API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-05 07:19:11.933810 | 2026-05-06 00:37:54.057893 | 25636862 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25636862 | Athletic Physical Therapy Inc | 1980-02-04 | 2026-05-08 | M | PT | SCHIFTAN | 976A5409710 | OFEK | B | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19350692/check_25636862_1c578286-55ce-4eb3-ba56-9ceed5f48dcd.json | N/A | N/A | N/A | N/A | N/A | 976A5409710 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-02-04 | N/A | N/A | N/A | N/A | false | SCHIFTAN | N/A | OFEK | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681518 | N/A | N/A | 19350692 | 2222 | 4801 | 25858644 | 4185 | 17169451 | 2026-05-06 00:37:54.057893 | 2026-04-28 18:55:15.380939 |
| 2026-05-05 07:19:11.818212 | 2026-05-06 00:37:50.281238 | 25636853 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25636853 | Athletic Physical Therapy Inc | 1942-06-15 | 2026-05-08 | M | PT | MANSUR | 105W1808010 | MUSBAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19343585/check_25636853_47c07ca0-c65f-4e6b-8237-5785dcd9714d.json | N/A | N/A | N/A | N/A | N/A | 105W1808010 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1942-06-15 | N/A | N/A | N/A | N/A | false | MANSUR | N/A | MUSBAR | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681517 | N/A | N/A | 19343585 | 2222 | 4801 | 25858550 | 4185 | 17163615 | 2026-05-06 00:37:50.281238 | 2026-04-06 16:47:08.999576 |
| 2026-05-05 07:19:11.669333 | 2026-05-06 00:38:03.979349 | 25636841 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25636841 | Athletic Physical Therapy Inc | 2008-09-22 | 2026-05-08 | M | AE | Jacobs | 985144657G | Max | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249456/check_25636841_99fa4c95-7b7c-43fa-b608-9d41700d1086.json | N/A | N/A | N/A | N/A | N/A | 98514465G | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2008-09-22 | MCLA | MCLANFAL19 | N/A | N/A | false | JACOBS | N/A | MAX | N/A | 2078-12-31 | 2025-11-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681516 | N/A | N/A | 19249456 | 2222 | 4802 | 25858909 | N/A | 17114888 | 2026-05-06 00:38:03.979349 | 2026-04-03 22:39:25.409755 |
| 2026-05-05 07:19:11.517989 | 2026-05-06 00:37:27.444938 | 25636828 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636828 | Athletic Physical Therapy Inc | 2012-12-30 | 2026-05-06 | F | AE | Pate | 000025033815 | Starley | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248382/check_25636828_85ca3177-dbff-4f7f-877f-9e539b20dc84.json | N/A | N/A | N/A | N/A | N/A | 000025033815 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-12-30 | 4292435 | 1650095001 | N/A | N/A | false | PATE | N/A | STARLEY | N/A | 2026-12-31 | 2026-01-01 | KP INDIVIDUAL AND FAMILY SILVER 70 HMO OFF EXCHANG | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681515 | N/A | N/A | 19248382 | 2222 | 4793 | 25857958 | N/A | 17113723 | 2026-05-06 00:37:27.444938 | 2026-04-14 18:27:10.279532 |
| 2026-05-05 07:19:11.361322 | 2026-05-06 00:37:48.651545 | 25636812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25636812 | Athletic Physical Therapy Inc | 1965-03-25 | 2026-05-07 | M | PT | LOVEALL | MPI30352942Q | FRANK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240989/check_25636812_5ca10201-8e79-4d71-82ca-99e4ab726e2f.json | N/A | N/A | N/A | N/A | N/A | MPI30352942Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1965-03-25 | 040 | 277163M401 | N/A | PR | false | LOVEALL | N/A | FRANK | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681513 | N/A | N/A | 19240989 | 2222 | 4801 | 25858510 | N/A | 17105725 | 2026-05-06 00:37:48.651545 | 2026-04-10 18:18:05.298858 |
| 2026-05-05 07:19:11.223129 | 2026-05-06 00:37:44.022351 | 25636802 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636802 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-05-06 | F | AE | Bokron | 8WT2XY5VC04 | Diana | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_25636802_9c4d0d08-c6a1-46db-8687-50d3317c67ee.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MA | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 42628 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681511 | N/A | N/A | 19240401 | 2222 | 4793 | 25858394 | N/A | 17105178 | 2026-05-06 00:37:44.022351 | 2026-04-03 17:25:31.987996 |
| 2026-05-05 07:19:11.089338 | 2026-05-06 00:37:33.968488 | 25636793 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 25636793 | Athletic Physical Therapy Inc | 1973-10-06 | 2026-05-08 | F | AE | Casagrande | R00486960FS1 | Tamara | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084730/check_25636793_527b49ab-8856-4119-9c83-87318e362958.json | N/A | N/A | N/A | N/A | N/A | R00486960FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-10-06 | N/A | N/A | N/A | N/A | false | CASAGRANDE | N/A | TAMARA | N/A | N/A | N/A | MZC BRONZHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681510 | N/A | N/A | 19084730 | 2222 | 4793 | 25858136 | N/A | 17081329 | 2026-05-06 00:37:33.968488 | 2026-04-03 22:08:08.919747 |
| 2026-05-05 07:19:10.883260 | 2026-05-06 00:37:52.965664 | 25636777 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636777 | Athletic Physical Therapy Inc | 1952-08-01 | 2026-05-07 | M | AE | REISS | 1J83JQ6JF81 | JOHN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19077902/check_25636777_0294fb93-2741-4f0b-b6fb-219b50fdc9f4.json | N/A | N/A | N/A | N/A | N/A | 1J83JQ6JF81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-01 | N/A | N/A | N/A | MA | false | REISS | N/A | JOHN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 67047 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681508 | N/A | N/A | 19077902 | 2222 | 4801 | 25858615 | N/A | 17065421 | 2026-05-06 00:37:52.965664 | 2026-04-06 17:02:36.906045 |
| 2026-05-05 07:19:10.519911 | 2026-05-06 00:37:29.516493 | 25636746 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636746 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-05-07 | M | AE | Weiner | 000000201398 | Bernard | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_25636746_b06feec8-3be7-43e5-99a5-02c4f2ea8f27.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681507 | N/A | N/A | 19076126 | 2222 | 4802 | 25857993 | N/A | 17061917 | 2026-05-06 00:37:29.516493 | 2026-04-02 22:23:37.722121 |
| 2026-05-05 07:19:10.216931 | 2026-05-06 00:37:46.145556 | 25636721 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636721 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-05-07 | M | AE | ESCOLL | 9RU1D71UT18 | PAUL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075590/check_25636721_d5a3657e-8f27-4e55-a7fe-82e2a02f924d.json | N/A | N/A | N/A | N/A | N/A | 9RU1D71UT18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S4802 | N/A | N/A | MA | false | ESCOLL | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 64890 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681505 | N/A | N/A | 19075590 | 2222 | 4802 | 25858450 | N/A | 17061553 | 2026-05-06 00:37:46.145556 | 2026-04-03 00:44:20.509677 |
| 2026-05-05 07:19:10.023295 | 2026-05-06 00:37:40.576405 | 25636703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25636703 | Athletic Physical Therapy Inc | 2013-08-16 | 2026-05-06 | F | PT | Corriveau | HFD100011220104 | Tabitha | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19073381/check_25636703_263f3ace-3a66-4521-8e46-53ec48a94ac4.json | N/A | N/A | N/A | N/A | N/A | HFD100011220104 | 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." | 2013-08-16 | N/A | 716116N04 | N/A | PR | false | CORRIVEAU | N/A | BRIAN | 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 | 10793681504 | N/A | N/A | 19073381 | 2222 | 4793 | 25858305 | N/A | 17057081 | 2026-05-06 00:37:40.576405 | 2026-04-13 19:30:47.842734 |
| 2026-05-05 07:19:09.873343 | 2026-05-06 00:37:46.926145 | 25636692 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25636692 | Athletic Physical Therapy Inc | 1958-12-02 | 2026-05-07 | M | PT | KOCOGLU | 694W1765910 | GARABET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19027766/check_25636692_61d5c89c-3151-4eda-b3d4-be8012abc830.json | N/A | N/A | N/A | N/A | N/A | 694W1765910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-12-02 | N/A | N/A | N/A | N/A | false | KOCOGLU | N/A | GARABET | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681502 | N/A | N/A | 19027766 | 2222 | 4801 | 25858472 | 4185 | 17007847 | 2026-05-06 00:37:46.926145 | 2026-04-02 19:44:37.790679 |
| 2026-05-05 07:19:09.715450 | 2026-05-06 00:37:35.176932 | 25636678 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25636678 | Athletic Physical Therapy Inc | 1991-01-01 | 2026-05-08 | F | PT | AMEZCUA | CAI650M86977 | DAISY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18957115/check_25636678_284f9d2d-ad95-4192-b480-3f6b2e397e9f.json | N/A | N/A | N/A | N/A | N/A | CAI650M86977 | Health Maintenance Organization (HMO) | CALPERS CA REGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1991-01-01 | 040 | HTB050HT | N/A | HM | false | AMEZCUA | N/A | DAISY | N/A | 9999-12-31 | 2026-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681500 | N/A | N/A | 18957115 | 2222 | 4801 | 25858178 | 4185 | 16387780 | 2026-05-06 00:37:35.176932 | 2026-03-20 18:23:19.947495 |
| 2026-05-05 07:19:09.598812 | 2026-05-06 00:38:01.795588 | 25636667 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25636667 | Athletic Physical Therapy Inc | 1967-05-13 | 2026-05-08 | F | AE | BERGQUIST | 96669658F | FATIMA | I | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18940422/check_25636667_a7204465-88b4-45c1-931e-610ed317db01.json | N/A | N/A | N/A | N/A | N/A | 96669658F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1967-05-13 | MCLA | MWLLNMEG21 | N/A | N/A | false | BERGQUIST | N/A | FATIMA | N/A | 2078-12-31 | 2023-10-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681498 | N/A | N/A | 18940422 | 2222 | 4802 | 25858846 | N/A | 16926220 | 2026-05-06 00:38:01.795588 | 2026-04-06 14:31:25.831923 |
| 2026-05-05 07:19:09.407802 | 2026-05-06 00:37:45.788246 | 25636651 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 25636651 | Athletic Physical Therapy Inc | 2012-07-04 | 2026-05-07 | F | AE | Sikiric | W22669289903 | Iva | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935993/check_25636651_5e1cca5f-9cea-4932-b9eb-6887d99a8218.json | N/A | N/A | N/A | N/A | N/A | W226692899 | Health Maintenance Organization (HMO) | MITSUWA CORPORATION | AETNA | N/A | 2012-07-04 | EAB93J14 | 081059802500001 | N/A | HM | false | SIKIRIC | N/A | KRUNOSLAV | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681497 | N/A | N/A | 18935993 | 2222 | 4802 | 25858439 | 3948 | 16921302 | 2026-05-06 00:37:45.788246 | 2026-03-31 19:23:59.156343 |
| 2026-05-05 07:19:09.290591 | 2026-05-06 00:37:51.110642 | 25636643 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25636643 | Athletic Physical Therapy Inc | 2003-07-09 | 2026-05-07 | F | PT | Miller | XDM192M99937 | Emily | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18796625/check_25636643_6997f98f-f9b0-4f1f-8e8f-98ac058950ea.json | N/A | N/A | N/A | N/A | N/A | XDM192M99937 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 2003-07-09 | 040 | 282241H001 | N/A | HM | false | MILLER | N/A | JILL | N/A | 9999-12-31 | 2019-03-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681496 | N/A | N/A | 18796625 | 2222 | 4793 | 25858569 | N/A | 16770571 | 2026-05-06 00:37:51.110642 | 2026-04-06 21:25:26.219750 |
| 2026-05-05 07:19:09.131452 | 2026-05-06 00:37:38.101857 | 25636628 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 25636628 | Athletic Physical Therapy Inc | 1968-09-02 | 2026-05-07 | F | PT | Cantwell | JQW959W11453 | Jody | Leigh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18773917/check_25636628_878a8146-3eaf-4504-9670-e5f22c05b830.json | N/A | N/A | N/A | N/A | N/A | JQW959W11453 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1968-09-02 | 040 | CAMCRWP0 | N/A | MP | false | CANTWELL | N/A | JODY | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681495 | N/A | N/A | 18773917 | 2222 | 4793 | 25858248 | 4184 | 16747520 | 2026-05-06 00:37:38.101857 | 2026-04-01 16:54:36.862494 |
| 2026-05-05 07:19:09.033524 | 2026-05-06 00:37:28.157521 | 25636621 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636621 | Athletic Physical Therapy Inc | 2011-05-29 | 2026-05-07 | F | AE | Snider | 000019675824 | RACHEL | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18753996/check_25636621_9ca696f3-7c86-49ee-84ec-dc3fb3c47718.json | N/A | N/A | N/A | N/A | N/A | 000019675824 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2011-05-29 | 3076628 | 102601 | N/A | N/A | false | SNIDER | N/A | RACHEL | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681493 | N/A | N/A | 18753996 | 2222 | 4802 | 25857971 | N/A | 16734592 | 2026-05-06 00:37:28.157521 | 2026-03-26 18:52:03.602043 |
| 2026-05-05 07:19:08.886517 | 2026-05-06 00:37:30.844958 | 25636606 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 25636606 | override_provider | 1953-09-10 | 2026-05-08 | F | AE | Siegel Bartelt | 000005545129 | Jacqueline | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18689099/check_25636606_06835e13-e54e-4096-b2b1-a73c28f34a9a.json | N/A | N/A | N/A | N/A | N/A | 000005545129 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-09-10 | N/A | N/A | N/A | N/A | false | SIEGEL BARTELT | N/A | JACQUELINE | 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 | 10793681491 | N/A | N/A | 18689099 | 2222 | 4802 | 25858021 | N/A | 16676059 | 2026-05-06 00:37:30.844958 | 2026-03-25 21:44:38.560283 |
| 2026-05-05 07:19:08.649975 | 2026-05-06 00:37:40.241688 | 25636585 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25636585 | Athletic Physical Therapy Inc | 1953-12-02 | 2026-05-08 | F | AE | NAVARRO | 40054242701 | SYLVIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18615862/check_25636585_99cb39d3-af9d-4b99-bcac-c65dfdbf123f.json | N/A | N/A | N/A | N/A | N/A | 40054242701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-02 | 2026H5425001 | H5425M | N/A | N/A | false | NAVARRO | N/A | SYLVIA | 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 | 10793681490 | N/A | N/A | 18615862 | 2222 | 4793 | 25858293 | 6237 | 5788735 | 2026-05-06 00:37:40.241688 | 2025-07-09 16:24:26.907790 |
| 2026-05-05 07:19:08.538464 | 2026-05-06 00:38:12.968916 | 25636577 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636577 | Athletic Physical Therapy Inc | 1963-04-30 | 2026-05-07 | F | AE | Anderson | 000016196311 | Janice | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18599106/check_25636577_341a4207-01f9-4d40-a125-30d101c906b6.json | N/A | N/A | N/A | N/A | N/A | 000016196311 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1963-04-30 | 4320310 | 1650095001 | N/A | N/A | false | ANDERSON | N/A | JANICE | N/A | 2026-12-31 | 2026-01-01 | KPIF $25 COPAY DIRECT PAY SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681489 | N/A | N/A | 18599106 | 2222 | 4802 | 25859188 | N/A | 16601576 | 2026-05-06 00:38:12.968916 | 2026-03-24 19:40:50.353536 |
| 2026-05-05 07:19:08.450299 | 2026-05-06 00:37:28.833164 | 25636566 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636566 | Athletic Physical Therapy Inc | 1962-11-13 | 2026-05-07 | M | AE | Trevellin | 000016368983 | Maurizio | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538335/check_25636566_4a95ca3c-40ae-4c97-9806-684f7db992de.json | N/A | N/A | N/A | N/A | N/A | 000016368983 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-11-13 | 562547 | 103000 | N/A | N/A | false | TREVELLIN | N/A | MAURIZIO | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR GOLD DHMO 250/35 NOV PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681488 | N/A | N/A | 18538335 | 2222 | 4802 | 25857983 | N/A | 16540455 | 2026-05-06 00:37:28.833164 | 2026-03-23 15:50:46.266916 |
| 2026-05-05 07:19:08.348032 | 2026-05-06 00:38:14.778352 | 25636553 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 25636553 | Athletic Physical Therapy Inc | 1953-06-23 | 2026-05-08 | M | AE | Fields | 000008100545 | Renny | Arthur | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_25636553_edfd7c54-a4dc-4080-a271-4d3fe5b7bf5f.json | N/A | N/A | N/A | N/A | N/A | 000008100545 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1953-06-23 | 4073761 | 100232 | N/A | N/A | false | FIELDS | N/A | RENNY | N/A | 2026-12-31 | 2026-01-01 | THE AEROSPACE CORPORATION AERO ACTIVES NON-UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681487 | N/A | N/A | 18473083 | 2222 | 4802 | 25859244 | N/A | 16473148 | 2026-05-06 00:38:14.778352 | 2026-03-29 14:38:33.964725 |
| 2026-05-05 07:19:08.232722 | 2026-05-06 00:37:52.347435 | 25636544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636544 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-05-07 | M | AE | O NEILL | 3VD0U34GW90 | THOMAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_25636544_458b9559-e8fa-4695-8c33-cd6e504161bc.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MA | false | O'NEILL | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 99352 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681486 | N/A | N/A | 18472576 | 2222 | 4802 | 25858600 | N/A | 16472791 | 2026-05-06 00:37:52.347435 | 2026-03-20 22:44:48.876499 |
| 2026-05-05 07:19:08.124525 | 2026-05-06 00:37:53.779656 | 25636534 | N/A | N/A | 61101 | HUMANA | 1114042165 | 25636534 | Athletic Physical Therapy Inc | 1941-12-28 | 2026-05-07 | F | AE | KATZOFF | H5070031200 | CAROLYN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18459155/check_25636534_76c49e64-1ac1-4588-8af1-5885161a6af1.json | N/A | N/A | N/A | N/A | N/A | H50700312 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-12-28 | N/A | 2B722001 | N/A | HN | false | KATZOFF | N/A | CAROLYN | 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 | 10793681485 | N/A | N/A | 18459155 | 2222 | 4801 | 25858639 | 5349 | 16458858 | 2026-05-06 00:37:53.779656 | 2026-03-20 17:56:12.644597 |
| 2026-05-05 07:19:08.012370 | 2026-05-06 00:38:07.948010 | 25636522 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25636522 | Athletic Physical Therapy Inc | 1950-03-24 | 2026-05-06 | F | AE | SRINIVASAN | JQC93980840H | MANGAIYERK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18420592/check_25636522_6a623609-1248-48f2-8363-5e9238a2541c.json | N/A | N/A | N/A | N/A | N/A | JQC93980840H | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1950-03-24 | N/A | N/A | N/A | N/A | false | SRINIVASAN | N/A | MANGAIYERK | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681483 | N/A | N/A | 18420592 | 2222 | 4802 | 25859034 | 5538 | 16422151 | 2026-05-06 00:38:07.948010 | 2026-03-19 23:39:03.983588 |
| 2026-05-05 07:19:07.895350 | 2026-05-06 00:38:03.280091 | 25636516 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25636516 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-05-07 | M | AE | JACOBS | 909763451 | JESSE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_25636516_04dc3883-153b-4aca-a730-2ace65818221.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681482 | N/A | N/A | 18407669 | 2222 | 4802 | 25858883 | 5538 | 16411150 | 2026-05-06 00:38:03.280091 | 2026-03-20 21:53:00.475363 |
| 2026-05-05 07:19:07.788877 | 2026-05-06 00:37:05.659639 | 25636505 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25636505 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-08 | F | AE | RASHIDI | 93712342E | ZAHRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_25636505_13bf1dcb-ae7f-4669-a909-9f1f9c910fa0.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681481 | N/A | N/A | 18279699 | 2222 | 4802 | 25857478 | 4211 | 16293253 | 2026-05-06 00:37:05.659639 | 2026-03-17 23:01:51.545839 |
| 2026-05-05 07:19:07.687574 | 2026-05-06 00:38:21.081747 | 25636495 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25636495 | Athletic Physical Therapy Inc | 1964-09-19 | 2026-05-08 | F | PT | CHILAKOS | XAN913820374 | JANIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_25636495_39aba372-f306-489e-b505-cf9038998b73.json | N/A | N/A | N/A | N/A | N/A | XAN913820374 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | 1000PPOX0003 | W0051411 | N/A | PR | false | CHILAKOS | N/A | JANIS | N/A | N/A | 2026-05-05 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793681480 | N/A | N/A | 18247267 | 2222 | 4793 | 25859432 | N/A | 16262937 | 2026-05-06 00:38:21.081747 | 2026-03-23 18:45:59.777696 |
| 2026-05-05 07:19:07.583246 | 2026-05-06 00:38:05.352728 | 25636483 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25636483 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-05-06 | M | AE | Lopez Garcia | 95890433F | Eduardo | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_25636483_46f7ad1b-7e6c-4cba-9ac4-9648745bb497.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793681479 | N/A | N/A | 18216914 | 2222 | 4802 | 25858952 | N/A | 16232218 | 2026-05-06 00:38:05.352728 | 2026-03-16 23:33:21.904145 |
| 2026-05-05 07:19:07.461550 | 2026-05-06 00:37:04.930544 | 25636471 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25636471 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-05-08 | F | AE | MALTSEVA | 94237973H | YEVHENIIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_25636471_269c6e92-96c8-4d59-85f5-c339ca3554f3.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680705 | N/A | N/A | 18095882 | 2222 | 4802 | 25857459 | 4211 | 6219145 | 2026-05-06 00:37:04.930544 | 2025-07-21 16:40:35.276086 |
| 2026-05-05 07:19:07.372426 | 2026-05-06 00:36:45.340147 | 25636468 | N/A | N/A | 12115 | TriWest VA CCN Region 4 (TWVACCN) | 1114042165 | 25636468 | Athletic Physical Therapy Inc | 1995-08-17 | 2026-05-08 | M | AE | MOORE | 1031444015V742597 | NICOLAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18091675/check_25636468_ac5286c8-41cd-4075-a4e6-4dd5188f72f7.json | N/A | N/A | N/A | N/A | N/A | 1031444015V742597 | N/A | N/A | VETERANS AFFAIRS FEE BASIS PROGRAMS | N/A | 1995-08-17 | N/A | N/A | N/A | N/A | false | MOORE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680704 | N/A | N/A | 18091675 | 2222 | 4793 | 25856974 | N/A | 16115969 | 2026-05-06 00:36:45.340147 | 2026-03-13 20:43:21.494280 |
| 2026-05-05 07:19:07.085130 | 2026-05-06 00:37:43.357014 | 25636443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636443 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-05-07 | M | AE | BARDIA | 9YD1K19FG26 | KANHAIYA | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_25636443_01d61090-4db4-4ed2-aa5e-64dffb17a2a4.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5884 | N/A | N/A | MA | false | BARDIA | N/A | KANHAIYA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 105113 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680703 | N/A | N/A | 18033660 | 2222 | 4802 | 25858376 | N/A | 16061630 | 2026-05-06 00:37:43.357014 | 2026-03-18 23:17:28.107701 |
| 2026-05-05 07:19:06.809460 | 2026-05-06 00:37:47.437791 | 25636419 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636419 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-05-07 | M | AE | HARY | 2YH6T54NH61 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_25636419_38b026aa-1c8d-4519-aefa-2c15672cfd10.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MA | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 142797 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680702 | N/A | N/A | 18020019 | 2222 | 4802 | 25858479 | N/A | 16048388 | 2026-05-06 00:37:47.437791 | 2026-03-12 19:28:18.393557 |
| 2026-05-05 07:19:06.580662 | 2026-05-06 00:37:48.765540 | 25636400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636400 | Athletic Physical Therapy Inc | 1945-04-09 | 2026-05-06 | M | AE | Kelly | 7N90G97RP30 | Eugene | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929435/check_25636400_e9a6027d-3162-4e53-865f-3ed926765514.json | N/A | N/A | N/A | N/A | N/A | 7N90G97RP30 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-09 | S4802 | N/A | N/A | MA | false | KELLY | N/A | EUGENE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 95074 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680701 | N/A | N/A | 17929435 | 2222 | 4793 | 25858511 | N/A | 15967689 | 2026-05-06 00:37:48.765540 | 2026-03-23 15:15:28.421254 |
| 2026-05-05 07:19:06.465365 | 2026-05-06 00:37:44.424396 | 25636387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25636387 | Athletic Physical Therapy Inc | 1963-11-18 | 2026-05-07 | F | PT | Gutierrez | JQK595A63188 | Donna | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_25636387_6165f555-03f5-4738-a81b-566462fc4e85.json | N/A | N/A | N/A | N/A | N/A | JQK595A63188 | Health Maintenance Organization (HMO) | CIRCULAR CONNECTORS INC | ANTHEM BLUE CROSS | N/A | 1963-11-18 | 040 | 216721 | N/A | HM | false | GUTIERREZ | N/A | DONNA | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680700 | N/A | N/A | 17747293 | 2222 | 4801 | 25858402 | N/A | 15796426 | 2026-05-06 00:37:44.424396 | 2026-03-25 16:15:17.757715 |
| 2026-05-05 07:19:06.366566 | 2026-05-06 00:37:50.601865 | 25636376 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636376 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-05-08 | F | AE | MILLER | 2nn1kp9mk97 | PEGGY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_25636376_94de924e-88de-488b-ab78-e77aefb72815.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 189100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680699 | N/A | N/A | 17663491 | 2222 | 4802 | 25858555 | N/A | 4213453 | 2026-05-06 00:37:50.601865 | 2025-05-13 04:29:37.227772 |
| 2026-05-05 07:19:06.249908 | 2026-05-06 00:38:02.556591 | 25636367 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25636367 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-05-06 | F | AE | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_25636367_ff1f552f-3cf3-42a2-9732-eead16765898.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680698 | N/A | N/A | 17650446 | 2222 | 4802 | 25858864 | N/A | 9635663 | 2026-05-06 00:38:02.556591 | 2025-10-22 19:43:50.510670 |
| 2026-05-05 07:19:06.110965 | 2026-05-06 00:37:54.176705 | 25636354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636354 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-05-07 | F | AE | SHEINBEIN | 5NQ8U19JG46 | Nancy | THURLO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_25636354_f660561e-c60b-41fd-85fb-04574b114f2c.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MA | false | SHEINBEIN | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 92441 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680697 | N/A | N/A | 17593459 | 2222 | 4802 | 25858647 | N/A | 15407829 | 2026-05-06 00:37:54.176705 | 2026-03-03 21:31:17.107791 |
| 2026-05-05 07:19:05.982365 | 2026-05-06 00:37:43.042601 | 25636339 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25636339 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-05-07 | M | AD | Sedlak | 40084772901 | Chris | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_25636339_d35f16d9-11fb-4525-ab7a-a089d36bc007.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10793680696 | N/A | N/A | 17533302 | 2222 | 4793 | 25858369 | 6237 | 15565486 | 2026-05-06 00:37:43.042601 | 2026-03-17 20:55:49.152309 |
| 2026-05-05 07:19:05.826356 | 2026-05-06 00:37:32.021553 | 25636323 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 25636323 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-05-07 | F | AE | SALIMIAN | UZ110324601 | NASHMIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_25636323_1988d1ed-ab79-48a8-bf0b-ba398f3b9eb9.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680694 | N/A | N/A | 17492780 | 2222 | 4802 | 25858053 | 4625 | 15085116 | 2026-05-06 00:37:32.021553 | 2026-02-18 20:26:50.354139 |
| 2026-05-05 07:19:05.683406 | 2026-05-06 00:37:37.093324 | 25636313 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25636313 | Athletic Physical Therapy Inc | 1963-04-12 | 2026-05-08 | F | PT | BANKI | JQU128A72700 | AFSANEH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17369730/check_25636313_2641129e-a4c3-4bad-a41a-a4629fbb3a13.json | N/A | N/A | N/A | N/A | N/A | JQU128A72700 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1963-04-12 | 040 | 225912 | N/A | PR | false | BANKI | N/A | AFSANEH | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680693 | N/A | N/A | 17369730 | 2222 | 4802 | 25858222 | N/A | 14333576 | 2026-05-06 00:37:37.093324 | 2026-02-10 01:00:55.560606 |
| 2026-05-05 07:19:05.478488 | 2026-05-06 00:37:35.345781 | 25636295 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 25636295 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-05-08 | M | AE | GRAY | R15051156MM1 | DAVID | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_25636295_6c2534c9-0aa3-4559-b409-da4e0032090a.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680692 | N/A | N/A | 17309570 | 2222 | 4802 | 25858182 | 4625 | 15324565 | 2026-05-06 00:37:35.345781 | 2026-02-27 21:58:34.959613 |
| 2026-05-05 07:19:05.367338 | 2026-05-06 00:37:41.695667 | 25636283 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25636283 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-05-07 | F | AE | ROGERS | 31093568401 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_25636283_faf1b1f8-d7ce-454a-87a8-2c60d101c0ef.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680691 | N/A | N/A | 17306773 | 2222 | 4801 | 25858338 | 6237 | 15321704 | 2026-05-06 00:37:41.695667 | 2026-02-26 19:15:43.216582 |
| 2026-05-05 07:19:05.235873 | 2026-05-06 00:37:41.406963 | 25636271 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25636271 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-05-08 | M | PT | DE LUNA | JMV025A51982 | NOEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17274520/check_25636271_3ccd5502-38fd-46da-ba81-9756e6128254.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680690 | N/A | N/A | 17274520 | 2222 | 4801 | 25858326 | 4185 | 4343453 | 2026-05-06 00:37:41.406963 | 2025-05-13 04:29:37.230931 |
| 2026-05-05 07:19:05.066589 | 2026-05-06 00:37:53.015385 | 25636257 | N/A | N/A | 61101 | HUMANA | 1114042165 | 25636257 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-05-07 | M | AE | FARRUGIA | H6573816900 | JEFFREY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_25636257_28c2582d-a1be-4c01-89a1-e8c6410786b9.json | N/A | N/A | N/A | N/A | N/A | H65738169 | 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 | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680689 | N/A | N/A | 17264465 | 2222 | 4801 | 25858616 | 5349 | 15281758 | 2026-05-06 00:37:53.015385 | 2026-04-16 18:41:33.012590 |
| 2026-05-05 07:19:04.906063 | 2026-05-06 00:38:06.711085 | 25636236 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25636236 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-05-07 | F | AE | Moore | MNL788W15745 | Jean | Carla | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_25636236_ba0cdf97-cacb-48db-8836-28bbb5a8a042.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680688 | N/A | N/A | 17099336 | 2222 | 4802 | 25858995 | 5538 | 6725117 | 2026-05-06 00:38:06.711085 | 2026-02-18 22:27:04.950292 |
| 2026-05-05 07:19:04.734940 | 2026-05-06 00:37:35.621385 | 25636221 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 25636221 | override_provider | 1979-02-02 | 2026-05-06 | F | PT | Roozrokh | R60967659 | Peyman | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_25636221_7df16fa0-c911-488f-a859-aa0aa03581ca.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680687 | N/A | N/A | 17094664 | 2222 | 4802 | 25858188 | N/A | 15086531 | 2026-05-06 00:37:35.621385 | 2026-02-18 21:22:56.146803 |
| 2026-05-05 07:19:04.582607 | 2026-05-06 00:38:13.700798 | 25636206 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636206 | Athletic Physical Therapy Inc | 1992-08-31 | 2026-05-08 | M | AE | August Schmidt | 000010564062 | Alex | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17055953/check_25636206_e79b3555-a8cd-4a2e-a0ba-8c40e6aaa9e4.json | N/A | N/A | N/A | N/A | N/A | 000010564062 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1992-08-31 | N/A | N/A | N/A | N/A | false | AUGUST SCHMIDT | N/A | ALEX | 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 | 10793680686 | N/A | N/A | 17055953 | 2222 | 4802 | 25859213 | N/A | 15047404 | 2026-05-06 00:38:13.700798 | 2026-03-19 15:45:14.156442 |
| 2026-05-05 07:19:04.439584 | 2026-05-06 00:37:03.519002 | 25636186 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25636186 | Athletic Physical Therapy Inc | 1963-11-15 | 2026-05-08 | F | AE | DIBAEI | 95643445F | ATEFEH | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260505.122243263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_25636186_3a7a8120-f22f-48a4-bb40-59a3b3802716.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | 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 | 10793680685 | N/A | N/A | 16929305 | 2222 | 4802 | 25857431 | 4211 | 14928874 | 2026-05-06 00:37:03.519002 | 2026-02-13 23:07:04.697142 |