API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-09 07:13:29.834222 | 2026-05-10 00:45:27.421937 | 26051194 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26051194 | Athletic Physical Therapy Inc | 1994-11-08 | 2026-05-12 | F | PT | JIANG | R7K824W21258 | LINDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19483095/check_26051194_6978771e-5740-4822-b799-4395a5c807aa.json | N/A | N/A | N/A | N/A | N/A | R7K824W21258 | Preferred Provider Organization (PPO) | FETCH REWARDS LLC | ANTHEM BLUE CROSS | N/A | 1994-11-08 | 450 | L01300M017 | N/A | PR | false | JIANG | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS FOR HSA PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180820 | N/A | N/A | 19483095 | 2222 | 4802 | 26203497 | N/A | 17258855 | 2026-05-10 00:45:27.421937 | 2026-04-13 17:37:52.223301 |
| 2026-05-09 07:13:29.630855 | 2026-05-10 00:45:45.108693 | 26051176 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26051176 | Athletic Physical Therapy Inc | 1951-01-02 | 2026-05-12 | F | AE | Edwards | 00000380504 | Donna | S | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19424980/check_26051176_c50fd6ae-76ee-4a18-9604-1ef575852d4c.json | N/A | N/A | N/A | N/A | N/A | 00000380504 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1951-01-02 | H3815028 | N/A | N/A | HM | false | EDWARDS | N/A | DONNA | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180819 | N/A | N/A | 19424980 | 2222 | 4801 | 26203924 | 2630 | 17225600 | 2026-05-10 00:45:45.108693 | 2026-04-13 23:02:55.995268 |
| 2026-05-09 07:13:29.523643 | 2026-05-10 00:45:17.148602 | 26051164 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26051164 | Athletic Physical Therapy Inc | 1951-12-05 | 2026-05-12 | M | AD | Daradics | 40087014601 | Peter | M | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19421991/check_26051164_82149797-22a3-4776-812a-6c9c180d318b.json | N/A | N/A | N/A | N/A | N/A | 40087014601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-12-05 | 2026H5425001 | H5425M | N/A | N/A | false | DARADICS | N/A | PETER | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10840180818 | N/A | N/A | 19421991 | 2222 | 4793 | 26203236 | 6237 | 17222519 | 2026-05-10 00:45:17.148602 | 2026-04-07 21:04:48.057565 |
| 2026-05-09 07:13:29.354242 | 2026-05-10 00:45:49.280032 | 26051146 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26051146 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-05-12 | M | PT | Brodersen | XEA904512777 | Russell | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_26051146_c6538717-a68f-45b6-b069-192a99faba17.json | N/A | N/A | N/A | N/A | N/A | XEA904512777 | Preferred Provider Organization (PPO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 2015-09-12 | 1000PPOX0004 | W0051513 | N/A | PR | false | BRODERSEN | N/A | ROBERT | N/A | 2041-09-30 | 2026-05-01 | HRA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180817 | N/A | N/A | 19420394 | 2222 | 4793 | 26204002 | N/A | 17221001 | 2026-05-10 00:45:49.280032 | 2026-04-07 20:28:25.222608 |
| 2026-05-09 07:13:29.225016 | 2026-05-10 00:45:22.365656 | 26051136 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 26051136 | Athletic Physical Therapy Inc | 1975-10-30 | 2026-05-12 | F | AE | ALEJO | 000015664212 | ROCELIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19415415/check_26051136_59f82f10-1f16-43ba-80bd-083e56bcc2e2.json | N/A | N/A | N/A | N/A | N/A | 000015664212 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1975-10-30 | 4387737 | 101000 | N/A | N/A | false | ALEJO | N/A | ROCELIE | N/A | 2026-12-31 | 2026-01-01 | COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES - AC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180814 | N/A | N/A | 19415415 | 2222 | 4801 | 26203373 | N/A | 17216246 | 2026-05-10 00:45:22.365656 | 2026-04-13 20:29:43.549035 |
| 2026-05-09 07:13:29.072212 | 2026-05-10 00:45:53.511087 | 26051121 | N/A | N/A | 60054 | Aetna | 1114042165 | 26051121 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-05-12 | M | AE | TRUNNELL | 101505559100 | WAYNE | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19414195/check_26051121_005f30b6-2ffd-4cef-8492-00451b0d6caa.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000104 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE EXTRA (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180811 | N/A | N/A | 19414195 | 2222 | 4793 | 26204071 | N/A | 5818009 | 2026-05-10 00:45:53.511087 | 2025-07-15 23:19:05.900633 |
| 2026-05-09 07:13:28.913301 | 2026-05-10 00:45:55.673573 | 26051106 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26051106 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-05-12 | M | AE | MAPARA | 97729763H | VISHAL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19412512/check_26051106_0773ce31-9844-4e26-b07d-b2be84c35cc3.json | N/A | N/A | N/A | N/A | N/A | 97729763H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-19 | MCLA | MWLLNMEG21 | N/A | N/A | false | MAPARA | N/A | VISHAL | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180809 | N/A | N/A | 19412512 | 2222 | 4802 | 26204110 | 5538 | 17213425 | 2026-05-10 00:45:55.673573 | 2026-04-07 17:44:37.574880 |
| 2026-05-09 07:13:28.795632 | 2026-05-10 00:45:26.035142 | 26051095 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26051095 | Athletic Physical Therapy Inc | 1982-08-27 | 2026-05-12 | M | AE | NADERI | 000012407283 | HODAD | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19372752/check_26051095_8d4eecdd-cf67-4ba2-8473-df4b2d87a165.json | N/A | N/A | N/A | N/A | N/A | 000012407283 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-08-27 | 4391203 | 100201 | N/A | N/A | false | NADERI | N/A | HODAD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180808 | N/A | N/A | 19372752 | 2222 | 4802 | 26203465 | N/A | 17186688 | 2026-05-10 00:45:26.035142 | 2026-04-07 00:23:42.741818 |
| 2026-05-09 07:13:28.646005 | 2026-05-10 00:45:49.718814 | 26051081 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26051081 | Athletic Physical Therapy Inc | 1999-11-10 | 2026-05-12 | M | PT | CAHILL | 914767288000 | Will | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19361699/check_26051081_a2ce345a-48c7-4b83-a0d4-aafce8885a4a.json | N/A | N/A | N/A | N/A | N/A | XEH914767288 | Health Maintenance Organization (HMO) | X 15 INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 1999-11-10 | 1000VX000143 | W0120116 | N/A | HM | false | CAHILL | N/A | WILLIAM | N/A | N/A | 2026-05-09 | DENTAL HMO DELUXE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180805 | N/A | N/A | 19361699 | 2222 | 4802 | 26204011 | 4191 | 17179209 | 2026-05-10 00:45:49.718814 | 2026-04-13 18:22:42.548834 |
| 2026-05-09 07:13:28.468015 | 2026-05-10 00:45:26.630779 | 26051064 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26051064 | Athletic Physical Therapy Inc | 2012-12-30 | 2026-05-12 | F | AE | Pate | 000025033815 | Starley | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248382/check_26051064_67d43212-8284-4443-93ce-79b529331968.json | N/A | N/A | N/A | N/A | N/A | 000025033815 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-12-30 | 4292435 | 1650095001 | N/A | N/A | false | PATE | N/A | STARLEY | N/A | 2026-12-31 | 2026-01-01 | OPEN JAN - KPIF DHMO HSA TRANSFER OPEN DHMO $50/$5 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180804 | N/A | N/A | 19248382 | 2222 | 4793 | 26203478 | N/A | 17113723 | 2026-05-10 00:45:26.630779 | 2026-04-14 18:27:10.279532 |
| 2026-05-09 07:13:28.323148 | 2026-05-10 00:45:28.435510 | 26051051 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26051051 | Athletic Physical Therapy Inc | 1965-03-25 | 2026-05-12 | M | PT | LOVEALL | MPI30352942Q | FRANK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240989/check_26051051_8b47ba3b-2b11-41bd-ade5-92eb7bc28b02.json | N/A | N/A | N/A | N/A | N/A | MPI30352942Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1965-03-25 | 040 | 277163M401 | N/A | PR | false | LOVEALL | N/A | FRANK | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180803 | N/A | N/A | 19240989 | 2222 | 4801 | 26203523 | N/A | 17105725 | 2026-05-10 00:45:28.435510 | 2026-04-10 18:18:05.298858 |
| 2026-05-09 07:13:28.209505 | 2026-05-10 00:45:13.619699 | 26051040 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26051040 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-05-12 | F | AE | Bokron | 8WT2XY5VC04 | Diana | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_26051040_02d0dab1-16bb-406d-b422-b72622ff3c26.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MA | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 53328 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180802 | N/A | N/A | 19240401 | 2222 | 4793 | 26203153 | N/A | 17105178 | 2026-05-10 00:45:13.619699 | 2026-04-03 17:25:31.987996 |
| 2026-05-09 07:13:28.044132 | 2026-05-10 00:45:34.499890 | 26051025 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26051025 | Athletic Physical Therapy Inc | 1973-10-06 | 2026-05-12 | F | AE | Casagrande | R00486960FS1 | Tamara | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084730/check_26051025_2f4a6407-4b09-4243-a514-6dea1f32cf1e.json | N/A | N/A | N/A | N/A | N/A | R00486960FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-10-06 | N/A | N/A | N/A | N/A | false | CASAGRANDE | N/A | TAMARA | N/A | N/A | N/A | MZC BRONZHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180801 | N/A | N/A | 19084730 | 2222 | 4793 | 26203671 | 4625 | 17081329 | 2026-05-10 00:45:34.499890 | 2026-04-03 22:08:08.919747 |
| 2026-05-09 07:13:27.873811 | 2026-05-10 00:45:20.632192 | 26051010 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26051010 | Athletic Physical Therapy Inc | 1952-08-01 | 2026-05-12 | M | AE | REISS | 1J83JQ6JF81 | JOHN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19077902/check_26051010_cab34a8e-5a07-48a7-9704-58dca527a2c1.json | N/A | N/A | N/A | N/A | N/A | 1J83JQ6JF81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-01 | N/A | N/A | N/A | MA | false | REISS | N/A | JOHN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 89563 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180800 | N/A | N/A | 19077902 | 2222 | 4801 | 26203329 | N/A | 17065421 | 2026-05-10 00:45:20.632192 | 2026-04-06 17:02:36.906045 |
| 2026-05-09 07:13:27.756320 | 2026-05-10 00:45:27.860888 | 26051001 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26051001 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-05-12 | M | AE | Weiner | 000000201398 | Bernard | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_26051001_38da867e-8214-4f83-8235-d9e822c8c0e6.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180799 | N/A | N/A | 19076126 | 2222 | 4802 | 26203508 | N/A | 17061917 | 2026-05-10 00:45:27.860888 | 2026-04-02 22:23:37.722121 |
| 2026-05-09 07:13:27.602235 | 2026-05-10 00:45:15.498934 | 26050986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050986 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-05-12 | M | AE | ESCOLL | 9RU1D71UT18 | PAUL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075590/check_26050986_250053aa-a1d2-4340-b726-0ac831768b6e.json | N/A | N/A | N/A | N/A | N/A | 9RU1D71UT18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S4802 | N/A | N/A | MA | false | ESCOLL | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 75288 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180798 | N/A | N/A | 19075590 | 2222 | 4802 | 26203198 | N/A | 17061553 | 2026-05-10 00:45:15.498934 | 2026-04-03 00:44:20.509677 |
| 2026-05-09 07:13:27.447814 | 2026-05-10 00:45:27.946489 | 26050972 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26050972 | Athletic Physical Therapy Inc | 1958-12-02 | 2026-05-12 | M | PT | KOCOGLU | 694W1765910 | GARABET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19027766/check_26050972_03507761-f9b7-4d93-b71d-ab8aa496efe5.json | N/A | N/A | N/A | N/A | N/A | 694W1765910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-12-02 | N/A | N/A | N/A | N/A | false | KOCOGLU | N/A | GARABET | N/A | N/A | 2026-05-09 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180796 | N/A | N/A | 19027766 | 2222 | 4801 | 26203512 | 4185 | 17007847 | 2026-05-10 00:45:27.946489 | 2026-04-02 19:44:37.790679 |
| 2026-05-09 07:13:27.302633 | 2026-05-10 00:45:52.740372 | 26050959 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 26050959 | Athletic Physical Therapy Inc | 2012-07-04 | 2026-05-12 | F | AE | Sikiric | W22669289903 | Iva | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935993/check_26050959_26b568ed-4571-44b8-b8ec-da23246acbb0.json | N/A | N/A | N/A | N/A | N/A | W226692899 | Health Maintenance Organization (HMO) | MITSUWA CORPORATION | AETNA | N/A | 2012-07-04 | EAB93J14 | 081059802500001 | N/A | HM | false | SIKIRIC | N/A | KRUNOSLAV | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180793 | N/A | N/A | 18935993 | 2222 | 4802 | 26204058 | 3948 | 16921302 | 2026-05-10 00:45:52.740372 | 2026-03-31 19:23:59.156343 |
| 2026-05-09 07:13:27.088379 | 2026-05-10 00:45:14.568357 | 26050938 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050938 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-05-12 | F | AE | Delgado | 4d07m65da79 | Linda | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18934124/check_26050938_d47ee5bb-6593-4162-8dbc-80c20f76fa4f.json | N/A | N/A | N/A | N/A | N/A | 4D07M65DA79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-12-02 | S4802 | N/A | N/A | MA | false | DELGADO | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 100793 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180792 | N/A | N/A | 18934124 | 2222 | 4801 | 26203176 | N/A | 16919419 | 2026-05-10 00:45:14.568357 | 2026-04-01 03:46:15.905427 |
| 2026-05-09 07:13:26.914751 | 2026-05-10 00:44:35.929647 | 26050922 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26050922 | Athletic Physical Therapy Inc | 1934-08-28 | 2026-05-12 | F | AE | INAO | H9810673000 | JANE | Y | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933246/check_26050922_1345c500-112c-4a3d-ab95-bf867ae19b3a.json | N/A | N/A | N/A | N/A | N/A | H98106730 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 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 | 1934-08-28 | N/A | 2B722001 | N/A | HN | false | INAO | N/A | JANE | 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 | 10840180788 | N/A | N/A | 18933246 | 2222 | 4801 | 26202162 | 5349 | 16918423 | 2026-05-10 00:44:35.929647 | 2026-03-31 19:05:41.556695 |
| 2026-05-09 07:13:26.661898 | 2026-05-10 00:45:23.088871 | 26050899 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26050899 | Athletic Physical Therapy Inc | 1968-09-02 | 2026-05-12 | F | PT | Cantwell | JQW959W11453 | Jody | Leigh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18773917/check_26050899_12580e47-498b-46d1-8a8f-e22ec645ece2.json | N/A | N/A | N/A | N/A | N/A | JQW959W11453 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1968-09-02 | 040 | CAMCRWP0 | N/A | MP | false | CANTWELL | N/A | JODY | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180787 | N/A | N/A | 18773917 | 2222 | 4793 | 26203391 | 4184 | 16747520 | 2026-05-10 00:45:23.088871 | 2026-04-01 16:54:36.862494 |
| 2026-05-09 07:13:26.499981 | 2026-05-10 00:45:15.696679 | 26050885 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 26050885 | Athletic Physical Therapy Inc | 1970-02-04 | 2026-05-12 | F | AE | Spiro | 98769623G | Sharon | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18614765/check_26050885_087b4081-1c6d-4576-9600-a7410469ebed.json | N/A | N/A | N/A | N/A | N/A | 98769623G | N/A | N/A | HEALTH NET, LLC | N/A | 1970-02-04 | N/A | N/A | N/A | N/A | false | SPIRO | N/A | SHARON | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180785 | N/A | N/A | 18614765 | 2222 | 4802 | 26203200 | N/A | 16615684 | 2026-05-10 00:45:15.696679 | 2026-03-25 05:25:22.518046 |
| 2026-05-09 07:13:26.333182 | 2026-05-10 00:45:30.590007 | 26050870 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 26050870 | override_provider | 2009-05-22 | 2026-05-12 | M | AE | LIVINGSTON | 000024871001 | DONNER | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18610016/check_26050870_74aab3c7-32b4-4e4d-8115-7688f7f9ab03.json | N/A | N/A | N/A | N/A | N/A | 000024871001 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-05-22 | 4359961 | 108601 | N/A | N/A | false | LIVINGSTON | N/A | DONNER | N/A | 2026-12-31 | 2026-01-01 | TEAMSTERS MULTI BENEFIT TRUST TMBT-TIP-KP ONLY / 1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180784 | N/A | N/A | 18610016 | 2222 | 4802 | 26203575 | N/A | 16611782 | 2026-05-10 00:45:30.590007 | 2026-04-29 15:29:54.461887 |
| 2026-05-09 07:13:26.104418 | 2026-05-10 00:45:20.164467 | 26050847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050847 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-05-12 | M | AE | O NEILL | 3VD0U34GW90 | THOMAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_26050847_5174144d-5753-40eb-9839-7b5b72f966ab.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MA | false | O'NEILL | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 119711 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180782 | N/A | N/A | 18472576 | 2222 | 4802 | 26203317 | N/A | 16472791 | 2026-05-10 00:45:20.164467 | 2026-03-20 22:44:48.876499 |
| 2026-05-09 07:13:25.757907 | 2026-05-10 00:45:22.375474 | 26050816 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050816 | Athletic Physical Therapy Inc | 1948-12-19 | 2026-05-12 | F | AE | SULLIVAN | 5Q91C30PU13 | CATHERINE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18458100/check_26050816_d4498a11-a50b-4542-8f35-6f6adf95257a.json | N/A | N/A | N/A | N/A | N/A | 5Q91C30PU13 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-12-19 | S5921 | N/A | N/A | MA | false | SULLIVAN | N/A | CATHERINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 87019 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180781 | N/A | N/A | 18458100 | 2222 | 4801 | 26203374 | N/A | 16457691 | 2026-05-10 00:45:22.375474 | 2026-03-20 16:17:53.406743 |
| 2026-05-09 07:13:25.598234 | 2026-05-10 00:44:19.151669 | 26050798 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 26050798 | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-12 | F | AE | Peck | ICA094420 | Geraldine | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_26050798_49a1f495-76ba-47cb-888a-0666e8c061dd.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-09 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180780 | N/A | N/A | 18413277 | 2222 | 4793 | 26201734 | N/A | 16416105 | 2026-05-10 00:44:19.151669 | 2026-03-19 22:25:59.413894 |
| 2026-05-09 07:13:25.481608 | 2026-05-10 00:45:51.015579 | 26050787 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26050787 | Athletic Physical Therapy Inc | 1996-04-12 | 2026-05-12 | F | PT | JARRIN | XEA911784312 | MARIAJOSE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18335373/check_26050787_79c7269a-93e8-4f7f-9ac8-465739b9f56f.json | N/A | N/A | N/A | N/A | N/A | VBG911784312 | Preferred Provider Organization (PPO) | KFA LLP | BLUE SHIELD CALIFORNIA | N/A | 1996-04-12 | 1000VX000102 | W0105276 | N/A | PR | false | JARRIN LOPEZ | N/A | MARIAJOSE | N/A | 9999-12-31 | 2022-12-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180320 | N/A | N/A | 18335373 | 2222 | 4802 | 26204031 | N/A | 16345883 | 2026-05-10 00:45:51.015579 | 2026-03-24 03:37:53.217177 |
| 2026-05-09 07:13:25.341933 | 2026-05-10 00:45:25.081666 | 26050772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26050772 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-05-12 | F | PT | FELT | JXN853M92476 | KATHRYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_26050772_464837eb-c046-40e4-80c1-3b9a7c4d786b.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180319 | N/A | N/A | 18326912 | 2222 | 4801 | 26203440 | N/A | 16337774 | 2026-05-10 00:45:25.081666 | 2026-03-18 18:21:21.968505 |
| 2026-05-09 07:13:25.150579 | 2026-05-10 00:45:15.707566 | 26050755 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26050755 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-12 | F | AE | RASHIDI | 93712342E | ZAHRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_26050755_ab56132f-e0ee-44c9-8f46-e08b2299a2b9.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 | 10840180318 | N/A | N/A | 18279699 | 2222 | 4802 | 26203201 | 4211 | 16293253 | 2026-05-10 00:45:15.707566 | 2026-03-17 23:01:51.545839 |
| 2026-05-09 07:13:24.990721 | 2026-05-10 00:45:50.126678 | 26050743 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26050743 | Athletic Physical Therapy Inc | 1964-09-19 | 2026-05-11 | F | PT | CHILAKOS | XAN913820374 | JANIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_26050743_5dbf6332-8434-4f94-8fd7-c7ad637d3e23.json | N/A | N/A | N/A | N/A | N/A | XAN913820374 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | 1000PPOX0003 | W0051411 | N/A | PR | false | CHILAKOS | N/A | JANIS | N/A | N/A | 2026-05-09 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180317 | N/A | N/A | 18247267 | 2222 | 4793 | 26204018 | N/A | 16262937 | 2026-05-10 00:45:50.126678 | 2026-03-23 18:45:59.777696 |
| 2026-05-09 07:13:24.720233 | 2026-05-10 00:45:15.041329 | 26050719 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26050719 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-05-12 | F | AE | MALTSEVA | 94237973H | YEVHENIIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_26050719_7f49dbd4-3c01-41b6-970e-06eb6a91d0ee.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180315 | N/A | N/A | 18095882 | 2222 | 4802 | 26203187 | 4211 | 6219145 | 2026-05-10 00:45:15.041329 | 2025-07-21 16:40:35.276086 |
| 2026-05-09 07:13:24.447868 | 2026-05-10 00:44:27.762006 | 26050696 | N/A | N/A | 12115 | TriWest VA CCN Region 4 (TWVACCN) | 1114042165 | 26050696 | Athletic Physical Therapy Inc | 1995-08-17 | 2026-05-12 | M | AE | MOORE | 1031444015V742597 | NICOLAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18091675/check_26050696_734619ea-619d-4ef3-9e77-aec8f9a3a00a.json | N/A | N/A | N/A | N/A | N/A | 1031444015V742597 | N/A | N/A | VETERANS AFFAIRS FEE BASIS PROGRAMS | N/A | 1995-08-17 | N/A | N/A | N/A | N/A | false | MOORE | N/A | NICOLAS | 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 | 10840180314 | N/A | N/A | 18091675 | 2222 | 4793 | 26201979 | N/A | 16115969 | 2026-05-10 00:44:27.762006 | 2026-03-13 20:43:21.494280 |
| 2026-05-09 07:13:24.236696 | 2026-05-10 00:45:31.397185 | 26050675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26050675 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-05-12 | F | PT | PATTERSON | MUU796W26629 | SARAH | A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_26050675_09837033-7f8d-4e99-9666-4b90a279b73c.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180312 | N/A | N/A | 17868567 | 2222 | 4802 | 26203593 | N/A | 15913011 | 2026-05-10 00:45:31.397185 | 2026-03-16 22:33:11.392245 |
| 2026-05-09 07:13:24.076485 | 2026-05-10 00:45:30.904680 | 26050662 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26050662 | Athletic Physical Therapy Inc | 1941-08-29 | 2026-05-12 | M | PT | Parker | JQE625A51570 | james | Alan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17729464/check_26050662_0faf3c72-1cbd-4274-82a7-a20797234798.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180311 | N/A | N/A | 17729464 | 2222 | 4801 | 26203583 | N/A | 15775532 | 2026-05-10 00:45:30.904680 | 2026-03-06 21:09:06.720810 |
| 2026-05-09 07:13:23.871779 | 2026-05-10 00:45:15.020349 | 26050643 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050643 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-05-12 | M | AE | DHIR | 1C87N86JG62 | PRADEEP | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17719412/check_26050643_7f2fe231-8cef-472a-bc40-2b8fabe54e07.json | N/A | N/A | N/A | N/A | N/A | 1C87N86JG62 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-24 | S4802 | N/A | N/A | MA | false | DHIR | N/A | PRADEEP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 134599 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180310 | N/A | N/A | 17719412 | 2222 | 4801 | 26203186 | N/A | 15603579 | 2026-05-10 00:45:15.020349 | 2026-04-17 17:11:47.109035 |
| 2026-05-09 07:13:23.671584 | 2026-05-10 00:45:24.305313 | 26050623 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050623 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-05-12 | F | AE | Wolfe | 5F67H30WC46 | Nancee | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_26050623_0adf472f-be03-421d-9870-99ad6a04572e.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 105220 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180309 | N/A | N/A | 17600400 | 2222 | 4793 | 26203424 | N/A | 15647296 | 2026-05-10 00:45:24.305313 | 2026-03-04 22:22:31.397944 |
| 2026-05-09 07:13:23.405881 | 2026-05-10 00:45:19.903208 | 26050601 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26050601 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-05-12 | M | AD | Sedlak | 40084772901 | Chris | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_26050601_0f97e0f7-6e2c-49c4-a0ca-ef3227acdf6c.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10840180308 | N/A | N/A | 17533302 | 2222 | 4793 | 26203308 | 6237 | 15565486 | 2026-05-10 00:45:19.903208 | 2026-03-17 20:55:49.152309 |
| 2026-05-09 07:13:23.118885 | 2026-05-10 00:45:33.905175 | 26050577 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26050577 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-05-12 | F | AE | SALIMIAN | UZ110324601 | NASHMIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_26050577_0e2dfaad-5a17-40b2-9a1e-924afd51fd59.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 | 10840180307 | N/A | N/A | 17492780 | 2222 | 4802 | 26203655 | 4625 | 15085116 | 2026-05-10 00:45:33.905175 | 2026-02-18 20:26:50.354139 |
| 2026-05-09 07:13:22.894136 | 2026-05-10 00:45:13.772790 | 26050557 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26050557 | Athletic Physical Therapy Inc | 1978-01-20 | 2026-05-12 | M | AE | GOTTLIEB | 95971728F | GUY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_26050557_7a2cf8f0-5843-4f82-8eaa-24fec6a9c2dc.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | 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 | 10840180304 | N/A | N/A | 17437673 | 2222 | 4802 | 26203158 | 4211 | 15449397 | 2026-05-10 00:45:13.772790 | 2026-02-28 00:00:01.256842 |
| 2026-05-09 07:13:22.632023 | 2026-05-10 00:45:19.361514 | 26050532 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26050532 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-05-12 | F | AE | ROGERS | 31093568401 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_26050532_279c369a-d50e-4f96-8684-de35165bfab4.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | 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 | 10840180302 | N/A | N/A | 17306773 | 2222 | 4801 | 26203296 | 6237 | 15321704 | 2026-05-10 00:45:19.361514 | 2026-02-26 19:15:43.216582 |
| 2026-05-09 07:13:22.391656 | 2026-05-10 00:45:24.552441 | 26050510 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26050510 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-05-12 | M | PT | DE LUNA | JMV025A51982 | NOEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17274520/check_26050510_c1f1f070-e5b1-482f-b810-2e1b99d40efa.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180301 | N/A | N/A | 17274520 | 2222 | 4801 | 26203427 | 4185 | 4343453 | 2026-05-10 00:45:24.552441 | 2025-05-13 04:29:37.230931 |
| 2026-05-09 07:13:22.123755 | 2026-05-10 00:44:35.514640 | 26050486 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26050486 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-05-12 | M | AE | FARRUGIA | H6573816900 | JEFFREY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_26050486_b3f6203d-7fc9-48af-96c8-12abacc99458.json | N/A | N/A | N/A | N/A | N/A | H65738169 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 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 | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | 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 | 10840180300 | N/A | N/A | 17264465 | 2222 | 4801 | 26202152 | 5349 | 15281758 | 2026-05-10 00:44:35.514640 | 2026-04-16 18:41:33.012590 |
| 2026-05-09 07:13:21.926934 | 2026-05-10 00:44:36.384032 | 26050468 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26050468 | Athletic Physical Therapy Inc | 1958-07-12 | 2026-05-12 | M | AE | LY | H6539031400 | CHAU | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257404/check_26050468_c3e9cc72-707b-4f25-ac71-a45007fd6969.json | N/A | N/A | N/A | N/A | N/A | H65390314 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 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 | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | 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 | 10840180299 | N/A | N/A | 17257404 | 2222 | 4801 | 26202173 | 5349 | 15274585 | 2026-05-10 00:44:36.384032 | 2026-02-23 22:57:14.756651 |
| 2026-05-09 07:13:21.770373 | 2026-05-10 00:45:56.179428 | 26050454 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 26050454 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-05-12 | F | AE | Moore | MNL788W15745 | Jean | Carla | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_26050454_a8606c6b-f983-4e9f-862f-104de82503b5.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180295 | N/A | N/A | 17099336 | 2222 | 4802 | 26204118 | 5538 | 6725117 | 2026-05-10 00:45:56.179428 | 2026-02-18 22:27:04.950292 |
| 2026-05-09 07:13:21.577975 | 2026-05-10 00:45:43.802584 | 26050438 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 26050438 | override_provider | 1979-02-02 | 2026-05-12 | F | PT | Roozrokh | R60967659 | Peyman | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_26050438_ce160933-dae9-408d-85cd-1898295a71e1.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180293 | N/A | N/A | 17094664 | 2222 | 4802 | 26203896 | N/A | 15086531 | 2026-05-10 00:45:43.802584 | 2026-02-18 21:22:56.146803 |
| 2026-05-09 07:13:21.399936 | 2026-05-10 00:45:23.025000 | 26050422 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26050422 | Athletic Physical Therapy Inc | 1935-09-03 | 2026-05-12 | M | AE | Demir | 000015023753 | Andre | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16981849/check_26050422_55b67e53-2dba-4d28-a365-d31e33bb5c3f.json | N/A | N/A | N/A | N/A | N/A | 000015023753 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1935-09-03 | 1115265 | 230737 | N/A | N/A | false | DEMIR | N/A | ANDRE | N/A | 2026-12-31 | 2026-01-01 | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180292 | N/A | N/A | 16981849 | 2222 | 4802 | 26203388 | N/A | 14978789 | 2026-05-10 00:45:23.025000 | 2026-02-16 22:21:39.816698 |
| 2026-05-09 07:13:21.237398 | 2026-05-10 00:45:35.049125 | 26050405 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26050405 | Athletic Physical Therapy Inc | 1970-12-19 | 2026-05-12 | F | AE | ERIKS | R03933077FM1 | RUTHZY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16957030/check_26050405_774cf170-0559-4035-8665-96f7d4e2aa3e.json | N/A | N/A | N/A | N/A | N/A | R03933077FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1970-12-19 | N/A | N/A | N/A | N/A | false | ERIKS | N/A | RUTHZY | N/A | 2026-03-31 | 2026-01-01 | NA6 COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180291 | N/A | N/A | 16957030 | 2222 | 4801 | 26203682 | 4625 | 4210655 | 2026-05-10 00:45:35.049125 | 2026-02-15 23:22:02.896605 |
| 2026-05-09 07:13:21.079135 | 2026-05-10 00:44:19.562244 | 26050391 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 26050391 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-05-12 | M | AE | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16910806/check_26050391_85b5f4d9-9b0b-4df9-b72b-1b0f4a644df9.json | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | N/A | N/A | 2026-05-09 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180290 | N/A | N/A | 16910806 | 2222 | 4801 | 26201746 | N/A | 14910411 | 2026-05-10 00:44:19.562244 | 2026-02-17 22:13:49.772467 |
| 2026-05-09 07:13:20.872443 | 2026-05-10 00:45:21.094674 | 26050370 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26050370 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-05-12 | F | PT | Amstutz | 396W1286740 | Lauren | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_26050370_d5bc5f19-784d-4cfe-a128-cb17624178b4.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 | 2026-05-09 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180289 | N/A | N/A | 16765713 | 2222 | 4801 | 26203341 | 4185 | 14776656 | 2026-05-10 00:45:21.094674 | 2026-02-10 18:58:53.303852 |
| 2026-05-09 07:13:20.594670 | 2026-05-10 00:45:35.514975 | 26050345 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26050345 | Athletic Physical Therapy Inc | 1964-09-03 | 2026-05-12 | F | AE | REZAYANI | 97093372E | SOHAYLA | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.122034274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_26050345_925b0774-e282-4809-8f87-2d8c65aa1d78.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180288 | N/A | N/A | 16679973 | 2222 | 4802 | 26203693 | 4625 | 4213366 | 2026-05-10 00:45:35.514975 | 2025-07-14 15:29:50.728003 |