API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-11 07:18:43.025720 | 2026-05-12 00:55:07.948588 | 26092421 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26092421 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-05-13 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | Denise | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_26092421_1392c4c4-5dd5-4963-9559-29c765a97570.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928620 | N/A | N/A | 10103203 | 2222 | 4802 | 26265784 | 4211 | 8437251 | 2026-05-12 00:55:07.948588 | 2025-10-07 19:08:26.048804 |
| 2026-05-11 07:18:42.912346 | 2026-05-12 00:55:35.523143 | 26092402 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26092402 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-05-13 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_26092402_05ef1a6f-386b-4b6d-b0a2-7d66855307fa.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928619 | N/A | N/A | 10091887 | 2222 | 4793 | 26266438 | 4185 | 8429919 | 2026-05-12 00:55:35.523143 | 2025-10-07 22:01:52.720968 |
| 2026-05-11 07:18:42.798254 | 2026-05-12 00:56:02.838765 | 26092379 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26092379 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-05-13 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_26092379_16c2af61-8181-4430-9023-39279cd53a7e.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 2026-12-31 | 2026-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928618 | N/A | N/A | 9691081 | 2222 | 4801 | 26267025 | N/A | 8110015 | 2026-05-12 00:56:02.838765 | 2025-10-05 15:24:30.421551 |
| 2026-05-11 07:18:42.651722 | 2026-05-12 00:55:51.131357 | 26092353 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26092353 | Athletic Physical Therapy Inc | 1944-03-02 | 2026-05-13 | F | AE | PT | SETRAK | 40064880801 | SETA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9634904/check_26092353_d7cbc477-7d24-4e79-a54f-1fdac067c046.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-03-02 | 2026H5425001 | H5425M | N/A | N/A | false | SETRAK | N/A | SETA | 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 | 10846928617 | N/A | N/A | 9634904 | 2222 | 4801 | 26266778 | 6237 | 8061360 | 2026-05-12 00:55:51.131357 | 2025-09-22 21:51:14.372865 |
| 2026-05-11 07:18:42.471871 | 2026-05-12 00:55:15.795671 | 26092316 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26092316 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-05-13 | F | PT | N/A | LARSON | XAN913804058 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_26092316_d0a2c5ed-d8b0-468f-8a4f-97664c8546a9.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 | 2026-05-11 | 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 | 10846928616 | N/A | N/A | 9562148 | 2222 | 4793 | 26265960 | N/A | 7997320 | 2026-05-12 00:55:15.795671 | 2025-10-02 21:07:14.563938 |
| 2026-05-11 07:18:42.346136 | 2026-05-12 00:55:45.087643 | 26092292 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26092292 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-05-13 | M | 96 | N/A | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_26092292_e45ca8e3-4617-4269-aece-17f1fab9152f.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-05-11 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10846928615 | N/A | N/A | 9280203 | 2222 | 4793 | 26266658 | 6798 | 7788651 | 2026-05-12 00:55:45.087643 | 2025-09-10 18:50:22.494063 |
| 2026-05-11 07:18:42.199452 | 2026-05-12 00:56:13.536272 | 26092265 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26092265 | Athletic Physical Therapy Inc | 1952-08-31 | 2026-05-14 | M | PT | N/A | VACA | JQS284W10343 | STEVEN | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258711/check_26092265_a41c45da-35be-45f8-8a0c-90f4e11986b7.json | N/A | N/A | N/A | N/A | N/A | JQS284W10343 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-08-31 | 040 | CAMCRWP0 | N/A | MP | false | VACA | N/A | STEVEN | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928614 | N/A | N/A | 9258711 | 2222 | 4801 | 26267228 | 4184 | 7768967 | 2026-05-12 00:56:13.536272 | 2025-09-17 16:11:31.615033 |
| 2026-05-11 07:18:42.043502 | 2026-05-12 00:56:04.456596 | 26092239 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26092239 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-05-13 | F | PT | N/A | OBACZ | 897A6319770 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_26092239_1156ee29-fc8a-4368-b630-38e950529323.json | N/A | N/A | N/A | N/A | N/A | 897A6319770 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | N/A | N/A | 2026-05-11 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928613 | N/A | N/A | 9102655 | 2222 | 4801 | 26267063 | 4185 | 7621062 | 2026-05-12 00:56:04.456596 | 2025-09-12 19:10:20.936695 |
| 2026-05-11 07:18:41.879639 | 2026-05-12 00:55:38.110842 | 26092211 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26092211 | Athletic Physical Therapy Inc | 1956-06-26 | 2026-05-14 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_26092211_f5d2b3c8-33ee-4b89-8f50-c406859ed134.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 8103 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928612 | N/A | N/A | 9083354 | 2222 | 4801 | 26266507 | N/A | 7600312 | 2026-05-12 00:55:38.110842 | 2025-09-04 18:19:39.478018 |
| 2026-05-11 07:18:41.716055 | 2026-05-12 00:55:27.374786 | 26092178 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26092178 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-05-14 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_26092178_e341b713-b862-4ae1-a460-d7edb1ffe4ef.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928611 | N/A | N/A | 8978036 | 2222 | 4793 | 26266226 | 2630 | 7492332 | 2026-05-12 00:55:27.374786 | 2025-10-01 21:03:48.525986 |
| 2026-05-11 07:18:41.552564 | 2026-05-12 00:57:02.284132 | 26092149 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26092149 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-05-13 | F | AE | PT | CHICAS | 2VE9DX6NU27 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_26092149_08d5d51c-d43d-4475-9960-f49d2ba6afbc.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 77634 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928610 | N/A | N/A | 8202975 | 2222 | 4802 | 26268396 | N/A | 6965620 | 2026-05-12 00:57:02.284132 | 2025-09-03 23:20:10.287852 |
| 2026-05-11 07:18:41.424160 | 2026-05-12 00:55:33.430972 | 26092124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26092124 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-05-14 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_26092124_2e545196-7581-40cb-8c6e-c62740bbb815.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | MCKINNON | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 288720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928609 | N/A | N/A | 7783105 | 2222 | 4802 | 26266387 | N/A | 6628331 | 2026-05-12 00:55:33.430972 | 2025-08-22 15:16:03.942743 |
| 2026-05-11 07:18:41.271411 | 2026-05-12 00:55:39.055496 | 26092095 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26092095 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-05-13 | M | AE | PT | ULLMAN | 8HC8F35AX50 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7589050/check_26092095_3eceb4ce-97ad-4a6e-b3ab-e4ff4e54b319.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 127713 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928608 | N/A | N/A | 7589050 | 2222 | 4801 | 26266525 | N/A | 4208696 | 2026-05-12 00:55:39.055496 | 2025-06-07 16:16:45.844566 |
| 2026-05-11 07:18:41.105153 | 2026-05-12 00:55:27.504243 | 26092063 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26092063 | Athletic Physical Therapy Inc | 1965-07-08 | 2026-05-13 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_26092063_ed92e40d-ecbe-4522-a49b-2abc94f93642.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928607 | N/A | N/A | 7456267 | 2222 | 4793 | 26266229 | N/A | 6405582 | 2026-05-12 00:55:27.504243 | 2025-08-04 21:58:38.426681 |
| 2026-05-11 07:18:40.905276 | 2026-05-12 00:56:57.915484 | 26092021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26092021 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-05-13 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_26092021_c3b1c49e-b1ea-4eda-8c46-f2239b9bdb75.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 177490 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928606 | N/A | N/A | 7442857 | 2222 | 4801 | 26268285 | N/A | 6393941 | 2026-05-12 00:56:57.915484 | 2025-08-13 16:33:53.313259 |
| 2026-05-11 07:18:40.753526 | 2026-05-12 00:55:24.671159 | 26091989 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26091989 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-05-13 | F | AE | PT | STEVENS | 00000348252 | JANET | Sue | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967938/check_26091989_458305c0-e120-40e7-96e8-508952f09191.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | N/A | N/A | 2024-10-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928605 | N/A | N/A | 6967938 | 2222 | 4801 | 26266162 | 2630 | 4212773 | 2026-05-12 00:55:24.671159 | 2026-04-04 05:51:01.155131 |
| 2026-05-11 07:18:40.615483 | 2026-05-12 00:57:03.315717 | 26091965 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26091965 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-05-13 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_26091965_1a200509-d5ac-4733-9e9f-498902ba4033.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 333843 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928604 | N/A | N/A | 6752936 | 2222 | 4801 | 26268413 | N/A | 5065602 | 2026-05-12 00:57:03.315717 | 2025-07-01 17:25:13.681724 |
| 2026-05-11 07:18:40.496034 | 2026-05-12 00:55:40.694037 | 26091945 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26091945 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-05-14 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_26091945_f257d20a-dca6-48ee-ad21-f1f034d7d4d4.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 162720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928603 | N/A | N/A | 6751304 | 2222 | 4802 | 26266564 | N/A | 5557241 | 2026-05-12 00:55:40.694037 | 2025-07-22 17:08:51.810153 |
| 2026-05-11 07:18:40.375853 | 2026-05-12 00:56:28.116333 | 26091921 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26091921 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-05-13 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_26091921_4caad9be-f0e2-4abc-a5c6-41d229ed5b83.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928602 | N/A | N/A | 6721942 | 2222 | 4793 | 26267569 | N/A | 5322280 | 2026-05-12 00:56:28.116333 | 2025-07-01 21:45:15.878047 |
| 2026-05-11 07:18:40.207461 | 2026-05-12 00:55:52.320251 | 26091892 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26091892 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-05-14 | M | AE | PT | SIMMONS | 40055722801 | J | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_26091892_c9294428-b490-4fbd-9af8-d035d9237129.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928601 | N/A | N/A | 6685251 | 2222 | 4793 | 26266803 | 6237 | 4209868 | 2026-05-12 00:55:52.320251 | 2025-08-15 22:13:56.514261 |
| 2026-05-11 07:18:40.096537 | 2026-05-12 00:55:22.055328 | 26091870 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26091870 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-05-14 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_26091870_2aa027a7-7ab4-4909-a1d0-d418ac0b6456.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 174270 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928600 | N/A | N/A | 6522947 | 2222 | 4802 | 26266095 | N/A | 5146127 | 2026-05-12 00:55:22.055328 | 2025-06-20 17:58:23.371130 |
| 2026-05-11 07:18:39.968845 | 2026-05-12 00:55:49.955986 | 26091843 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26091843 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-05-13 | M | AE | PT | NOWAK | 31172069101 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_26091843_706182b9-690d-4afe-9641-4e462831cd75.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928599 | N/A | N/A | 6492025 | 2222 | 4793 | 26266752 | 6237 | 5121181 | 2026-05-12 00:55:49.955986 | 2025-06-19 16:42:31.208252 |
| 2026-05-11 07:18:39.854639 | 2026-05-12 00:55:28.955398 | 26091824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091824 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-05-14 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_26091824_65535e2c-aa4d-42d4-8d19-ef337c1d73b8.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928598 | N/A | N/A | 6193751 | 2222 | 4801 | 26266269 | N/A | 4837995 | 2026-05-12 00:55:28.955398 | 2025-06-13 00:15:18.726975 |
| 2026-05-11 07:18:39.720447 | 2026-05-12 00:55:36.110178 | 26091801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26091801 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-05-14 | F | AE | PT | MORALES | 7XX8HG0UK25 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_26091801_09bb5c60-82f2-4d9c-b0f7-4c6a6cb346a0.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MB | false | MORALES | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 198813 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928597 | N/A | N/A | 6076917 | 2222 | 4793 | 26266452 | N/A | 4718913 | 2026-05-12 00:55:36.110178 | 2025-05-29 22:23:40.462913 |
| 2026-05-11 07:18:39.614493 | 2026-05-12 00:55:29.542991 | 26091777 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26091777 | Athletic Physical Therapy Inc | 1977-09-14 | 2026-05-13 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_26091777_39a307f2-2888-4f71-93ca-ffd1390432f9.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928596 | N/A | N/A | 5993920 | 2222 | 4793 | 26266283 | 4184 | 4642859 | 2026-05-12 00:55:29.542991 | 2026-04-10 21:27:25.225083 |
| 2026-05-11 07:18:39.458637 | 2026-05-12 00:54:58.277559 | 26091753 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26091753 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-05-12 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_26091753_b4f70bfd-09f8-4a44-967f-a482b1f278d0.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928595 | N/A | N/A | 5568076 | 2222 | 4802 | 26265561 | 4625 | 4209480 | 2026-05-12 00:54:58.277559 | 2026-04-10 02:05:15.976484 |
| 2026-05-11 07:18:39.359450 | 2026-05-12 00:55:22.152285 | 26091734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091734 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-05-14 | F | PT | N/A | ANDERSON | XDP564A24389 | ERIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549780/check_26091734_9a09f65a-b0d5-462e-8874-01bca3df17f1.json | N/A | N/A | N/A | N/A | N/A | XDP564A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1972-06-11 | 040 | 275928M001 | N/A | PR | false | ANDERSON | N/A | ERIN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928594 | N/A | N/A | 5549780 | 2222 | 4801 | 26266098 | N/A | 4219374 | 2026-05-12 00:55:22.152285 | 2025-05-13 04:29:37.230399 |
| 2026-05-11 07:18:39.229872 | 2026-05-12 00:55:19.647615 | 26091711 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26091711 | Athletic Physical Therapy Inc | 1941-10-25 | 2026-05-13 | F | AE | PT | FERNANDEZ | 00000301109 | HERSILIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549388/check_26091711_bb563beb-5ede-4300-aaa8-b40d319ff3e7.json | N/A | N/A | N/A | N/A | N/A | 00000301109 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1941-10-25 | H3815051 | N/A | N/A | HM | false | FERNANDEZ | N/A | HERSILIA | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH HEART & DIABETES CHOICE (HMO C-SN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928593 | N/A | N/A | 5549388 | 2222 | 4801 | 26266045 | 2630 | 4219062 | 2026-05-12 00:55:19.647615 | 2026-04-13 21:41:57.357587 |
| 2026-05-11 07:18:39.078026 | 2026-05-12 00:55:55.001854 | 26091679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091679 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-05-13 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_26091679_3a85e5c4-f324-47e1-8cad-157716855fad.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928592 | N/A | N/A | 5549317 | 2222 | 4801 | 26266861 | N/A | 4219010 | 2026-05-12 00:55:55.001854 | 2026-01-09 18:32:07.618867 |
| 2026-05-11 07:18:38.952214 | 2026-05-12 00:55:47.756707 | 26091658 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26091658 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-05-13 | F | 96 | N/A | REGGIANI | 41813758 | SUSANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_26091658_e5d6cf24-69e2-42f3-ae71-7533b64720dc.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | 2026-05-11 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10846928591 | N/A | N/A | 5549015 | 2222 | 4801 | 26266710 | 6798 | 4208849 | 2026-05-12 00:55:47.756707 | 2025-05-13 04:29:37.223279 |
| 2026-05-11 07:18:38.809552 | 2026-05-12 00:55:23.342125 | 26091636 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26091636 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-05-14 | F | AE | PT | Sankovich | 00000375069 | Deborah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_26091636_9246b4d6-f8a5-4669-b252-48ef35334be0.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928590 | N/A | N/A | 5543396 | 2222 | 4793 | 26266128 | 2630 | 4215193 | 2026-05-12 00:55:23.342125 | 2026-01-16 04:38:12.725481 |
| 2026-05-11 07:18:38.705217 | 2026-05-12 00:55:01.679842 | 26091616 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26091616 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-05-13 | F | AE | PT | BALAGHI ASEFI | 91331342H | SAMIRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543363/check_26091616_46ef4f0a-08c3-4562-8bd2-f05f6bff6c66.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928589 | N/A | N/A | 5543363 | 2222 | 4793 | 26265597 | 4625 | 4215163 | 2026-05-12 00:55:01.679842 | 2026-03-24 20:35:50.273384 |
| 2026-05-11 07:18:38.582619 | 2026-05-12 00:55:53.611030 | 26091592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091592 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-05-14 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_26091592_45d54136-6754-40ef-9c5c-f425c12d80e1.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928588 | N/A | N/A | 5543167 | 2222 | 4793 | 26266833 | N/A | 4214995 | 2026-05-12 00:55:53.611030 | 2025-05-13 04:29:37.229315 |
| 2026-05-11 07:18:38.420739 | 2026-05-12 00:55:43.767218 | 26091563 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091563 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-05-13 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_26091563_66da995b-21ce-4b5f-952b-2fcc7c8b127c.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846928587 | N/A | N/A | 5543043 | 2222 | 4801 | 26266630 | N/A | 4214884 | 2026-05-12 00:55:43.767218 | 2025-11-12 00:46:10.301659 |
| 2026-05-11 07:18:38.314390 | 2026-05-12 00:54:31.333905 | 26091545 | N/A | N/A | 60054 | Aetna | 1114042165 | 26091545 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-05-13 | F | AE | PT | FERRELL | W285064666 | AMELIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_26091545_6fba3a08-cf48-488c-b609-f3455949c6bf.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928586 | N/A | N/A | 5542678 | 2222 | 4802 | 26265003 | N/A | 4214560 | 2026-05-12 00:54:31.333905 | 2025-05-13 04:29:37.228883 |
| 2026-05-11 07:18:38.166069 | 2026-05-12 00:55:38.356691 | 26091517 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 26091517 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-05-13 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_26091517_72e6e81c-ef7c-4c77-bdbf-f16620699176.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2026-03-31 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928585 | N/A | N/A | 5542606 | 2222 | 4801 | 26266511 | N/A | 4214496 | 2026-05-12 00:55:38.356691 | 2025-05-13 04:29:37.228812 |
| 2026-05-11 07:18:38.043818 | 2026-05-12 00:55:08.627466 | 26091496 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26091496 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-05-13 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_26091496_bea9172f-81de-4928-9628-7854818a8166.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928584 | N/A | N/A | 5542233 | 2222 | 4793 | 26265803 | 4211 | 4214178 | 2026-05-12 00:55:08.627466 | 2025-05-13 04:29:37.228506 |
| 2026-05-11 07:18:37.903446 | 2026-05-12 00:55:49.565051 | 26091468 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 26091468 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-05-14 | M | AE | PT | VLAHOVICH | 34035035 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_26091468_4638d447-1d92-4813-933e-1c5799e9f22b.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-05-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846928583 | N/A | N/A | 5542048 | 2222 | 4802 | 26266740 | N/A | 4214003 | 2026-05-12 00:55:49.565051 | 2025-05-13 04:29:37.228325 |
| 2026-05-11 07:18:37.728002 | 2026-05-12 00:55:33.871080 | 26091438 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 26091438 | override_provider | 1957-04-11 | 2026-05-13 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_26091438_741b1008-b683-4eac-8241-cc261c636225.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846929707 | N/A | N/A | 5541841 | 2222 | 4801 | 26266397 | N/A | 4213826 | 2026-05-12 00:55:33.871080 | 2025-05-13 04:29:37.228146 |
| 2026-05-11 07:18:37.545097 | 2026-05-12 00:55:10.047127 | 26091405 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26091405 | Athletic Physical Therapy Inc | 1963-05-16 | 2026-05-14 | F | AE | PT | KHAMISIAN | 98872882G | ANAHID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541618/check_26091405_f95c2082-05c5-44a5-9860-e991fe8fefa3.json | N/A | N/A | N/A | N/A | N/A | 98872882G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-16 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KHAMISIAN | N/A | ANAHID | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846929706 | N/A | N/A | 5541618 | 2222 | 4802 | 26265836 | 4211 | 4213623 | 2026-05-12 00:55:10.047127 | 2025-07-29 02:12:05.358371 |
| 2026-05-11 07:18:37.346168 | 2026-05-12 00:55:22.623398 | 26091372 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26091372 | Athletic Physical Therapy Inc | 1951-08-31 | 2026-05-13 | F | AE | PT | MEDINA | 00000271339 | BEATRIZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541480/check_26091372_e8b4e883-6d69-40e8-bc90-a8dee8fa431e.json | N/A | N/A | N/A | N/A | N/A | 00000271339 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1951-08-31 | H3815028 | N/A | N/A | HM | false | MEDINA | N/A | BEATRIZ | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846929705 | N/A | N/A | 5541480 | 2222 | 4801 | 26266112 | 2630 | 4213492 | 2026-05-12 00:55:22.623398 | 2025-05-13 04:29:37.227810 |
| 2026-05-11 07:18:37.174367 | 2026-05-12 00:55:54.282177 | 26091343 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26091343 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-05-13 | F | PT | N/A | LORD | 822A5374070 | ALYSSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_26091343_0f4c9b60-50fc-4913-b594-bcde858c0d93.json | N/A | N/A | N/A | N/A | N/A | 822A5374070 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2012-06-25 | N/A | N/A | N/A | N/A | false | LORD | N/A | ALYSSA | N/A | N/A | 2026-05-11 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846929704 | N/A | N/A | 5541409 | 2222 | 4793 | 26266849 | 4184 | 4213435 | 2026-05-12 00:55:54.282177 | 2025-05-13 04:29:37.227756 |
| 2026-05-11 07:18:37.019208 | 2026-05-12 00:55:34.687809 | 26091315 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091315 | Athletic Physical Therapy Inc | 1995-06-07 | 2026-05-13 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_26091315_f1fa63ca-ef81-43af-aec1-ad92b9ea22ba.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846929703 | N/A | N/A | 5540871 | 2222 | 4793 | 26266414 | N/A | 4212959 | 2026-05-12 00:55:34.687809 | 2025-10-17 20:08:21.136268 |
| 2026-05-11 07:18:36.830709 | 2026-05-12 00:56:53.926151 | 26091280 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26091280 | Athletic Physical Therapy Inc | 1954-06-15 | 2026-05-13 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_26091280_5bf7f787-aaa9-4eee-8f0f-c806c5b86496.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part A | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MA | 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 | 10846929702 | N/A | N/A | 5540303 | 2222 | 4801 | 26268189 | N/A | 4212486 | 2026-05-12 00:56:53.926151 | 2025-09-30 02:32:14.808821 |
| 2026-05-11 07:18:36.567664 | 2026-05-12 00:55:00.682850 | 26091233 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26091233 | Athletic Physical Therapy Inc | 1947-05-03 | 2026-05-13 | F | AE | PT | HANSEN | H7490330500 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539739/check_26091233_eae89075-754a-4322-98e8-7f0e47f2df28.json | N/A | N/A | N/A | N/A | N/A | H74903305 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 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 | 1947-05-03 | N/A | 2B863001 | N/A | HN | false | HANSEN | N/A | CAROL | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846929701 | N/A | N/A | 5539739 | 2222 | 4793 | 26265621 | 5349 | 4212000 | 2026-05-12 00:55:00.682850 | 2025-05-13 04:29:37.226323 |
| 2026-05-11 07:18:36.325090 | 2026-05-12 00:55:46.421615 | 26091187 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26091187 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-05-13 | F | 96 | N/A | HAUSMAN | 34751865 | JUDITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539527/check_26091187_c0ec8054-2ada-4ddc-8130-55b2c935ea38.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | N/A | N/A | 2026-05-11 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10846929700 | N/A | N/A | 5539527 | 2222 | 4793 | 26266682 | 6798 | 4211820 | 2026-05-12 00:55:46.421615 | 2026-04-10 18:02:32.809721 |
| 2026-05-11 07:18:36.129651 | 2026-05-12 00:55:44.742660 | 26091149 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091149 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-05-14 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_26091149_329c8c72-babf-4022-87fb-19cc1913a0e8.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10846929699 | N/A | N/A | 5539085 | 2222 | 4793 | 26266649 | N/A | 4211408 | 2026-05-12 00:55:44.742660 | 2025-09-18 00:42:48.586801 |
| 2026-05-11 07:18:35.969183 | 2026-05-12 00:55:23.984052 | 26091124 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26091124 | Athletic Physical Therapy Inc | 1955-08-03 | 2026-05-13 | M | AE | PT | SIEGEL | 00000481103 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538991/check_26091124_f11383bb-5c1f-43e5-9b0e-a669300ef062.json | N/A | N/A | N/A | N/A | N/A | 00000481103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-08-03 | H3815028 | N/A | N/A | HM | false | SIEGEL | N/A | DAVID | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10846929698 | N/A | N/A | 5538991 | 2222 | 4793 | 26266143 | 2630 | 4211321 | 2026-05-12 00:55:23.984052 | 2026-04-09 17:35:10.856621 |
| 2026-05-11 07:18:35.782828 | 2026-05-12 00:55:45.903349 | 26091088 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26091088 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-05-13 | M | AE | PT | CHADIDA | 40060913601 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_26091088_e177c64d-22dc-46f9-ae68-9ef759eb10be.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | 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 | 10846929697 | N/A | N/A | 5538674 | 2222 | 4793 | 26266674 | 6237 | 4211039 | 2026-05-12 00:55:45.903349 | 2025-05-13 04:29:37.225444 |
| 2026-05-11 07:18:35.619737 | 2026-05-12 00:56:06.246154 | 26091060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26091060 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-05-13 | M | PT | N/A | PERLMUTTER | JQH460A69253 | DREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260511.122424607.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_26091060_37fa6b41-6f54-4775-b4d2-0163bdb95898.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 | 10846929696 | N/A | N/A | 5538573 | 2222 | 4801 | 26267097 | N/A | 4210980 | 2026-05-12 00:56:06.246154 | 2025-05-13 04:29:37.225377 |