5538 | 18771047 | 2026-05-19 00:54:11.367282 | 2026-05-12 17:26:02.820437 |
| 2026-05-18 07:24:04.114527 | 2026-05-19 00:54:10.808955 | 26458596 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26458596 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-05-20 | F | PT | N/A | N/A | OATES | JQS723M87472 | STACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21065825/check_26458596_2066f366-3f66-40b6-9ac6-f58463774fc2.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503175 | N/A | N/A | 21065825 | 2222 | 4793 | 26608533 | 4184 | 4210449 | 2026-05-19 00:54:10.808955 | 2026-02-25 15:35:31.486496 |
| 2026-05-18 07:24:04.014298 | 2026-05-19 00:54:40.538740 | 26458591 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26458591 | Athletic Physical Therapy Inc | 1968-12-22 | 2026-05-20 | F | PT | N/A | N/A | BOWMAN | 495A7223440 | CRISTY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21043592/check_26458591_6b47ded4-5916-4572-968f-97e7d9fd8967.json | N/A | N/A | N/A | N/A | N/A | 495A7223440 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1968-12-22 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | CRISTY | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503173 | N/A | N/A | 21043592 | 2222 | 4801 | 26609057 | 4185 | 4213031 | 2026-05-19 00:54:40.538740 | 2025-05-13 04:29:37.227356 |
| 2026-05-18 07:24:03.922238 | 2026-05-19 00:54:52.993886 | 26458587 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26458587 | Athletic Physical Therapy Inc | 1959-03-25 | 2026-05-20 | F | AE | PT | N/A | GUNCKEL | 3N24E22EA71 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21041432/check_26458587_a2e55309-b867-46b3-bada-be419d705026.json | N/A | N/A | N/A | N/A | N/A | 3N24E22EA71 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-25 | S5921 | N/A | N/A | MA | false | GUNCKEL | N/A | MARY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 5172 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503172 | N/A | N/A | 21041432 | 2222 | 4801 | 26609247 | N/A | 4210571 | 2026-05-19 00:54:52.993886 | 2025-05-13 04:29:37.224988 |
| 2026-05-18 07:24:03.830070 | 2026-05-19 00:54:58.284994 | 26458581 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26458581 | Athletic Physical Therapy Inc | 1962-12-12 | 2026-05-20 | F | AE | PT | N/A | Lewis | 950194649 | Kellie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21040587/check_26458581_b95ad3be-447e-415e-8802-6e55ddfc069b.json | N/A | N/A | N/A | N/A | N/A | 950194649 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1962-12-12 | N/A | 02050 | N/A | HN | false | LEWIS | N/A | KELLIE | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503171 | N/A | N/A | 21040587 | 2222 | 4802 | 26609344 | 6411 | 18717187 | 2026-05-19 00:54:58.284994 | 2026-05-04 21:30:45.164030 |
| 2026-05-18 07:24:03.728901 | 2026-05-19 00:54:25.617686 | 26458575 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26458575 | Athletic Physical Therapy Inc | 1954-08-03 | 2026-05-20 | F | AE | PT | N/A | Nafissi | 000006868803 | Massoumeh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21009416/check_26458575_59be36f7-eab3-4c85-a0fc-f6fa46759c71.json | N/A | N/A | N/A | N/A | N/A | 000006868803 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1954-08-03 | 4319884 | 100201 | N/A | N/A | false | NAFISSI | N/A | MASSOUMEH | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503170 | N/A | N/A | 21009416 | 2222 | 4802 | 26608795 | N/A | 18683442 | 2026-05-19 00:54:25.617686 | 2026-05-04 17:43:40.313700 |
| 2026-05-18 07:24:03.640311 | 2026-05-19 00:54:33.071720 | 26458571 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26458571 | Athletic Physical Therapy Inc | 1964-12-28 | 2026-05-21 | F | AE | PT | N/A | Zakhor | 000023510767 | Homa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21003222/check_26458571_a0cc28df-adc4-4978-8baa-e0e591dd0ac2.json | N/A | N/A | N/A | N/A | N/A | 000023510767 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1964-12-28 | 4378733 | 1650095001 | N/A | N/A | false | ZAKHOR | N/A | HOMA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503169 | N/A | N/A | 21003222 | 2222 | 4802 | 26608920 | N/A | 18677300 | 2026-05-19 00:54:33.071720 | 2026-05-04 15:44:16.706396 |
| 2026-05-18 07:24:03.558044 | 2026-05-19 00:54:12.414344 | 26458566 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 26458566 | Athletic Physical Therapy Inc | 1991-05-28 | 2026-05-20 | M | AE | PT | N/A | Nickou | 92749514G | Maximilian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20937784/check_26458566_a1405946-fb73-4441-82cc-de24de5729f3.json | N/A | N/A | N/A | N/A | N/A | 92749514G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1991-05-28 | MCLA | MWLLNMEG21 | N/A | N/A | false | NICKOU | N/A | MAXIMILIAN | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503168 | N/A | N/A | 20937784 | 2222 | 4802 | 26608558 | N/A | 18629690 | 2026-05-19 00:54:12.414344 | 2026-05-11 20:01:11.986275 |
| 2026-05-18 07:24:03.453741 | 2026-05-19 00:54:54.978416 | 26458562 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26458562 | Athletic Physical Therapy Inc | 1955-08-24 | 2026-05-20 | M | AE | PT | N/A | Hanna | 00000245352 | Hosam | Habib | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20934310/check_26458562_a0b86771-2958-40b2-bb65-0b020c525395.json | N/A | N/A | N/A | N/A | N/A | 00000245352 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-08-24 | N/A | N/A | N/A | N/A | false | HANNA | N/A | HOSAM | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503167 | N/A | N/A | 20934310 | 2222 | 4801 | 26609286 | 2630 | 18625361 | 2026-05-19 00:54:54.978416 | 2026-05-11 16:11:46.773633 |
| 2026-05-18 07:24:03.348732 | 2026-05-19 00:54:43.224540 | 26458557 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26458557 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-05-20 | M | 30 | 98 | N/A | CIRELLI | 99590067F | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20927506/check_26458557_d1669426-a584-4ee9-ba17-8b118c0e8e4d.json | N/A | N/A | N/A | N/A | N/A | 99590067F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-01-08 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | CIRELLI | N/A | SCOTT | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10917503166 | N/A | N/A | 20927506 | 2222 | 4802 | 26609095 | 4211 | 18618456 | 2026-05-19 00:54:43.224540 | 2026-05-01 17:24:50.896361 |
| 2026-05-18 07:24:03.259941 | 2026-05-19 00:54:12.793992 | 26458552 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458552 | Athletic Physical Therapy Inc | 1984-01-04 | 2026-05-21 | M | PT | N/A | N/A | PONCE | HDY365A22389 | ANTHONY JOESEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20887080/check_26458552_d4bdeaa2-0baa-43fc-bfde-0dc5f4f465c9.json | N/A | N/A | N/A | N/A | N/A | HDY365A22389 | Preferred Provider Organization (PPO) | HARBOR FREIGHT TOOLS USA INC | ANTHEM BLUE CROSS | N/A | 1984-01-04 | 040 | C20881M3A1 | N/A | PR | false | PONCE | N/A | ANTHONY | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503165 | N/A | N/A | 20887080 | 2222 | 4801 | 26608565 | N/A | 18593194 | 2026-05-19 00:54:12.793992 | 2026-04-30 22:38:25.806096 |
| 2026-05-18 07:24:03.168108 | 2026-05-19 00:55:15.085992 | 26458549 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26458549 | Athletic Physical Therapy Inc | 1948-03-10 | 2026-05-20 | M | AE | PT | N/A | Vasseghi | 6V57AM5PF58 | Massoud | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20789041/check_26458549_ecc06ff8-efe3-4ab1-9ac1-6a99845a6485.json | N/A | N/A | N/A | N/A | N/A | 6V57AM5PF58 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-10 | S5617 | N/A | N/A | MB | false | VASSEGHI | N/A | MASSOUD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 28419 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503164 | N/A | N/A | 20789041 | 2222 | 4802 | 26609591 | N/A | 18398741 | 2026-05-19 00:55:15.085992 | 2026-05-06 01:35:49.065096 |
| 2026-05-18 07:24:03.066778 | 2026-05-19 00:54:45.567962 | 26458544 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26458544 | Athletic Physical Therapy Inc | 1959-11-04 | 2026-05-20 | M | PT | N/A | N/A | DOBIN | 005W2151410 | BRAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20787839/check_26458544_33284e30-2c60-42e8-b3ad-c456fe72620e.json | N/A | N/A | N/A | N/A | N/A | 005W2151410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-11-04 | N/A | N/A | N/A | N/A | false | DOBIN | N/A | BRAD | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503163 | N/A | N/A | 20787839 | 2222 | 4801 | 26609129 | 4185 | 18397122 | 2026-05-19 00:54:45.567962 | 2026-05-20 21:14:11.581156 |
| 2026-05-18 07:24:02.978760 | 2026-05-19 00:54:55.093652 | 26458536 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26458536 | Athletic Physical Therapy Inc | 1966-05-28 | 2026-05-21 | F | PT | N/A | N/A | KIMBLE | MPI01503033Q | ERIKA | Britt | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20787399/check_26458536_e74d8f17-195c-442a-90ca-9f1e0d73444d.json | N/A | N/A | N/A | N/A | N/A | MPI01503033Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-05-28 | 040 | 277163M401 | N/A | PR | false | KIMBLE | N/A | REGIS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917503161 | N/A | N/A | 20787399 | 2222 | 4793 | 26609289 | N/A | 18396706 | 2026-05-19 00:54:55.093652 | 2026-05-13 01:08:51.066932 |
| 2026-05-18 07:24:02.898450 | 2026-05-19 00:54:12.844849 | 26458529 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26458529 | Athletic Physical Therapy Inc | 1946-11-13 | 2026-05-20 | F | AE | PT | N/A | BOLTON | 000012284122 | MARILYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20771464/check_26458529_672085f9-1820-4f98-bd97-4de0ec0415e7.json | N/A | N/A | N/A | N/A | N/A | 000012284122 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1946-11-13 | 4384508 | 1650095002 | N/A | N/A | false | BOLTON | N/A | MARILYN | N/A | 2026-12-31 | 2026-01-01 | UNITED AIRLINES, INC. UNITED AIRLINES - POST 65 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503157 | N/A | N/A | 20771464 | 2222 | 4793 | 26608566 | N/A | 18383000 | 2026-05-19 00:54:12.844849 | 2026-05-12 17:42:14.534870 |
| 2026-05-18 07:24:02.815237 | 2026-05-19 00:54:14.004592 | 26458524 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458524 | Athletic Physical Therapy Inc | 1975-02-28 | 2026-05-20 | F | AE | PT | N/A | OSUNA | 90783370D | GABRIELA | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20710869/check_26458524_6fb48b69-4553-431b-a463-8bec2ab3abf0.json | N/A | N/A | N/A | N/A | N/A | 90783370D | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1975-02-28 | MCLA | MWLLNMEG21 | N/A | N/A | false | OSUNA ESCOBAR | N/A | GABRIELA | N/A | 2078-12-31 | 2022-10-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503156 | N/A | N/A | 20710869 | 2222 | 4802 | 26608581 | 5538 | 18350802 | 2026-05-19 00:54:14.004592 | 2026-05-04 15:26:37.476991 |
| 2026-05-18 07:24:02.716474 | 2026-05-19 00:54:08.195036 | 26458516 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26458516 | Athletic Physical Therapy Inc | 1965-01-15 | 2026-05-20 | F | AE | PT | N/A | BINDER | 97045245C | ABBY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20702780/check_26458516_a4db1d0c-c88c-4f75-9a08-27ce25c098d6.json | N/A | N/A | N/A | N/A | N/A | 97045245C | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-01-15 | MCLA | MWLLNMEG21 | N/A | N/A | false | BINDER | N/A | ABBY | N/A | 2078-12-31 | 2021-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917503155 | N/A | N/A | 20702780 | 2222 | 4793 | 26608493 | 5538 | 18345498 | 2026-05-19 00:54:08.195036 | 2026-04-28 21:51:51.011659 |