API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-09 07:13:20.476049 | 2026-05-10 00:45:21.517868 | 26050333 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050333 | Athletic Physical Therapy Inc | 1956-06-01 | 2026-05-12 | F | AE | PT | SNYDER | 7D20PV9DX19 | ANN | 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/2222/16269836/check_26050333_74cadc83-0f80-4bc5-8b27-01d452b81f69.json | N/A | N/A | N/A | N/A | N/A | 7D20PV9DX19 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-01 | N/A | N/A | N/A | MA | false | SNYDER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 122000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180287 | N/A | N/A | 16269836 | 2222 | 4793 | 26203351 | N/A | 14318816 | 2026-05-10 00:45:21.517868 | 2026-02-03 18:58:39.277258 |
| 2026-05-09 07:13:20.297506 | 2026-05-10 00:45:18.274643 | 26050314 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050314 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-05-12 | F | AE | PT | KATKHOUDA | 9RE0KT7PD34 | RYME | 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/2222/16240625/check_26050314_dbc1d186-8131-44bd-8c3c-3c2ae7db1d9f.json | N/A | N/A | N/A | N/A | N/A | 9RE0KT7PD34 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1961-02-08 | S5617 | N/A | N/A | MA | false | KATKHOUDA | N/A | RYME | N/A | 2026-12-31 | 2026-02-01 | N/A | N/A | N/A | 139804 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180286 | N/A | N/A | 16240625 | 2222 | 4802 | 26203263 | N/A | 10954913 | 2026-05-10 00:45:18.274643 | 2026-02-03 00:31:49.512761 |
| 2026-05-09 07:13:20.092818 | 2026-05-10 00:45:51.464994 | 26050295 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26050295 | Athletic Physical Therapy Inc | 1999-04-02 | 2026-05-12 | M | PT | N/A | LORRAINE | XEH911817270 | ELIJAH | 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/2222/16132086/check_26050295_13f01e20-dbda-4f28-9cf7-64782ce0044f.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180283 | N/A | N/A | 16132086 | 2222 | 4801 | 26204039 | 4191 | 14191252 | 2026-05-10 00:45:51.464994 | 2026-03-12 15:28:35.280372 |
| 2026-05-09 07:13:19.955380 | 2026-05-10 00:45:20.447629 | 26050284 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 26050284 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-05-12 | F | AE | PT | TOBOLSKI | 40031694701 | MARSHA | 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/2222/16041163/check_26050284_2e106969-7fed-4e94-a000-64f2923cba28.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180282 | N/A | N/A | 16041163 | 2222 | 4801 | 26203324 | N/A | 14110956 | 2026-05-10 00:45:20.447629 | 2026-01-29 19:04:39.423629 |
| 2026-05-09 07:13:19.761670 | 2026-05-10 00:44:57.224493 | 26050266 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26050266 | Athletic Physical Therapy Inc | 1963-02-16 | 2026-05-12 | F | PT | N/A | PISANIS SANDWICK | 908865057001 | OLIVIA | 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/2222/15994551/check_26050266_f4965443-6a24-45b6-9509-e0827830eaab.json | N/A | N/A | N/A | N/A | N/A | XEH908865057 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA RETIREES | BLUE SHIELD CALIFORNIA | N/A | 1963-02-16 | 1000HMOX0002 | W0067630 | N/A | HM | false | SANDWICK | N/A | MICHAEL | N/A | N/A | 2026-05-09 | COUNTY OF VENTURA RETIREES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180281 | N/A | N/A | 15994551 | 2222 | 4801 | 26202719 | 4191 | 4211481 | 2026-05-10 00:44:57.224493 | 2025-05-13 04:29:37.225817 |
| 2026-05-09 07:13:19.574701 | 2026-05-10 00:45:17.231741 | 26050249 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050249 | Athletic Physical Therapy Inc | 1942-05-30 | 2026-05-12 | F | AE | PT | JADWET | 3FW2A09HM85 | ZUBED | 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/2222/15901731/check_26050249_954a440f-4f99-4c56-b58f-7eb30872e7bd.json | N/A | N/A | N/A | N/A | N/A | 3FW2A09HM85 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-05-30 | S5617 | N/A | N/A | MA | false | JADWET | N/A | ZUBED | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 30135 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180280 | N/A | N/A | 15901731 | 2222 | 4801 | 26203240 | N/A | 13985983 | 2026-05-10 00:45:17.231741 | 2026-02-02 01:35:18.808242 |
| 2026-05-09 07:13:19.359150 | 2026-05-10 00:45:16.793010 | 26050230 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050230 | Athletic Physical Therapy Inc | 1941-02-24 | 2026-05-12 | M | AE | PT | JADWET | 9YH2AV0DY14 | MOHAMED | 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/2222/15899621/check_26050230_1d3a7d78-1e38-4cb1-859e-d13fe09afc43.json | N/A | N/A | N/A | N/A | N/A | 9YH2AV0DY14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-02-24 | S5617 | N/A | N/A | MA | false | JADWET | N/A | MOHAMED | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 27976 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180279 | N/A | N/A | 15899621 | 2222 | 4801 | 26203228 | N/A | 13984222 | 2026-05-10 00:45:16.793010 | 2026-02-02 21:02:16.639509 |
| 2026-05-09 07:13:19.171775 | 2026-05-10 00:45:46.057667 | 26050213 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26050213 | Athletic Physical Therapy Inc | 1968-01-02 | 2026-05-12 | M | AE | PT | GOLDSTEIN | 00000498546 | KEVIN | 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/2222/15830923/check_26050213_4d4fcce5-38d4-436f-b7b9-92b2bd0325e7.json | N/A | N/A | N/A | N/A | N/A | 00000498546 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1968-01-02 | H3815028 | N/A | N/A | HM | false | GOLDSTEIN | N/A | KEVIN | 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 | 10840180278 | N/A | N/A | 15830923 | 2222 | 4801 | 26203947 | 2630 | 4212667 | 2026-05-10 00:45:46.057667 | 2026-01-19 00:15:08.972740 |
| 2026-05-09 07:13:18.963103 | 2026-05-10 00:45:21.068726 | 26050190 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050190 | Athletic Physical Therapy Inc | 1947-02-06 | 2026-05-12 | F | AE | PT | RIGGS | 2A62UC8QA95 | JAN | 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/2222/15761931/check_26050190_43059fa6-8d88-4898-8497-e7dec6f28e61.json | N/A | N/A | N/A | N/A | N/A | 2A62UC8QA95 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-06 | S5601 | N/A | N/A | MA | false | RIGGS | N/A | JAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60489 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180277 | N/A | N/A | 15761931 | 2222 | 4802 | 26203340 | N/A | 13855018 | 2026-05-10 00:45:21.068726 | 2026-01-21 23:02:56.677752 |
| 2026-05-09 07:13:18.819667 | 2026-05-10 00:45:23.517826 | 26050175 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26050175 | Athletic Physical Therapy Inc | 1978-10-10 | 2026-05-12 | M | AE | PT | DRAKE | 000021909753 | COLIN | B | 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/2222/15416889/check_26050175_22801b0b-dd2c-4e21-a32e-c04abb5ab945.json | N/A | N/A | N/A | N/A | N/A | 000021909753 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1978-10-10 | 4319828 | 102255 | N/A | N/A | false | DRAKE | N/A | COLIN | N/A | 2026-12-31 | 2026-01-01 | DISNEY WORLDWIDE SERVICES, INC. ACTIVES CCSD-CORP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180276 | N/A | N/A | 15416889 | 2222 | 4802 | 26203403 | N/A | 13507066 | 2026-05-10 00:45:23.517826 | 2026-01-15 00:19:55.179902 |
| 2026-05-09 07:13:18.672830 | 2026-05-10 00:45:01.972195 | 26050162 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26050162 | Athletic Physical Therapy Inc | 1950-06-28 | 2026-05-12 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | 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/2222/14916087/check_26050162_b7c2151f-9c46-43cd-9aef-0d5abc27697f.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MC COWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180273 | N/A | N/A | 14916087 | 2222 | 4802 | 26202847 | N/A | 12476020 | 2026-05-10 00:45:01.972195 | 2025-12-16 21:49:52.634130 |
| 2026-05-09 07:13:18.526645 | 2026-05-10 00:45:18.846294 | 26050146 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 26050146 | Athletic Physical Therapy Inc | 1958-02-02 | 2026-05-12 | F | AD | 30 | Reardon | 40067213101 | Pamela | 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/2222/13736409/check_26050146_c5b613bb-597a-4b80-8cca-677ffbcbd26d.json | N/A | N/A | N/A | N/A | N/A | 40067213101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-02-02 | 2026H5425001 | H5425M | N/A | N/A | false | REARDON | N/A | PAMELA | 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 | 10840180272 | N/A | N/A | 13736409 | 2222 | 4801 | 26203281 | N/A | 11887763 | 2026-05-10 00:45:18.846294 | 2026-01-22 00:49:45.798733 |
| 2026-05-09 07:13:18.390840 | 2026-05-10 00:45:47.962253 | 26050132 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26050132 | Athletic Physical Therapy Inc | 1957-01-26 | 2026-05-12 | M | AE | PT | REED | 00000391094 | JAMES | 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/2222/13634717/check_26050132_f499a394-89f1-4d48-8c6d-416cc42da639.json | N/A | N/A | N/A | N/A | N/A | 00000391094 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-26 | H3815028 | N/A | N/A | HM | false | REED | N/A | JAMES | 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 | 10840180271 | N/A | N/A | 13634717 | 2222 | 4801 | 26203981 | 2630 | 11782524 | 2026-05-10 00:45:47.962253 | 2025-12-08 14:47:13.868275 |
| 2026-05-09 07:13:18.274931 | 2026-05-10 00:45:24.714784 | 26050121 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26050121 | Athletic Physical Therapy Inc | 2008-01-19 | 2026-05-12 | F | AE | PT | GONZALEZ | 000022526618 | CAITLIN | 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/2222/12540718/check_26050121_1663a95e-58b0-44e2-80cd-20dab2e24718.json | N/A | N/A | N/A | N/A | N/A | 000022526618 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2008-01-19 | 4389850 | 104236 | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | 2026-12-31 | 2026-01-01 | SEMPRA SOCALGAS NON-UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180270 | N/A | N/A | 12540718 | 2222 | 4801 | 26203431 | N/A | 9440359 | 2026-05-10 00:45:24.714784 | 2025-10-27 23:07:07.958316 |
| 2026-05-09 07:13:18.138901 | 2026-05-10 00:45:22.102170 | 26050106 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26050106 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-05-12 | F | PT | N/A | BENSON | 361A5590040 | ELIZABETH | 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/2222/11917007/check_26050106_7179f1b4-cf4a-42cd-855a-cd314e9e1832.json | N/A | N/A | N/A | N/A | N/A | 361A5590040 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | 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 | 10840180269 | N/A | N/A | 11917007 | 2222 | 4793 | 26203366 | 4185 | 10144918 | 2026-05-10 00:45:22.102170 | 2025-11-17 16:03:18.208475 |
| 2026-05-09 07:13:17.976394 | 2026-05-10 00:45:44.428581 | 26050089 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 26050089 | override_provider | 1997-11-05 | 2026-05-12 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | 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/2222/11623284/check_26050089_3165c293-84c0-4e9a-8913-237af341f184.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180267 | N/A | N/A | 11623284 | 2222 | 4801 | 26203909 | N/A | 9860485 | 2026-05-10 00:45:44.428581 | 2025-11-10 18:34:52.696278 |
| 2026-05-09 07:13:17.839483 | 2026-05-10 00:45:17.712911 | 26050074 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26050074 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-05-12 | M | AE | PT | Marvin | 40059610101 | Terry | 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/2222/11529617/check_26050074_755f9d45-c502-4bd7-98ec-8bb4de3c9866.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | 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 | 10840180266 | N/A | N/A | 11529617 | 2222 | 4801 | 26203252 | 6237 | 9770503 | 2026-05-10 00:45:17.712911 | 2025-11-05 23:33:36.141284 |
| 2026-05-09 07:13:17.729516 | 2026-05-10 00:45:32.313155 | 26050063 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26050063 | Athletic Physical Therapy Inc | 1961-06-24 | 2026-05-12 | M | PT | N/A | RAY | PAS838471972 | JOHN | 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/2222/11420779/check_26050063_5af2af57-a997-4b04-b43d-b89eebf616fb.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | N/A | 2026-05-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180265 | N/A | N/A | 11420779 | 2222 | 4801 | 26203615 | N/A | 9673427 | 2026-05-10 00:45:32.313155 | 2025-11-03 19:27:12.288254 |
| 2026-05-09 07:13:17.641182 | 2026-05-10 00:45:23.840783 | 26050053 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050053 | Athletic Physical Therapy Inc | 1952-07-15 | 2026-05-12 | M | AE | PT | WOLFE | 9Y10EH3AK90 | MICHAEL | 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/2222/10239788/check_26050053_86820f80-2cbf-46bb-9bf4-631a15d38ac4.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 179065 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180264 | N/A | N/A | 10239788 | 2222 | 4793 | 26203410 | N/A | 8527464 | 2026-05-10 00:45:23.840783 | 2025-10-14 15:25:46.972104 |
| 2026-05-09 07:13:17.557017 | 2026-05-10 00:45:23.379347 | 26050045 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26050045 | Athletic Physical Therapy Inc | 1956-07-25 | 2026-05-12 | M | AE | PT | WHITAKER | 2QX8KU9UC57 | RICHARD | 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/2222/10030667/check_26050045_4720a35f-34b5-4060-8291-f55eb9edd576.json | N/A | N/A | N/A | N/A | N/A | 2QX8KU9UC57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-25 | S4802 | N/A | N/A | MA | false | WHITAKER | N/A | RICHARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 36556 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180263 | N/A | N/A | 10030667 | 2222 | 4801 | 26203398 | N/A | 8396855 | 2026-05-10 00:45:23.379347 | 2026-04-30 15:25:27.283280 |
| 2026-05-09 07:13:17.438489 | 2026-05-10 00:45:31.886468 | 26050030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26050030 | Athletic Physical Therapy Inc | 1988-09-12 | 2026-05-12 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | 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/2222/9274785/check_26050030_408577f2-2ae5-49a7-881e-44447f9f2fc9.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | ANTHEM BLUE CROSS | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 2026-06-01 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180262 | N/A | N/A | 9274785 | 2222 | 4802 | 26203607 | N/A | 6451061 | 2026-05-10 00:45:31.886468 | 2025-07-28 22:43:26.605856 |
| 2026-05-09 07:13:17.262229 | 2026-05-10 00:45:23.518962 | 26050012 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26050012 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-05-12 | M | PT | N/A | CLANCY | OE050387910 | JOSEPH | 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/2222/9194927/check_26050012_87a00b2f-ccf2-48ac-b9b3-16c5d9c0797b.json | N/A | N/A | N/A | N/A | N/A | OE050387910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 10840180261 | N/A | N/A | 9194927 | 2222 | 4793 | 26203404 | 4184 | 7712549 | 2026-05-10 00:45:23.518962 | 2025-09-10 17:29:28.945035 |
| 2026-05-09 07:13:17.136859 | 2026-05-10 00:45:19.229889 | 26049999 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26049999 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-05-12 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_26049999_984f9856-4133-4bc9-b305-c4881c4f0abd.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 201301 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180260 | N/A | N/A | 8979192 | 2222 | 4793 | 26203291 | N/A | 7498543 | 2026-05-10 00:45:19.229889 | 2025-10-14 17:13:32.178778 |
| 2026-05-09 07:13:17.008935 | 2026-05-10 00:45:13.119699 | 26049986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26049986 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-05-12 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | 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/2222/8477425/check_26049986_9cdaf19d-129b-43af-8278-2cf9f21f3d3f.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 248000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180259 | N/A | N/A | 8477425 | 2222 | 4802 | 26203145 | N/A | 7146980 | 2026-05-10 00:45:13.119699 | 2025-08-25 22:34:13.951153 |
| 2026-05-09 07:13:16.845110 | 2026-05-10 00:45:16.255624 | 26049968 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26049968 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-05-12 | M | AE | PT | Thur | 95641377F | Pyi | 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/2222/7449843/check_26049968_22cf5463-3afb-4673-944f-3bd0b2206b70.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | 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 | 10840180257 | N/A | N/A | 7449843 | 2222 | 4802 | 26203214 | 4211 | 6399635 | 2026-05-10 00:45:16.255624 | 2025-07-29 18:42:47.970149 |
| 2026-05-09 07:13:16.731367 | 2026-05-10 00:45:44.551492 | 26049956 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26049956 | Athletic Physical Therapy Inc | 1959-07-25 | 2026-05-12 | F | AE | PT | CARRANZA | 00000342921 | KISELL | 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/2222/7019836/check_26049956_10de00e6-73f0-4840-9774-a35971575cd3.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | 2024-08-01 | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180256 | N/A | N/A | 7019836 | 2222 | 4802 | 26203912 | 2630 | 4214064 | 2026-05-10 00:45:44.551492 | 2025-07-15 17:36:25.711810 |
| 2026-05-09 07:13:16.610011 | 2026-05-10 00:45:28.884445 | 26049943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26049943 | Athletic Physical Therapy Inc | 1965-06-23 | 2026-05-12 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | 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/2222/6770593/check_26049943_75a4210c-cf32-4fca-9e5c-af2d87aa6458.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | 2026-05-09 | 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 | 10840180255 | N/A | N/A | 6770593 | 2222 | 4793 | 26203536 | N/A | 5788398 | 2026-05-10 00:45:28.884445 | 2025-07-31 22:52:15.686379 |
| 2026-05-09 07:13:16.454306 | 2026-05-10 00:44:58.618347 | 26049928 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26049928 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-05-11 | F | 96 | N/A | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_26049928_8907ffe5-1af3-4f0f-9e4c-483a6babe2db.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | 2026-05-09 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10840180254 | N/A | N/A | 6711965 | 2222 | 4793 | 26202756 | 6798 | 4210430 | 2026-05-10 00:44:58.618347 | 2025-05-13 04:29:37.224841 |
| 2026-05-09 07:13:16.335647 | 2026-05-10 00:45:15.921956 | 26049916 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26049916 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-05-12 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549981/check_26049916_328936a8-afa9-4ccc-b64c-7e4623a8f2bd.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 143719 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180253 | N/A | N/A | 5549981 | 2222 | 4802 | 26203206 | N/A | 4219436 | 2026-05-10 00:45:15.921956 | 2025-05-13 04:29:37.230471 |
| 2026-05-09 07:13:16.220918 | 2026-05-10 00:44:19.978211 | 26049903 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 26049903 | Athletic Physical Therapy Inc | 1977-05-04 | 2026-05-12 | M | AE | PT | SANCHEZ | R07827214MS1 | DAVID | 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/2222/5549832/check_26049903_d9b74b2f-4072-400e-8feb-588eeb62ca1e.json | N/A | N/A | N/A | N/A | N/A | R07827214MS1 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1977-05-04 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | DAVID | 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 | 10840180252 | N/A | N/A | 5549832 | 2222 | 4801 | 26201756 | N/A | 4219391 | 2026-05-10 00:44:19.978211 | 2025-05-13 04:29:37.230420 |
| 2026-05-09 07:13:16.096722 | 2026-05-10 00:45:46.508684 | 26049894 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26049894 | Athletic Physical Therapy Inc | 1957-05-10 | 2026-05-12 | F | AE | PT | GRIFFITH | 00000279235 | KAREN | 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/2222/5549621/check_26049894_fb7ef704-2cec-4225-81ca-9967366184ee.json | N/A | N/A | N/A | N/A | N/A | 00000279235 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-05-10 | H3815028 | N/A | N/A | HM | false | GRIFFITH | N/A | KAREN | 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 | 10840180250 | N/A | N/A | 5549621 | 2222 | 4801 | 26203956 | 2630 | 4219248 | 2026-05-10 00:45:46.508684 | 2025-05-13 04:29:37.230263 |
| 2026-05-09 07:13:15.956948 | 2026-05-10 00:45:45.573770 | 26049878 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26049878 | Athletic Physical Therapy Inc | 1941-10-25 | 2026-05-11 | F | AE | PT | FERNANDEZ | 00000301109 | HERSILIA | 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/2222/5549388/check_26049878_e7cf641f-5db5-4a94-ab9b-bdc47773fb6a.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 | 10840180249 | N/A | N/A | 5549388 | 2222 | 4801 | 26203937 | 2630 | 4219062 | 2026-05-10 00:45:45.573770 | 2026-04-13 21:41:57.357587 |
| 2026-05-09 07:13:15.817038 | 2026-05-10 00:45:22.793127 | 26049863 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26049863 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-05-11 | F | AE | PT | UYGUR | 1VV2MA6GE80 | NUKHET | 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/2222/5543311/check_26049863_5b16dfd0-8c6d-4ead-8b22-088beca50104.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MA | false | UYGUR | N/A | NUKHET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 147620 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180988 | N/A | N/A | 5543311 | 2222 | 4802 | 26203383 | N/A | 4215116 | 2026-05-10 00:45:22.793127 | 2025-05-29 22:32:19.748297 |
| 2026-05-09 07:13:15.693766 | 2026-05-10 00:45:13.224061 | 26049851 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26049851 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-05-12 | F | AE | PT | BERRY | 606308574 | KAREN | 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/2222/5543264/check_26049851_d6960b8b-b100-48ce-9368-0963fe538d72.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180987 | N/A | N/A | 5543264 | 2222 | 4802 | 26203102 | 4211 | 4215080 | 2026-05-10 00:45:13.224061 | 2025-05-13 04:29:37.229395 |
| 2026-05-09 07:13:15.566325 | 2026-05-10 00:45:25.605439 | 26049835 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26049835 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-05-12 | M | PT | N/A | FERNANDEZ | JQS315W00257 | FREDERICO | 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/2222/5542274/check_26049835_75102aa8-1569-4606-9853-32d7740d3702.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | 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 | 10840180986 | N/A | N/A | 5542274 | 2222 | 4801 | 26203454 | 4185 | 4214212 | 2026-05-10 00:45:25.605439 | 2025-05-13 04:29:37.228546 |
| 2026-05-09 07:13:15.451526 | 2026-05-10 00:45:16.357402 | 26049823 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26049823 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-05-12 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_26049823_6ce58a29-84cb-47e0-a484-ff0bfde5a36b.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 135610 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180985 | N/A | N/A | 5542161 | 2222 | 4802 | 26203220 | N/A | 4214112 | 2026-05-10 00:45:16.357402 | 2025-05-13 04:29:37.228426 |
| 2026-05-09 07:13:15.337814 | 2026-05-10 00:44:58.010558 | 26049812 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26049812 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-05-12 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_26049812_5bbdf6e3-1bbc-44ef-860a-29d627bf6da3.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180984 | N/A | N/A | 5541315 | 2222 | 4793 | 26202739 | N/A | 4213344 | 2026-05-10 00:44:58.010558 | 2025-05-13 04:29:37.227667 |
| 2026-05-09 07:13:15.239909 | 2026-05-10 00:45:22.556391 | 26049802 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26049802 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-05-12 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_26049802_833f4d82-9ad9-4ec2-8afb-25f1af24b343.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180983 | N/A | N/A | 5540074 | 2222 | 4802 | 26203379 | N/A | 4212282 | 2026-05-10 00:45:22.556391 | 2025-05-13 04:29:37.226623 |
| 2026-05-09 07:13:15.079727 | 2026-05-10 00:45:26.410168 | 26049784 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26049784 | Athletic Physical Therapy Inc | 1968-08-02 | 2026-05-12 | F | PT | N/A | GRACE | 327A5189840 | TAMMY | Marie | 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/2222/5539246/check_26049784_b6fa4592-d0c1-4f10-ad8c-fe90442688a0.json | N/A | N/A | N/A | N/A | N/A | 327A5189840 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1968-08-02 | N/A | N/A | N/A | N/A | false | GRACE | N/A | TAMMY | 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 | 10840180981 | N/A | N/A | 5539246 | 2222 | 4801 | 26203474 | 4185 | 4211573 | 2026-05-10 00:45:26.410168 | 2026-04-21 18:20:57.169579 |
| 2026-05-09 07:13:14.956252 | 2026-05-10 00:45:21.924993 | 26049773 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26049773 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-05-12 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | H | 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/2222/5538576/check_26049773_b7845524-00ed-4e34-9755-96b7677cf80e.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 309080 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180980 | N/A | N/A | 5538576 | 2222 | 4802 | 26203364 | N/A | 4210984 | 2026-05-10 00:45:21.924993 | 2025-08-15 17:42:50.500189 |
| 2026-05-09 07:13:14.840685 | 2026-05-10 00:45:34.482740 | 26049760 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26049760 | Athletic Physical Therapy Inc | 1980-09-10 | 2026-05-12 | M | AE | PT | BRUNSKILL | 9853463 | NATHAN | 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/2222/5538359/check_26049760_5b5abfa8-3e07-4772-aeca-f6c101eff63e.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | THE J PAUL GETTY TRUST SVA-ACT | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180979 | N/A | N/A | 5538359 | 2222 | 4802 | 26203670 | 6411 | 4210784 | 2026-05-10 00:45:34.482740 | 2025-05-13 04:29:37.225193 |
| 2026-05-09 07:13:14.722905 | 2026-05-10 00:45:30.402259 | 26049746 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26049746 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-05-12 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_26049746_d339f04b-d940-44f2-a216-d3e71847d707.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA CA/OOS | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2026-05-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180978 | N/A | N/A | 5537188 | 2222 | 4802 | 26203571 | N/A | 4209789 | 2026-05-10 00:45:30.402259 | 2025-05-13 04:29:37.224215 |
| 2026-05-09 07:13:14.626507 | 2026-05-10 00:45:29.970708 | 26049736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26049736 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-05-12 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_26049736_b3be7a34-074e-488b-be8d-7e6f94aef78a.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180976 | N/A | N/A | 5536896 | 2222 | 4793 | 26203560 | N/A | 4209567 | 2026-05-10 00:45:29.970708 | 2025-05-13 04:29:37.223990 |
| 2026-05-09 07:13:14.489207 | 2026-05-10 00:45:26.005667 | 26049722 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26049722 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-05-12 | M | PT | N/A | GOTLER | 018M7762830 | RONALD | 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/2222/5536875/check_26049722_de8d21b6-3445-4a9c-85a9-29ca7b75c380.json | N/A | N/A | N/A | N/A | N/A | 018M7762830 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1960-04-02 | N/A | N/A | N/A | N/A | false | GOTLER | N/A | RONALD | 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 | 10840180975 | N/A | N/A | 5536875 | 2222 | 4802 | 26203464 | 4185 | 4209547 | 2026-05-10 00:45:26.005667 | 2025-05-13 04:29:37.223974 |
| 2026-05-09 07:13:14.316029 | 2026-05-10 00:45:35.614427 | 26049706 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26049706 | Athletic Physical Therapy Inc | 1951-12-20 | 2026-05-12 | F | AE | PT | WHEELER | 941711796 | LYNN | 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/2222/5536326/check_26049706_e3213022-ab10-4e85-bf90-f915bd0f9433.json | N/A | N/A | N/A | N/A | N/A | 941711796 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1951-12-20 | N/A | 01963 | N/A | HN | false | WHEELER | N/A | LYNN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180974 | N/A | N/A | 5536326 | 2222 | 4793 | 26203696 | 6411 | 4209091 | 2026-05-10 00:45:35.614427 | 2025-05-13 04:29:37.223512 |
| 2026-05-09 07:13:14.202145 | 2026-05-10 00:45:01.513572 | 26049692 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26049692 | Athletic Physical Therapy Inc | 1953-09-19 | 2026-05-12 | F | PT | N/A | CARLON | R15684508 | JACQUELINE | 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/2222/5535724/check_26049692_9bbc43f4-e3dc-4157-bb24-a0c42cc7429c.json | N/A | N/A | N/A | N/A | N/A | R15684508 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1953-09-19 | N/A | 106 | N/A | PR | false | CARLON | N/A | STEVEN | N/A | 9999-12-31 | 2016-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10840180973 | N/A | N/A | 5535724 | 2222 | 4801 | 26202836 | N/A | 4208597 | 2026-05-10 00:45:01.513572 | 2025-05-13 04:29:37.223030 |
| 2026-05-09 07:13:14.069871 | 2026-05-10 00:45:18.299556 | 26049679 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26049679 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-05-12 | F | AE | PT | PORTER | 40028215401 | SHERIL | 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/2222/5535434/check_26049679_b776d436-b5b2-439a-8d82-adc332f3da68.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840180972 | N/A | N/A | 5535434 | 2222 | 4793 | 26203264 | 6237 | 4208356 | 2026-05-10 00:45:18.299556 | 2025-08-25 14:49:27.724897 |
| 2026-05-09 07:12:03.294918 | 2026-05-10 00:31:35.780787 | 26042464 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26042464 | Athletic Physical Therapy Inc | 1959-02-27 | 2026-05-12 | M | AE | PT | Schweitzer | 33302062611 | Robert | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260509.121514031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21086343/check_26042464_b277908d-72fb-4df0-8eb8-cc396d5c0480.json | N/A | N/A | N/A | N/A | N/A | 33302062611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-02-27 | N/A | N/A | N/A | SP | false | SCHWEITZER | N/A | ROBERT | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10840131227 | N/A | N/A | 21086343 | 2222 | 4802 | 26185080 | N/A | 17452695 | 2026-05-10 00:31:35.780787 | 2026-04-13 17:21:33.646550 |
| 2026-05-09 04:31:18.668401 | 2026-05-09 04:31:25.986812 | 26036694 | N/A | N/A | 74227 | UNITED HEALTHCARE STUDENT RESOURCES | 1114042165 | 26036694 | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-21 | N/A | PT | AE | ALZOHAIRY | 5976397 | AHMED | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13697912/check_26036694_fcac25a2-2860-4e17-a62a-4f89c8e34a1b.json | UHC | N/A | INSIGHTS | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13697912/check_26036694_4b6f287d-fb58-4a2a-8611-4ab93ccb8dee.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 13697912 | 2222 | N/A | 26176604 | N/A | 8112326 | 2026-05-09 04:31:25.986812 | 2025-09-25 00:01:47.147707 |
| 2026-05-08 22:58:52.189828 | 2026-05-08 22:58:55.109393 | 26034901 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-22 | 2026-05-22 | M | PT | N/A | HUTH | XEH910929228 | KENT | N/A | 23320 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7626895/check_26034901_31e92c4e-b2cb-4aa9-8282-2ecf8793d964.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_26034901_7fdc4ac0-efde-4e20-8eb2-4c9960ebeab0.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | 2026-05-22 | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10837071644 | N/A | N/A | 7626895 | 2222 | N/A | 26142895 | N/A | 6525917 | 2026-05-08 22:58:55.109393 | 2026-05-08 22:53:13.232007 |