API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-08 07:19:26.441777 | 2026-05-09 00:45:55.436781 | 26003380 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26003380 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-05-11 | M | AE | PT | IRWIN | R07798606MM1 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16037337/check_26003380_15c57467-24cc-4788-be64-384001c430fe.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-03-31 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224683 | N/A | N/A | 16037337 | 2222 | 4801 | 26161875 | 4625 | 14107775 | 2026-05-09 00:45:55.436781 | 2026-01-29 17:51:43.526882 |
| 2026-05-08 07:19:26.337271 | 2026-05-09 00:47:19.520221 | 26003371 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 26003371 | override_provider | 1970-10-11 | 2026-05-11 | M | AE | PT | Downes | 000032002308 | Gile | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_26003371_7e0d4447-2922-476b-93c3-411ffc32898f.json | N/A | N/A | N/A | N/A | N/A | 000032002308 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1970-10-11 | 4362456 | 1650095001 | N/A | N/A | false | DOWNES | N/A | GILE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224682 | N/A | N/A | 15904788 | 2222 | 4802 | 26163533 | N/A | 13988678 | 2026-05-09 00:47:19.520221 | 2026-01-26 21:20:00.552687 |
| 2026-05-08 07:19:26.209122 | 2026-05-09 00:46:36.479994 | 26003363 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26003363 | Athletic Physical Therapy Inc | 1999-01-12 | 2026-05-11 | F | PT | N/A | BOSSART | 016W1408220 | LINDSAY | ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15838469/check_26003363_7dfe3328-049b-4825-8796-b2513fd950ef.json | N/A | N/A | N/A | N/A | N/A | 016W1408220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-01-12 | N/A | N/A | N/A | N/A | false | BOSSART | N/A | LINDSAY | N/A | N/A | 2026-05-08 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224681 | N/A | N/A | 15838469 | 2222 | 4793 | 26162691 | 4185 | 13837869 | 2026-05-09 00:46:36.479994 | 2026-01-23 18:37:51.711849 |
| 2026-05-08 07:19:26.075103 | 2026-05-09 00:47:15.007340 | 26003353 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26003353 | Athletic Physical Therapy Inc | 1958-01-02 | 2026-05-11 | F | AE | PT | RYAN | 000022661269 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15738632/check_26003353_60cc5a4e-d815-4697-ad2c-b7d03dfd3ff8.json | N/A | N/A | N/A | N/A | N/A | 000022661269 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-01-02 | 4314174 | 104236 | N/A | N/A | false | RYAN | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | SEMPRA SOCALGAS RETIREES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224680 | N/A | N/A | 15738632 | 2222 | 4802 | 26163429 | N/A | 13838088 | 2026-05-09 00:47:15.007340 | 2026-01-21 17:11:50.384756 |
| 2026-05-08 07:19:25.889106 | 2026-05-09 00:46:15.368286 | 26003343 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 26003343 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-05-11 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15737586/check_26003343_23b3d1cd-4914-420b-81c9-6bfb8a492f25.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | 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 | 10829224679 | N/A | N/A | 15737586 | 2222 | 4793 | 26162310 | N/A | 13837022 | 2026-05-09 00:46:15.368286 | 2026-01-27 20:49:36.385334 |
| 2026-05-08 07:19:25.595827 | 2026-05-09 00:46:18.989838 | 26003319 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26003319 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-05-11 | M | AE | PT | Wilson | 40066267001 | Jesse | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_26003319_0683ff78-4e66-4ac6-bef4-40dc6370c8f9.json | N/A | N/A | N/A | N/A | N/A | 40066267001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-08-30 | 2026CA200ABDLAC | H0976DSNP | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | 2026-01-01 | CALIFORNIA MEDI-CAL PLAN 200 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224678 | N/A | N/A | 15459527 | 2222 | 4802 | 26162386 | 6237 | 13546654 | 2026-05-09 00:46:18.989838 | 2026-01-15 21:26:11.579374 |
| 2026-05-08 07:19:25.295526 | 2026-05-09 00:46:38.250462 | 26003292 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26003292 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-05-11 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15276776/check_26003292_3aa3442a-c56d-44b4-9e48-10feaf0419f7.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 | 1966-12-01 | 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 | 10829224677 | N/A | N/A | 15276776 | 2222 | 4801 | 26162727 | 4185 | 9766947 | 2026-05-09 00:46:38.250462 | 2025-11-11 21:32:02.372730 |
| 2026-05-08 07:19:24.996454 | 2026-05-09 00:46:53.057041 | 26003264 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26003264 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-05-11 | F | AE | PT | Rund | 5UN0TP0YV05 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15024391/check_26003264_4ee8fbaa-0f9b-4d50-953f-79ff8bab987a.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MA | false | RUND | N/A | STEPHANIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 173060 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224676 | N/A | N/A | 15024391 | 2222 | 4802 | 26162939 | N/A | 5046194 | 2026-05-09 00:46:53.057041 | 2026-01-06 19:15:31.520951 |
| 2026-05-08 07:19:24.752712 | 2026-05-09 00:46:57.375076 | 26003247 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 26003247 | Athletic Physical Therapy Inc | 2013-04-23 | 2026-05-11 | M | PT | N/A | KRASNO | 907100781003 | ETHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14697078/check_26003247_f360c2f8-3986-456e-8cd2-b737956dc5e5.json | N/A | N/A | N/A | N/A | N/A | XEH907100781 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 2013-04-23 | 1000HMOX0002 | W0067449 | N/A | HM | false | KRASNO | N/A | JOSEPH | N/A | 2039-04-22 | 2026-01-01 | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224675 | N/A | N/A | 14697078 | 2222 | 4801 | 26163027 | 4191 | 12124199 | 2026-05-09 00:46:57.375076 | 2025-12-09 19:44:50.970187 |
| 2026-05-08 07:19:24.563389 | 2026-05-09 00:45:54.155427 | 26003236 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26003236 | Athletic Physical Therapy Inc | 1952-03-30 | 2026-05-11 | F | AE | PT | MATTHEWS | H4165671200 | JUNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14597680/check_26003236_31d2bfe6-aef0-424b-91f3-be5e276c491b.json | N/A | N/A | N/A | N/A | N/A | H41656712 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1952-03-30 | N/A | 2B722001 | N/A | HN | false | MATTHEWS | N/A | JUNE ANNE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224674 | N/A | N/A | 14597680 | 2222 | 4801 | 26161847 | 5349 | 8178957 | 2026-05-09 00:45:54.155427 | 2025-10-06 01:53:28.213209 |
| 2026-05-08 07:19:24.428856 | 2026-05-09 00:46:43.672645 | 26003226 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26003226 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-05-11 | M | PT | N/A | LANDAVERDE | 833W1934910 | OSCAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_26003226_f61cb52f-1957-4b46-b972-379bd3885288.json | N/A | N/A | N/A | N/A | N/A | 833W1934910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-05-01 | N/A | N/A | N/A | N/A | false | LANDAVERDE | N/A | OSCAR | N/A | N/A | 2026-05-08 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224673 | N/A | N/A | 14413682 | 2222 | 4802 | 26162812 | 4185 | 12549123 | 2026-05-09 00:46:43.672645 | 2025-12-18 17:22:21.485744 |
| 2026-05-08 07:19:24.357043 | 2026-05-09 00:47:12.708425 | 26003216 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26003216 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-05-11 | F | PT | N/A | Cherry | XDP380A22244 | Megan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14387696/check_26003216_b9601ca4-91c0-4ca9-b467-9f8b543330ec.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224672 | N/A | N/A | 14387696 | 2222 | 4802 | 26163384 | N/A | 12521666 | 2026-05-09 00:47:12.708425 | 2025-12-17 22:18:09.286393 |
| 2026-05-08 07:19:24.237939 | 2026-05-09 00:47:14.454541 | 26003209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26003209 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-05-11 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14110178/check_26003209_167f1ddd-dec0-491f-b742-f600ccf60282.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224671 | N/A | N/A | 14110178 | 2222 | 4801 | 26163419 | N/A | 10999467 | 2026-05-09 00:47:14.454541 | 2025-11-14 21:36:13.911423 |
| 2026-05-08 07:19:24.129986 | 2026-05-09 00:46:04.982640 | 26003199 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26003199 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-05-11 | F | AE | PT | watson | 00000380103 | stella | G | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_26003199_abc82696-81ec-4328-8b6b-3656ede1ad4f.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-18 | H3815050 | N/A | N/A | HM | false | WATSON | N/A | STELLA | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224670 | N/A | N/A | 13644272 | 2222 | 4801 | 26162097 | 2630 | 11792017 | 2026-05-09 00:46:04.982640 | 2025-12-04 01:49:08.682293 |
| 2026-05-08 07:19:24.017816 | 2026-05-09 00:46:18.179029 | 26003189 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26003189 | Athletic Physical Therapy Inc | 1994-07-03 | 2026-05-11 | M | PT | N/A | STEALEY | JQU013W15922 | JACOB | REDMOND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_26003189_b272cee9-b66a-4267-a6ad-5f90aeb8e0f5.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 2026-12-31 | 2026-02-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224669 | N/A | N/A | 12010678 | 2222 | 4801 | 26162369 | N/A | 10232475 | 2026-05-09 00:46:18.179029 | 2025-11-01 00:03:21.076437 |
| 2026-05-08 07:19:23.895418 | 2026-05-09 00:46:01.183714 | 26003176 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26003176 | Athletic Physical Therapy Inc | 1951-07-21 | 2026-05-11 | F | AE | PT | IBARRA | 00000514324 | DAWN | F | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11792119/check_26003176_93064566-7675-4238-ba0f-30d45eecb1ae.json | N/A | N/A | N/A | N/A | N/A | 00000514324 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1951-07-21 | H3815028 | N/A | N/A | HM | false | IBARRA | N/A | DAWN | N/A | N/A | 2026-02-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224668 | N/A | N/A | 11792119 | 2222 | 4793 | 26162012 | 2630 | 10026102 | 2026-05-09 00:46:01.183714 | 2026-04-08 23:28:25.085718 |
| 2026-05-08 07:19:23.779115 | 2026-05-09 00:45:18.708738 | 26003162 | N/A | N/A | 60054 | Aetna | 1114042165 | 26003162 | Athletic Physical Therapy Inc | 1998-11-14 | 2026-05-11 | M | AE | PT | Shirian | W742094344 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_26003162_1068b384-7ad6-4ff4-b2b1-3935726656c8.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224667 | N/A | N/A | 11519732 | 2222 | 4802 | 26161086 | N/A | 9760542 | 2026-05-09 00:45:18.708738 | 2025-10-27 21:44:20.466934 |
| 2026-05-08 07:19:23.672000 | 2026-05-09 00:46:37.617814 | 26003154 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26003154 | Athletic Physical Therapy Inc | 1977-11-16 | 2026-05-11 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_26003154_b7352e39-99d4-4e60-86f1-c3188e1a830e.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224666 | N/A | N/A | 10355543 | 2222 | 4801 | 26162714 | N/A | 8619978 | 2026-05-09 00:46:37.617814 | 2025-10-13 20:53:09.422541 |
| 2026-05-08 07:19:23.329972 | 2026-05-09 00:46:46.803299 | 26003126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26003126 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-05-11 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_26003126_fd1c51ec-5706-4f4c-92bb-cb5515db7779.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 2026-12-31 | 2026-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829224665 | N/A | N/A | 9691081 | 2222 | 4801 | 26162842 | N/A | 8110015 | 2026-05-09 00:46:46.803299 | 2025-10-05 15:24:30.421551 |
| 2026-05-08 07:19:22.996534 | 2026-05-09 00:46:27.649476 | 26003101 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26003101 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-05-11 | M | 96 | N/A | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_26003101_ea5df752-0488-4c93-8107-ab2f68491667.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-05-08 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10829224664 | N/A | N/A | 9280203 | 2222 | 4793 | 26162548 | 6798 | 7788651 | 2026-05-09 00:46:27.649476 | 2025-09-10 18:50:22.494063 |
| 2026-05-08 07:19:22.840633 | 2026-05-09 00:46:04.472005 | 26003089 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26003089 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-05-11 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_26003089_795cab96-5fba-4360-beca-615e8a4bfdf3.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829224663 | N/A | N/A | 8978036 | 2222 | 4793 | 26162086 | 2630 | 7492332 | 2026-05-09 00:46:04.472005 | 2025-10-01 21:03:48.525986 |
| 2026-05-08 07:19:22.692368 | 2026-05-09 00:47:16.868751 | 26003076 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26003076 | Athletic Physical Therapy Inc | 1948-07-07 | 2026-05-11 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_26003076_dfc508f1-8021-4bb8-a914-74682c11b0d2.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S4802 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 186786 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223803 | N/A | N/A | 8969533 | 2222 | 4802 | 26163467 | N/A | 7485064 | 2026-05-09 00:47:16.868751 | 2025-12-29 22:41:16.623495 |
| 2026-05-08 07:19:22.594972 | 2026-05-09 00:47:13.351503 | 26003068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26003068 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-05-11 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_26003068_33e189ce-ae54-4dc1-bbce-bc8758c19d25.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 167396 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223802 | N/A | N/A | 7442857 | 2222 | 4801 | 26163396 | N/A | 6393941 | 2026-05-09 00:47:13.351503 | 2025-08-13 16:33:53.313259 |
| 2026-05-08 07:19:22.478680 | 2026-05-09 00:47:14.821032 | 26003056 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26003056 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-05-11 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_26003056_d557ff0b-3729-4c30-ad22-e6c372b08381.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 312225 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223801 | N/A | N/A | 6752936 | 2222 | 4801 | 26163426 | N/A | 5065602 | 2026-05-09 00:47:14.821032 | 2025-07-01 17:25:13.681724 |
| 2026-05-08 07:19:22.365530 | 2026-05-09 00:47:09.462306 | 26003045 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 26003045 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-05-11 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_26003045_56177993-3b48-42e1-9ac6-5bc887a2e982.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF AID CODE H3 AGES 1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223800 | N/A | N/A | 6721942 | 2222 | 4793 | 26163305 | N/A | 5322280 | 2026-05-09 00:47:09.462306 | 2025-07-01 21:45:15.878047 |
| 2026-05-08 07:19:22.267857 | 2026-05-09 00:46:17.430297 | 26003033 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26003033 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-05-11 | M | AE | PT | SIMMONS | 40055722801 | J | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_26003033_34b90d0a-6c3e-4f33-9b10-20ef86cf7048.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2024H5425083 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN OPTIONS (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223799 | N/A | N/A | 6685251 | 2222 | 4793 | 26162354 | 6237 | 4209868 | 2026-05-09 00:46:17.430297 | 2025-08-15 22:13:56.514261 |
| 2026-05-08 07:19:22.116422 | 2026-05-09 00:47:13.604906 | 26003019 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26003019 | Athletic Physical Therapy Inc | 2002-02-06 | 2026-05-11 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | Marie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_26003019_cc5abb9f-b26d-4a46-9310-ef4038a36c6b.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | WTW/ PE CONSTELLATION SOFTWARE INC. $20 /$50 COPAY | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 08407400 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829223798 | N/A | N/A | 6554790 | 2222 | 4793 | 26163402 | N/A | 5177947 | 2026-05-09 00:47:13.604906 | 2026-05-11 21:31:25.186699 |
| 2026-05-08 07:19:21.962774 | 2026-05-09 00:46:12.595769 | 26003002 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26003002 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-05-11 | M | AE | PT | NOWAK | 31172069101 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_26003002_aff245db-a4fb-4dfa-8b4e-7cc3ebc2e1d9.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223797 | N/A | N/A | 6492025 | 2222 | 4793 | 26162255 | 6237 | 5121181 | 2026-05-09 00:46:12.595769 | 2025-06-19 16:42:31.208252 |
| 2026-05-08 07:19:21.855460 | 2026-05-09 00:47:22.449072 | 26002991 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26002991 | Athletic Physical Therapy Inc | 1939-06-25 | 2026-05-11 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_26002991_dd7019bb-7c87-40b3-a406-aba02c360cc1.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 112581 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223796 | N/A | N/A | 6068049 | 2222 | 4793 | 26163596 | N/A | 4642852 | 2026-05-09 00:47:22.449072 | 2025-11-21 18:38:17.056437 |
| 2026-05-08 07:19:21.561681 | 2026-05-09 00:47:22.241253 | 26002971 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26002971 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-05-11 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_26002971_26f5374d-8b4f-45f9-862e-f1ffddd48199.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223795 | N/A | N/A | 5568076 | 2222 | 4802 | 26163590 | 4625 | 4209480 | 2026-05-09 00:47:22.241253 | 2026-04-10 02:05:15.976484 |
| 2026-05-08 07:19:21.298069 | 2026-05-09 00:46:35.349292 | 26002955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26002955 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-05-11 | F | PT | N/A | ANDERSON | XDP564A24389 | ERIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549780/check_26002955_67b8dd49-102e-4ce9-85a9-bbafdefa39fe.json | N/A | N/A | N/A | N/A | N/A | XDP564A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1972-06-11 | 040 | 275928M001 | N/A | PR | false | ANDERSON | N/A | ERIN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829223794 | N/A | N/A | 5549780 | 2222 | 4801 | 26162670 | N/A | 4219374 | 2026-05-09 00:46:35.349292 | 2025-05-13 04:29:37.230399 |
| 2026-05-08 07:19:20.994484 | 2026-05-09 00:46:44.627650 | 26002934 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26002934 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-05-11 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_26002934_ac3e9cda-eea7-41d6-908a-3e6ee2370e5a.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829223793 | N/A | N/A | 5549317 | 2222 | 4801 | 26162821 | N/A | 4219010 | 2026-05-09 00:46:44.627650 | 2026-01-09 18:32:07.618867 |
| 2026-05-08 07:19:20.825318 | 2026-05-09 00:47:20.553854 | 26002918 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26002918 | Athletic Physical Therapy Inc | 1941-09-16 | 2026-05-11 | F | AE | PT | HAGOPIAN | 1J28W45KP32 | MARYANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549214/check_26002918_cf3a1d03-9f6e-4da1-8746-fdf2052ce1b2.json | N/A | N/A | N/A | N/A | N/A | 1J28W45KP32 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-09-16 | S2468 | N/A | N/A | MA | false | HAGOPIAN | N/A | MARYANN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223792 | N/A | N/A | 5549214 | 2222 | 4802 | 26163554 | N/A | 4218927 | 2026-05-09 00:47:20.553854 | 2025-05-13 04:29:37.229939 |
| 2026-05-08 07:19:20.673283 | 2026-05-09 00:46:02.300451 | 26002906 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 26002906 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-05-11 | F | AE | PT | Sankovich | 00000375069 | Deborah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_26002906_814ffcc0-1cdb-49b0-bca4-2a92901e616b.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223791 | N/A | N/A | 5543396 | 2222 | 4793 | 26162041 | 2630 | 4215193 | 2026-05-09 00:46:02.300451 | 2026-01-16 04:38:12.725481 |
| 2026-05-08 07:19:20.419000 | 2026-05-09 00:47:22.988518 | 26002886 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 26002886 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-05-11 | F | AE | PT | BALAGHI ASEFI | 91331342H | SAMIRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543363/check_26002886_f13fa583-dc39-44ae-b98a-6109b9bf3b43.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223790 | N/A | N/A | 5543363 | 2222 | 4793 | 26163611 | 4625 | 4215163 | 2026-05-09 00:47:22.988518 | 2026-03-24 20:35:50.273384 |
| 2026-05-08 07:19:20.236139 | 2026-05-09 00:46:41.513481 | 26002875 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26002875 | Athletic Physical Therapy Inc | 1956-05-16 | 2026-05-11 | F | PT | N/A | HORTA | MBL503W15699 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543224/check_26002875_0ac242d7-fcdc-4766-8428-28a130f201d4.json | N/A | N/A | N/A | N/A | N/A | MBL503W15699 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-05-16 | 040 | CAEGR002 | N/A | N/A | false | HORTA | N/A | EILEEN | N/A | 9999-12-31 | 2023-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829223789 | N/A | N/A | 5543224 | 2222 | 4793 | 26162784 | N/A | 4215037 | 2026-05-09 00:46:41.513481 | 2025-05-13 04:29:37.229354 |
| 2026-05-08 07:19:19.973781 | 2026-05-09 00:47:17.945170 | 26002857 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26002857 | Athletic Physical Therapy Inc | 1940-11-11 | 2026-05-11 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_26002857_368717cc-24f1-4454-be05-32bfa474153b.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 170000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223788 | N/A | N/A | 5542970 | 2222 | 4802 | 26163495 | N/A | 4214820 | 2026-05-09 00:47:17.945170 | 2025-06-30 02:56:23.324592 |
| 2026-05-08 07:19:19.791769 | 2026-05-09 00:47:17.423958 | 26002843 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26002843 | Athletic Physical Therapy Inc | 1944-10-29 | 2026-05-11 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_26002843_f3c5583c-aa50-48e7-8d94-dabe32722756.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 162720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223787 | N/A | N/A | 5542935 | 2222 | 4802 | 26163482 | N/A | 4214789 | 2026-05-09 00:47:17.423958 | 2025-12-11 23:30:31.319246 |
| 2026-05-08 07:19:19.571076 | 2026-05-09 00:46:46.813150 | 26002829 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 26002829 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-05-11 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_26002829_f17e401b-497c-4955-820d-836a40556859.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2026-03-31 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223786 | N/A | N/A | 5542606 | 2222 | 4801 | 26162843 | N/A | 4214496 | 2026-05-09 00:46:46.813150 | 2025-05-13 04:29:37.228812 |
| 2026-05-08 07:19:19.170623 | 2026-05-09 00:47:09.556072 | 26002807 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 26002807 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-05-11 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_26002807_0ee45692-5cbb-4fc3-ba3e-1fc1c42f3936.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223785 | N/A | N/A | 5542233 | 2222 | 4793 | 26163308 | 4211 | 4214178 | 2026-05-09 00:47:09.556072 | 2025-05-13 04:29:37.228506 |
| 2026-05-08 07:19:18.896016 | 2026-05-09 00:46:30.892339 | 26002788 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 26002788 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-05-11 | M | AE | PT | VLAHOVICH | 34035035 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_26002788_abcd9ca4-2ecc-44a1-b581-44c90f280b5d.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-05-08 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223784 | N/A | N/A | 5542048 | 2222 | 4802 | 26162596 | N/A | 4214003 | 2026-05-09 00:46:30.892339 | 2025-05-13 04:29:37.228325 |
| 2026-05-08 07:19:18.667828 | 2026-05-09 00:47:15.137288 | 26002768 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26002768 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-05-11 | M | PT | N/A | TESAR | V6D954A52172 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541690/check_26002768_5621b155-fee6-490b-a074-2c7db00cb54c.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829223783 | N/A | N/A | 5541690 | 2222 | 4801 | 26163432 | N/A | 4213669 | 2026-05-09 00:47:15.137288 | 2026-02-11 01:39:53.284479 |
| 2026-05-08 07:19:18.457265 | 2026-05-09 00:47:15.516446 | 26002752 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26002752 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-05-11 | M | AE | PT | DOUGHERTY | 7EE9WG6YG17 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541619/check_26002752_e6e2f615-038c-458b-bb70-515612bf6033.json | N/A | N/A | N/A | N/A | N/A | 7EE9WG6YG17 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-19 | S5601 | N/A | N/A | MA | false | DOUGHERTY | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 195655 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223782 | N/A | N/A | 5541619 | 2222 | 4793 | 26163440 | N/A | 4213619 | 2026-05-09 00:47:15.516446 | 2025-05-13 04:29:37.227951 |
| 2026-05-08 07:19:18.274615 | 2026-05-09 00:46:40.401849 | 26002738 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26002738 | Athletic Physical Therapy Inc | 1962-06-16 | 2026-05-11 | M | PT | N/A | GREENE | SIF090W13952 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541308/check_26002738_419e5e36-bc4a-4c8b-bc53-0d5f802e8c87.json | N/A | N/A | N/A | N/A | N/A | SIF090W13952 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1962-06-16 | 040 | 40954E | N/A | PR | false | GREENE | N/A | KAREN | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10829223781 | N/A | N/A | 5541308 | 2222 | 4801 | 26162765 | N/A | 4213339 | 2026-05-09 00:46:40.401849 | 2025-05-13 04:29:37.227665 |
| 2026-05-08 07:19:18.147721 | 2026-05-09 00:46:51.579855 | 26002725 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26002725 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-05-11 | F | AE | PT | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540122/check_26002725_c4d5a0c2-bc6a-4954-99a4-5dfcc154330e.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MA | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 78863 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223780 | N/A | N/A | 5540122 | 2222 | 4793 | 26162915 | N/A | 4212321 | 2026-05-09 00:46:51.579855 | 2026-03-11 15:45:38.887850 |
| 2026-05-08 07:19:18.017086 | 2026-05-09 00:46:52.132468 | 26002714 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26002714 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-05-11 | M | AE | PT | RUIZ | 594887901 | EDUARDO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_26002714_2597af18-c03e-4f3f-9ce3-c9182c5337d5.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | CALPERS-LTB050H | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223779 | N/A | N/A | 5539853 | 2222 | 4801 | 26162892 | 6411 | 4212098 | 2026-05-09 00:46:52.132468 | 2025-05-13 04:29:37.226429 |
| 2026-05-08 07:19:17.855369 | 2026-05-09 00:45:52.627533 | 26002701 | N/A | N/A | 61101 | HUMANA | 1114042165 | 26002701 | Athletic Physical Therapy Inc | 1947-05-03 | 2026-05-11 | F | AE | PT | HANSEN | H7490330500 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539739/check_26002701_f8a7ed50-979b-4d41-8457-cd2931073896.json | N/A | N/A | N/A | N/A | N/A | H74903305 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO LAKESIDE MEDICAL GROUP | 1947-05-03 | N/A | 2B863001 | N/A | HN | false | HANSEN | N/A | CAROL | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223778 | N/A | N/A | 5539739 | 2222 | 4793 | 26161813 | 5349 | 4212000 | 2026-05-09 00:45:52.627533 | 2025-05-13 04:29:37.226323 |
| 2026-05-08 07:19:17.641520 | 2026-05-09 00:46:29.350661 | 26002685 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 26002685 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-05-11 | F | 96 | N/A | HAUSMAN | 34751865 | JUDITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539527/check_26002685_dc254085-c22b-4c59-b8de-f155ed7804df.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | N/A | N/A | 2026-05-08 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10829223777 | N/A | N/A | 5539527 | 2222 | 4793 | 26162573 | 6798 | 4211820 | 2026-05-09 00:46:29.350661 | 2026-04-10 18:02:32.809721 |
| 2026-05-08 07:19:17.172750 | 2026-05-09 00:45:17.286322 | 26002659 | N/A | N/A | 60054 | Aetna | 1114042165 | 26002659 | Athletic Physical Therapy Inc | 1976-02-11 | 2026-05-11 | M | AE | PT | LUNA | W257149471 | JORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539260/check_26002659_07d28d86-a0fd-4cec-b384-69fe408e4d20.json | N/A | N/A | N/A | N/A | N/A | W257149471 | Exclusive Provider Organization | EQUINOX HOLDINGS, INC | AETNA | N/A | 1976-02-11 | 0143757 | 014375701100014 | N/A | EP | false | LUNA | N/A | JORGE | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10829223776 | N/A | N/A | 5539260 | 2222 | 4802 | 26161069 | N/A | 4211586 | 2026-05-09 00:45:17.286322 | 2025-05-13 04:29:37.225914 |
| 2026-05-08 07:19:16.970029 | 2026-05-09 00:46:42.613044 | 26002646 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26002646 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-05-11 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260508.122346899.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_26002646_493f9256-76f9-443b-acc0-29a6d105bc5a.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | 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 | 10829223775 | N/A | N/A | 5539188 | 2222 | 4801 | 26162801 | 4185 | 4211521 | 2026-05-09 00:46:42.613044 | 2025-10-19 23:43:25.603984 |