API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-16 07:15:08.075490 | 2026-05-17 00:39:17.864206 | 26382981 | N/A | N/A | 12115 | TriWest VA CCN Region 4 (TWVACCN) | 1114042165 | 26382981 | Athletic Physical Therapy Inc | 1945-12-31 | 2026-05-19 | M | AE | PT | BONAS | 1002949784V782638 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19736810/check_26382981_402a4954-ca69-4e1a-ac9a-aa7d3dea8dd9.json | N/A | N/A | N/A | N/A | N/A | 1002949784V782638 | N/A | N/A | VETERANS AFFAIRS FEE BASIS PROGRAMS | N/A | 1945-12-31 | N/A | N/A | N/A | N/A | false | BONAS | N/A | RICHARD | 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 | 10906703835 | N/A | N/A | 19736810 | 2222 | 4801 | 26511406 | N/A | 17451149 | 2026-05-17 00:39:17.864206 | 2026-04-13 17:00:55.264339 |
| 2026-05-16 07:15:07.962903 | 2026-05-17 00:40:07.396175 | 26382967 | N/A | N/A | 60054 | AETNA | 1114042165 | 26382967 | Athletic Physical Therapy Inc | 1971-02-27 | 2026-05-19 | M | AE | PT | Greene | W28640133501 | Steven | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19668642/check_26382967_28d73259-40de-42b2-ab98-c7762f9d860b.json | N/A | N/A | N/A | N/A | N/A | W286401335 | Health Maintenance Organization (HMO) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1971-02-27 | EADI1Q02 | 017657604000095 | N/A | HM | false | GREENE | N/A | STEVEN | N/A | N/A | N/A | AWH SOUTHERN CA HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703834 | N/A | N/A | 19668642 | 2222 | 4801 | 26512721 | 3939 | 17401389 | 2026-05-17 00:40:07.396175 | 2026-04-21 23:05:52.494357 |
| 2026-05-16 07:15:07.874543 | 2026-05-17 00:39:55.078766 | 26382954 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382954 | Athletic Physical Therapy Inc | 1948-08-12 | 2026-05-18 | M | AE | PT | AHADIAN | 7TN5DH7YG54 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19572747/check_26382954_9b3c6f4f-7193-4427-acaf-132ae1e071d7.json | N/A | N/A | N/A | N/A | N/A | 7TN5DH7YG54 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-12 | S4802 | N/A | N/A | MA | false | AHADIAN | N/A | FRANK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 125356 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703833 | N/A | N/A | 19572747 | 2222 | 4802 | 26512399 | N/A | 17324951 | 2026-05-17 00:39:55.078766 | 2026-04-13 21:07:10.225431 |
| 2026-05-16 07:15:07.750437 | 2026-05-17 00:39:15.554576 | 26382938 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 26382938 | Athletic Physical Therapy Inc | 1977-12-29 | 2026-05-19 | M | AE | PT | RETIZ | 000022539507 | ARTHUR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567462/check_26382938_782ab746-dbbd-4b5a-9cf0-10349b7be2b3.json | N/A | N/A | N/A | N/A | N/A | 000022539507 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1977-12-29 | 4362456 | 1650095001 | N/A | N/A | false | RETIZ | N/A | ARTHUR | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703382 | N/A | N/A | 19567462 | 2222 | 4802 | 26511345 | N/A | 17320186 | 2026-05-17 00:39:15.554576 | 2026-04-09 21:37:54.901530 |
| 2026-05-16 07:15:07.639078 | 2026-05-17 00:40:02.185854 | 26382921 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382921 | Athletic Physical Therapy Inc | 1937-12-01 | 2026-05-18 | M | AE | PT | Dannett | 8PW7U77TW63 | Kenneth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19559643/check_26382921_4e4651fb-e6a6-4f5d-9411-07dfc67d6fc2.json | N/A | N/A | N/A | N/A | N/A | 8PW7U77TW63 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-12-01 | S5921 | N/A | N/A | MB | false | DANNETT | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 80865 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703381 | N/A | N/A | 19559643 | 2222 | 4793 | 26512576 | N/A | 17312075 | 2026-05-17 00:40:02.185854 | 2026-04-09 18:23:04.574943 |
| 2026-05-16 07:15:07.559224 | 2026-05-17 00:39:14.952159 | 26382912 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26382912 | Athletic Physical Therapy Inc | 1961-08-31 | 2026-05-19 | M | AE | PT | Kanan | 000012661907 | Daniel | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19500783/check_26382912_0673aca5-763c-4291-9fae-050e19321d97.json | N/A | N/A | N/A | N/A | N/A | 000012661907 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1961-08-31 | 515238 | 146313 | N/A | N/A | false | KANAN | N/A | DANIEL | N/A | 2026-12-31 | 2026-01-01 | SO CA PERSONAL ADVANTAGE W DIRECT PAY SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703380 | N/A | N/A | 19500783 | 2222 | 4802 | 26511334 | N/A | 17274837 | 2026-05-17 00:39:14.952159 | 2026-04-08 22:40:47.856053 |
| 2026-05-16 07:15:07.436381 | 2026-05-17 00:39:32.849775 | 26382900 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26382900 | Athletic Physical Therapy Inc | 1954-01-10 | 2026-05-19 | M | AE | PT | DE LA TORRE | 00000168932 | JOSE | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19497119/check_26382900_efbcae92-0379-4767-bffb-56ec120a4455.json | N/A | N/A | N/A | N/A | N/A | 00000168932 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-01-10 | H3815028 | N/A | N/A | HM | false | DE LA TORRE | N/A | JOSE | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703379 | N/A | N/A | 19497119 | 2222 | 4793 | 26511808 | 2630 | 17271609 | 2026-05-17 00:39:32.849775 | 2026-04-08 23:06:39.863308 |
| 2026-05-16 07:15:07.324559 | 2026-05-17 00:39:17.666793 | 26382883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26382883 | Athletic Physical Therapy Inc | 1994-11-08 | 2026-05-19 | F | PT | N/A | JIANG | R7K824W21258 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19483095/check_26382883_c5e9f97b-0372-456c-8b53-3344406e95cc.json | N/A | N/A | N/A | N/A | N/A | R7K824W21258 | Preferred Provider Organization (PPO) | FETCH REWARDS LLC | ANTHEM BLUE CROSS | N/A | 1994-11-08 | 450 | L01300M017 | N/A | PR | false | JIANG | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS FOR HSA PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906703378 | N/A | N/A | 19483095 | 2222 | 4802 | 26511402 | N/A | 17258855 | 2026-05-17 00:39:17.666793 | 2026-04-13 17:37:52.223301 |
| 2026-05-16 07:15:07.032841 | 2026-05-17 00:39:08.391738 | 26382852 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26382852 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-05-19 | F | AE | PT | TOBOLSKI | 40031694701 | MARSHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19453691/check_26382852_16ed805d-8a1a-4498-96ab-969a20afdb59.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | 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 | 10906703377 | N/A | N/A | 19453691 | 2222 | 4801 | 26511189 | 6237 | 14110956 | 2026-05-17 00:39:08.391738 | 2026-01-29 19:04:39.423629 |
| 2026-05-16 07:15:06.799004 | 2026-05-17 00:39:33.381905 | 26382825 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26382825 | Athletic Physical Therapy Inc | 1951-01-02 | 2026-05-19 | F | AE | PT | Edwards | 00000380504 | Donna | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19424980/check_26382825_7dbd4dcb-e84f-4a3f-9e81-d02bbdc5017b.json | N/A | N/A | N/A | N/A | N/A | 00000380504 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1951-01-02 | H3815028 | N/A | N/A | HM | false | EDWARDS | N/A | DONNA | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703376 | N/A | N/A | 19424980 | 2222 | 4801 | 26511825 | 2630 | 17225600 | 2026-05-17 00:39:33.381905 | 2026-04-13 23:02:55.995268 |
| 2026-05-16 07:15:06.681047 | 2026-05-17 00:39:04.056155 | 26382811 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26382811 | Athletic Physical Therapy Inc | 1951-12-05 | 2026-05-19 | M | AD | 30 | Daradics | 40087014601 | Peter | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19421991/check_26382811_2cdad669-362f-46c4-87fe-7e313ba8798a.json | N/A | N/A | N/A | N/A | N/A | 40087014601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-12-05 | 2026H5425001 | H5425M | N/A | N/A | false | DARADICS | N/A | PETER | 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 | 10906703375 | N/A | N/A | 19421991 | 2222 | 4793 | 26511123 | 6237 | 17222519 | 2026-05-17 00:39:04.056155 | 2026-04-07 21:04:48.057565 |
| 2026-05-16 07:15:06.583626 | 2026-05-17 00:39:39.803684 | 26382796 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26382796 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-05-19 | M | PT | N/A | Brodersen | XEA904512777 | Russell | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_26382796_563fd90a-ed9c-4a8a-b403-87671f3ae8ca.json | N/A | N/A | N/A | N/A | N/A | XEA904512777 | Preferred Provider Organization (PPO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 2015-09-12 | 1000PPOX0004 | W0051513 | N/A | PR | false | BRODERSEN | N/A | ROBERT | N/A | 2041-09-30 | 2026-05-01 | HRA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906703374 | N/A | N/A | 19420394 | 2222 | 4793 | 26511996 | N/A | 17221001 | 2026-05-17 00:39:39.803684 | 2026-04-07 20:28:25.222608 |
| 2026-05-16 07:15:06.486739 | 2026-05-17 00:39:54.164568 | 26382783 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26382783 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-05-19 | M | AE | PT | MAPARA | 97729763H | VISHAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19412512/check_26382783_6c2420f6-c52d-46ff-acd1-f363946a113b.json | N/A | N/A | N/A | N/A | N/A | 97729763H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-19 | MCLA | MWLLNMEG21 | N/A | N/A | false | MAPARA | N/A | VISHAL | 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 | 10906703373 | N/A | N/A | 19412512 | 2222 | 4802 | 26512379 | 5538 | 17213425 | 2026-05-17 00:39:54.164568 | 2026-04-07 17:44:37.574880 |
| 2026-05-16 07:15:06.388054 | 2026-05-17 00:39:21.108375 | 26382769 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 26382769 | override_provider | 2012-04-14 | 2026-05-19 | M | AE | PT | SHARPE | 000022789437 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19360170/check_26382769_d97013a1-f21a-44f3-8a52-fb50ae53b8ce.json | N/A | N/A | N/A | N/A | N/A | 000022789437 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-04-14 | 4299028 | 228273 | N/A | N/A | false | SHARPE | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR SILVER DHMO 2000/65 MAY PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703372 | N/A | N/A | 19360170 | 2222 | 4801 | 26511487 | N/A | 17177665 | 2026-05-17 00:39:21.108375 | 2026-04-06 20:55:13.364223 |
| 2026-05-16 07:15:06.285844 | 2026-05-17 00:39:17.294405 | 26382756 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26382756 | Athletic Physical Therapy Inc | 1971-06-11 | 2026-05-19 | M | AE | PT | Wagner | 000032119998 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19346496/check_26382756_e7e54f35-8792-4bc5-afe8-f779c3b97e9a.json | N/A | N/A | N/A | N/A | N/A | 000032119998 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1971-06-11 | 4378726 | 1650095001 | N/A | N/A | false | WAGNER | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703371 | N/A | N/A | 19346496 | 2222 | 4802 | 26511392 | N/A | 17166239 | 2026-05-17 00:39:17.294405 | 2026-04-06 17:33:20.360853 |
| 2026-05-16 07:15:06.202401 | 2026-05-17 00:39:47.276812 | 26382742 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 26382742 | Athletic Physical Therapy Inc | 1967-04-02 | 2026-05-19 | M | AE | PT | BONO | JQC99173907F | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19346061/check_26382742_7ccc1768-fb16-40c1-9a5e-64213e681dab.json | N/A | N/A | N/A | N/A | N/A | 99173907F | N/A | BCSC WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1967-04-02 | BCSC | BWLLNFAG21 | N/A | N/A | false | BONO | N/A | STEVEN | N/A | 2078-12-31 | 2026-04-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703370 | N/A | N/A | 19346061 | 2222 | 4793 | 26512203 | N/A | 4210823 | 2026-05-17 00:39:47.276812 | 2026-04-05 20:40:03.498759 |
| 2026-05-16 07:15:06.070181 | 2026-05-17 00:40:57.053299 | 26382727 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382727 | Athletic Physical Therapy Inc | 1955-02-18 | 2026-05-18 | M | AE | PT | Savatteri | 6A84AX2EY86 | Roger | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249807/check_26382727_3c374a6c-3db0-48fe-b016-ca4222067256.json | N/A | N/A | N/A | N/A | N/A | 6A84AX2EY86 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-02-18 | S4802 | N/A | N/A | MB | false | SAVATTERI | N/A | ROGER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 35984 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703369 | N/A | N/A | 19249807 | 2222 | 4793 | 26513841 | N/A | 17115438 | 2026-05-17 00:40:57.053299 | 2026-04-10 14:10:46.417236 |
| 2026-05-16 07:15:05.940469 | 2026-05-17 00:39:52.021290 | 26382712 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26382712 | Athletic Physical Therapy Inc | 2008-09-22 | 2026-05-19 | M | AE | PT | Jacobs | 98514465G | Max | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249456/check_26382712_93776aba-2d35-4505-a9e4-72c5e3deafc8.json | N/A | N/A | N/A | N/A | N/A | 98514465G | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2008-09-22 | MCLA | MCLANFAL19 | N/A | N/A | false | JACOBS | N/A | MAX | N/A | 2078-12-31 | 2025-11-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703368 | N/A | N/A | 19249456 | 2222 | 4802 | 26512323 | 5538 | 17114888 | 2026-05-17 00:39:52.021290 | 2026-04-03 22:39:25.409755 |
| 2026-05-16 07:15:05.846159 | 2026-05-17 00:39:17.819338 | 26382696 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26382696 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-05-19 | M | AE | PT | Weiner | 000000201398 | Bernard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_26382696_f9fdae5b-f1aa-4d89-b946-47b907921a49.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703367 | N/A | N/A | 19076126 | 2222 | 4802 | 26511405 | N/A | 17061917 | 2026-05-17 00:39:17.819338 | 2026-04-02 22:23:37.722121 |
| 2026-05-16 07:15:05.743980 | 2026-05-17 00:41:05.914541 | 26382683 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382683 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-05-18 | F | AE | PT | Velazquez | 2YV3K80NR70 | Victoria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18969574/check_26382683_ebaa2948-1b84-4528-a9d9-48a70ad34da5.json | N/A | N/A | N/A | N/A | N/A | 2YV3K80NR70 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-06-01 | S4802 | N/A | N/A | MA | false | VELAZQUEZ | N/A | VICTORIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 181561 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703366 | N/A | N/A | 18969574 | 2222 | 4801 | 26514024 | N/A | 14926242 | 2026-05-17 00:41:05.914541 | 2026-03-06 18:16:10.395182 |
| 2026-05-16 07:15:05.636438 | 2026-05-17 00:40:03.534424 | 26382671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382671 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-05-19 | F | AE | PT | Delgado | 4d07m65da79 | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18934124/check_26382671_b9920f82-4cf3-47fc-9d45-b470c9781393.json | N/A | N/A | N/A | N/A | N/A | 4D07M65DA79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-12-02 | S4802 | N/A | N/A | MA | false | DELGADO | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 110886 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703365 | N/A | N/A | 18934124 | 2222 | 4801 | 26512610 | N/A | 16919419 | 2026-05-17 00:40:03.534424 | 2026-04-01 03:46:15.905427 |
| 2026-05-16 07:15:05.455639 | 2026-05-17 00:40:13.806274 | 26382646 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382646 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-05-18 | M | AE | PT | GREEN | 1RT1HE3RR06 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18837892/check_26382646_516fce75-5c01-43d0-9285-2933a38c0c08.json | N/A | N/A | N/A | N/A | N/A | 1RT1HE3RR06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-18 | S4802 | N/A | N/A | MA | false | GREEN | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 106434 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703364 | N/A | N/A | 18837892 | 2222 | 4801 | 26512845 | N/A | 16813949 | 2026-05-17 00:40:13.806274 | 2026-03-31 19:01:10.524839 |
| 2026-05-16 07:15:05.235282 | 2026-05-17 00:40:14.226720 | 26382619 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 26382619 | Athletic Physical Therapy Inc | 1983-01-16 | 2026-05-19 | F | AE | PT | Tumas | W208899907 | Marina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18777299/check_26382619_5f13ba55-fbb4-494b-864e-eef8320d0dec.json | N/A | N/A | N/A | N/A | N/A | W208899907 | Health Maintenance Organization (HMO) | GENE FONG ASSOCIATES | AETNA | N/A | 1983-01-16 | EADPFC01 | 072219203500017 | N/A | HM | false | TUMAS | N/A | MARINA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO GOLD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703363 | N/A | N/A | 18777299 | 2222 | 4802 | 26512854 | 3948 | 16750601 | 2026-05-17 00:40:14.226720 | 2026-03-26 23:59:30.103152 |
| 2026-05-16 07:15:05.029282 | 2026-05-17 00:39:11.588488 | 26382592 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26382592 | Athletic Physical Therapy Inc | 1968-09-02 | 2026-05-19 | F | PT | N/A | Cantwell | JQW959W11453 | Jody | Leigh | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18773917/check_26382592_f1b1382c-7bc5-48b3-990a-965b63fd6239.json | N/A | N/A | N/A | N/A | N/A | JQW959W11453 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1968-09-02 | 040 | CAMCRWP0 | N/A | MP | false | CANTWELL | N/A | JODY | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906703362 | N/A | N/A | 18773917 | 2222 | 4793 | 26511256 | 4184 | 16747520 | 2026-05-17 00:39:11.588488 | 2026-04-01 16:54:36.862494 |
| 2026-05-16 07:15:04.952696 | 2026-05-17 00:39:16.200360 | 26382582 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26382582 | Athletic Physical Therapy Inc | 2011-05-29 | 2026-05-19 | F | AE | PT | Snider | 000019675824 | RACHEL | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18753996/check_26382582_54d35736-ed98-468f-947b-4aa2d42301cb.json | N/A | N/A | N/A | N/A | N/A | 000019675824 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2011-05-29 | 3076628 | 102601 | N/A | N/A | false | SNIDER | N/A | RACHEL | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703361 | N/A | N/A | 18753996 | 2222 | 4802 | 26511363 | N/A | 16734592 | 2026-05-17 00:39:16.200360 | 2026-03-26 18:52:03.602043 |
| 2026-05-16 07:15:04.850217 | 2026-05-17 00:40:06.357621 | 26382567 | N/A | N/A | 60054 | Aetna | 1114042165 | 26382567 | Athletic Physical Therapy Inc | 1969-07-07 | 2026-05-19 | M | AE | PT | Dail | 4029459446 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18661219/check_26382567_10646941-be40-4ab9-8cdf-e5d0f9c15aba.json | N/A | N/A | N/A | N/A | N/A | 4029459446 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-07-07 | 01A | 19639 | N/A | GP | false | DAIL | N/A | JAMES | N/A | N/A | N/A | MINUTE CLINIC LOW COST/NO COST | N/A | MINUTE CLINIC LOW COST/NO COST (CP2) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703360 | N/A | N/A | 18661219 | 2222 | 4802 | 26512693 | N/A | 16657937 | 2026-05-17 00:40:06.357621 | 2026-03-31 00:48:30.017677 |
| 2026-05-16 07:15:04.738793 | 2026-05-17 00:39:12.294656 | 26382549 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26382549 | Athletic Physical Therapy Inc | 1963-04-30 | 2026-05-19 | F | AE | PT | Anderson | 000016196311 | Janice | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18599106/check_26382549_12cfaedc-709d-4b5c-bd56-e5b269771b6d.json | N/A | N/A | N/A | N/A | N/A | 000016196311 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1963-04-30 | 4320310 | 1650095001 | N/A | N/A | false | ANDERSON | N/A | JANICE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703359 | N/A | N/A | 18599106 | 2222 | 4802 | 26511270 | N/A | 16601576 | 2026-05-17 00:39:12.294656 | 2026-03-24 19:40:50.353536 |
| 2026-05-16 07:15:04.652587 | 2026-05-17 00:40:49.803072 | 26382536 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382536 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-05-19 | M | AE | PT | O NEILL | 3VD0U34GW90 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_26382536_adb90756-a436-4280-9d40-904ae5cd04be.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MB | false | O'NEILL | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 140072 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703358 | N/A | N/A | 18472576 | 2222 | 4802 | 26513683 | N/A | 16472791 | 2026-05-17 00:40:49.803072 | 2026-03-20 22:44:48.876499 |
| 2026-05-16 07:15:04.552620 | 2026-05-17 00:39:43.070410 | 26382524 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26382524 | Athletic Physical Therapy Inc | 1941-12-28 | 2026-05-19 | F | AE | PT | KATZOFF | H5070031200 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18459155/check_26382524_013ad85a-1f71-46b4-9842-67aa676dfe5c.json | N/A | N/A | N/A | N/A | N/A | H50700312 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1941-12-28 | N/A | 2B722001 | N/A | HN | false | KATZOFF | N/A | CAROLYN | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703357 | N/A | N/A | 18459155 | 2222 | 4801 | 26512084 | 5349 | 16458858 | 2026-05-17 00:39:43.070410 | 2026-03-20 17:56:12.644597 |
| 2026-05-16 07:15:04.444566 | 2026-05-17 00:39:51.409847 | 26382508 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26382508 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-05-19 | M | AE | PT | JACOBS | 909763451 | JESSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_26382508_8d42670a-05e1-4484-a779-e3741afae417.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703356 | N/A | N/A | 18407669 | 2222 | 4802 | 26512308 | 5538 | 16411150 | 2026-05-17 00:39:51.409847 | 2026-03-20 21:53:00.475363 |
| 2026-05-16 07:15:04.330900 | 2026-05-17 00:39:14.293675 | 26382493 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26382493 | Athletic Physical Therapy Inc | 1992-02-05 | 2026-05-19 | F | AE | PT | Hipp | 000021264656 | Zoe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_26382493_f454a940-1619-4869-b91c-dc324fe10e6b.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703355 | N/A | N/A | 18386550 | 2222 | 4802 | 26511319 | N/A | 16392592 | 2026-05-17 00:39:14.293675 | 2026-03-19 17:35:27.889788 |
| 2026-05-16 07:15:04.244319 | 2026-05-17 00:39:14.943629 | 26382479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26382479 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-05-19 | F | PT | N/A | FELT | JXN853M92476 | KATHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_26382479_547c9165-caac-4ea5-a3ad-3484799a8333.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | 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 | 10906703354 | N/A | N/A | 18326912 | 2222 | 4801 | 26511333 | N/A | 16337774 | 2026-05-17 00:39:14.943629 | 2026-03-18 18:21:21.968505 |
| 2026-05-16 07:15:04.145251 | 2026-05-17 00:39:39.733465 | 26382466 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26382466 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-19 | F | 30 | 98 | RASHIDI | 93712342E | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_26382466_de5450ea-5042-44bb-aeaa-565eddf30cff.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10906703353 | N/A | N/A | 18279699 | 2222 | 4802 | 26511992 | 4211 | 16293253 | 2026-05-17 00:39:39.733465 | 2026-03-17 23:01:51.545839 |
| 2026-05-16 07:15:04.049219 | 2026-05-17 00:39:53.444972 | 26382453 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 26382453 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-05-19 | M | AE | PT | Lopez Garcia | 95890433F | Eduardo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_26382453_7560cd79-f1cd-422d-a668-c06f12116182.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703352 | N/A | N/A | 18216914 | 2222 | 4802 | 26512359 | N/A | 16232218 | 2026-05-17 00:39:53.444972 | 2026-03-16 23:33:21.904145 |
| 2026-05-16 07:15:03.946086 | 2026-05-17 00:40:05.067771 | 26382438 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382438 | Athletic Physical Therapy Inc | 1949-09-08 | 2026-05-18 | F | AE | PT | DUARTE | 5R04RR0AU93 | REVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076656/check_26382438_c56f0d7c-01e9-4148-bab5-65627fff7bf8.json | N/A | N/A | N/A | N/A | N/A | 5R04RR0AU93 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-08 | S5884 | N/A | N/A | MB | false | DUARTE | N/A | REVE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 66403 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703351 | N/A | N/A | 18076656 | 2222 | 4801 | 26512652 | N/A | 16102725 | 2026-05-17 00:40:05.067771 | 2026-03-13 16:40:36.180280 |
| 2026-05-16 07:15:03.854778 | 2026-05-17 00:39:16.377814 | 26382423 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26382423 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-05-19 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_26382423_5026c753-707d-4fcd-b57e-97bb3ae4ecdf.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906703350 | N/A | N/A | 18029271 | 2222 | 4793 | 26511368 | N/A | 16057887 | 2026-05-17 00:39:16.377814 | 2026-03-23 17:30:23.761066 |
| 2026-05-16 07:15:03.552938 | 2026-05-17 00:40:18.285665 | 26382380 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382380 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-05-18 | M | AE | PT | HARY | 2YH6T54NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_26382380_3a3554d3-8b47-47ed-8e8d-6c12f85364a1.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MB | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 173991 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703349 | N/A | N/A | 18020019 | 2222 | 4802 | 26512929 | N/A | 16048388 | 2026-05-17 00:40:18.285665 | 2026-03-12 19:28:18.393557 |
| 2026-05-16 07:15:03.352744 | 2026-05-17 00:41:07.236168 | 26382352 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382352 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-05-18 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_26382352_764d75f3-b5a9-45ea-86c4-4aaf79a434c0.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MB | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 171451 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703348 | N/A | N/A | 17961735 | 2222 | 4801 | 26514059 | N/A | 15883502 | 2026-05-17 00:41:07.236168 | 2026-03-11 00:48:56.434845 |
| 2026-05-16 07:15:03.260897 | 2026-05-17 00:40:09.524152 | 26382338 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382338 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-05-18 | F | AE | PT | FLEMING | 1R95FV2XE71 | LORIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_26382338_1015c5f6-127b-4587-8539-e749efd62c27.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MB | false | FLEMING | N/A | LORIE | N/A | 2026-03-31 | 2026-01-01 | N/A | N/A | N/A | 78986 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703347 | N/A | N/A | 17944211 | 2222 | 4801 | 26512762 | N/A | 15983370 | 2026-05-17 00:40:09.524152 | 2026-03-16 17:56:49.633280 |
| 2026-05-16 07:15:03.169959 | 2026-05-17 00:39:24.347346 | 26382320 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26382320 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-05-19 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_26382320_47b950e8-a11e-44e0-aedf-0e1fcd4df75d.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906703346 | N/A | N/A | 17868567 | 2222 | 4802 | 26511570 | N/A | 15913011 | 2026-05-17 00:39:24.347346 | 2026-03-16 22:33:11.392245 |
| 2026-05-16 07:15:03.063421 | 2026-05-17 00:39:52.696944 | 26382304 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26382304 | Athletic Physical Therapy Inc | 1989-07-23 | 2026-05-19 | F | AE | PT | Latty | 93805163F | Maura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_26382304_1c0e785c-2a85-457f-a450-a71c54003af1.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703345 | N/A | N/A | 17826505 | 2222 | 4793 | 26512341 | 5538 | 15870859 | 2026-05-17 00:39:52.696944 | 2026-03-16 15:31:01.741367 |
| 2026-05-16 07:15:02.944805 | 2026-05-17 00:39:40.656569 | 26382288 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26382288 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-05-18 | M | 30 | 98 | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_26382288_24406a2a-ce6a-473c-a58d-6d2d6a140b6d.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10906703344 | N/A | N/A | 17744755 | 2222 | 4802 | 26512020 | 4211 | 4213934 | 2026-05-17 00:39:40.656569 | 2026-01-27 23:36:44.802366 |
| 2026-05-16 07:15:02.843271 | 2026-05-17 00:39:23.719170 | 26382273 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26382273 | Athletic Physical Therapy Inc | 1941-08-29 | 2026-05-19 | M | PT | N/A | Parker | JQE625A51570 | james | Alan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17729464/check_26382273_43832279-6e5c-4da0-9c16-3874e01944ed.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906703343 | N/A | N/A | 17729464 | 2222 | 4801 | 26511554 | N/A | 15775532 | 2026-05-17 00:39:23.719170 | 2026-03-06 21:09:06.720810 |
| 2026-05-16 07:15:02.740998 | 2026-05-17 00:40:46.804555 | 26382259 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382259 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-05-18 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_26382259_afbc0e90-c127-48eb-a4a9-d6e0814e7bca.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MB | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 219640 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703342 | N/A | N/A | 17663491 | 2222 | 4802 | 26513613 | N/A | 4213453 | 2026-05-17 00:40:46.804555 | 2025-05-13 04:29:37.227772 |
| 2026-05-16 07:15:02.609964 | 2026-05-17 00:39:49.792359 | 26382242 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 26382242 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-05-19 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_26382242_5f66acee-0a2b-424b-abc7-a556fc71ae80.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703341 | N/A | N/A | 17650446 | 2222 | 4802 | 26512268 | N/A | 9635663 | 2026-05-17 00:39:49.792359 | 2025-10-22 19:43:50.510670 |
| 2026-05-16 07:15:02.499393 | 2026-05-17 00:41:10.781326 | 26382229 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382229 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-05-19 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_26382229_f3abce02-21b4-49b3-a8e9-0ebdceaf7f60.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 105220 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703340 | N/A | N/A | 17600400 | 2222 | 4793 | 26514144 | N/A | 15647296 | 2026-05-17 00:41:10.781326 | 2026-03-04 22:22:31.397944 |
| 2026-05-16 07:15:02.351003 | 2026-05-17 00:40:59.367489 | 26382213 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382213 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-05-19 | F | AE | PT | SHEINBEIN | 5NQ8U19JG46 | Nancy | THURLO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_26382213_45110b89-e9d0-4c38-b333-574edaa76de7.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MA | false | SHEINBEIN | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 113019 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703339 | N/A | N/A | 17593459 | 2222 | 4802 | 26513879 | N/A | 15407829 | 2026-05-17 00:40:59.367489 | 2026-03-03 21:31:17.107791 |
| 2026-05-16 07:15:02.154396 | 2026-05-17 00:39:07.877374 | 26382190 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26382190 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-05-19 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_26382190_077ececb-7774-42b5-a807-c23135809b4c.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | 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 | 10906703338 | N/A | N/A | 17533302 | 2222 | 4793 | 26511181 | 6237 | 15565486 | 2026-05-17 00:39:07.877374 | 2026-03-17 20:55:49.152309 |
| 2026-05-16 07:15:01.963667 | 2026-05-17 00:39:41.706774 | 26382164 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26382164 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-05-19 | M | 30 | 98 | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_26382164_6f10639e-d6a7-4a1c-ab1c-5c9a156dfd17.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10906703337 | N/A | N/A | 17509843 | 2222 | 4802 | 26512047 | 4211 | 15524188 | 2026-05-17 00:39:41.706774 | 2026-03-03 00:12:08.668405 |
| 2026-05-16 07:15:01.659977 | 2026-05-17 00:41:03.377229 | 26382122 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26382122 | Athletic Physical Therapy Inc | 1947-01-16 | 2026-05-18 | F | AE | PT | Teichner | 8GX9YP6RV43 | Miriam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260516.122214512.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492302/check_26382122_91986df9-88b0-4498-8739-735615a0a3b1.json | N/A | N/A | N/A | N/A | N/A | 8GX9YP6RV43 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-16 | S4802 | N/A | N/A | MB | false | TEICHNER | N/A | MIRIAM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 88511 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906703336 | N/A | N/A | 17492302 | 2222 | 4793 | 26513963 | N/A | 15507331 | 2026-05-17 00:41:03.377229 | 2026-03-02 19:12:00.362589 |