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 | 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 | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-08 11:09:31.892767 | 2025-07-09 02:14:23.378822 | 9614521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614521 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-07-11 | F | PT | STOLTZ | XED912573254 | ARDENN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9614521_05e0615b-a8c2-4904-be55-77b223b7b884.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | HIX GRACE PERIOD SUBSIDIZED MEMBER S COVERAGE IS SUSPENDED DUE TO NONPAYMENT OF PREMIUMS PROCESSING OF CLAIMS WILL RESUME ONCE PREMIUMS ARE CURRENT OR CLAIMS WILL BE DENIED AT END OF THE GRACE PERIOD | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889117 | N/A | N/A | 5543121 | 2222 | 4802 | 9371531 | N/A | 4214948 | 2025-07-09 02:14:23.378822 | 2025-06-26 01:28:07.741882 |
| 2025-07-08 11:09:31.469466 | 2025-07-09 02:12:51.378135 | 9614515 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614515 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-07-11 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_9614515_11c2694b-a8ec-4561-bb74-6f9149154cc8.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889114 | N/A | N/A | 5543043 | 2222 | 4801 | 9370297 | N/A | 4214884 | 2025-07-09 02:12:51.378135 | 2025-11-12 00:46:10.301659 |
| 2025-07-08 11:09:31.206060 | 2025-07-09 02:08:15.193198 | 9614507 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9614507 | Athletic Physical Therapy Inc | 2009-01-23 | 2025-07-11 | M | AE | GUERRERO | 000019020622 | JOAQUIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577033/check_9614507_d4850e5e-2187-4f38-8714-a01be13f1fe9.json | N/A | N/A | N/A | N/A | N/A | 000019020622 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 2009-01-23 | 4178930 | 104303 | N/A | N/A | false | GUERRERO | N/A | JOAQUIN | N/A | N/A | N/A | CITY OF SAN DIEGO CITY OF SAN DIEGO HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196995613 | N/A | N/A | 6577033 | 2222 | 4793 | 9366567 | N/A | 5197238 | 2025-07-09 02:08:15.193198 | 2025-07-14 23:23:31.502595 |
| 2025-07-08 11:09:31.041641 | 2025-07-09 02:12:46.988032 | 9614505 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9614505 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-07-09 | M | PT | BAIRD | XEH909620608 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_9614505_ed8326b4-287a-469c-b463-040351a12abd.json | N/A | N/A | N/A | N/A | N/A | XEH909620608 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 2007-05-15 | 1479HMOX0001 | W0051411 | N/A | HM | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889113 | N/A | N/A | 5542883 | 2222 | 4793 | 9370234 | 4184 | 4214747 | 2025-07-09 02:12:46.988032 | 2025-05-13 04:29:37.229066 |
| 2025-07-08 11:09:30.803835 | 2025-07-09 02:07:04.727798 | 9614503 | N/A | N/A | 60054 | Aetna | 1114042165 | 9614503 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-07-11 | M | AE | VELASQUEZ | W290801184 | EVAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_9614503_aada2af2-58cf-413e-802f-11c62263771f.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889112 | N/A | N/A | 5542874 | 2222 | 4802 | 9365490 | N/A | 4214737 | 2025-07-09 02:07:04.727798 | 2025-05-13 04:29:37.229056 |
| 2025-07-08 11:09:30.591211 | 2025-07-09 02:15:05.818468 | 9614498 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614498 | Athletic Physical Therapy Inc | 1979-07-03 | 2025-07-11 | M | PT | KODE | ZDO719W15148 | SHAIMAKASH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141240807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9614498_36c23620-e4e1-4fed-ab54-0d9d19c695ed.json | N/A | N/A | N/A | N/A | N/A | ZDO719W15148 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1979-07-03 | N/A | N/A | N/A | N/A | false | KODE | N/A | SHAIMAKASH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196876670 | N/A | N/A | 6811246 | 2222 | 4793 | 9372136 | N/A | 5853652 | 2025-07-09 02:15:05.818468 | 2025-07-11 15:39:21.675425 |
| 2025-07-08 11:09:30.433893 | 2025-07-09 02:18:53.126950 | 9614496 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614496 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-07-10 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_9614496_76d902f9-7fbc-4ad6-abf4-c776f12a5295.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889111 | N/A | N/A | 5542555 | 2222 | 4793 | 9375180 | N/A | 4214447 | 2025-07-09 02:18:53.126950 | 2026-04-23 20:11:34.441054 |
| 2025-07-08 11:09:30.071576 | 2025-07-09 02:14:18.871591 | 9614490 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614490 | Athletic Physical Therapy Inc | 1959-03-16 | 2025-07-11 | F | PT | KATZ | XEA913769083 | LYNNE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542358/check_9614490_f2add129-0101-4572-b7b1-bc8395bc3400.json | N/A | N/A | N/A | N/A | N/A | XAN913769083 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1959-03-16 | 1000PPOX0002 | W0051411 | N/A | PR | false | KATZ | N/A | GARY | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889110 | N/A | N/A | 5542358 | 2222 | 4801 | 9371478 | N/A | 4214270 | 2025-07-09 02:14:18.871591 | 2025-05-13 04:29:37.228601 |
| 2025-07-08 11:09:29.713160 | 2025-07-09 02:18:55.607001 | 9614484 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614484 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-07-11 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_9614484_69d52942-9a26-4fc3-8fb6-701d0af3ec7f.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889109 | N/A | N/A | 5542318 | 2222 | 4802 | 9375211 | N/A | 4214241 | 2025-07-09 02:18:55.607001 | 2025-05-13 04:29:37.228574 |
| 2025-07-08 11:09:29.470183 | 2025-07-09 02:14:17.896144 | 9614478 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614478 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-07-11 | M | PT | KARZI | XEK904667385 | DAMAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_9614478_69bd8062-f44f-4408-9da2-1785bbf8ef12.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | 2001ZH002662 | X0001000 | N/A | PR | false | KARZI | N/A | AHSAN | N/A | 2035-06-30 | 2016-06-10 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889108 | N/A | N/A | 5542225 | 2222 | 4801 | 9371471 | N/A | 4214165 | 2025-07-09 02:14:17.896144 | 2025-06-06 02:22:28.229626 |
| 2025-07-08 11:09:28.993500 | 2025-07-09 02:14:21.615781 | 9614473 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614473 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-07-11 | M | PT | SIMON | 913762408 | DUSTIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_9614473_f413c135-4bca-41a0-ae0b-8341ac921b37.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889107 | N/A | N/A | 5542213 | 2222 | 4793 | 9371514 | N/A | 4214155 | 2025-07-09 02:14:21.615781 | 2025-05-13 04:29:37.228482 |
| 2025-07-08 11:09:28.645474 | 2025-07-09 02:12:48.741736 | 9614469 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614469 | Athletic Physical Therapy Inc | 1970-03-27 | 2025-07-11 | F | PT | DATO | NGO555A50496 | JEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542196/check_9614469_1e931f2e-6431-4807-af9d-755bdd66bd0a.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1970-03-27 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889106 | N/A | N/A | 5542196 | 2222 | 4793 | 9370259 | N/A | 4214140 | 2025-07-09 02:12:48.741736 | 2025-05-13 04:29:37.228468 |
| 2025-07-08 11:09:28.325812 | 2025-07-09 02:04:11.935092 | 9614464 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9614464 | Athletic Physical Therapy Inc | 1988-06-09 | 2025-07-11 | F | AE | RIVERO | 776926401 | TANYA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9614464_99117181-e7bf-4fa4-ae0f-525ece044242.json | N/A | N/A | N/A | N/A | N/A | 776926401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1988-06-09 | N/A | N/A | N/A | N/A | false | RIVERO | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889105 | N/A | N/A | 5542149 | 2222 | 4801 | 9363460 | N/A | 4214103 | 2025-07-09 02:04:11.935092 | 2025-05-13 04:29:37.228419 |
| 2025-07-08 11:09:27.987437 | 2025-07-09 02:12:46.341000 | 9614459 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9614459 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-07-11 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9614459_32e447b5-5746-4503-865e-8ee4a69b442e.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889104 | N/A | N/A | 5541944 | 2222 | 4801 | 9370226 | 4184 | 4213907 | 2025-07-09 02:12:46.341000 | 2025-05-13 04:29:37.228228 |
| 2025-07-08 11:09:27.616283 | 2025-07-09 02:12:56.550045 | 9614453 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614453 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-07-11 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9614453_f03b56a0-c9a8-406b-9229-1d55da8efc1c.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889103 | N/A | N/A | 5541917 | 2222 | 4793 | 9370382 | N/A | 4213891 | 2025-07-09 02:12:56.550045 | 2025-05-13 04:29:37.228207 |
| 2025-07-08 11:09:27.277157 | 2025-07-09 02:09:37.031567 | 9614449 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9614449 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-07-11 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_9614449_2a5f0f20-fa53-44c0-a445-bdd1e99f17e2.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8196889102 | N/A | N/A | 5541552 | 2222 | 4802 | 9367693 | N/A | 4213562 | 2025-07-09 02:09:37.031567 | 2025-05-13 04:29:37.227895 |
| 2025-07-08 11:09:26.928060 | 2025-07-09 02:11:56.200377 | 9614444 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9614444 | Athletic Physical Therapy Inc | 1985-08-14 | 2025-07-11 | F | AE | LIN | G44715088 | JESSICA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_9614444_e2844f66-441a-4f89-a4a2-59e79ac28370.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1985-08-14 | 767000416933003 | 76416933 | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889101 | N/A | N/A | 5541550 | 2222 | 4802 | 9369502 | N/A | 4213560 | 2025-07-09 02:11:56.200377 | 2025-05-13 04:29:37.227892 |
| 2025-07-08 11:09:26.530619 | 2025-07-09 02:14:24.341166 | 9614440 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614440 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-07-11 | M | PT | TOHLCHINSKY | XEA901508061 | MICHAEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9614440_2ff1643b-f6ce-45e9-b9f5-99ed8317d039.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 2025-11-30 | 2024-12-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889100 | N/A | N/A | 5541542 | 2222 | 4793 | 9371544 | N/A | 4213542 | 2025-07-09 02:14:24.341166 | 2025-06-03 22:12:38.498592 |
| 2025-07-08 11:09:26.159495 | 2025-07-09 02:12:55.974826 | 9614435 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614435 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-07-11 | M | PT | SALEWSKE | SZR600905624 | TYSON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_9614435_39d3be2b-829d-49a2-9148-ac9a38328eaf.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889099 | N/A | N/A | 5541518 | 2222 | 4793 | 9370372 | N/A | 4213526 | 2025-07-09 02:12:55.974826 | 2025-11-13 19:34:43.197819 |
| 2025-07-08 11:09:25.797127 | 2025-07-09 02:12:52.467993 | 9614432 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9614432 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-07-09 | F | PT | LORD | JQK822A53740 | ALYSSA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_9614432_276d1412-e331-4ab5-a071-57749923d9ff.json | N/A | N/A | N/A | N/A | N/A | JQK822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | Q84816 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 2025-08-01 | 2024-08-01 | CA SG ANTHEM HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889095 | N/A | N/A | 5541409 | 2222 | 4793 | 9370316 | 4184 | 4213435 | 2025-07-09 02:12:52.467993 | 2025-05-13 04:29:37.227756 |
| 2025-07-08 11:09:25.486607 | 2025-07-09 02:14:20.223913 | 9614426 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614426 | Athletic Physical Therapy Inc | 1988-05-30 | 2025-07-11 | M | PT | SCOTT | XEA900656048 | ZACHARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_9614426_6d3ead90-041c-456c-8a84-62cb6c48f916.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2016-02-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889094 | N/A | N/A | 5541110 | 2222 | 4802 | 9371496 | N/A | 4213165 | 2025-07-09 02:14:20.223913 | 2025-05-13 04:29:37.227492 |
| 2025-07-08 11:09:25.044354 | 2025-07-09 02:11:59.633013 | 9614421 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9614421 | Athletic Physical Therapy Inc | 1970-07-02 | 2025-07-11 | M | AE | FRIEDMAN | 23569452GEHA | JOEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9614421_f877e805-635d-4f25-adde-5101f106cfdc.json | N/A | N/A | N/A | N/A | N/A | 23569452GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-07-02 | N/A | N/A | N/A | N/A | false | N/A | 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 | 8196889093 | N/A | N/A | 5540931 | 2222 | 4793 | 9369548 | N/A | 4213013 | 2025-07-09 02:11:59.633013 | 2025-05-13 04:29:37.227340 |
| 2025-07-08 11:09:24.651201 | 2025-07-09 02:12:49.512381 | 9614414 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614414 | Athletic Physical Therapy Inc | 1963-09-21 | 2025-07-10 | F | PT | FRCEK | XDP605A62818 | LORENA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540910/check_9614414_5c139383-4b8d-432d-bb4c-fca8a2b1e2f4.json | N/A | N/A | N/A | N/A | N/A | XDP605A62818 | Preferred Provider Organization (PPO) | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1963-09-21 | 040 | 1264LC | N/A | PR | false | FRCEK | N/A | LORENA | N/A | 9999-12-31 | 2025-05-01 | PPO PBP INCENTIVE HOSPITAL / PBP PLUS PROFESSIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889091 | N/A | N/A | 5540910 | 2222 | 4802 | 9370269 | N/A | 4212992 | 2025-07-09 02:12:49.512381 | 2025-05-13 04:29:37.227320 |
| 2025-07-08 11:09:24.185032 | 2025-07-09 02:04:07.630451 | 9614406 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9614406 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-07-11 | F | AE | BENDAVID | 95318118F | TALIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9614406_86499501-5ad9-4b12-89ab-19184ba4619c.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889089 | N/A | N/A | 5540893 | 2222 | 4793 | 9363411 | N/A | 4212979 | 2025-07-09 02:04:07.630451 | 2025-06-04 21:11:15.590634 |
| 2025-07-08 11:09:23.666868 | 2025-07-09 02:07:02.729418 | 9614402 | N/A | N/A | 60054 | Aetna | 1114042165 | 9614402 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-07-11 | M | PT | BOKHTIER | W275493875 | GOLAM | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_9614402_59ddcd62-6a26-4a7d-9d4e-f31f6bacb42b.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8196889088 | N/A | N/A | 5540723 | 2222 | 4793 | 9365461 | N/A | 4212833 | 2025-07-09 02:07:02.729418 | 2025-05-28 20:46:35.079848 |
| 2025-07-08 11:09:23.074959 | 2025-07-09 02:14:20.839836 | 9614395 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614395 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-07-11 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_9614395_19863829-ad4a-4974-84ce-076ecb07ee30.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889087 | N/A | N/A | 5540558 | 2222 | 4801 | 9371505 | N/A | 4212698 | 2025-07-09 02:14:20.839836 | 2025-05-13 04:29:37.227042 |
| 2025-07-08 11:09:22.568764 | 2025-07-09 02:09:36.318115 | 9614388 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9614388 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-07-09 | F | AD | CHUNG | U8197480201 | KRISTINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9614388_69e91ad3-f226-4f93-8f9e-ad7566228649.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8196889086 | N/A | N/A | 5539237 | 2222 | 4802 | 9367684 | N/A | 4211568 | 2025-07-09 02:09:36.318115 | 2025-05-13 04:29:37.225900 |
| 2025-07-08 11:09:22.188877 | 2025-07-09 02:18:54.867808 | 9614381 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614381 | Athletic Physical Therapy Inc | 1933-03-03 | 2025-07-11 | M | AE | FISCHEL | 7PC7UV8HH46 | DONALD | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539216/check_9614381_194fc397-4796-4e1b-8e75-85861ca4d34f.json | N/A | N/A | N/A | N/A | N/A | 7PC7UV8HH46 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-03-03 | S5921 | N/A | N/A | MA | false | FISCHEL | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889085 | N/A | N/A | 5539216 | 2222 | 4801 | 9375201 | N/A | 4211550 | 2025-07-09 02:18:54.867808 | 2025-07-06 18:22:48.105422 |
| 2025-07-08 11:09:21.775924 | 2025-07-09 02:18:55.957332 | 9614373 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614373 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-07-11 | F | AE | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539049/check_9614373_08684e46-430f-45e4-b565-e9f6e96fc8e8.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MA | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889084 | N/A | N/A | 5539049 | 2222 | 4801 | 9375215 | N/A | 4211368 | 2025-07-09 02:18:55.957332 | 2025-05-13 04:29:37.225728 |
| 2025-07-08 11:09:21.401680 | 2025-07-09 02:18:54.498799 | 9614365 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614365 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-07-10 | F | AE | FERNANDEZ | 7XX5TU4CF61 | LISA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9614365_b4e635cc-579c-49b3-b1be-260b637f669a.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889083 | N/A | N/A | 5538194 | 2222 | 4793 | 9375197 | N/A | 4210649 | 2025-07-09 02:18:54.498799 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 11:09:21.083479 | 2025-07-09 02:14:25.714962 | 9614357 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614357 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-07-11 | M | PT | WARD | XED913389013 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9614357_1da7beec-ab50-4858-b461-5dcb9fec7baa.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889082 | N/A | N/A | 5538129 | 2222 | 4802 | 9371561 | N/A | 4210590 | 2025-07-09 02:14:25.714962 | 2025-05-13 04:29:37.225004 |
| 2025-07-08 11:09:20.750277 | 2025-07-09 02:14:22.389665 | 9614348 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9614348 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-07-11 | F | PT | SNELL | XED912271222 | NICOLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_9614348_4651723e-6cfb-4581-bb4f-55cd80caf013.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889081 | N/A | N/A | 5537740 | 2222 | 4802 | 9371523 | N/A | 4210260 | 2025-07-09 02:14:22.389665 | 2025-05-13 04:29:37.224672 |
| 2025-07-08 11:09:20.483318 | 2025-07-09 02:12:30.660872 | 9614344 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9614344 | Athletic Physical Therapy Inc | 1993-05-31 | 2025-07-11 | M | AE | LARSON | R13352452MM1 | RYAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537530/check_9614344_197d90be-3a9c-440b-aea4-fcb613a7cf5d.json | N/A | N/A | N/A | N/A | N/A | R13352452MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | N/A | N/A | N/A | PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889080 | N/A | N/A | 5537530 | 2222 | 4793 | 9369986 | N/A | 4210069 | 2025-07-09 02:12:30.660872 | 2025-05-13 04:29:37.224490 |
| 2025-07-08 11:09:20.248485 | 2025-07-09 02:18:53.429594 | 9614335 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614335 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-07-11 | F | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_9614335_77e9147d-41e2-42a2-8ef5-d02a124b445d.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889079 | N/A | N/A | 5537480 | 2222 | 4802 | 9375184 | N/A | 4210038 | 2025-07-09 02:18:53.429594 | 2025-06-02 14:57:36.820684 |
| 2025-07-08 11:09:20.003472 | 2025-07-09 02:12:35.352842 | 9614329 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9614329 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-07-11 | M | AE | GOMES | 00000285293 | NEMESIO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_9614329_693e90d0-38c7-43e7-ac5d-8e71c960b6bb.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889078 | N/A | N/A | 5537439 | 2222 | 4801 | 9370060 | 2630 | 4210001 | 2025-07-09 02:12:35.352842 | 2025-05-13 04:29:37.224421 |
| 2025-07-08 11:09:19.792020 | 2025-07-09 02:12:55.204533 | 9614322 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614322 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-07-11 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9614322_a458ca3b-0a21-41a1-b4b0-59d66537ba78.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889076 | N/A | N/A | 5537188 | 2222 | 4802 | 9370363 | N/A | 4209789 | 2025-07-09 02:12:55.204533 | 2025-05-13 04:29:37.224215 |
| 2025-07-08 11:09:19.516396 | 2025-07-09 02:18:54.117910 | 9614313 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614313 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-11 | M | AE | EGGLETON | 9HG9HV5AM53 | PAUL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9614313_96a303b8-2344-4743-b055-bf71bd9f99a9.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MB | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889074 | N/A | N/A | 5536868 | 2222 | 4801 | 9375193 | N/A | 4209543 | 2025-07-09 02:18:54.117910 | 2025-06-18 17:33:51.700160 |
| 2025-07-08 11:09:19.088054 | 2025-07-09 02:12:59.267541 | 9614303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9614303 | Athletic Physical Therapy Inc | 1977-02-28 | 2025-07-11 | F | PT | YOUNG | LDU021A75601 | AMY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536372/check_9614303_f18b67d2-cdb2-4d4e-add1-55e397afff45.json | N/A | N/A | N/A | N/A | N/A | LDU021A75601 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-02-28 | 040 | 1838NC | N/A | EP | false | YOUNG | N/A | AMY | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889073 | N/A | N/A | 5536372 | 2222 | 4801 | 9370410 | N/A | 4209123 | 2025-07-09 02:12:59.267541 | 2025-05-13 04:29:37.223548 |
| 2025-07-08 11:09:18.435398 | 2025-07-09 02:12:35.047781 | 9614288 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9614288 | Athletic Physical Therapy Inc | 1940-07-24 | 2025-07-11 | M | AE | CROSS | 00000260662 | JOHN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536048/check_9614288_0dfe8fad-ef9e-429f-9ea3-62ba0dccbaed.json | N/A | N/A | N/A | N/A | N/A | 00000260662 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1940-07-24 | H3815028 | N/A | N/A | HM | false | CROSS | N/A | JOHN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889071 | N/A | N/A | 5536048 | 2222 | 4793 | 9370053 | 2630 | 4208859 | 2025-07-09 02:12:35.047781 | 2025-05-13 04:29:37.223287 |
| 2025-07-08 11:09:17.804133 | 2025-07-09 02:12:47.526624 | 9614275 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9614275 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-07-11 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_9614275_03b5fdad-b572-49e1-aaa4-ae4abbda1e08.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196889070 | N/A | N/A | 5536041 | 2222 | 4802 | 9370242 | 4184 | 4208856 | 2025-07-09 02:12:47.526624 | 2025-05-13 04:29:37.223284 |
| 2025-07-08 11:09:17.184814 | 2025-07-09 02:18:57.315574 | 9614267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614267 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-07-11 | M | PT | ULLMAN | 3A76X26KQ40 | DAVID | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_9614267_c0f304c5-3e12-4dc3-bf5c-f978eab93022.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8196889069 | N/A | N/A | 5535838 | 2222 | 4801 | 9375232 | N/A | 4208696 | 2025-07-09 02:18:57.315574 | 2025-06-07 16:16:45.844566 |
| 2025-07-08 11:09:16.622081 | 2025-07-09 02:04:09.047922 | 9614257 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9614257 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-07-11 | F | AE | RYAN | 31026142401 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9614257_45b601ef-766a-4461-8c3c-209e20c74b2b.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196889066 | N/A | N/A | 5535455 | 2222 | 4793 | 9363427 | N/A | 4208375 | 2025-07-09 02:04:09.047922 | 2025-08-08 21:08:12.459471 |
| 2025-07-08 11:09:13.624879 | 2025-07-09 02:18:55.434841 | 9614190 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9614190 | Athletic Physical Therapy Inc | 1951-11-18 | 2025-07-10 | F | AE | JACOBY | 5VX4HE8NC98 | LEAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9614190_9baeeb95-cf3b-4074-9e2a-c1213d1b8823.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MA | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196993552 | N/A | N/A | 6145941 | 2222 | 4802 | 9375208 | N/A | 4786785 | 2025-07-09 02:18:55.434841 | 2025-06-13 00:55:48.629734 |
| 2025-07-08 11:08:48.898484 | 2025-07-09 02:11:27.458772 | 9613726 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9613726 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-07-11 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_9613726_b3282201-0012-4df8-884c-f75e785da5ac.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196993329 | N/A | N/A | 6140436 | 2222 | 4801 | 9369104 | N/A | 4781417 | 2025-07-09 02:11:27.458772 | 2025-06-06 17:03:19.078153 |
| 2025-07-08 11:08:45.604628 | 2025-07-09 02:06:23.218419 | 9613663 | N/A | N/A | 60054 | Aetna | 1114042165 | 9613663 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-07-11 | M | AE | HUANG | W278191924 | DANNY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_9613663_0d4e6bfb-a970-49c5-bce2-f3de71820ffb.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196993322 | N/A | N/A | 6140246 | 2222 | 4802 | 9364932 | N/A | 4781166 | 2025-07-09 02:06:23.218419 | 2025-06-11 17:29:46.826705 |
| 2025-07-08 11:07:56.017090 | 2025-07-09 02:13:42.627115 | 9612724 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9612724 | Athletic Physical Therapy Inc | 2006-11-22 | 2025-07-11 | F | PT | MICHAEL | XEA913728701 | KRISTY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123875/check_9612724_15451bec-2f0e-40a5-94c9-f53888adca2f.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2006-11-22 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8196993114 | N/A | N/A | 6123875 | 2222 | 4801 | 9370966 | N/A | 4766599 | 2025-07-09 02:13:42.627115 | 2025-06-04 14:54:47.230310 |
| 2025-07-08 11:07:43.321047 | 2025-07-09 02:08:16.164909 | 9612463 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9612463 | N/A | 2009-08-12 | 2025-07-11 | M | AE | Aldana | 6334225 | George | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_9612463_ddc23845-7156-4c7f-b505-d5eb13248c70.json | N/A | N/A | N/A | N/A | N/A | 6334225 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196994921 | N/A | N/A | 6568645 | 2222 | 4802 | 9366580 | N/A | 5190481 | 2025-07-09 02:08:16.164909 | 2025-06-24 17:29:30.756528 |
| 2025-07-08 11:07:36.958215 | 2025-07-09 02:08:16.508775 | 9612325 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9612325 | N/A | 1981-07-22 | 2025-07-11 | F | AE | DELAZAD | A01217025 | LEILA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9612325_66a2fbea-91f3-47f8-bca6-dafddaf0342a.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196994908 | N/A | N/A | 6567634 | 2222 | 4793 | 9366583 | N/A | 5189726 | 2025-07-09 02:08:16.508775 | 2025-07-08 23:50:39.999275 |
| 2025-07-08 11:07:24.711593 | 2025-07-09 02:05:10.639068 | 9612109 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9612109 | Athletic Physical Therapy Inc | 1983-03-03 | 2025-07-10 | F | AE | NAZERALI | 95517882H | SHAHEEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141240807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9612109_945d9d10-5e63-4a5a-b095-2ea8b3f31170.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-03-03 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8196875243 | N/A | N/A | 6782227 | 2222 | 4802 | 9363986 | N/A | 5813326 | 2025-07-09 02:05:10.639068 | 2025-07-21 17:21:46.553298 |
| 2025-07-08 04:52:40.188349 | 2025-07-08 04:52:41.826201 | 9611273 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-25 | 2025-07-08 | F | AE | RABASA | H90024831 | PATRICIA | PT | 23309 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9611273_01958707-30a4-4b43-88ad-ec5032c97c96.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9611273_7d35ded4-0a29-48e9-9c7c-ec82e907756f.json | N/A | N/A | N/A | N/A | N/A | H90024831 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1958-03-25 | N/A | N/A | N/A | N/A | false | RABASA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6667925 | 2222 | N/A | 9327105 | N/A | 5281834 | 2025-07-08 04:52:41.826201 | 2025-09-11 16:48:19.720660 |