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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | insurance_company_id | 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 07:23:47.161537 | 2026-05-19 00:54:12.433364 | 26457609 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26457609 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-05-20 | M | 96 | HAUSMAN | 34751866 | GARY | N/A | N/A | 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/2222/9280203/check_26457609_6280a865-8ffc-422a-85a5-e3dafc0b293c.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10917504593 | N/A | N/A | 9280203 | 2222 | 4793 | 26608559 | 6798 | 7788651 | 2026-05-19 00:54:12.433364 | 2025-09-10 18:50:22.494063 |
| 2026-05-18 07:23:47.054181 | 2026-05-19 00:54:17.765850 | 26457602 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26457602 | Athletic Physical Therapy Inc | 1952-08-31 | 2026-05-21 | M | PT | VACA | JQS284W10343 | STEVEN | R | N/A | 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/2222/9258711/check_26457602_a8efa3a2-9334-4e2a-9d6b-31b9b90fe04e.json | N/A | N/A | N/A | N/A | N/A | JQS284W10343 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-08-31 | 040 | CAMCRWP0 | N/A | MP | false | VACA | N/A | STEVEN | 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 | 10917504592 | N/A | N/A | 9258711 | 2222 | 4801 | 26608656 | 4184 | 7768967 | 2026-05-19 00:54:17.765850 | 2025-09-17 16:11:31.615033 |
| 2026-05-18 07:23:46.948660 | 2026-05-19 00:55:12.110118 | 26457598 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457598 | Athletic Physical Therapy Inc | 1956-06-26 | 2026-05-20 | F | AE | SUAREZ | 4EY2NT4GU93 | ANA | M | PT | 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/2222/9083354/check_26457598_fff059a8-8c71-4737-b950-ef9a64200317.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 8103 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504591 | N/A | N/A | 9083354 | 2222 | 4801 | 26609550 | N/A | 7600312 | 2026-05-19 00:55:12.110118 | 2025-09-04 18:19:39.478018 |
| 2026-05-18 07:23:46.857307 | 2026-05-19 00:55:04.159888 | 26457593 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457593 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-05-21 | M | AE | TSING | 00000282272 | KONGHSUNG | A | PT | 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/2222/8978036/check_26457593_ff2ddfed-29d8-480b-982f-2b1561c872eb.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | 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 | 10917504590 | N/A | N/A | 8978036 | 2222 | 4793 | 26609439 | 2630 | 7492332 | 2026-05-19 00:55:04.159888 | 2025-10-01 21:03:48.525986 |
| 2026-05-18 07:23:46.773184 | 2026-05-19 00:53:22.772859 | 26457586 | N/A | N/A | 60054 | Aetna | 1114042165 | 26457586 | Athletic Physical Therapy Inc | 2007-05-15 | 2026-05-20 | M | AE | BAIRD | W295329957 | WILLIAM | N/A | PT | 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/2222/8391594/check_26457586_d27ca493-c323-44dc-bfbb-a063055b4fda.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504589 | N/A | N/A | 8391594 | 2222 | 4793 | 26607632 | N/A | 4214747 | 2026-05-19 00:53:22.772859 | 2025-05-13 04:29:37.229066 |
| 2026-05-18 07:23:46.689681 | 2026-05-19 00:54:45.574347 | 26457584 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457584 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-05-20 | F | AE | CHICAS | 2VE9DX6NU27 | MARIA | N/A | PT | 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/2222/8202975/check_26457584_2f0983b4-45c3-455d-9841-3676c3251eb3.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 77634 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504588 | N/A | N/A | 8202975 | 2222 | 4802 | 26609130 | N/A | 6965620 | 2026-05-19 00:54:45.574347 | 2025-09-03 23:20:10.287852 |
| 2026-05-18 07:23:46.608335 | 2026-05-19 00:55:13.914318 | 26457579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457579 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-05-20 | M | AE | ULLMAN | 8HC8F35AX50 | DAVID | N/A | PT | 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/2222/7589050/check_26457579_edd7b43a-b622-4b3f-9b5a-d42fd0df3705.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 161487 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504587 | N/A | N/A | 7589050 | 2222 | 4801 | 26609576 | N/A | 4208696 | 2026-05-19 00:55:13.914318 | 2025-06-07 16:16:45.844566 |
| 2026-05-18 07:23:46.504224 | 2026-05-19 00:55:00.505422 | 26457574 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457574 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-05-20 | F | AE | STEVENS | 00000348252 | JANET | Sue | PT | 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/2222/6967938/check_26457574_9c09f770-6f3e-4f01-bc3c-cb03a8693904.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-09-28 | N/A | N/A | N/A | N/A | false | STEVENS | N/A | JANET | 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 | 10917504586 | N/A | N/A | 6967938 | 2222 | 4801 | 26609383 | 2630 | 4212773 | 2026-05-19 00:55:00.505422 | 2026-04-04 05:51:01.155131 |
| 2026-05-18 07:23:46.414393 | 2026-05-19 00:54:46.782883 | 26457568 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457568 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-05-20 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | 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/2222/6752936/check_26457568_f290ca01-7674-42ca-8a34-a8da2dcee74e.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 355461 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504585 | N/A | N/A | 6752936 | 2222 | 4801 | 26609148 | N/A | 5065602 | 2026-05-19 00:54:46.782883 | 2025-07-01 17:25:13.681724 |
| 2026-05-18 07:23:46.314551 | 2026-05-19 00:55:17.100593 | 26457560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457560 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-05-21 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | N | PT | 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/2222/6751304/check_26457560_74ddea97-9a6d-429e-a2df-7e0c3f2450c0.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 172900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504584 | N/A | N/A | 6751304 | 2222 | 4802 | 26609616 | N/A | 5557241 | 2026-05-19 00:55:17.100593 | 2025-07-22 17:08:51.810153 |
| 2026-05-18 07:23:46.235534 | 2026-05-19 00:54:11.965455 | 26457551 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26457551 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-05-20 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | PT | 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/2222/6721942/check_26457551_79f00e24-c584-4e05-b11e-0ff183e7df37.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504583 | N/A | N/A | 6721942 | 2222 | 4793 | 26608550 | N/A | 5322280 | 2026-05-19 00:54:11.965455 | 2025-07-01 21:45:15.878047 |
| 2026-05-18 07:23:46.133096 | 2026-05-19 00:54:20.404595 | 26457540 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26457540 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-05-21 | M | AE | SIMMONS | 40055722801 | J | C | PT | 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/2222/6685251/check_26457540_d7a71f00-87ac-4820-9e10-5a0140c0b203.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504582 | N/A | N/A | 6685251 | 2222 | 4793 | 26608701 | 6237 | 4209868 | 2026-05-19 00:54:20.404595 | 2025-08-15 22:13:56.514261 |
| 2026-05-18 07:23:46.028550 | 2026-05-19 00:54:50.443145 | 26457534 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26457534 | Athletic Physical Therapy Inc | 1953-09-14 | 2026-05-20 | F | PT | HARMON | JQQ322M99046 | MONICA | N/A | N/A | 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/2222/6607546/check_26457534_a8c3d8d7-edc0-4c4d-ac49-d50febbf86fd.json | N/A | N/A | N/A | N/A | N/A | JQQ322M99046 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-09-14 | 040 | CAMCRWP0 | N/A | MP | false | HARMON | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917504581 | N/A | N/A | 6607546 | 2222 | 4802 | 26609204 | 4184 | 4755187 | 2026-05-19 00:54:50.443145 | 2026-05-20 17:00:41.372553 |
| 2026-05-18 07:23:45.933960 | 2026-05-19 00:54:49.085048 | 26457527 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457527 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-05-21 | F | AE | FABER | 4X26K21EE83 | LINDA | A | PT | 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/2222/6522947/check_26457527_bbb60fd8-8084-438e-8415-dbd261a41744.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 174270 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504580 | N/A | N/A | 6522947 | 2222 | 4802 | 26609183 | N/A | 5146127 | 2026-05-19 00:54:49.085048 | 2025-06-20 17:58:23.371130 |
| 2026-05-18 07:23:45.832494 | 2026-05-19 00:54:16.556773 | 26457520 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26457520 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-05-20 | M | AD | NOWAK | 31172069101 | DAVID | N/A | 30 | 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/2222/6492025/check_26457520_e9d1ddef-694a-4450-8961-972de164aecb.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10917504579 | N/A | N/A | 6492025 | 2222 | 4793 | 26608631 | 6237 | 5121181 | 2026-05-19 00:54:16.556773 | 2025-06-19 16:42:31.208252 |
| 2026-05-18 07:23:45.751744 | 2026-05-19 00:55:01.978361 | 26457514 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457514 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-05-21 | F | AE | MORALES | 7XX8HG0UK25 | ANA | N/A | PT | 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/2222/6076917/check_26457514_f36fa4d8-b65e-4b7b-8c26-2f280431c77f.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MB | false | MORALES | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 208992 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504578 | N/A | N/A | 6076917 | 2222 | 4793 | 26609404 | N/A | 4718913 | 2026-05-19 00:55:01.978361 | 2025-05-29 22:23:40.462913 |
| 2026-05-18 07:23:45.649823 | 2026-05-19 00:54:43.890966 | 26457511 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26457511 | Athletic Physical Therapy Inc | 1977-09-14 | 2026-05-20 | F | PT | CONTI | CAI143A79624 | MARIANA | N/A | N/A | 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/2222/5993920/check_26457511_6be17ed3-3474-4064-9ce9-47243f400d4a.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917504577 | N/A | N/A | 5993920 | 2222 | 4793 | 26609105 | 4184 | 4642859 | 2026-05-19 00:54:43.890966 | 2026-04-10 21:27:25.225083 |
| 2026-05-18 07:23:45.545600 | 2026-05-19 00:54:38.507756 | 26457506 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26457506 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-05-19 | F | AE | GIANOLI | R11857813FM1 | ELSY | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260518.122830923.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_26457506_8154e62c-b4fb-450f-be19-a3a9ed85494b.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917504575 | N/A | N/A | 5568076 | 2222 | 4802 | 26609023 | 4625 | 4209480 | 2026-05-19 00:54:38.507756 | 2026-04-10 02:05:15.976484 |
| 2026-05-18 07:23:45.460543 | 2026-05-19 00:54:36.457676 | 26457499 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26457499 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-05-21 | F | PT | ANDERSON | XDP564A24389 | ERIN | N/A | N/A | 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/2222/5549780/check_26457499_d92894c0-26a8-435d-addc-138616962aba.json | N/A | N/A | N/A | N/A | N/A | XDP564A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1972-06-11 | 040 | 275928M001 | N/A | PR | false | ANDERSON | N/A | ERIN | N/A | 2026-06-30 | 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 | 10917504574 | N/A | N/A | 5549780 | 2222 | 4801 | 26608981 | N/A | 4219374 | 2026-05-19 00:54:36.457676 | 2025-05-13 04:29:37.230399 |
| 2026-05-18 07:23:45.352627 | 2026-05-19 00:54:53.566251 | 26457495 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457495 | Athletic Physical Therapy Inc | 1941-10-25 | 2026-05-20 | F | AE | FERNANDEZ | 00000301109 | HERSILIA | N/A | PT | 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/2222/5549388/check_26457495_a15e6e6b-3732-4972-aa6b-210c5d907ea4.json | N/A | N/A | N/A | N/A | N/A | 00000301109 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1941-10-25 | N/A | N/A | N/A | N/A | false | FERNANDEZ | N/A | HERSILIA | 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 | 10917504573 | N/A | N/A | 5549388 | 2222 | 4801 | 26609261 | 2630 | 4219062 | 2026-05-19 00:54:53.566251 | 2026-04-13 21:41:57.357587 |
| 2026-05-18 07:23:45.265209 | 2026-05-19 00:54:57.993655 | 26457489 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26457489 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-05-20 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | 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/2222/5549317/check_26457489_b60d4b28-bef6-45b1-94bd-414f080d6cea.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917504572 | N/A | N/A | 5549317 | 2222 | 4801 | 26609338 | N/A | 4219010 | 2026-05-19 00:54:57.993655 | 2026-01-09 18:32:07.618867 |
| 2026-05-18 07:23:45.163869 | 2026-05-19 00:54:56.582296 | 26457482 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26457482 | Athletic Physical Therapy Inc | 1947-11-21 | 2026-05-20 | M | PT | LOCKHAT | 435M9782310 | AHMED | N/A | N/A | 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/2222/5543586/check_26457482_454a0172-d525-4572-a0f8-bbff8786db84.json | N/A | N/A | N/A | N/A | N/A | 435M9782310 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-11-21 | N/A | N/A | N/A | N/A | false | LOCKHAT | N/A | AHMED | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917504571 | N/A | N/A | 5543586 | 2222 | 4801 | 26609314 | 4184 | 4215359 | 2026-05-19 00:54:56.582296 | 2026-04-17 05:33:55.315499 |
| 2026-05-18 07:23:45.063556 | 2026-05-19 00:54:59.226526 | 26457476 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457476 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-05-21 | F | AE | Sankovich | 00000375069 | Deborah | N/A | PT | 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/2222/5543396/check_26457476_d86ffba7-6093-4324-9bd5-0d76428c7fe7.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 | 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 | 10917504570 | N/A | N/A | 5543396 | 2222 | 4793 | 26609362 | 2630 | 4215193 | 2026-05-19 00:54:59.226526 | 2026-01-16 04:38:12.725481 |
| 2026-05-18 07:23:44.987413 | 2026-05-19 00:54:56.048712 | 26457471 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26457471 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-05-21 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | N/A | 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/2222/5543167/check_26457471_49bb2c34-90e8-4c24-8ef4-bc898dfb6162.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | 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 | 10917504569 | N/A | N/A | 5543167 | 2222 | 4793 | 26609305 | N/A | 4214995 | 2026-05-19 00:54:56.048712 | 2025-05-13 04:29:37.229315 |
| 2026-05-18 07:23:44.890787 | 2026-05-19 00:53:26.429023 | 26457464 | N/A | N/A | 60054 | Aetna | 1114042165 | 26457464 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-05-21 | F | AE | FERRELL | W285064666 | AMELIA | N/A | PT | 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/2222/5542678/check_26457464_9b9227ac-ee32-40e8-a310-f9291206b4a1.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | 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 | 10917504568 | N/A | N/A | 5542678 | 2222 | 4802 | 26607708 | N/A | 4214560 | 2026-05-19 00:53:26.429023 | 2025-05-13 04:29:37.228883 |
| 2026-05-18 07:23:44.786328 | 2026-05-19 00:54:54.789852 | 26457457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457457 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-05-21 | M | AE | KAYE | 2K46PX4AD45 | ELLIOT | N/A | PT | 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/2222/5542249/check_26457457_eb30dba4-6734-4fe7-8c27-38e9f24ecc52.json | N/A | N/A | N/A | N/A | N/A | 2K46PX4AD45 | N/A | N/A | CMS | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | KAYE | N/A | ELLIOT | 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 | 10917502444 | N/A | N/A | 5542249 | 2222 | 4801 | 26609281 | N/A | 4214176 | 2026-05-19 00:54:54.789852 | 2025-05-13 04:29:37.228504 |
| 2026-05-18 07:23:44.688313 | 2026-05-19 00:54:47.567230 | 26457449 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26457449 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-05-20 | F | AE | HEYES | 95596436F | DARCIE | N/A | PT | 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/2222/5542233/check_26457449_5a230f31-6a31-4b99-932a-7dfbbdfa70ff.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502442 | N/A | N/A | 5542233 | 2222 | 4793 | 26609158 | 4211 | 4214178 | 2026-05-19 00:54:47.567230 | 2025-05-13 04:29:37.228506 |
| 2026-05-18 07:23:44.589134 | 2026-05-19 00:54:58.034534 | 26457445 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457445 | Athletic Physical Therapy Inc | 1955-04-23 | 2026-05-21 | M | AE | MERCADO | 00000230883 | PETER | N/A | PT | 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/2222/5542172/check_26457445_9eff4805-0f39-4bb6-979f-3549cde977ba.json | N/A | N/A | N/A | N/A | N/A | 00000230883 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-04-23 | N/A | N/A | N/A | N/A | false | MERCADO | N/A | PETER | 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 | 10917502441 | N/A | N/A | 5542172 | 2222 | 4801 | 26609340 | 2630 | 4214118 | 2026-05-19 00:54:58.034534 | 2025-05-13 04:29:37.228432 |
| 2026-05-18 07:23:44.489569 | 2026-05-19 00:54:15.790102 | 26457441 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 26457441 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-05-21 | M | AE | VLAHOVICH | 34035035 | STEVEN | N/A | PT | 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/2222/5542048/check_26457441_8bf3b000-627d-474f-bc1f-59f0e8818e81.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | 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 | 10917502440 | N/A | N/A | 5542048 | 2222 | 4802 | 26608614 | N/A | 4214003 | 2026-05-19 00:54:15.790102 | 2025-05-13 04:29:37.228325 |
| 2026-05-18 07:23:44.400819 | 2026-05-19 00:53:14.707580 | 26457436 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 26457436 | override_provider | 1957-04-11 | 2026-05-20 | M | PT | ADRIAN | MBL508W11635 | NELSON | N/A | N/A | 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/2222/5541841/check_26457436_ad17ad30-13ed-4db6-affc-2ac02f31da67.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917502439 | N/A | N/A | 5541841 | 2222 | 4801 | 26607476 | N/A | 4213826 | 2026-05-19 00:53:14.707580 | 2025-05-13 04:29:37.228146 |
| 2026-05-18 07:23:44.304363 | 2026-05-19 00:54:52.240732 | 26457429 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26457429 | Athletic Physical Therapy Inc | 1963-05-16 | 2026-05-20 | F | AE | KHAMISIAN | 98872882G | ANAHID | N/A | PT | 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/2222/5541618/check_26457429_4b4ec1ce-727f-48c3-bfea-a73aa5b0321a.json | N/A | N/A | N/A | N/A | N/A | 98872882G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-16 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KHAMISIAN | N/A | ANAHID | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502438 | N/A | N/A | 5541618 | 2222 | 4802 | 26609232 | 4211 | 4213623 | 2026-05-19 00:54:52.240732 | 2025-07-29 02:12:05.358371 |
| 2026-05-18 07:23:44.190641 | 2026-05-19 00:54:43.244899 | 26457426 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26457426 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-05-21 | F | AE | SHEPHERD | 93180838F | EMILY | N/A | PT | 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/2222/5541519/check_26457426_3dc00fac-7932-41c5-81c0-99a46073ab34.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502437 | N/A | N/A | 5541519 | 2222 | 4802 | 26609096 | 4625 | 4213530 | 2026-05-19 00:54:43.244899 | 2025-05-13 04:29:37.227860 |
| 2026-05-18 07:23:44.090338 | 2026-05-19 00:54:57.542666 | 26457419 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457419 | Athletic Physical Therapy Inc | 1951-08-31 | 2026-05-20 | F | AE | MEDINA | 00000271339 | BEATRIZ | N/A | PT | 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/2222/5541480/check_26457419_fb281e26-4aa6-4bea-b627-234c8cc4d14f.json | N/A | N/A | N/A | N/A | N/A | 00000271339 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1951-08-31 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | BEATRIZ | 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 | 10917502436 | N/A | N/A | 5541480 | 2222 | 4801 | 26609294 | 2630 | 4213492 | 2026-05-19 00:54:57.542666 | 2025-05-13 04:29:37.227810 |
| 2026-05-18 07:23:43.996985 | 2026-05-19 00:54:57.040743 | 26457412 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26457412 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-05-20 | F | PT | LORD | JQT822A53740 | ALYSSA | N/A | N/A | 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/2222/5541409/check_26457412_b161eb15-ef3e-46a2-8dc9-6ddc24a13ece.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 2026-12-31 | 2026-01-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917502434 | N/A | N/A | 5541409 | 2222 | 4793 | 26609322 | 4184 | 4213435 | 2026-05-19 00:54:57.040743 | 2025-05-13 04:29:37.227756 |
| 2026-05-18 07:23:43.910929 | 2026-05-19 00:54:52.425252 | 26457409 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26457409 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-05-20 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | N/A | 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/2222/5541315/check_26457409_b89dbbf3-8057-42b5-b968-a121fc093d45.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917502432 | N/A | N/A | 5541315 | 2222 | 4793 | 26609237 | N/A | 4213344 | 2026-05-19 00:54:52.425252 | 2025-05-13 04:29:37.227667 |
| 2026-05-18 07:23:43.815795 | 2026-05-19 00:54:18.491627 | 26457405 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26457405 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-05-20 | F | AD | POLAK | 40047825101 | JOANNA | N/A | 30 | 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/2222/5541023/check_26457405_73593788-f77c-43d7-9ee1-eeb4caa9fc2c.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10917502431 | N/A | N/A | 5541023 | 2222 | 4793 | 26608669 | 6237 | 4213093 | 2026-05-19 00:54:18.491627 | 2025-05-13 04:29:37.227419 |
| 2026-05-18 07:23:43.721428 | 2026-05-19 00:55:04.121024 | 26457400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457400 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-05-20 | F | AE | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | N/A | PT | 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/2222/5540122/check_26457400_cd2b3e63-a847-4011-a4f8-ca08217e22d0.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MB | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 78863 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502430 | N/A | N/A | 5540122 | 2222 | 4793 | 26609437 | N/A | 4212321 | 2026-05-19 00:55:04.121024 | 2026-03-11 15:45:38.887850 |
| 2026-05-18 07:23:43.604681 | 2026-05-19 00:54:14.123201 | 26457391 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26457391 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-05-20 | F | 96 | HAUSMAN | 34751865 | JUDITH | N/A | N/A | 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/2222/5539527/check_26457391_c9d49567-8a80-49a0-81ae-15b478ea70ee.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10917502428 | N/A | N/A | 5539527 | 2222 | 4793 | 26608585 | 6798 | 4211820 | 2026-05-19 00:54:14.123201 | 2026-04-10 18:02:32.809721 |
| 2026-05-18 07:23:43.508378 | 2026-05-19 00:54:49.490563 | 26457386 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26457386 | Athletic Physical Therapy Inc | 1968-08-02 | 2026-05-20 | F | PT | GRACE | 327A5189840 | TAMMY | Marie | N/A | 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/2222/5539246/check_26457386_d8163a32-2bbc-4059-bf9d-6bae49ef1d0a.json | N/A | N/A | N/A | N/A | N/A | 327A5189840 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1968-08-02 | N/A | N/A | N/A | N/A | false | GRACE | N/A | TAMMY | 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 | 10917502427 | N/A | N/A | 5539246 | 2222 | 4801 | 26609187 | 4185 | 4211573 | 2026-05-19 00:54:49.490563 | 2026-04-21 18:20:57.169579 |
| 2026-05-18 07:23:43.424744 | 2026-05-19 00:54:52.100209 | 26457381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26457381 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-05-21 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | N/A | 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/2222/5539085/check_26457381_cd9bbb78-69aa-4324-8ba3-a00df40753fd.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10917502426 | N/A | N/A | 5539085 | 2222 | 4793 | 26609231 | N/A | 4211408 | 2026-05-19 00:54:52.100209 | 2025-09-18 00:42:48.586801 |
| 2026-05-18 07:23:43.314426 | 2026-05-19 00:54:59.885690 | 26457376 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457376 | Athletic Physical Therapy Inc | 1955-08-03 | 2026-05-21 | M | AE | SIEGEL | 00000481103 | DAVID | N/A | PT | 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/2222/5538991/check_26457376_f56dd0b2-f97e-43cd-abe4-891edcd8207c.json | N/A | N/A | N/A | N/A | N/A | 00000481103 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-08-03 | N/A | N/A | N/A | N/A | false | SIEGEL | 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 | 10917502425 | N/A | N/A | 5538991 | 2222 | 4793 | 26609375 | 2630 | 4211321 | 2026-05-19 00:54:59.885690 | 2026-04-09 17:35:10.856621 |
| 2026-05-18 07:23:43.203734 | 2026-05-19 00:54:29.370757 | 26457370 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26457370 | Athletic Physical Therapy Inc | 1937-10-18 | 2026-05-20 | F | AE | HARRIS | H31377947 | SARA | N/A | PT | 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/2222/5538240/check_26457370_e0382f6d-e85c-4374-a22a-2c2e99c0bd63.json | N/A | N/A | N/A | N/A | N/A | H31377947 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1937-10-18 | N/A | Y9623001 | N/A | HN | false | HARRIS | N/A | SARA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502424 | N/A | N/A | 5538240 | 2222 | 4802 | 26608856 | 5349 | 4210683 | 2026-05-19 00:54:29.370757 | 2025-05-13 04:29:37.225096 |
| 2026-05-18 07:23:43.059624 | 2026-05-19 00:55:03.662946 | 26457360 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457360 | Athletic Physical Therapy Inc | 1951-08-05 | 2026-05-20 | M | AE | TRIGG | 00000456686 | WILLIAM | N/A | PT | 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/2222/5537781/check_26457360_91ef3151-0833-4f16-813d-d0dce0d51c31.json | N/A | N/A | N/A | N/A | N/A | 00000456686 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1951-08-05 | N/A | N/A | N/A | N/A | false | TRIGG | N/A | WILLIAM | 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 | 10917502423 | N/A | N/A | 5537781 | 2222 | 4793 | 26609431 | 2630 | 4210290 | 2026-05-19 00:55:03.662946 | 2026-02-09 23:40:44.961074 |
| 2026-05-18 07:23:42.966971 | 2026-05-19 00:54:41.386779 | 26457355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26457355 | Athletic Physical Therapy Inc | 1941-09-20 | 2026-05-20 | F | AE | ANWAR | 1Q84U28KD79 | KAWKY | Ka | PT | 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/2222/5537590/check_26457355_bc7c5b4c-1f7d-4369-9759-668f06c91309.json | N/A | N/A | N/A | N/A | N/A | 1Q84U28KD79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-09-20 | S4802 | N/A | N/A | MA | false | ANWAR | N/A | KAWKY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20041 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502419 | N/A | N/A | 5537590 | 2222 | 4801 | 26609070 | N/A | 4210127 | 2026-05-19 00:54:41.386779 | 2026-04-16 20:03:01.426999 |
| 2026-05-18 07:23:42.870686 | 2026-05-19 00:54:17.283780 | 26457346 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26457346 | Athletic Physical Therapy Inc | 1949-08-09 | 2026-05-20 | F | AE | NOWAK | 31183221401 | DEBORAH | N/A | PT | 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/2222/5537039/check_26457346_fa723742-a211-4dcd-924b-1625c78f85b2.json | N/A | N/A | N/A | N/A | N/A | 31183221401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-08-09 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DEBORAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917502418 | N/A | N/A | 5537039 | 2222 | 4793 | 26608646 | 6237 | 4209676 | 2026-05-19 00:54:17.283780 | 2025-11-19 17:57:16.607946 |
| 2026-05-18 07:23:42.764133 | 2026-05-19 00:54:59.465803 | 26457336 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26457336 | Athletic Physical Therapy Inc | 1951-12-20 | 2026-05-21 | F | AE | WHEELER | 941711796 | LYNN | N/A | PT | 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/2222/5536326/check_26457336_90eaf876-00af-478f-a857-c5f6fedfb8bd.json | N/A | N/A | N/A | N/A | N/A | 941711796 | 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 | 1951-12-20 | N/A | 01963 | N/A | HN | false | WHEELER | N/A | LYNN | 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 | 10917502417 | N/A | N/A | 5536326 | 2222 | 4793 | 26609366 | 6411 | 4209091 | 2026-05-19 00:54:59.465803 | 2025-05-13 04:29:37.223512 |
| 2026-05-18 07:23:42.661539 | 2026-05-19 00:54:52.384426 | 26457328 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26457328 | Athletic Physical Therapy Inc | 1952-10-14 | 2026-05-20 | M | AE | CHISARI | 00000386684 | THOMAS | N/A | PT | 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/2222/5536007/check_26457328_0bb5d206-0bce-4298-9a39-aee32ac2e694.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | 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 | 10917502416 | N/A | N/A | 5536007 | 2222 | 4793 | 26609236 | 2630 | 4208829 | 2026-05-19 00:54:52.384426 | 2025-06-03 01:05:45.663969 |
| 2026-05-18 07:18:26.959267 | 2026-05-18 07:18:29.735776 | 26441872 | N/A | N/A | 41124 | Meritain Health Minneapolis | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-02-28 | 2026-05-18 | M | AE | WESTCOTT | 0089746957 | NOLAN | N/A | PT | 5706 | https://storage.googleapis.com/normandy-eligibility-checks/2222/19765019/check_26441872_743d77b6-96aa-46e7-ac82-6f7f6aed759d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19765019/check_26441872_7cbb60af-f3c7-482b-bc8e-f1ac7ca86466.json | N/A | N/A | N/A | N/A | N/A | 0089746957 | N/A | N/A | MERITAIN HEALTH | N/A | 1981-02-28 | N/A | N/A | N/A | N/A | false | WESTCOTT | N/A | NOLAN | 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 | N/A | N/A | N/A | 19765019 | 2222 | N/A | 26556414 | N/A | 17480049 | 2026-05-18 07:18:29.735776 | 2026-04-13 22:29:26.261916 |
| 2026-05-18 07:18:24.257819 | 2026-05-18 07:18:26.953949 | 26441677 | N/A | N/A | 41124 | Meritain Health Minneapolis | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-02-28 | 2026-05-18 | M | AE | WESTCOTT | 0089746957 | NOLAN | N/A | PT | 5706 | https://storage.googleapis.com/normandy-eligibility-checks/2222/19765019/check_26441677_5a2bcdf6-089a-4279-bbc2-2b6f4526a5ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-18 | N/A | N/A | N/A | N/A | N/A | N/A | 0089746957 | N/A | N/A | MERITAIN HEALTH | N/A | 1981-02-28 | N/A | N/A | N/A | N/A | false | WESTCOTT | N/A | NOLAN | 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 | N/A | N/A | N/A | 19765019 | 2222 | N/A | N/A | N/A | 17480049 | 2026-05-18 07:18:26.953949 | 2026-04-13 22:29:26.261916 |
| 2026-05-18 07:18:24.029938 | 2026-05-18 07:18:26.951913 | 26441659 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-05-20 | 2026-05-18 | M | AE | LIPP | JQC97583205F | ANDREW | N/A | PT | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15487541/check_26441659_b41aaab8-ad31-4656-9e7b-3ecc0bc13a87.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15487541/check_26441659_89915fc2-e59b-4a06-8e83-bcb581e5ada4.json | N/A | N/A | N/A | N/A | N/A | 97583205F | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 2000-05-20 | BCSC | BWLLNMEG21 | N/A | N/A | false | LIPP | N/A | ANDREW | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10917454294 | N/A | N/A | 15487541 | 2222 | N/A | 26556392 | N/A | 13573473 | 2026-05-18 07:18:26.951913 | 2026-01-26 19:07:00.510896 |