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 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-16 07:14:52.967106 | 2026-05-17 00:39:51.936753 | 26380906 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 26380906 | Athletic Physical Therapy Inc | 1968-02-24 | 2026-05-19 | F | AE | PT | MEKARI | 000173428 | DIANE | N/A | 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/2222/5542700/check_26380906_ba8aa435-8ac0-4a2c-a99b-a0d0ee0a4fe0.json | N/A | N/A | N/A | N/A | N/A | 00017342800 | N/A | N/A | 90DB STIRLING BENEFITS, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1968-02-24 | N/A | N/A | N/A | N/A | false | MEKARI | N/A | DIANE | N/A | N/A | 2026-05-16 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704183 | N/A | N/A | 5542700 | 2222 | 4793 | 26512320 | N/A | 4214574 | 2026-05-17 00:39:51.936753 | 2025-05-13 04:29:37.228902 |
| 2026-05-16 07:14:52.744355 | 2026-05-17 00:40:12.057811 | 26380874 | N/A | N/A | 60054 | Aetna | 1114042165 | 26380874 | Athletic Physical Therapy Inc | 1976-06-02 | 2026-05-19 | M | AE | PT | SINECKY | M232802396 | JAROSLAV | N/A | 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/2222/5542411/check_26380874_32a0132f-75ea-416c-984a-4dd587d578bb.json | N/A | N/A | N/A | N/A | N/A | W232802396 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1976-06-02 | 0486873 | 048687302000161 | N/A | PS | false | SINECKY | N/A | JAROSLAV | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704182 | N/A | N/A | 5542411 | 2222 | 4802 | 26512733 | N/A | 4214326 | 2026-05-17 00:40:12.057811 | 2025-05-13 04:29:37.228655 |
| 2026-05-16 07:14:52.607975 | 2026-05-17 00:40:32.086133 | 26380859 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380859 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-05-18 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | N/A | 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/2222/5542251/check_26380859_1531173b-700b-405a-a9b0-6d90eafcd305.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 162118 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704181 | N/A | N/A | 5542251 | 2222 | 4802 | 26513286 | N/A | 4214191 | 2026-05-17 00:40:32.086133 | 2025-05-13 04:29:37.228525 |
| 2026-05-16 07:14:52.500687 | 2026-05-17 00:40:15.000917 | 26380845 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380845 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-05-19 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | N/A | 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/2222/5542161/check_26380845_05c90304-7e58-4277-b88e-f95081bf7127.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 146008 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704180 | N/A | N/A | 5542161 | 2222 | 4802 | 26512866 | N/A | 4214112 | 2026-05-17 00:40:15.000917 | 2025-05-13 04:29:37.228426 |
| 2026-05-16 07:14:52.365412 | 2026-05-17 00:39:52.504294 | 26380826 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380826 | Athletic Physical Therapy Inc | 1954-06-15 | 2026-05-19 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | N/A | 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/2222/5540303/check_26380826_5ee5a04b-ac5d-401d-9660-806a0ed23e6e.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704179 | N/A | N/A | 5540303 | 2222 | 4801 | 26512333 | N/A | 4212486 | 2026-05-17 00:39:52.504294 | 2025-09-30 02:32:14.808821 |
| 2026-05-16 07:14:52.177383 | 2026-05-17 00:39:10.856185 | 26380798 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26380798 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-05-19 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_26380798_d3cfd302-d24c-410e-a104-21104e1bb05b.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906704178 | N/A | N/A | 5540074 | 2222 | 4802 | 26511240 | N/A | 4212282 | 2026-05-17 00:39:10.856185 | 2025-05-13 04:29:37.226623 |
| 2026-05-16 07:14:52.017343 | 2026-05-17 00:39:58.214156 | 26380773 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380773 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-05-19 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | N/A | 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/2222/5539301/check_26380773_3b183f76-b1be-4106-b38b-6c6ca4eabfde.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5601 | N/A | N/A | MA | false | BLUM | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 154070 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704177 | N/A | N/A | 5539301 | 2222 | 4802 | 26512473 | N/A | 4211624 | 2026-05-17 00:39:58.214156 | 2025-05-13 04:29:37.225953 |
| 2026-05-16 07:14:51.909165 | 2026-05-17 00:41:01.214978 | 26380756 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380756 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-05-19 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | H | 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/2222/5538576/check_26380756_ef8573f7-7a10-4732-b147-393bea8c3457.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MB | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 329440 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704176 | N/A | N/A | 5538576 | 2222 | 4802 | 26513915 | N/A | 4210984 | 2026-05-17 00:41:01.214978 | 2025-08-15 17:42:50.500189 |
| 2026-05-16 07:14:51.787201 | 2026-05-17 00:39:24.998933 | 26380737 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26380737 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-05-19 | M | PT | N/A | PERLMUTTER | JQH460A69253 | DREW | N/A | 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/2222/5538573/check_26380737_d7f0277e-aaac-4014-b3bb-ad620b2e836a.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 2026-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906704175 | N/A | N/A | 5538573 | 2222 | 4801 | 26511587 | N/A | 4210980 | 2026-05-17 00:39:24.998933 | 2025-05-13 04:29:37.225377 |
| 2026-05-16 07:14:51.655276 | 2026-05-17 00:39:27.043117 | 26380715 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26380715 | Athletic Physical Therapy Inc | 1980-09-10 | 2026-05-19 | M | AE | PT | BRUNSKILL | 9853463 | NATHAN | N/A | 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/2222/5538359/check_26380715_8d3a7b4d-5fb6-43cb-96a2-17837b481ed1.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | THE J PAUL GETTY TRUST SVA-ACT | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704174 | N/A | N/A | 5538359 | 2222 | 4802 | 26511642 | 6411 | 4210784 | 2026-05-17 00:39:27.043117 | 2025-05-13 04:29:37.225193 |
| 2026-05-16 07:14:51.560355 | 2026-05-17 00:40:07.108934 | 26380697 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380697 | Athletic Physical Therapy Inc | 1964-05-26 | 2026-05-19 | F | AE | PT | FERNANDEZ | 7XX5TU4CF61 | LISA | N/A | 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/2222/5538194/check_26380697_61827ffd-2456-412d-ac21-de0d15f05459.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S4802 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704173 | N/A | N/A | 5538194 | 2222 | 4793 | 26512712 | N/A | 4210649 | 2026-05-17 00:40:07.108934 | 2025-06-19 18:43:58.008751 |
| 2026-05-16 07:14:51.443984 | 2026-05-17 00:39:43.991561 | 26380683 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26380683 | Athletic Physical Therapy Inc | 1939-08-26 | 2026-05-19 | F | AE | PT | Paltenghe | H7957237000 | Beverley | N/A | 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/2222/5538116/check_26380683_636b5efc-f0ac-46a7-a132-e2c0c699c977.json | N/A | N/A | N/A | N/A | N/A | H79572370 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1939-08-26 | N/A | Y9623001 | N/A | HN | false | PALTENGHE | N/A | BEVERLY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906704172 | N/A | N/A | 5538116 | 2222 | 4793 | 26512108 | 5349 | 15078543 | 2026-05-17 00:39:43.991561 | 2026-02-25 17:47:59.680372 |
| 2026-05-16 07:14:51.298880 | 2026-05-17 00:39:22.571176 | 26380661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26380661 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-05-19 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | 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/2222/5537188/check_26380661_e94f91f2-0801-4bbf-8f4b-bf363c8dab9a.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA CA/OOS | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2026-05-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906704171 | N/A | N/A | 5537188 | 2222 | 4802 | 26511524 | N/A | 4209789 | 2026-05-17 00:39:22.571176 | 2025-05-13 04:29:37.224215 |
| 2026-05-16 07:14:51.077743 | 2026-05-17 00:39:21.973232 | 26380634 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26380634 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-05-19 | M | PT | N/A | MILES | MBL835W05431 | KEITH | N/A | 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/2222/5536896/check_26380634_729bc87f-9371-4c2f-b19c-037497950114.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906704170 | N/A | N/A | 5536896 | 2222 | 4793 | 26511507 | N/A | 4209567 | 2026-05-17 00:39:21.973232 | 2025-05-13 04:29:37.223990 |
| 2026-05-16 07:14:50.854412 | 2026-05-17 00:39:15.617110 | 26380603 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26380603 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-05-19 | M | PT | N/A | GOTLER | NCF018M77628 | RONALD | N/A | 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/2222/5536875/check_26380603_b12895ae-33a3-4cd5-9c08-48ec1c2608fc.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906704169 | N/A | N/A | 5536875 | 2222 | 4802 | 26511350 | 4185 | 4209547 | 2026-05-17 00:39:15.617110 | 2025-05-13 04:29:37.223974 |
| 2026-05-16 07:14:50.733828 | 2026-05-17 00:40:06.184710 | 26380590 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380590 | Athletic Physical Therapy Inc | 1946-05-12 | 2026-05-18 | M | AE | PT | EGGLETON | 9HG9HV5AM53 | PAUL | N/A | 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/2222/5536868/check_26380590_151a8f04-5b45-4df5-9db9-00fb0d9de394.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 | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 80605 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906702507 | N/A | N/A | 5536868 | 2222 | 4801 | 26512686 | N/A | 4209543 | 2026-05-17 00:40:06.184710 | 2025-06-18 17:33:51.700160 |
| 2026-05-16 07:14:50.645276 | 2026-05-17 00:41:00.359915 | 26380579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380579 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-05-19 | F | AE | PT | SPIGELMAN | 8FK0QJ6EQ10 | JUDY | N/A | 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/2222/5536255/check_26380579_4e761538-901b-4785-8f15-9d9d90e628c8.json | N/A | N/A | N/A | N/A | N/A | 8FK0QJ6EQ10 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-23 | N/A | N/A | N/A | MA | false | SPIGELMAN | N/A | JUDY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 133270 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906702506 | N/A | N/A | 5536255 | 2222 | 4802 | 26513898 | N/A | 4209028 | 2026-05-17 00:41:00.359915 | 2026-03-12 23:35:58.198593 |
| 2026-05-16 07:14:50.542159 | 2026-05-17 00:39:10.199070 | 26380560 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26380560 | Athletic Physical Therapy Inc | 1947-04-18 | 2026-05-19 | F | PT | N/A | BELL | 880M7842720 | JACQUELYN | N/A | 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/2222/5536041/check_26380560_82927a94-bce9-498a-b7c5-83f17b2036f2.json | N/A | N/A | N/A | N/A | N/A | 880M7842720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | 2026-05-16 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906702505 | N/A | N/A | 5536041 | 2222 | 4802 | 26511226 | 4184 | 4208856 | 2026-05-17 00:39:10.199070 | 2025-05-13 04:29:37.223284 |
| 2026-05-16 07:14:50.438745 | 2026-05-17 00:39:45.860885 | 26380547 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26380547 | Athletic Physical Therapy Inc | 1953-09-19 | 2026-05-19 | F | PT | N/A | CARLON | R15684508 | JACQUELINE | N/A | 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/2222/5535724/check_26380547_68899067-a726-4607-9f7c-872f4edb889b.json | N/A | N/A | N/A | N/A | N/A | R15684508 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1953-09-19 | N/A | 106 | N/A | PR | false | CARLON | N/A | STEVEN | N/A | 9999-12-31 | 2016-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10906702504 | N/A | N/A | 5535724 | 2222 | 4801 | 26512167 | N/A | 4208597 | 2026-05-17 00:39:45.860885 | 2025-05-13 04:29:37.223030 |
| 2026-05-16 07:14:50.328008 | 2026-05-17 00:40:19.429975 | 26380531 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26380531 | Athletic Physical Therapy Inc | 1952-10-01 | 2026-05-18 | M | AE | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | N/A | 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/2222/5535551/check_26380531_e3b1e524-77d0-4608-8325-982780423fdd.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MB | false | IMPELLIZZERI | N/A | ROBERT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 90699 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10906702503 | N/A | N/A | 5535551 | 2222 | 4801 | 26512960 | N/A | 4208460 | 2026-05-17 00:40:19.429975 | 2026-01-01 00:19:01.120151 |
| 2026-05-16 07:14:50.227779 | 2026-05-17 00:39:07.230327 | 26380516 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26380516 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-05-18 | F | AD | 30 | RYAN | 31026142401 | CAROL | N/A | 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/2222/5535455/check_26380516_6849064b-0c77-4d63-9548-47948b750a79.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 10906702502 | N/A | N/A | 5535455 | 2222 | 4793 | 26511171 | 6237 | 4208375 | 2026-05-17 00:39:07.230327 | 2025-08-08 21:08:12.459471 |
| 2026-05-16 07:14:50.121737 | 2026-05-17 00:39:05.651032 | 26380500 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26380500 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-05-19 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | 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/2222/5535434/check_26380500_f413ca28-d900-4819-b1a8-9094c6f67cca.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 10906702501 | N/A | N/A | 5535434 | 2222 | 4793 | 26511146 | 6237 | 4208356 | 2026-05-17 00:39:05.651032 | 2025-08-25 14:49:27.724897 |
| 2026-05-15 23:37:27.812491 | 2026-05-15 23:37:30.792580 | 26359836 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-01-01 | 2026-05-20 | M | 30 | 98 | MUKHERJEE | 98791020F | SAIKAT | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20439401/check_26359836_cb4d0604-daee-456e-b36b-02367227360a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20439401/check_26359836_4a491c6f-43eb-43be-881b-39df1dd3d7e0.json | N/A | N/A | N/A | N/A | N/A | 98791020F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-01 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MUKHERJEE | N/A | SAIKAT | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10903850720 | 6189 | N/A | 20439401 | 2222 | N/A | 26468925 | N/A | 18125711 | 2026-05-15 23:37:30.792580 | 2026-05-03 21:26:58.166469 |
| 2026-05-15 23:37:18.790798 | 2026-05-15 23:37:21.732772 | 26359833 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-06 | 2026-05-19 | M | 30 | 98 | Tatum | 97633918F | Tatum | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17509843/check_26359833_498c6916-31dc-4852-8677-4053265d6597.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_26359833_36a6dc6d-4efc-452d-8374-347db8901007.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 | 10903850441 | 6189 | N/A | 17509843 | 2222 | N/A | 26468922 | N/A | 15524188 | 2026-05-15 23:37:21.732772 | 2026-03-03 00:12:08.668405 |
| 2026-05-15 23:36:57.049604 | 2026-05-15 23:37:00.260435 | 26359832 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-19 | F | 30 | 98 | RASHIDI | 93712342E | ZAHRA | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18279699/check_26359832_8616dcd4-11d7-4586-95dd-45b4201e8abd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_26359832_a3376d20-fe75-485b-92cb-62bf5705d874.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 | 10903848185 | 6189 | N/A | 18279699 | 2222 | N/A | 26468921 | N/A | 16293253 | 2026-05-15 23:37:00.260435 | 2026-03-17 23:01:51.545839 |
| 2026-05-15 23:35:25.807099 | 2026-05-15 23:35:28.937536 | 26359826 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-25 | 2026-05-19 | M | 30 | 98 | LAPORTE | 182595640 | THIBAULT | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20921683/check_26359826_b22aece7-6b24-4d29-bc58-5648012a5eb5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20921683/check_26359826_dde5100f-7938-4844-852c-b6867cfd83fe.json | N/A | N/A | N/A | N/A | N/A | 182595640 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1980-09-25 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | LAPORTE | N/A | THIBAULT | N/A | 2026-12-31 | 2026-01-01 | SILVER 94 HMO | N/A | N/A | N/A | 30 | 98 | N/A | N/A | N/A | N/A | N/A | 10903844817 | 6189 | N/A | 20921683 | 2222 | N/A | 26468915 | N/A | 4208370 | 2026-05-15 23:35:28.937536 | 2025-05-13 04:29:37.222790 |
| 2026-05-15 23:35:14.127944 | 2026-05-15 23:35:17.308610 | 26359825 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2026-05-18 | M | 30 | 98 | SHRIVER | 8300000159953 | DANIEL | Adam | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17744755/check_26359825_dc06b342-4b5e-4241-a2ae-b8c2e506fdd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_26359825_cec41585-6817-4d7d-bcf4-f0d4e98b2988.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 | 10903844492 | 6189 | N/A | 17744755 | 2222 | N/A | 26468913 | N/A | 4213934 | 2026-05-15 23:35:17.308610 | 2026-01-27 23:36:44.802366 |
| 2026-05-15 23:34:15.719719 | 2026-05-15 23:34:17.576569 | 26359823 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-09-10 | 2026-05-18 | F | AE | PT | Mdledle | 97908876F | Pretty | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21143308/check_26359823_2d71f5e2-8f72-46fd-aa10-6b230a286576.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21143308/check_26359823_cb5d4c43-bdf0-4504-87a7-6985f7441bfc.json | N/A | N/A | N/A | N/A | N/A | 97908876F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1968-09-10 | MCLA | MWLLNMEG21 | N/A | N/A | false | MDLEDLE | N/A | PRETTY | N/A | 2078-12-31 | 2025-05-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10903842284 | 167942 | N/A | 21143308 | 2222 | N/A | 26468911 | N/A | 18807168 | 2026-05-15 23:34:17.576569 | 2026-05-06 18:51:23.392401 |
| 2026-05-15 23:29:28.628474 | 2026-05-15 23:29:32.512921 | 26359814 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1983-01-14 | 2026-05-18 | M | AE | PT | Brennan | 000023760451 | Jack | Emmet | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21142597/check_26359814_96e44c2f-ea55-4e3d-b0f2-133792064e19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21142597/check_26359814_a92c7339-0f54-45b8-ba1b-61e5658629ba.json | N/A | N/A | N/A | N/A | N/A | 000023760451 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1983-01-14 | 4383886 | 105701 | N/A | N/A | false | BRENNAN | N/A | JACK | N/A | 2026-12-31 | 2026-01-01 | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10903831586 | 167942 | N/A | 21142597 | 2222 | N/A | 26468901 | N/A | 18806488 | 2026-05-15 23:29:32.512921 | 2026-05-06 19:54:34.180802 |
| 2026-05-15 23:28:05.761558 | 2026-05-15 23:28:08.618894 | 26359811 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 0932-09-03 | 2026-05-18 | F | AE | PT | VARELA RODRIGUEZ | 000026632154 | MARTHA ELSA | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21197517/check_26359811_3ce43594-bde7-454a-8f8d-cfee652e5ab7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21197517/check_26359811_e77ad9dd-be4e-49a0-9754-90e2b34adcd0.json | N/A | N/A | N/A | N/A | N/A | 000026632154 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | N/A | N/A | N/A | N/A | N/A | false | VARELA RODRIGUEZ | N/A | MARTHA ELSA | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 21197517 | 2222 | N/A | 26468898 | N/A | 18846541 | 2026-05-15 23:28:08.618894 | 2026-05-18 19:34:31.389191 |
| 2026-05-15 23:28:02.891767 | 2026-05-15 23:28:05.757022 | 26359810 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 0932-09-03 | 2026-05-18 | F | AE | PT | VARELA RODRIGUEZ | 000026632154 | MARTHA ELSA | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21197517/check_26359810_2818edd9-e4b5-4cd3-879f-90ceb4d1a617.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | N/A | N/A | N/A | N/A | N/A | N/A | 000026632154 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | N/A | N/A | N/A | N/A | N/A | false | VARELA RODRIGUEZ | N/A | MARTHA ELSA | N/A | N/A | 2026-05-18 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 21197517 | 2222 | N/A | N/A | N/A | 18846541 | 2026-05-15 23:28:05.757022 | 2026-05-18 19:34:31.389191 |
| 2026-05-15 23:24:49.694075 | 2026-05-15 23:24:52.760700 | 26359794 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-05 | 2026-05-18 | F | AE | PT | Miller | 000018564891 | Patricia | Lynn | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20678750/check_26359794_b3da756e-d4d5-4553-ae6b-75b9a0f2932e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20678750/check_26359794_584730b5-ced3-4292-a50b-5150dd40a493.json | N/A | N/A | N/A | N/A | N/A | 000018564891 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1955-12-05 | 4387737 | 101000 | N/A | N/A | false | MILLER | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES - AC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10903821760 | 167942 | N/A | 20678750 | 2222 | N/A | 26468882 | N/A | 18315644 | 2026-05-15 23:24:52.760700 | 2026-05-04 14:47:22.883751 |
| 2026-05-15 23:08:49.039651 | 2026-05-15 23:08:52.217621 | 26359741 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-01-01 | 2026-05-18 | F | AE | PT | NAVA | 000013186861 | ROSALBA | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21030727/check_26359741_d786d361-5c10-4b73-a586-1d38047cee91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21030727/check_26359741_bb5d7026-b14a-4271-b2a2-1d3f7c9213f5.json | N/A | N/A | N/A | N/A | N/A | 000013186861 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1971-01-01 | 4335267 | 114049 | N/A | N/A | false | NAVA | N/A | ROSALBA | N/A | N/A | N/A | CPE HR, INC. AND MODERN HR, INC. HMO $30 NON STND | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10903787201 | 167942 | N/A | 21030727 | 2222 | N/A | 26468822 | N/A | 18708272 | 2026-05-15 23:08:52.217621 | 2026-05-07 02:52:06.063287 |
| 2026-05-15 23:00:37.964034 | 2026-05-15 23:00:39.907498 | 26359695 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-03-15 | 2026-05-18 | M | AE | PT | MERRELL | XDP029W16303 | STEWART | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21148134/check_26359695_8d1c4cc3-5dc9-43b1-b560-df7cca7b4ff6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21148134/check_26359695_ca459935-4622-4a66-bedc-fd5b306dc8f5.json | N/A | N/A | N/A | N/A | N/A | XDP029W16303 | Preferred Provider Organization (PPO) | SKYDANCE MEDIA LLC CA/OOS | ANTHEM BLUE CROSS | N/A | 1981-03-15 | 040 | 282780M007 | N/A | PR | false | MERRELL | N/A | STEWART | N/A | 2026-12-31 | 2026-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10903764175 | 167942 | N/A | 21148134 | 2222 | N/A | 26468768 | N/A | 18811587 | 2026-05-15 23:00:39.907498 | 2026-05-18 06:10:16.735072 |
| 2026-05-15 16:54:10.587904 | 2026-05-15 16:54:14.476555 | 26355706 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-14 | 2026-05-15 | M | AE | PT | KELKAR | W293958328 | SHASHANK | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15126340/check_26355706_d14dc959-68f0-4fe3-b77b-f0f1881c1d59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15126340/check_26355706_ef836951-8f67-4a06-b3f6-178fd8cbbcba.json | N/A | N/A | N/A | N/A | N/A | W293958328 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 1970-07-14 | 0192654 | 019265403800001 | N/A | PS | false | KELKAR | N/A | SHASHANK | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10901683861 | N/A | N/A | 15126340 | 2222 | N/A | 26463745 | N/A | 13234520 | 2026-05-15 16:54:14.476555 | 2026-01-09 18:02:31.951552 |
| 2026-05-15 14:35:05.215862 | 2026-05-15 14:35:22.327686 | 26353684 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-05-15 | F | PT | N/A | Amstutz | KXJ396W12867 | Lauren | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_26353684_12212463-195a-4d38-a988-ca6713268d50.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_26353684_2640e43e-cda8-4314-96fb-b76ae9cbcf6c.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10899966509 | 167942 | N/A | 16765713 | 2222 | N/A | 26461625 | N/A | 14776656 | 2026-05-15 14:35:22.327686 | 2026-02-10 18:58:53.303852 |
| 2026-05-15 14:31:54.608629 | 2026-05-15 14:31:57.559066 | 26353632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-02 | 2026-05-15 | M | PT | N/A | GOTLER | NCF018M77628 | RONALD | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536875/check_26353632_9657a3ea-9663-4905-bf4c-1776b86d651f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536875/check_26353632_92f14143-d07c-4771-ac08-4bb3006c2cac.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10899909157 | 167942 | N/A | 5536875 | 2222 | N/A | 26461565 | N/A | 4209547 | 2026-05-15 14:31:57.559066 | 2025-05-13 04:29:37.223974 |
| 2026-05-15 14:30:04.162131 | 2026-05-15 14:30:07.242371 | 26353602 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2026-05-15 | M | PT | N/A | ROBINSON | MNL929W16297 | OCTAVIO | G | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20623521/check_26353602_f9d69719-9a23-4e68-9a7f-0119f6317018.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20623521/check_26353602_3c11b3c6-a17f-43ec-99a1-52c58d750a2a.json | N/A | N/A | N/A | N/A | N/A | MNL929W16297 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1954-09-17 | 040 | CAMCRWP0 | N/A | MP | false | ROBINSON | N/A | OCTAVIO | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10899865965 | 167942 | N/A | 20623521 | 2222 | N/A | 26461536 | N/A | 18272092 | 2026-05-15 14:30:07.242371 | 2026-04-27 18:24:34.372755 |
| 2026-05-15 14:25:28.973307 | 2026-05-15 14:25:32.050198 | 26353558 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-11 | 2026-05-15 | F | PT | N/A | OATES | JQS723M87472 | STACY | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537951/check_26353558_913488ad-ed8b-48d0-8bc1-74aaa073a322.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537951/check_26353558_22df7e3a-9941-42c0-b4c4-12c17a29f8f4.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10899760265 | 167942 | N/A | 5537951 | 2222 | N/A | 26461492 | N/A | 4210449 | 2026-05-15 14:25:32.050198 | 2026-02-25 15:35:31.486496 |
| 2026-05-15 14:24:00.795360 | 2026-05-15 14:24:02.771175 | 26353545 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-11 | 2026-05-15 | F | PT | N/A | OATES | 723M8747220 | STACY | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537951/check_26353545_e0d18db7-ce38-4e63-bba0-345c03a310c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537951/check_26353545_63489d5c-9be9-47ac-ae1f-df7c292deea2.json | N/A | N/A | N/A | N/A | N/A | 723M8747220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-12-11 | N/A | N/A | N/A | N/A | false | OATES | N/A | STACY | N/A | N/A | 2026-05-15 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5537951 | 2222 | N/A | 26461477 | N/A | 4210449 | 2026-05-15 14:24:02.771175 | 2026-02-25 15:35:31.486496 |
| 2026-05-15 14:23:59.034796 | 2026-05-15 14:24:00.791742 | 26353544 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-11 | 2026-05-15 | F | PT | N/A | OATES | 723M8747220 | STACY | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537951/check_26353544_06a8b2c6-8b9f-40aa-b178-037477d76122.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | N/A | N/A | N/A | N/A | N/A | N/A | 723M8747220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-12-11 | N/A | N/A | N/A | N/A | false | OATES | N/A | STACY | N/A | N/A | 2026-05-15 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5537951 | 2222 | N/A | N/A | N/A | 4210449 | 2026-05-15 14:24:00.791742 | 2026-02-25 15:35:31.486496 |
| 2026-05-15 14:22:42.600293 | 2026-05-15 14:22:45.527692 | 26353526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-09 | 2026-05-15 | F | PT | N/A | MANICHIA | NCF361A55900 | GINA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542547/check_26353526_fc4cfbbd-6293-47c5-a0bd-9800733af2a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542547/check_26353526_5cdaef02-65e4-43cb-93a0-6dd32bb57c98.json | N/A | N/A | N/A | N/A | N/A | NCF361A55900 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-06-09 | 040 | 276193H001 | N/A | HM | false | MANICHIA | N/A | GINA | N/A | 2026-06-01 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10899693113 | 167942 | N/A | 5542547 | 2222 | N/A | 26461451 | N/A | 4214439 | 2026-05-15 14:22:45.527692 | 2025-05-13 04:29:37.228757 |
| 2026-05-15 14:21:38.294865 | 2026-05-15 14:21:40.227698 | 26353517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-09 | 2026-05-15 | F | PT | N/A | MANICHIA | 361A55900-20 | GINA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542547/check_26353517_9f9d686b-c0db-4177-a6ef-c4c0ef5879cf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542547/check_26353517_7ad80449-06da-4c91-a819-0b36b92732c8.json | N/A | N/A | N/A | N/A | N/A | 361A55900-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1961-06-09 | N/A | N/A | N/A | N/A | false | MANICHIA | N/A | GINA | N/A | N/A | 2026-05-15 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5542547 | 2222 | N/A | 26461439 | N/A | 4214439 | 2026-05-15 14:21:40.227698 | 2025-05-13 04:29:37.228757 |
| 2026-05-15 14:21:35.550708 | 2026-05-15 14:21:38.291885 | 26353516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-09 | 2026-05-15 | F | PT | N/A | MANICHIA | 361A55900-20 | GINA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542547/check_26353516_fbe61edb-7bbe-4699-bf73-84a40f97e9a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | N/A | N/A | N/A | N/A | N/A | N/A | 361A55900-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1961-06-09 | N/A | N/A | N/A | N/A | false | MANICHIA | N/A | GINA | N/A | N/A | 2026-05-15 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5542547 | 2222 | N/A | N/A | N/A | 4214439 | 2026-05-15 14:21:38.291885 | 2025-05-13 04:29:37.228757 |
| 2026-05-15 14:20:38.214127 | 2026-05-15 14:20:51.746686 | 26353508 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-18 | 2026-05-15 | M | AE | PT | VARNEY | 00000304351 | GARY | N/A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21655135/check_26353508_24db2025-b958-45a7-811f-a121536b5869.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21655135/check_26353508_4b2db9f3-479d-4ae4-81e3-49b6501ff960.json | N/A | N/A | N/A | N/A | N/A | 00000304351 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1946-12-18 | H3815050 | N/A | N/A | HM | false | VARNEY | N/A | GARY | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10899653970 | 167942 | N/A | 21655135 | 2222 | N/A | 26461433 | N/A | 18394330 | 2026-05-15 14:20:51.746686 | 2026-04-29 21:03:23.286620 |
| 2026-05-15 12:10:40.700356 | 2026-05-15 12:10:44.740579 | 26351942 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-01-15 | 2026-05-15 | F | AE | PT | BINDER | 97045245C | ABBY | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20702780/check_26351942_7a6752f5-badb-4b92-9dc7-350b4f1baf69.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20702780/check_26351942_2c730d11-dc67-4c00-9277-d43a21a2223d.json | N/A | N/A | N/A | N/A | N/A | 97045245C | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-01-15 | MCLA | MWLLNMEG21 | N/A | N/A | false | BINDER | N/A | ABBY | N/A | 2078-12-31 | 2021-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10897330817 | 165454 | N/A | 20702780 | 2222 | N/A | 26459877 | N/A | 18345498 | 2026-05-15 12:10:44.740579 | 2026-04-28 21:51:51.011659 |
| 2026-05-15 12:10:12.457540 | 2026-05-15 12:10:16.520189 | 26351940 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-18 | 2026-05-15 | M | AE | PT | VARNEY | 00000304351 | GARY | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20785146/check_26351940_1583c7cb-02f8-4277-9887-c40a73760778.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20785146/check_26351940_fe4d5208-6d3e-49bd-baf5-85e4243059fe.json | N/A | N/A | N/A | N/A | N/A | 00000304351 | N/A | N/A | CMS | N/A | 1946-12-18 | N/A | N/A | N/A | N/A | false | VARNEY | N/A | GARY | N/A | N/A | 2026-05-15 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 165454 | N/A | 20785146 | 2222 | N/A | 26459873 | N/A | 18394330 | 2026-05-15 12:10:16.520189 | 2026-04-29 21:03:23.286620 |
| 2026-05-15 12:10:08.689315 | 2026-05-15 12:10:12.453945 | 26351939 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-18 | 2026-05-15 | M | AE | PT | VARNEY | 00000304351 | GARY | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20785146/check_26351939_ea5342cc-e0ca-4e26-a0cd-ecf7e8032382.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000304351 | N/A | N/A | CMS | N/A | 1946-12-18 | N/A | N/A | N/A | N/A | false | VARNEY | N/A | GARY | N/A | N/A | 2026-05-15 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 165454 | N/A | 20785146 | 2222 | N/A | N/A | N/A | 18394330 | 2026-05-15 12:10:12.453945 | 2026-04-29 21:03:23.286620 |
| 2026-05-15 08:27:17.633598 | 2026-05-15 08:27:19.491313 | 26351092 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 26351092 | Athletic Physical Therapy Inc | 1995-04-26 | 2026-05-12 | N/A | PT | AE | Mossad | 968471717G | Fady | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20407283/check_26351092_49d554f8-7b89-4138-8e52-55e142ae4912.json | WAYSTAR | N/A | INSIGHTS | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20407283/check_26351092_989afae6-f620-40c2-bf85-31877b8a53cd.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 20407283 | 2222 | N/A | 26459032 | N/A | 18104936 | 2026-05-15 08:27:19.491313 | 2026-05-05 19:22:56.526916 |
| 2026-05-15 08:26:26.162615 | 2026-05-15 08:26:31.096326 | 26350905 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26350905 | Athletic Physical Therapy Inc | 2015-05-26 | 2026-05-12 | N/A | PT | AE | LEWIS | HDY136M55634 | JAMES | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21211845/check_26350905_5bc80835-727c-4d73-a095-f618187e50da.json | WAYSTAR | N/A | INSIGHTS | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21211845/check_26350905_264f5fb5-51d1-461c-9dc7-3fb11c939db7.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 21211845 | 2222 | N/A | 26458855 | N/A | 18861853 | 2026-05-15 08:26:31.096326 | 2026-05-12 16:27:48.663439 |