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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-14 21:43:54.251403 | 2026-05-14 21:43:57.254717 | 26310028 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-23 | 2026-05-18 | F | PT | 4191 | WEIMAN | XED913752359 | RACHEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20935802/check_26310028_3bc91cea-acf9-4037-be83-348e897a94dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20935802/check_26310028_225eb025-f685-4629-b221-4bcebe5572c5.json | N/A | N/A | N/A | N/A | N/A | XED913752359 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-11-23 | 2001ZL002175 | X0001004 | N/A | PR | false | WEIZMAN | N/A | MORDECHAI | N/A | 9999-12-31 | 2026-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10892427423 | 167942 | N/A | 20935802 | 2222 | N/A | 26423711 | N/A | 18627141 | 2026-05-14 21:43:57.254717 | 2026-05-01 21:42:26.428064 |
| 2026-05-14 21:41:50.607341 | 2026-05-14 21:42:00.602252 | 26310017 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1978-02-23 | 2026-05-18 | F | AE | 4197 | TAMALONIS | AJC912481252 | KATE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/21215532/check_26310017_5871c772-f0c0-404d-9dbd-2b724a0bc5b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21215532/check_26310017_d32a990f-b5e2-4fa9-b12f-4cc7e1e09152.json | N/A | N/A | N/A | N/A | N/A | AJC912481252 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1978-02-23 | 1000MCAL0008 | E0001001 | N/A | MC | false | TAMALONIS | N/A | KATE | N/A | N/A | 2026-05-18 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10892419754 | 167942 | N/A | 21215532 | 2222 | N/A | 26423696 | N/A | 18866661 | 2026-05-14 21:42:00.602252 | 2026-05-07 22:24:08.402788 |
| 2026-05-14 21:38:48.387362 | 2026-05-14 21:38:51.467358 | 26310000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-17 | 2026-05-18 | M | PT | 4184 | TODD | WKH144A22883 | MARTIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21043639/check_26310000_7b4af70f-1ac5-4746-a86d-21b57903df1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21043639/check_26310000_b1b65c8a-d3d4-459a-87da-37304fa1b500.json | N/A | N/A | N/A | N/A | N/A | WKH144A22883 | Preferred Provider Organization (PPO) | DHMP LA | ANTHEM BLUE CROSS | N/A | 1964-10-17 | 040 | 174023R3A1 | N/A | PR | false | TODD | N/A | MARTIN | N/A | 2026-12-31 | 2026-01-01 | BC EXCLUSIVE TIERED PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10892407196 | 167942 | N/A | 21043639 | 2222 | N/A | 26423667 | N/A | 18720421 | 2026-05-14 21:38:51.467358 | 2026-05-18 00:05:49.436606 |
| 2026-05-14 21:36:15.957424 | 2026-05-14 21:36:19.880518 | 26309981 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-15 | 2026-05-18 | M | AE | 3948 | BAIRD | W295329957 | WILLIAM | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8391594/check_26309981_c862b707-f88a-47d2-bb8d-2756b8668fa7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8391594/check_26309981_001fa89b-8e63-44f7-9c0c-7763b0d95f7b.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10892396244 | 167942 | N/A | 8391594 | 2222 | N/A | 26423641 | N/A | 4214747 | 2026-05-14 21:36:19.880518 | 2025-05-13 04:29:37.229066 |
| 2026-05-14 21:34:40.720248 | 2026-05-14 21:35:28.196513 | 26309973 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-11-01 | 2026-05-18 | F | AE | 3948 | DOLLINGER | w295463099 | SHAYNA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/20691437/check_26309973_03fd4ad2-b7fd-478f-8c68-41b11180c9af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20691437/check_26309973_4a76aa9f-a531-42cb-98f6-681e48c0ce55.json | N/A | N/A | N/A | N/A | N/A | W295463099 | Point of Service (POS) | UNIVERSITY OF SOUTHERN CALIFORNIA | AETNA | N/A | 1999-11-01 | 0474947 | 047494703600101 | N/A | PS | false | DOLLINGER | N/A | SHAYNA | N/A | N/A | N/A | OPEN CHOICE-ON CAMPUS BASIC PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10892389089 | 167942 | N/A | 20691437 | 2222 | N/A | 26423635 | N/A | 18331183 | 2026-05-14 21:35:28.196513 | 2026-05-19 04:16:00.930686 |
| 2026-05-14 21:30:30.807447 | 2026-05-14 21:30:32.723042 | 26309930 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-16 | 2026-05-19 | M | AE | 4497 | KANDELA | 6J42U95NP24 | IMAD | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6483553/check_26309930_5296d067-5dc4-4de8-a108-93f4d0d150be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6483553/check_26309930_72bc86fc-6be6-4b53-8b68-fca2f33b8ef3.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | 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 | 10892372235 | 167942 | N/A | 6483553 | 2222 | N/A | 26423583 | N/A | 4215003 | 2026-05-14 21:30:32.723042 | 2025-05-13 04:29:37.229322 |
| 2026-05-14 21:29:51.713866 | 2026-05-14 21:29:53.611386 | 26309925 | N/A | N/A | 75261 | WebTPA Employer Services LLC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-13 | 2026-05-19 | F | AE | 21918 | BLUM | 01355035301 | BONNIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15582393/check_26309925_e884ce2d-f309-457d-b5b1-cd9f5e42682f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15582393/check_26309925_17928673-6696-476c-9373-ad5a7771f706.json | N/A | N/A | N/A | N/A | N/A | 013550353-01 | N/A | CONNECTICUT STATE TEACHERS RETIREMENT BOARD | WEBTPA EMPLOYER SERVICES LLC | N/A | 1945-04-13 | N/A | RET-CSTRB | N/A | N/A | false | BLUM | N/A | BONNIE | 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 | 10892369361 | 167942 | N/A | 15582393 | 2222 | N/A | 26423577 | N/A | 4211624 | 2026-05-14 21:29:53.611386 | 2025-05-13 04:29:37.225953 |
| 2026-05-14 21:29:42.598748 | 2026-05-14 21:29:44.426949 | 26309923 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-13 | 2026-05-19 | F | AE | 4497 | BLUM | 4TT3J24RG08 | BONNIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539301/check_26309923_8e806478-d008-49ba-a9c9-bba1a48453f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_26309923_3e35bb14-87df-430b-9917-e01b97e6d213.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 | 10892368766 | 167942 | N/A | 5539301 | 2222 | N/A | 26423576 | N/A | 4211624 | 2026-05-14 21:29:44.426949 | 2025-05-13 04:29:37.225953 |
| 2026-05-14 21:22:40.809301 | 2026-05-14 21:22:42.773942 | 26309848 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-05-26 | 2026-05-19 | F | AE | 4497 | FERNANDEZ | 7XX5TU4CF61 | LISA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_26309848_8622ac3e-4ec8-47c9-af44-fc9337b485b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_26309848_021ee37e-a3e7-4f5d-8ab5-dbdf6eced19d.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 | 10892339191 | 167942 | N/A | 5538194 | 2222 | N/A | 26423501 | N/A | 4210649 | 2026-05-14 21:22:42.773942 | 2025-06-19 18:43:58.008751 |
| 2026-05-14 21:22:25.388160 | 2026-05-14 21:22:28.277918 | 26309847 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-05-26 | 2026-05-19 | F | AE | 4185 | FERNANDEZ | JQC95483183F | LISA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858692/check_26309847_a85afaad-bb7e-4d0e-8c0b-20535cbf9faa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_26309847_b47f9513-3349-4a36-96ed-bff8c6b00eb5.json | N/A | N/A | N/A | N/A | N/A | JQC95483183F | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | FERNANDEZ | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10892338186 | 167942 | N/A | 5858692 | 2222 | N/A | 26423500 | N/A | 4210649 | 2026-05-14 21:22:28.277918 | 2025-06-19 18:43:58.008751 |
| 2026-05-14 21:14:48.774911 | 2026-05-14 21:14:50.771135 | 26309769 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-16 | 2025-03-04 | M | PT | 4191 | KANDELA | XEM904119501 | IMAD | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543179/check_26309769_905d581f-e847-45aa-9e81-cabad079cd6e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543179/check_26309769_2bc6f5b3-37d4-45bf-bcf7-8f857a7b1560.json | N/A | N/A | N/A | N/A | N/A | XEM904119501 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-07-16 | 2002SD000004 | X0001002 | N/A | OT | false | KANDELA | N/A | IMAD | N/A | N/A | 2025-03-04 | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10892302194 | 167942 | N/A | 5543179 | 2222 | N/A | 26423416 | N/A | 4215003 | 2026-05-14 21:14:50.771135 | 2025-05-13 04:29:37.229322 |
| 2026-05-14 21:13:55.423482 | 2026-05-14 21:13:57.494600 | 26309746 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-16 | 2025-03-04 | M | PT | 4497 | KANDELA | 6J42U95NP24 | IMAD | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543177/check_26309746_c741c691-5548-4b63-9d0e-59bc086e3f21.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543177/check_26309746_c54e252c-bfab-457e-9586-5ae00ac2504c.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | 309118 | PT | AE | N/A | N/A | N/A | N/A | N/A | 10892298228 | 167942 | N/A | 5543177 | 2222 | N/A | 26423390 | N/A | 4215003 | 2026-05-14 21:13:57.494600 | 2025-05-13 04:29:37.229322 |
| 2026-05-14 20:55:53.612048 | 2026-05-14 20:55:55.624444 | 26309440 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-02 | 2026-05-18 | F | AE | 4199 | Page | 93594372F | Manjeh | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/20288239/check_26309440_0938a817-4c6d-4fb4-b301-d9f03785cd06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20288239/check_26309440_94886445-20cb-4f22-9e26-71294919f816.json | N/A | N/A | N/A | N/A | N/A | 93594372F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-12-02 | N/A | N/A | N/A | N/A | false | PAGE | N/A | MANJEH | 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 | 20288239 | 2222 | N/A | 26423081 | N/A | 17456094 | 2026-05-14 20:55:55.624444 | 2026-05-27 20:46:49.607010 |
| 2026-05-14 20:55:51.721423 | 2026-05-14 20:55:53.586719 | 26309438 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-02 | 2026-05-18 | F | AE | 4199 | Page | 93594372F | Manjeh | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/20288239/check_26309438_1cb3220f-828c-4c77-85b7-563a674b7744.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | N/A | N/A | N/A | N/A | N/A | N/A | 93594372F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-12-02 | N/A | N/A | N/A | N/A | false | PAGE | N/A | MANJEH | 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 | 20288239 | 2222 | N/A | N/A | N/A | 17456094 | 2026-05-14 20:55:53.586719 | 2026-05-27 20:46:49.607010 |
| 2026-05-14 20:55:14.961840 | 2026-05-14 20:55:23.461788 | 26309432 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-01 | 2026-05-18 | M | AE | 6338 | IMPELLIZZERI | 001069750-00 | ROBERT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535554/check_26309432_db716bd7-a092-4148-a745-68dce04191c7.json | AVAILITY | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535554/check_26309432_24e98944-45f4-4605-818f-fbb66be30a94.json | N/A | N/A | N/A | N/A | N/A | 00106975000 | N/A | N/A | TRICARE FOR LIFE | N/A | 1952-10-01 | N/A | N/A | N/A | N/A | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5535554 | 2222 | N/A | 26423074 | N/A | 4208460 | 2026-05-14 20:55:23.461788 | 2026-01-01 00:19:01.120151 |
| 2026-05-14 20:53:06.679392 | 2026-05-14 20:53:08.661489 | 26309409 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-12-14 | 2026-05-18 | M | PT | 4497 | KHETAN | 7X04KW3JY08 | UMAKANT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20701190/check_26309409_e4a3043b-6dd7-482c-8cd3-0bb9a071e579.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20701190/check_26309409_bb35fd9f-57eb-447d-a2aa-d1ee607edc7b.json | N/A | N/A | N/A | N/A | N/A | 7X04KW3JY08 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-12-14 | S4802 | N/A | N/A | MA | false | KHETAN | N/A | UMAKANT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10892124905 | 167942 | N/A | 20701190 | 2222 | N/A | 26423050 | N/A | 18283277 | 2026-05-14 20:53:08.661489 | 2026-04-28 23:20:57.668646 |
| 2026-05-14 20:52:50.633946 | 2026-05-14 20:52:52.518424 | 26309407 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-16 | 2026-05-18 | F | AE | 4497 | Teichner | 8GX9YP6RV43 | Miriam | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492302/check_26309407_8e08cd73-1018-4f4e-abb5-86e38196cb44.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492302/check_26309407_3d9261f6-99fa-4d3e-930a-63924080b8ae.json | N/A | N/A | N/A | N/A | N/A | 8GX9YP6RV43 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-16 | S4802 | N/A | N/A | MA | false | TEICHNER | N/A | MIRIAM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 88511 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10892122991 | 167942 | N/A | 17492302 | 2222 | N/A | 26423048 | N/A | 15507331 | 2026-05-14 20:52:52.518424 | 2026-03-02 19:12:00.362589 |
| 2026-05-14 20:50:15.305171 | 2026-05-14 20:50:18.470615 | 26309359 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-01 | 2026-05-18 | M | AE | 4497 | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535551/check_26309359_198d0b3d-6206-4eba-840f-003e2ffe385d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_26309359_7a92854d-cb89-4722-b609-baf0a795eba9.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | 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 | 10892100697 | 167942 | N/A | 5535551 | 2222 | N/A | 26422997 | N/A | 4208460 | 2026-05-14 20:50:18.470615 | 2026-01-01 00:19:01.120151 |
| 2026-05-14 20:11:09.466216 | 2026-05-14 20:11:12.437494 | 26308869 | 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 | 5538 | BINDER | 97045245C | ABBY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/20702780/check_26308869_f81257b6-3b27-42f3-93b8-975c1cd72c99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20702780/check_26308869_efeb7163-bbdd-41dd-bd39-51a073ff06ea.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 | 10891811100 | 9390 | N/A | 20702780 | 2222 | N/A | 26422394 | N/A | 18345498 | 2026-05-14 20:11:12.437494 | 2026-04-28 21:51:51.011659 |
| 2026-05-14 20:05:07.377517 | 2026-05-14 20:05:10.344255 | 26308719 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-12-09 | 2026-05-22 | F | PT | 4185 | RUBENSTEIN | JRTCT7853690 | LISA RENEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21455030/check_26308719_d485d69e-e746-4770-9375-5be69ec5b8b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21455030/check_26308719_01d8f687-7ab2-42c0-a557-c0682853647f.json | N/A | N/A | N/A | N/A | N/A | JRTCT7853690 | Preferred Provider Organization (PPO) | RICH PRODUCTS CORPORATION | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1964-12-09 | 278 | 10803337 | N/A | PR | false | RUBENSTEIN | N/A | LISA | N/A | 9999-12-31 | 2026-01-01 | MPL TPA 27X WNY PPO 90 70 MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10891770246 | N/A | N/A | 21455030 | 2222 | N/A | 26422230 | N/A | 19089730 | 2026-05-14 20:05:10.344255 | 2026-05-12 16:16:32.093089 |
| 2026-05-14 19:30:56.928328 | 2026-05-14 19:30:59.858673 | 26308295 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-24 | 2026-05-15 | F | AE | 23412 | MEKARI | 000173428 | DIANE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542700/check_26308295_250705ca-17bb-4df5-89f2-533eec7e647a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542700/check_26308295_26f844d7-6ce3-4fb0-a140-f9324d270cd9.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 | 2026-05-15 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10891545129 | 165454 | N/A | 5542700 | 2222 | N/A | 26421698 | N/A | 4214574 | 2026-05-14 19:30:59.858673 | 2025-05-13 04:29:37.228902 |
| 2026-05-14 18:30:28.018490 | 2026-05-14 18:30:31.902965 | 26307098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2026-05-14 | M | PT | 4184 | POLLACK | XED915177712 | JOSH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21611328/check_26307098_69152bff-a5c4-4cc3-9209-5d8e3bc6daef.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21611328/check_26307098_ae7ba58e-8bbc-40ea-8919-5f6d50f5aec4.json | N/A | N/A | N/A | N/A | N/A | XED915177712 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1972-03-17 | 2001ZL002184 | X0001004 | N/A | PR | false | POLLACK | N/A | JOSHUA | N/A | N/A | 2026-05-14 | IFP EMB PED DPPO JAN15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10891106291 | N/A | N/A | 21611328 | 2222 | N/A | 26420337 | N/A | 4209670 | 2026-05-14 18:30:31.902965 | 2025-05-13 04:29:37.224097 |
| 2026-05-14 17:59:17.410170 | 2026-05-14 17:59:21.623921 | 26306665 | N/A | N/A | 72261 | REGAL MEDICAL GROUP / SCAN | 1114042165 | 26306665 | Athletic Physical Therapy Inc | 1958-02-02 | 2026-05-12 | F | PT | N/A | Reardon | 400672131-01 | Pamela | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/21525751/check_26306665_4d6b882e-2948-4cdc-a480-93e7cc3da9c1.json | WAYSTAR | N/A | INSIGHTS | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21525751/check_26306665_d17284ce-8d62-4fa2-ac30-f0b2f60f06ea.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 | 169999 | N/A | 21525751 | 2222 | N/A | 26419901 | N/A | 11887763 | 2026-05-14 17:59:21.623921 | 2026-01-22 00:49:45.798733 |
| 2026-05-14 17:53:04.329709 | 2026-05-14 17:53:07.240748 | 26306589 | N/A | N/A | 72261 | REGAL MEDICAL GROUP / SCAN | 1114042165 | 26306589 | Athletic Physical Therapy Inc | 1958-02-02 | 2026-01-27 | F | PT | N/A | REARDON | 400672131-01 | PAMELA | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/21525751/check_26306589_5530d7ad-85d9-44ad-b83b-8658112c42c8.json | WAYSTAR | N/A | INSIGHTS | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21525751/check_26306589_7aff25ac-77d6-4029-843a-a3b11a8855fe.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 | 169999 | N/A | 21525751 | 2222 | N/A | 26419822 | N/A | 11887763 | 2026-05-14 17:53:07.240748 | 2026-01-22 00:49:45.798733 |
| 2026-05-14 17:52:36.551714 | 2026-05-14 17:52:38.566564 | 26306585 | N/A | N/A | 72261 | REGAL MEDICAL GROUP / SCAN | 1114042165 | 26306585 | Athletic Physical Therapy Inc | 1958-02-02 | 2026-01-27 | F | PT | N/A | Reardon | 40067213101 | Pamela | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/21525751/check_26306585_71d80233-c7f7-42e0-9bf7-97fef275398d.json | WAYSTAR | N/A | INSIGHTS | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21525751/check_26306585_a701991c-0240-4fff-bd98-dd658abcde23.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 | 169999 | N/A | 21525751 | 2222 | N/A | 26419819 | N/A | 11887763 | 2026-05-14 17:52:38.566564 | 2026-01-22 00:49:45.798733 |
| 2026-05-14 17:31:34.575327 | 2026-05-14 17:31:37.527861 | 26306157 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-02-18 | 2026-05-29 | F | AE | 6237 | USEDOM | 40001551001 | CHRISTINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/21263173/check_26306157_d755e510-6ae1-43d0-8db1-b15e968436d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21263173/check_26306157_ea660326-b36d-4f86-a887-fed4bc10a48b.json | N/A | N/A | N/A | N/A | N/A | 40001551001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-02-18 | 2026H5425001 | H5425M | N/A | N/A | false | USEDOM | N/A | CHRISTINA | 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 | 10890644776 | N/A | N/A | 21263173 | 2222 | N/A | 26419378 | N/A | 18902399 | 2026-05-14 17:31:37.527861 | 2026-05-11 19:32:10.424303 |
| 2026-05-14 17:29:40.035423 | 2026-05-14 17:29:43.204272 | 26306135 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-12-04 | 2026-05-14 | M | PT | 4191 | SIMMONS | 906212178-000 | LAVAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16307145/check_26306135_41cfdc6d-1480-44cf-b1f7-1141ba3042a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16307145/check_26306135_e9c0a1f7-c9ab-4b48-af92-2f7be4aeee99.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | 2026-05-14 | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10890631188 | N/A | N/A | 16307145 | 2222 | N/A | 26419356 | N/A | 4213276 | 2026-05-14 17:29:43.204272 | 2025-05-13 04:29:37.227602 |
| 2026-05-14 15:44:45.346437 | 2026-05-14 15:44:47.300712 | 26304207 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-09-03 | 2026-05-14 | M | PT | 4191 | ROBERTSON | XEH911317369 | DOUGLAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20926375/check_26304207_caf68b25-35d5-4ea0-9447-e75fe10eb4aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20926375/check_26304207_72f83491-3109-457f-bcb1-dc2bd4a338da.json | N/A | N/A | N/A | N/A | N/A | XEH911317369 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-09-03 | 1477HMOX0001 | W0051411 | N/A | HM | false | ROBERTSON | N/A | DOUGLAS | N/A | N/A | 2026-05-14 | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10889896804 | N/A | N/A | 20926375 | 2222 | N/A | 26417093 | N/A | 18617561 | 2026-05-14 15:44:47.300712 | 2026-05-14 15:35:20.161727 |
| 2026-05-14 15:38:59.527317 | 2026-05-14 15:39:01.363614 | 26304131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-07 | 2026-05-14 | F | PT | 4185 | SAMPOGNA | MBL900W19237 | MARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20933708/check_26304131_8de686b6-429d-4dfe-a83c-17417c98d157.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20933708/check_26304131_e905e19c-9fd6-47a6-8a60-d81f9c16c94f.json | N/A | N/A | N/A | N/A | N/A | MBL900W19237 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1959-01-07 | 040 | CAEGR002 | N/A | N/A | false | SAMPOGNA | N/A | MARY | N/A | 9999-12-31 | 2024-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10889854407 | N/A | N/A | 20933708 | 2222 | N/A | 26417015 | N/A | 18624713 | 2026-05-14 15:39:01.363614 | 2026-05-01 20:12:32.186085 |
| 2026-05-14 15:35:40.668615 | 2026-05-14 15:35:44.102843 | 26304099 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-09-02 | 2026-05-15 | F | PT | 4185 | DECKER | JQU849A78963 | ELIZABETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18328449/check_26304099_20123624-70d4-4b2a-b740-9afbfdfbc114.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18328449/check_26304099_05d9d1ac-3c82-4c11-8287-eba4aeb6c202.json | N/A | N/A | N/A | N/A | N/A | JQU849A78963 | Preferred Provider Organization (PPO) | ROLLING OAKS RADIOLOGY ME | ANTHEM BLUE CROSS | N/A | 2009-09-02 | 040 | 422228 | N/A | PR | false | DECKER | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER PPO HSA/H 2300/3400/4600 30% PREVRX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10889829891 | 167942 | N/A | 18328449 | 2222 | N/A | 26416980 | N/A | 16339129 | 2026-05-14 15:35:44.102843 | 2026-03-26 22:11:26.115150 |
| 2026-05-14 14:49:06.082695 | 2026-05-14 14:49:07.967622 | 26303247 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-16 | 2026-05-14 | M | AE | 5538 | MOHAGEN | 8300000057307 | DAVID | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/21104785/check_26303247_b5f1f55d-f8ab-4d47-952a-f41a40b8642e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21104785/check_26303247_2513e903-382b-408a-b5f0-0213d3857dc3.json | N/A | N/A | N/A | N/A | N/A | 8300000057307 | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1958-05-16 | N/A | N/A | N/A | N/A | false | MOHAGEN | N/A | DAVID | N/A | N/A | 2026-05-14 | 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 | 21104785 | 2222 | N/A | 26416110 | N/A | 18771047 | 2026-05-14 14:49:07.967622 | 2026-05-12 17:26:02.820437 |
| 2026-05-14 14:49:04.365936 | 2026-05-14 14:49:06.079808 | 26303245 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-16 | 2026-05-14 | M | AE | 5538 | MOHAGEN | 8300000057307 | DAVID | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/21104785/check_26303245_c39be137-e4c5-409d-8259-690cc410b2dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-14 | N/A | N/A | N/A | N/A | N/A | N/A | 8300000057307 | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1958-05-16 | N/A | N/A | N/A | N/A | false | MOHAGEN | N/A | DAVID | N/A | N/A | 2026-05-14 | 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 | 21104785 | 2222 | N/A | N/A | N/A | 18771047 | 2026-05-14 14:49:06.079808 | 2026-05-12 17:26:02.820437 |
| 2026-05-14 14:46:54.822237 | 2026-05-14 14:47:02.741520 | 26303206 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-02-04 | 2026-05-14 | M | AE | 6341 | CHAIDEZ | 02110585400 | ANTHONY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/20928914/check_26303206_dd9f78c3-1142-428a-b3ac-0498a3a754b5.json | AVAILITY | N/A | INSIGHTS | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20928914/check_26303206_09610c03-49f2-44e8-bfbb-7e49d7746575.json | N/A | N/A | N/A | N/A | N/A | 02110585400 | N/A | N/A | TRIWEST - TRICARE | N/A | 1998-02-04 | N/A | N/A | N/A | N/A | false | CHAIDEZ | N/A | ANTHONY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 20928914 | 2222 | N/A | 26416072 | N/A | 18619936 | 2026-05-14 14:47:02.741520 | 2026-05-13 20:34:29.146236 |
| 2026-05-14 13:11:41.065897 | 2026-05-14 13:11:51.228472 | 26301741 | N/A | N/A | 94134 | KAISER PERMANENTE OF S CA REGION | 1114042165 | 26301741 | Athletic Physical Therapy Inc | 1955-10-11 | 2026-04-28 | F | PT | N/A | Dale | 000012276388 | Catherine | L | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/21596721/check_26301741_5ea58c65-2154-4bcd-ac26-2de95fe14f69.json | WAYSTAR | N/A | INSIGHTS | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21596721/check_26301741_7b3e414c-e819-467e-aa88-2d8d12ba8710.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 | 168737 | N/A | 21596721 | 2222 | N/A | 26414613 | N/A | 17692317 | 2026-05-14 13:11:51.228472 | 2026-04-16 17:31:07.396883 |
| 2026-05-14 13:06:52.694771 | 2026-05-14 13:06:54.634484 | 26301605 | N/A | N/A | CDCR1 | CLINICAS DEL CAMINO REAL | 1114042165 | 26301605 | Athletic Physical Therapy Inc | 2003-04-06 | 2026-04-13 | M | PT | N/A | MARENTES | 90534020E | JULIAN | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542211/check_26301605_ec80392f-c232-47a9-b4c2-cdf28d186990.json | WAYSTAR | N/A | INSIGHTS | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542211/check_26301605_3061141d-3c4b-49c6-9f6c-3e618dab38da.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 | 168737 | N/A | 5542211 | 2222 | N/A | 26414479 | N/A | 4214160 | 2026-05-14 13:06:54.634484 | 2025-05-13 04:29:37.228488 |
| 2026-05-14 08:50:42.655206 | 2026-05-14 08:50:44.692772 | 26300465 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-16 | 2026-05-07 | M | PT | 4625 | COHEN | R15053348MM1 | BEN | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/18898121/check_26300465_fa0f7827-521f-4b67-8780-bcaeaca63a75.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18898121/check_26300465_307e044d-2c2b-4946-9d8c-8694a1656a1a.json | N/A | N/A | N/A | N/A | N/A | R15053348MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 2000-01-16 | N/A | N/A | N/A | N/A | false | COHEN | N/A | BENJAMIN | N/A | 2026-05-07 | 2026-01-01 | KVZ SBGHMOWC | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10885438326 | 166370 | N/A | 18898121 | 2222 | N/A | 26413341 | N/A | 16884375 | 2026-05-14 08:50:44.692772 | 2026-04-01 15:30:39.812102 |
| 2026-05-14 07:22:05.868145 | 2026-05-14 07:22:08.894806 | 26292270 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-20 | 2026-05-14 | F | AE | 4184 | Rund | JQE413W24976 | Stephanie | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14414101/check_26292270_33381d6a-d2b2-44f5-9cba-0f574337c9bf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14414101/check_26292270_a58a8ed6-8b2d-44f5-a4c3-dc35c27aef88.json | N/A | N/A | N/A | N/A | N/A | JQE413W24976 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | CASUPWP0 | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2025-11-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885090389 | N/A | N/A | 14414101 | 2222 | N/A | 26405700 | N/A | 5046194 | 2026-05-14 07:22:08.894806 | 2026-01-06 19:15:31.520951 |
| 2026-05-14 07:17:50.205451 | 2026-05-14 07:17:53.020901 | 26284844 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-24 | 2026-05-14 | F | PT | 4185 | BARANICK | JQU255W05117 | TAWNIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20006554/check_26284844_5240a971-8dc3-4cb4-8cf1-ae2d1ab32fd9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20006554/check_26284844_3a0c44e3-7f57-40cd-842e-6671d9c2bba2.json | N/A | N/A | N/A | N/A | N/A | JQU255W05117 | Preferred Provider Organization (PPO) | MEDICAL CONFERENCE PLANNERS INC | ANTHEM BLUE CROSS | N/A | 1987-08-24 | 040 | F06846 | N/A | PR | false | BARANICK | N/A | ALEXANDRA | N/A | 2026-12-31 | 2026-05-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10885057156 | N/A | N/A | 20006554 | 2222 | N/A | 26402928 | N/A | 17276083 | 2026-05-14 07:17:53.020901 | 2026-04-08 23:49:02.285720 |
| 2026-05-14 07:17:50.153608 | 2026-05-14 07:17:52.041506 | 26284840 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-20 | 2026-05-14 | F | AE | 4497 | Rund | 5UN0TP0YV05 | Stephanie | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15024391/check_26284840_0adddb1b-e193-4db9-888a-de49a6931925.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15024391/check_26284840_be4ebb26-26af-4418-84df-0afc2bc17458.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MB | false | RUND | N/A | STEPHANIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 173060 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885057154 | N/A | N/A | 15024391 | 2222 | N/A | 26402915 | N/A | 5046194 | 2026-05-14 07:17:52.041506 | 2026-01-06 19:15:31.520951 |
| 2026-05-14 07:17:06.227604 | 2026-05-15 00:36:48.623073 | 26281957 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26281957 | Athletic Physical Therapy Inc | 1955-08-24 | 2026-05-15 | M | AE | N/A | Hanna | 00000245352 | Hosam | Habib | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20934310/check_26281957_2a0ae89c-5c44-4cdf-8d0f-c2f41c6d48eb.json | N/A | N/A | N/A | N/A | N/A | 00000245352 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-08-24 | H3815030 | N/A | N/A | HM | false | HANNA | N/A | HOSAM | N/A | N/A | 2023-04-01 | ALIGNMENT HEALTH CALPLUSDUALS (HMO D-SNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885058878 | N/A | N/A | 20934310 | 2222 | 4801 | 26432900 | 2630 | 18625361 | 2026-05-15 00:36:48.623073 | 2026-05-11 16:11:46.773633 |
| 2026-05-14 07:17:06.150323 | 2026-05-15 00:35:56.546366 | 26281954 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26281954 | Athletic Physical Therapy Inc | 1978-01-01 | 2026-05-15 | M | AE | N/A | MUKHERJEE | 98791020F | SAIKAT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20439401/check_26281954_2c4b0b6f-34e0-4eec-9321-4395452ab94f.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885058877 | N/A | N/A | 20439401 | 2222 | 4793 | 26431814 | 4211 | 18125711 | 2026-05-15 00:35:56.546366 | 2026-05-03 21:26:58.166469 |
| 2026-05-14 07:17:06.078568 | 2026-05-15 00:37:17.019570 | 26281951 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26281951 | Athletic Physical Therapy Inc | 1995-04-12 | 2026-05-15 | M | PT | N/A | Seraphim | BLI911865119 | Hans | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19663974/check_26281951_e01f83da-da1a-411d-ab42-d0aecd44a242.json | N/A | N/A | N/A | N/A | N/A | BLI911865119 | Preferred Provider Organization (PPO) | BLACKLINE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1995-04-12 | 1000PPOX0001 | W8002402 | N/A | PR | false | SERAPHIM | N/A | HANS | N/A | N/A | 2026-05-14 | BLACKLINE SYSTEMS INC PPO COMBINED DEDUCTIBLE 15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10885058876 | N/A | N/A | 19663974 | 2222 | 4793 | 26433473 | N/A | 17397168 | 2026-05-15 00:37:17.019570 | 2026-04-10 21:47:38.367634 |
| 2026-05-14 07:17:05.988121 | 2026-05-15 00:35:58.012410 | 26281944 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26281944 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-15 | F | AE | N/A | RASHIDI | 93712342E | ZAHRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_26281944_ffb84114-57fa-4b68-9ed8-072ba9afae9e.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885058875 | N/A | N/A | 18279699 | 2222 | 4802 | 26431848 | 4211 | 16293253 | 2026-05-15 00:35:58.012410 | 2026-03-17 23:01:51.545839 |
| 2026-05-14 07:17:05.910973 | 2026-05-15 00:37:22.888334 | 26281938 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26281938 | Athletic Physical Therapy Inc | 1949-09-08 | 2026-05-15 | F | AE | N/A | DUARTE | 5R04RR0AU93 | REVE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076656/check_26281938_c994a087-2773-445c-baf1-910a4f15a9e4.json | N/A | N/A | N/A | N/A | N/A | 5R04RR0AU93 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-08 | S5884 | N/A | N/A | MB | false | DUARTE | N/A | REVE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 66403 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885058874 | N/A | N/A | 18076656 | 2222 | 4801 | 26433588 | N/A | 16102725 | 2026-05-15 00:37:22.888334 | 2026-03-13 16:40:36.180280 |
| 2026-05-14 07:17:05.825229 | 2026-05-15 00:36:33.041067 | 26281936 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26281936 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-05-15 | F | AE | N/A | SALIMIAN | UZ110324601 | NASHMIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_26281936_79e65a9f-aa8b-481b-b0e3-271eed11f19a.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10885058873 | N/A | N/A | 17492780 | 2222 | 4802 | 26432603 | 4625 | 15085116 | 2026-05-15 00:36:33.041067 | 2026-02-18 20:26:50.354139 |
| 2026-05-14 07:17:05.721303 | 2026-05-15 00:36:45.981945 | 26281928 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26281928 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-05-15 | M | PT | N/A | Higa | NCF843A55961 | Parrish | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_26281928_b615f714-fedc-41f9-803d-d6fd35b2c8bd.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10885058872 | N/A | N/A | 17446858 | 2222 | 4801 | 26432846 | 4185 | 14698980 | 2026-05-15 00:36:45.981945 | 2026-02-09 18:51:36.820546 |
| 2026-05-14 07:17:05.640886 | 2026-05-15 00:36:45.164718 | 26281924 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26281924 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-05-15 | F | PT | N/A | Amstutz | 396W1286740 | Lauren | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_26281924_bc3613c2-8f3e-45bb-a713-7cbafe354f2b.json | N/A | N/A | N/A | N/A | N/A | 396W1286740 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-07-22 | N/A | N/A | N/A | N/A | false | AMSTUTZ | N/A | LAUREN | N/A | N/A | 2026-05-14 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10885058871 | N/A | N/A | 16765713 | 2222 | 4801 | 26432832 | 4185 | 14776656 | 2026-05-15 00:36:45.164718 | 2026-02-10 18:58:53.303852 |
| 2026-05-14 07:17:05.551161 | 2026-05-15 00:37:21.516546 | 26281918 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 26281918 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-05-15 | F | AD | N/A | TOBOLSKI | 40031694701 | MARSHA | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16041163/check_26281918_06896831-8a5e-44d1-b3f5-8516d483fcc8.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10885058870 | N/A | N/A | 16041163 | 2222 | 4801 | 26433560 | N/A | 14110956 | 2026-05-15 00:37:21.516546 | 2026-01-29 19:04:39.423629 |
| 2026-05-14 07:17:05.477421 | 2026-05-15 00:37:16.271618 | 26281912 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26281912 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-05-15 | F | PT | N/A | LARSON | XAN913804058 | DEBRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_26281912_9d86a0f5-de5b-432b-9c97-4619d8664998.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | 2026-05-14 | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10885058869 | N/A | N/A | 9562148 | 2222 | 4793 | 26433461 | N/A | 7997320 | 2026-05-15 00:37:16.271618 | 2025-10-02 21:07:14.563938 |
| 2026-05-14 07:17:05.364689 | 2026-05-15 00:36:46.659700 | 26281907 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26281907 | Athletic Physical Therapy Inc | 1961-06-09 | 2026-05-15 | F | PT | N/A | MANICHIA | 361A5590020 | GINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260514.122132622.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542547/check_26281907_19dcbb0d-18dd-4cda-a13d-a54f041b2380.json | N/A | N/A | N/A | N/A | N/A | 361A5590020 | 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 | 2026-05-14 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10885058868 | N/A | N/A | 5542547 | 2222 | 4793 | 26432861 | 4185 | 4214439 | 2026-05-15 00:36:46.659700 | 2025-05-13 04:29:37.228757 |