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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-05 07:19:04.279628 | 2026-05-06 00:36:39.935229 | 25636172 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 25636172 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-05-08 | F | AE | PT | CHUN | ICA068643 | LINDA | E | 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/2222/16579154/check_25636172_ce86168d-30ba-47c0-bde1-983d4523624d.json | N/A | N/A | N/A | N/A | N/A | ICA068643 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-01-13 | N/A | N/A | N/A | N/A | false | CHUN | N/A | LINDA | 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 | 10793680684 | N/A | N/A | 16579154 | 2222 | 4793 | 25856838 | N/A | 14597301 | 2026-05-06 00:36:39.935229 | 2026-02-06 23:30:42.528802 |
| 2026-05-05 07:19:03.937648 | 2026-05-06 00:37:25.325785 | 25636143 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25636143 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-05-07 | F | AE | PT | Kantor | 000002491752 | Judith | E | 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/2222/16357604/check_25636143_c556bcd2-c526-453f-ae92-eb26540c30dc.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | EL SEGUNDO - ACTIVES TRADITIONAL HMO SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680683 | N/A | N/A | 16357604 | 2222 | 4802 | 25857915 | N/A | 14403242 | 2026-05-06 00:37:25.325785 | 2026-02-04 22:38:19.962874 |
| 2026-05-05 07:19:03.678516 | 2026-05-06 00:37:54.777294 | 25636116 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636116 | Athletic Physical Therapy Inc | 1956-06-01 | 2026-05-08 | F | AE | PT | SNYDER | 7D20PV9DX19 | ANN | 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/2222/16269836/check_25636116_e161509c-4702-4227-9b00-7c8fe0219d91.json | N/A | N/A | N/A | N/A | N/A | 7D20PV9DX19 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-01 | N/A | N/A | N/A | MA | false | SNYDER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111820 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680682 | N/A | N/A | 16269836 | 2222 | 4793 | 25858662 | N/A | 14318816 | 2026-05-06 00:37:54.777294 | 2026-02-03 18:58:39.277258 |
| 2026-05-05 07:19:03.422412 | 2026-05-06 00:38:22.550337 | 25636098 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 25636098 | Athletic Physical Therapy Inc | 1999-04-02 | 2026-05-07 | M | PT | N/A | LORRAINE | XEH911817270 | ELIJAH | 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/2222/16132086/check_25636098_5b263c3b-f77a-4830-8c2e-6284d0736a9b.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680681 | N/A | N/A | 16132086 | 2222 | 4801 | 25859469 | 4191 | 14191252 | 2026-05-06 00:38:22.550337 | 2026-03-12 15:28:35.280372 |
| 2026-05-05 07:19:03.260578 | 2026-05-06 00:37:44.626518 | 25636084 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636084 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-05-08 | M | AE | PT | brosh | 1AC1KJ0CT14 | RAMI | 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/2222/16113776/check_25636084_0ed6ff02-32c2-4ad1-9f20-5761cedbc168.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MA | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 107571 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680680 | N/A | N/A | 16113776 | 2222 | 4793 | 25858407 | N/A | 14174363 | 2026-05-06 00:37:44.626518 | 2026-05-29 18:00:53.778221 |
| 2026-05-05 07:19:03.119228 | 2026-05-06 00:37:44.980673 | 25636074 | N/A | N/A | 60054 | AETNA | 1114042165 | 25636074 | Athletic Physical Therapy Inc | 2012-11-05 | 2026-05-08 | F | AE | PT | SCHWARTZ | W29928822803 | KATYA | 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/2222/15940921/check_25636074_6f77db40-fece-469a-8a74-d0883bfdbfdc.json | N/A | N/A | N/A | N/A | N/A | W299288228 | Health Maintenance Organization (HMO) | LIFETECH RESOURCES LLC | AETNA | N/A | 2012-11-05 | EADOKN01 | 026948001000001 | N/A | HM | false | SCHWARTZ | N/A | JOSHUA | 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 | 10793680679 | N/A | N/A | 15940921 | 2222 | 4793 | 25858416 | 3939 | 14023699 | 2026-05-06 00:37:44.980673 | 2026-02-04 01:25:53.978492 |
| 2026-05-05 07:19:02.891702 | 2026-05-06 00:37:47.808631 | 25636056 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25636056 | Athletic Physical Therapy Inc | 1986-01-07 | 2026-05-08 | F | PT | N/A | Sabino Lasmarias | NCF513A21338 | Jovelyn | 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/2222/15930622/check_25636056_c824f4f1-b22b-4ecd-856b-81497c31ebb0.json | N/A | N/A | N/A | N/A | N/A | NCF513A21338 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1986-01-07 | 040 | 57AJCA | N/A | HM | false | LASMARIAS | N/A | ANTHONY | N/A | 9999-12-31 | 2024-11-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680678 | N/A | N/A | 15930622 | 2222 | 4801 | 25858489 | 4185 | 13567673 | 2026-05-06 00:37:47.808631 | 2026-01-28 15:52:55.238058 |
| 2026-05-05 07:19:02.730663 | 2026-05-06 00:37:52.113353 | 25636041 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25636041 | Athletic Physical Therapy Inc | 1968-01-02 | 2026-05-07 | M | AE | PT | GOLDSTEIN | 00000498546 | KEVIN | 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/2222/15830923/check_25636041_4614993b-6927-45da-ab80-89db836edbfd.json | N/A | N/A | N/A | N/A | N/A | 00000498546 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1968-01-02 | H3815028 | N/A | N/A | HM | false | GOLDSTEIN | N/A | KEVIN | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680677 | N/A | N/A | 15830923 | 2222 | 4801 | 25858593 | 2630 | 4212667 | 2026-05-06 00:37:52.113353 | 2026-01-19 00:15:08.972740 |
| 2026-05-05 07:19:02.575746 | 2026-05-06 00:37:46.725877 | 25636025 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25636025 | Athletic Physical Therapy Inc | 1955-07-13 | 2026-05-08 | M | AE | PT | GROSS | 5J34NT0FH08 | HUGH | R | 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/2222/15810927/check_25636025_8043ce3b-4290-41d0-9c62-87f89dd98307.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MA | false | GROSS | N/A | HUGH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 132180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680676 | N/A | N/A | 15810927 | 2222 | 4802 | 25858464 | N/A | 13900460 | 2026-05-06 00:37:46.725877 | 2026-01-27 16:41:56.120390 |
| 2026-05-05 07:19:02.434923 | 2026-05-06 00:38:23.826380 | 25636009 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25636009 | Athletic Physical Therapy Inc | 1975-06-19 | 2026-05-07 | M | PT | N/A | ZEITHAMMER | UCD914833466 | ROBERT | 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/2222/15745085/check_25636009_a74b5681-989f-4488-92aa-caca208ae3e7.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | 2026-05-05 | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680675 | N/A | N/A | 15745085 | 2222 | 4802 | 25859500 | N/A | 13842766 | 2026-05-06 00:38:23.826380 | 2026-01-26 16:51:25.727723 |
| 2026-05-05 07:19:02.329473 | 2026-05-06 00:37:43.694189 | 25635999 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 25635999 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-05-08 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | 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/2222/15737586/check_25635999_161222a2-36b7-439f-8a83-4ce3935c5887.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 | 10793680674 | N/A | N/A | 15737586 | 2222 | 4793 | 25858388 | N/A | 13837022 | 2026-05-06 00:37:43.694189 | 2026-01-27 20:49:36.385334 |
| 2026-05-05 07:19:02.126016 | 2026-05-06 00:38:04.689559 | 25635981 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25635981 | Athletic Physical Therapy Inc | 2000-05-20 | 2026-05-06 | M | AE | PT | LIPP | JQC97583205F | ANDREW | 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/2222/15487541/check_25635981_62aa6919-ad11-4b1e-9a57-ad7db5a72dc8.json | N/A | N/A | N/A | N/A | N/A | 97583205F | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 2000-05-20 | BCSC | BWLLNMEG21 | N/A | N/A | false | LIPP | N/A | ANDREW | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680673 | N/A | N/A | 15487541 | 2222 | 4802 | 25858933 | 5538 | 13573473 | 2026-05-06 00:38:04.689559 | 2026-01-26 19:07:00.510896 |
| 2026-05-05 07:19:02.001240 | 2026-05-06 00:37:53.573130 | 25635970 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635970 | Athletic Physical Therapy Inc | 1946-06-15 | 2026-05-08 | M | AE | PT | SCHECHTER | 3G33VQ7DQ03 | STEVEN | 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/2222/15414432/check_25635970_e35c0914-a774-4b3d-89dc-f393d60f35c3.json | N/A | N/A | N/A | N/A | N/A | 3G33VQ7DQ03 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-15 | S4802 | N/A | N/A | MA | false | SCHECHTER | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 10180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680672 | N/A | N/A | 15414432 | 2222 | 4793 | 25858632 | N/A | 7549031 | 2026-05-06 00:37:53.573130 | 2026-05-22 23:37:03.098359 |
| 2026-05-05 07:19:01.803824 | 2026-05-06 00:38:13.970392 | 25635948 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 25635948 | Athletic Physical Therapy Inc | 1960-01-06 | 2026-05-08 | F | AE | PT | MORGEN | 5852851 | MINDY | ELLEN | 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/2222/15287121/check_25635948_fcb13bb4-6fb5-443a-9776-55f67a352a40.json | N/A | N/A | N/A | N/A | N/A | 5852851 | N/A | N/A | CENTENE CORPORATION | N/A | 1960-01-06 | N/A | N/A | N/A | N/A | false | MORGEN | N/A | MINDY | 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 | 10793680671 | N/A | N/A | 15287121 | 2222 | 4793 | 25859217 | N/A | 13387979 | 2026-05-06 00:38:13.970392 | 2026-05-04 18:00:09.918838 |
| 2026-05-05 07:19:01.693216 | 2026-05-06 00:38:27.786736 | 25635941 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25635941 | Athletic Physical Therapy Inc | 1950-06-28 | 2026-05-08 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | 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/2222/14916087/check_25635941_49b1458f-d2ac-4d5d-b648-9a9e5ec91f80.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MCCOWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680670 | N/A | N/A | 14916087 | 2222 | 4802 | 25859595 | N/A | 12476020 | 2026-05-06 00:38:27.786736 | 2025-12-16 21:49:52.634130 |
| 2026-05-05 07:19:01.525699 | 2026-05-06 00:37:34.611823 | 25635918 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 25635918 | Athletic Physical Therapy Inc | 1997-12-06 | 2026-05-08 | F | AE | PT | GHARAVI | 99570419E | JASMINE | S | 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/2222/14856447/check_25635918_95bd627d-3242-4285-b437-d53da019f604.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-03-31 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680669 | N/A | N/A | 14856447 | 2222 | 4802 | 25858164 | 4625 | 12968899 | 2026-05-06 00:37:34.611823 | 2026-01-05 20:58:07.379737 |
| 2026-05-05 07:19:01.408029 | 2026-05-06 00:38:21.839445 | 25635907 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 25635907 | Athletic Physical Therapy Inc | 2013-04-23 | 2026-05-08 | M | PT | N/A | KRASNO | 907100781003 | ETHAN | 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/2222/14697078/check_25635907_f7a89852-db68-4a08-abe9-75722ff535ec.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 | HSA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680668 | N/A | N/A | 14697078 | 2222 | 4801 | 25859451 | 4191 | 12124199 | 2026-05-06 00:38:21.839445 | 2025-12-09 19:44:50.970187 |
| 2026-05-05 07:19:01.304298 | 2026-05-06 00:38:26.157238 | 25635900 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25635900 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-05-07 | F | PT | N/A | Cherry | XDP380A22244 | Megan | 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/2222/14387696/check_25635900_d59a53c7-108b-4b49-9332-626e805ff6a2.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 | 10793680667 | N/A | N/A | 14387696 | 2222 | 4802 | 25859556 | N/A | 12521666 | 2026-05-06 00:38:26.157238 | 2025-12-17 22:18:09.286393 |
| 2026-05-05 07:19:01.168261 | 2026-05-06 00:37:30.178964 | 25635888 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 25635888 | override_provider | 1937-11-24 | 2026-05-07 | M | AE | PT | Hahn | 000002537359 | John | Y | 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/2222/14297735/check_25635888_17c9daae-1c1f-4fff-a671-99262a5ff693.json | N/A | N/A | N/A | N/A | N/A | 000002537359 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1937-11-24 | 1730439 | 100990 | N/A | N/A | false | HAHN | N/A | JOHN | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT RETIREES LAUSD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680666 | N/A | N/A | 14297735 | 2222 | 4802 | 25858009 | N/A | 12431457 | 2026-05-06 00:37:30.178964 | 2025-12-24 16:43:10.665380 |
| 2026-05-05 07:19:01.045205 | 2026-05-06 00:37:55.027773 | 25635875 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25635875 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-05-07 | F | PT | N/A | Vo | TOA651A68427 | Tram | M | 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/2222/14115191/check_25635875_709851cc-5be1-498e-b698-d2538cfa005b.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680665 | N/A | N/A | 14115191 | 2222 | 4802 | 25858665 | N/A | 12253534 | 2026-05-06 00:37:55.027773 | 2025-12-11 19:59:32.714775 |
| 2026-05-05 07:19:00.901904 | 2026-05-06 00:37:50.674658 | 25635861 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635861 | Athletic Physical Therapy Inc | 1956-03-07 | 2026-05-07 | M | AE | PT | BURKS | 00000292168 | WESLEY | 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/2222/13691995/check_25635861_b7b29b6a-0a49-4ca5-ae97-30130e972a7d.json | N/A | N/A | N/A | N/A | N/A | 00000292168 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-03-07 | H3815028 | N/A | N/A | HM | false | BURKS | N/A | WESLEY | 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 | 10793680664 | N/A | N/A | 13691995 | 2222 | 4801 | 25858559 | 2630 | 11842216 | 2026-05-06 00:37:50.674658 | 2026-05-05 16:28:27.100977 |
| 2026-05-05 07:19:00.552572 | 2026-05-06 00:37:54.029839 | 25635835 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635835 | Athletic Physical Therapy Inc | 1957-01-26 | 2026-05-08 | M | AE | PT | REED | 00000391094 | JAMES | 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/2222/13634717/check_25635835_9d508680-d828-479a-9581-86e57cebfd89.json | N/A | N/A | N/A | N/A | N/A | 00000391094 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-26 | H3815028 | N/A | N/A | HM | false | REED | N/A | JAMES | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680663 | N/A | N/A | 13634717 | 2222 | 4801 | 25858642 | 2630 | 11782524 | 2026-05-06 00:37:54.029839 | 2025-12-08 14:47:13.868275 |
| 2026-05-05 07:19:00.225433 | 2026-05-06 00:37:25.944694 | 25635805 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25635805 | Athletic Physical Therapy Inc | 1979-02-24 | 2026-05-08 | F | AE | PT | McCoy | 000024352430 | Colleen | Shannon | 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/2222/13582387/check_25635805_47aefe5a-b491-4476-b0e1-5dc211880d28.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | 2026-12-31 | 2026-01-01 | EDWARDS LIFESCIENCES EDWARDS LIFESCIENCES/COBRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680662 | N/A | N/A | 13582387 | 2222 | 4802 | 25857928 | N/A | 11732070 | 2026-05-06 00:37:25.944694 | 2025-12-02 18:46:08.427375 |
| 2026-05-05 07:19:00.076757 | 2026-05-06 00:37:23.933762 | 25635788 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25635788 | Athletic Physical Therapy Inc | 2008-01-19 | 2026-05-08 | F | AE | PT | GONZALEZ | 000022526618 | CAITLIN | 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/2222/12540718/check_25635788_64ecfa2e-a649-4144-8b71-338cdc088a98.json | N/A | N/A | N/A | N/A | N/A | 000022526618 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2008-01-19 | 4389850 | 104236 | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | 2026-12-31 | 2026-01-01 | SEMPRA SOCALGAS NON-UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680661 | N/A | N/A | 12540718 | 2222 | 4801 | 25857881 | N/A | 9440359 | 2026-05-06 00:37:23.933762 | 2025-10-27 23:07:07.958316 |
| 2026-05-05 07:18:59.965412 | 2026-05-06 00:37:54.744273 | 25635780 | N/A | N/A | 61101 | HUMANA | 1114042165 | 25635780 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-05-08 | F | AE | PT | MENDEZ | H9608321000 | LINDA | I | 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/2222/12421991/check_25635780_ff37b6f7-5750-4cdc-8816-78c3bdfdaa88.json | N/A | N/A | N/A | N/A | N/A | H96083210 | 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 | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 10793680660 | N/A | N/A | 12421991 | 2222 | 4793 | 25858661 | 5349 | 10601861 | 2026-05-06 00:37:54.744273 | 2025-11-07 18:35:55.025808 |
| 2026-05-05 07:18:59.852901 | 2026-05-06 00:38:07.288888 | 25635766 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25635766 | Athletic Physical Therapy Inc | 1971-01-02 | 2026-05-07 | F | AE | PT | SIVAMALAR | 98940148E | THANGIAH | 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/2222/9854943/check_25635766_8706f7c9-31bc-44bd-8bd7-3db8db2bdf92.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | 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 | 10793680659 | N/A | N/A | 9854943 | 2222 | 4802 | 25859015 | 5538 | 8251172 | 2026-05-06 00:38:07.288888 | 2025-10-03 18:17:22.871347 |
| 2026-05-05 07:18:59.725745 | 2026-05-06 00:37:39.851663 | 25635759 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 25635759 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-05-07 | M | PT | N/A | CLANCY | OE050387910 | JOSEPH | 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/2222/9194927/check_25635759_1ebbe17c-cb01-4cf6-a9d1-d6fd9e9f912d.json | N/A | N/A | N/A | N/A | N/A | OE050387910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680658 | N/A | N/A | 9194927 | 2222 | 4793 | 25858286 | 4184 | 7712549 | 2026-05-06 00:37:39.851663 | 2025-09-10 17:29:28.945035 |
| 2026-05-05 07:18:59.621455 | 2026-05-06 00:37:51.172293 | 25635749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635749 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-05-08 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_25635749_a1faac49-ec5d-418f-ace1-e381c701e79b.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 185735 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680657 | N/A | N/A | 8979192 | 2222 | 4793 | 25858571 | N/A | 7498543 | 2026-05-06 00:37:51.172293 | 2025-10-14 17:13:32.178778 |
| 2026-05-05 07:18:59.512086 | 2026-05-06 00:37:49.958662 | 25635737 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635737 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-05-08 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 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/2222/7783105/check_25635737_3d304b1d-4999-48ea-ad0f-7d8846be0965.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 278540 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680656 | N/A | N/A | 7783105 | 2222 | 4802 | 25858543 | N/A | 6628331 | 2026-05-06 00:37:49.958662 | 2025-08-22 15:16:03.942743 |
| 2026-05-05 07:18:59.410955 | 2026-05-06 00:37:38.938197 | 25635731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25635731 | Athletic Physical Therapy Inc | 1965-07-08 | 2026-05-08 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | R | 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/2222/7456267/check_25635731_a1129629-9366-4d7b-80c7-a0cef2a0ebe2.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793680655 | N/A | N/A | 7456267 | 2222 | 4793 | 25858266 | N/A | 6405582 | 2026-05-06 00:37:38.938197 | 2025-08-04 21:58:38.426681 |
| 2026-05-05 07:18:59.281571 | 2026-05-06 00:37:06.386006 | 25635721 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25635721 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-05-06 | M | AE | PT | Thur | 95641377F | Pyi | 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/2222/7449843/check_25635721_7a3fc13e-c44d-4475-8edf-0f512046b755.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680653 | N/A | N/A | 7449843 | 2222 | 4802 | 25857492 | 4211 | 6399635 | 2026-05-06 00:37:06.386006 | 2025-07-29 18:42:47.970149 |
| 2026-05-05 07:18:59.148544 | 2026-05-06 00:37:56.011993 | 25635713 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635713 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-05-07 | F | AE | PT | STEVENS | 00000348252 | JANET | Sue | 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/2222/6967938/check_25635713_06177b39-7d21-41c3-8633-ff124f6016da.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | N/A | N/A | 2024-10-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680652 | N/A | N/A | 6967938 | 2222 | 4801 | 25858692 | 2630 | 4212773 | 2026-05-06 00:37:56.011993 | 2026-04-04 05:51:01.155131 |
| 2026-05-05 07:18:59.022515 | 2026-05-06 00:36:58.609934 | 25635701 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 25635701 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-05-08 | F | 96 | N/A | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_25635701_64164d86-73bd-4a1a-969a-5f9384cece67.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | 2026-05-05 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10793680651 | N/A | N/A | 6711965 | 2222 | 4793 | 25857309 | 6798 | 4210430 | 2026-05-06 00:36:58.609934 | 2025-05-13 04:29:37.224841 |
| 2026-05-05 07:18:58.919821 | 2026-05-06 00:37:44.428009 | 25635696 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25635696 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-05-07 | M | AE | PT | SIMMONS | 40055722801 | J | C | 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/2222/6685251/check_25635696_d8f9466e-fc08-430c-b7c6-dad70bba2bf4.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793680650 | N/A | N/A | 6685251 | 2222 | 4793 | 25858403 | 6237 | 4209868 | 2026-05-06 00:37:44.428009 | 2025-08-15 22:13:56.514261 |
| 2026-05-05 07:18:58.809069 | 2026-05-06 00:37:40.928891 | 25635685 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25635685 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-05-06 | M | AD | 30 | NOWAK | 31172069101 | DAVID | 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/2222/6492025/check_25635685_319dcce3-fea1-40a0-b45d-ede7072de385.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 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 | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10793680649 | N/A | N/A | 6492025 | 2222 | 4793 | 25858314 | 6237 | 5121181 | 2026-05-06 00:37:40.928891 | 2025-06-19 16:42:31.208252 |
| 2026-05-05 07:18:58.716293 | 2026-05-06 00:37:48.138230 | 25635681 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635681 | Athletic Physical Therapy Inc | 1939-06-25 | 2026-05-07 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | 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/2222/6068049/check_25635681_301babd8-2f8a-404b-ad56-7219b58c7585.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 | 10793680648 | N/A | N/A | 6068049 | 2222 | 4793 | 25858497 | N/A | 4642852 | 2026-05-06 00:37:48.138230 | 2025-11-21 18:38:17.056437 |
| 2026-05-05 07:18:58.621817 | 2026-05-06 00:38:20.286827 | 25635674 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 25635674 | Athletic Physical Therapy Inc | 1977-05-04 | 2026-05-07 | M | AE | PT | SANCHEZ | R078272714M51 | DAVID | 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/2222/5549832/check_25635674_29d8052d-61a2-40d1-9c80-8904ee23ffa6.json | N/A | N/A | N/A | N/A | N/A | R078272714M51 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1977-05-04 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | DAVID | 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 | 10793679661 | N/A | N/A | 5549832 | 2222 | 4801 | 25859406 | N/A | 4219391 | 2026-05-06 00:38:20.286827 | 2025-05-13 04:29:37.230420 |
| 2026-05-05 07:18:58.529260 | 2026-05-06 00:37:36.213049 | 25635665 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25635665 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-05-07 | F | PT | N/A | ANDERSON | XDP564A24389 | ERIN | 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/2222/5549780/check_25635665_59dba63e-2f08-473b-866d-53624f1f9e5f.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 | 10793679660 | N/A | N/A | 5549780 | 2222 | 4801 | 25858201 | N/A | 4219374 | 2026-05-06 00:37:36.213049 | 2025-05-13 04:29:37.230399 |
| 2026-05-05 07:18:58.428314 | 2026-05-06 00:37:52.759974 | 25635656 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635656 | Athletic Physical Therapy Inc | 1957-05-10 | 2026-05-07 | F | AE | PT | GRIFFITH | 00000279235 | KAREN | 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/2222/5549621/check_25635656_82210119-b0ec-478c-9ee0-38b529d9a7fc.json | N/A | N/A | N/A | N/A | N/A | 00000279235 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-05-10 | H3815028 | N/A | N/A | HM | false | GRIFFITH | N/A | KAREN | N/A | N/A | 2024-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679659 | N/A | N/A | 5549621 | 2222 | 4801 | 25858608 | 2630 | 4219248 | 2026-05-06 00:37:52.759974 | 2025-05-13 04:29:37.230263 |
| 2026-05-05 07:18:58.307673 | 2026-05-06 00:37:51.327780 | 25635646 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635646 | Athletic Physical Therapy Inc | 1941-10-25 | 2026-05-08 | F | AE | PT | FERNANDEZ | 00000301109 | HERSILIA | 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/2222/5549388/check_25635646_66f5e6df-3987-4a2a-93d7-b62d3f1e59e8.json | N/A | N/A | N/A | N/A | N/A | 00000301109 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1941-10-25 | H3815051 | N/A | N/A | HM | false | FERNANDEZ | N/A | HERSILIA | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH HEART & DIABETES CHOICE (HMO C-SN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679658 | N/A | N/A | 5549388 | 2222 | 4801 | 25858576 | 2630 | 4219062 | 2026-05-06 00:37:51.327780 | 2026-04-13 21:41:57.357587 |
| 2026-05-05 07:18:58.192645 | 2026-05-06 00:37:49.377015 | 25635638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25635638 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-05-06 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_25635638_cff6937e-f584-4e69-8675-ba1392ed5f5c.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 | 10793679657 | N/A | N/A | 5549317 | 2222 | 4801 | 25858530 | N/A | 4219010 | 2026-05-06 00:37:49.377015 | 2026-01-09 18:32:07.618867 |
| 2026-05-05 07:18:58.088158 | 2026-05-06 00:37:51.727800 | 25635628 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635628 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-05-07 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | 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/2222/5548970/check_25635628_201448f5-924b-4883-aa95-c50114ada73e.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MA | false | NOGHREIAN | N/A | FLORIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 248000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679656 | N/A | N/A | 5548970 | 2222 | 4802 | 25858584 | N/A | 4218728 | 2026-05-06 00:37:51.727800 | 2025-05-13 04:29:37.229718 |
| 2026-05-05 07:18:58.001480 | 2026-05-06 00:37:45.516994 | 25635621 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635621 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-05-07 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | 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/2222/5548965/check_25635621_75542e7c-7060-41c7-88f1-787082b35505.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 152380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679655 | N/A | N/A | 5548965 | 2222 | 4802 | 25858432 | N/A | 4218725 | 2026-05-06 00:37:45.516994 | 2025-05-13 04:29:37.229715 |
| 2026-05-05 07:18:57.876211 | 2026-05-06 00:37:38.795442 | 25635613 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25635613 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-05-08 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_25635613_2d205647-412e-41df-aca5-7f6f2dc1a94a.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679654 | N/A | N/A | 5543493 | 2222 | 4793 | 25858262 | 6237 | 4215273 | 2026-05-06 00:37:38.795442 | 2025-05-13 04:29:37.229594 |
| 2026-05-05 07:18:57.778430 | 2026-05-06 00:37:54.689503 | 25635604 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635604 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-05-08 | F | AE | PT | Sankovich | 00000375069 | Deborah | 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/2222/5543396/check_25635604_5ab1ec33-f68a-447d-9925-aa5bd99caae9.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 | 10793679653 | N/A | N/A | 5543396 | 2222 | 4793 | 25858659 | 2630 | 4215193 | 2026-05-06 00:37:54.689503 | 2026-01-16 04:38:12.725481 |
| 2026-05-05 07:18:57.688447 | 2026-05-06 00:37:45.169275 | 25635592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25635592 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-05-08 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_25635592_4c85ddfd-e362-461e-9f5c-a2ad9536cff5.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10793679652 | N/A | N/A | 5543043 | 2222 | 4801 | 25858423 | N/A | 4214884 | 2026-05-06 00:37:45.169275 | 2025-11-12 00:46:10.301659 |
| 2026-05-05 07:18:57.583353 | 2026-05-06 00:37:32.695717 | 25635585 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 25635585 | override_provider | 1972-07-22 | 2026-05-07 | M | AE | PT | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_25635585_f4f12149-cd42-43e4-b983-f00afbf429f9.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679651 | N/A | N/A | 5542709 | 2222 | 4802 | 25858071 | N/A | 4214582 | 2026-05-06 00:37:32.695717 | 2025-12-02 00:00:04.433236 |
| 2026-05-05 07:18:57.477015 | 2026-05-06 00:37:49.363409 | 25635580 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25635580 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-05-08 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | 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/2222/5542318/check_25635580_64188ced-0f4a-48e6-ab0e-a936e3cad921.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10793679650 | N/A | N/A | 5542318 | 2222 | 4802 | 25858528 | N/A | 4214241 | 2026-05-06 00:37:49.363409 | 2025-05-13 04:29:37.228574 |
| 2026-05-05 07:18:57.356528 | 2026-05-06 00:37:04.218645 | 25635567 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25635567 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-05-06 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_25635567_35fb5bb2-ac04-42b2-bec4-72ba63cf5c1d.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 | 10793679649 | N/A | N/A | 5542233 | 2222 | 4793 | 25857446 | 4211 | 4214178 | 2026-05-06 00:37:04.218645 | 2025-05-13 04:29:37.228506 |
| 2026-05-05 07:18:57.242714 | 2026-05-06 00:37:53.392967 | 25635558 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 25635558 | Athletic Physical Therapy Inc | 1957-10-24 | 2026-05-08 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | 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/2222/5542046/check_25635558_2005f7dd-c1d8-4fe2-b79f-4e3159716e21.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 10793679648 | N/A | N/A | 5542046 | 2222 | 4801 | 25858627 | 2630 | 4214001 | 2026-05-06 00:37:53.392967 | 2025-05-13 04:29:37.228323 |