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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-04 07:28:45.020336 | 2026-05-04 07:28:52.986584 | 25493882 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-24 | 2026-05-04 | F | PT | 4185 | Flores | 320W19542-20 | Maricela | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19249593/check_25493882_b117943a-bbe4-40c1-92dd-478f614f9e30.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | N/A | N/A | N/A | N/A | N/A | N/A | 320W19542-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-01-24 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARICELA | N/A | N/A | 2026-05-04 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 19249593 | 2222 | N/A | N/A | N/A | 17115113 | 2026-05-04 07:28:52.986584 | 2026-04-03 22:39:35.295868 |
| 2026-05-04 07:28:44.887293 | 2026-05-04 07:28:46.758183 | 25493870 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-10 | 2026-05-04 | M | AE | 2630 | DE LA TORRE | 00000168932 | JOSE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19497119/check_25493870_722ea226-f1b6-476e-b11a-9ec41c76a54c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19497119/check_25493870_1ee35753-c1c8-4b0b-8dd0-5b7b48c03320.json | N/A | N/A | N/A | N/A | N/A | 00000168932 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-01-10 | H3815028 | N/A | N/A | HM | false | DE LA TORRE | N/A | JOSE | 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 | 10777975118 | N/A | N/A | 19497119 | 2222 | N/A | 25561702 | N/A | 17271609 | 2026-05-04 07:28:46.758183 | 2026-04-08 23:06:39.863308 |
| 2026-05-04 07:28:44.873306 | 2026-05-04 07:28:46.575343 | 25493868 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-05-04 | F | AE | 4625 | VARGAS | C4080406701 | AUXILIADORA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19492089/check_25493868_6501f321-d1fb-428c-a7f8-8b61ee7b3fec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19492089/check_25493868_f82220cf-8c2b-4c68-9a31-6524646fcfca.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777975097 | N/A | N/A | 19492089 | 2222 | N/A | 25561700 | N/A | 4210749 | 2026-05-04 07:28:46.575343 | 2026-01-29 18:21:20.298304 |
| 2026-05-04 07:28:44.803048 | 2026-05-04 07:28:46.582487 | 25493864 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-16 | 2026-05-04 | M | AE | 5538 | NOLT | 91809013F | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19424748/check_25493864_49da5367-8cc7-462b-b68a-d8fa4f10670a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19424748/check_25493864_f6279ef6-3a61-4651-97e8-8093d86847ab.json | N/A | N/A | N/A | N/A | N/A | 91809013F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1985-08-16 | MCLA | MWLLNMEG21 | N/A | N/A | false | NOLT | N/A | DAVID | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777975086 | N/A | N/A | 19424748 | 2222 | N/A | 25561699 | N/A | 17225302 | 2026-05-04 07:28:46.582487 | 2026-04-07 21:40:33.029600 |
| 2026-05-04 07:28:44.718230 | 2026-05-04 07:28:46.493571 | 25493857 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2012-04-14 | 2026-05-04 | M | AE | 5504 | SHARPE | 000022789437 | PATRICK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19360170/check_25493857_68961c3c-be77-4ce8-8e6f-2cac76b4edfe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19360170/check_25493857_ba52007e-6211-40a8-80eb-c5a1e538a6d1.json | N/A | N/A | N/A | N/A | N/A | 000022789437 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-04-14 | 4299028 | 228273 | N/A | N/A | false | SHARPE | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR SILVER DHMO 2000/65 MAY PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777975069 | N/A | N/A | 19360170 | 2222 | N/A | 25561697 | N/A | 17177665 | 2026-05-04 07:28:46.493571 | 2026-04-06 20:55:13.364223 |
| 2026-05-04 07:28:44.674594 | 2026-05-04 07:28:46.404848 | 25493855 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-05-05 | 2026-05-04 | F | PT | 4185 | Keegan | R8T223M76630 | Veronica | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19486573/check_25493855_59c94c20-9a34-42d2-a0e6-30c5dc2538bf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19486573/check_25493855_3a5e16c1-5e42-48e0-8862-ed60d6a5d3ff.json | N/A | N/A | N/A | N/A | N/A | R8T223M76630 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1980-05-05 | 040 | 174318M1A1 | N/A | PR | false | KEEGAN | N/A | VERONICA | N/A | 2026-12-31 | 2026-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777975048 | N/A | N/A | 19486573 | 2222 | N/A | 25561695 | N/A | 17261906 | 2026-05-04 07:28:46.404848 | 2026-04-08 17:45:06.587615 |
| 2026-05-04 07:28:44.673767 | 2026-05-04 07:28:46.584220 | 25493854 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-12-26 | 2026-05-04 | M | PT | 4185 | McKee | MPI10562094Q | Zachary | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19342543/check_25493854_6139af3a-fce9-48c5-82ad-1488d3f3e537.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19342543/check_25493854_8ffdb0c9-2388-493a-8061-9593821f616c.json | N/A | N/A | N/A | N/A | N/A | MPI10562094Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2015-12-26 | 040 | 277163M402 | N/A | PR | false | MCKEE | N/A | M | 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 | 10777975066 | N/A | N/A | 19342543 | 2222 | N/A | 25561698 | N/A | 17162601 | 2026-05-04 07:28:46.584220 | 2026-04-06 16:43:33.986673 |
| 2026-05-04 07:28:44.397949 | 2026-05-04 07:28:46.252439 | 25493833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-01-02 | 2026-05-04 | F | PT | 4185 | HERNANDEZ | NCF321A21996 | JUDITH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19248858/check_25493833_c0ba8e30-2e23-4206-affa-9023c514e633.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248858/check_25493833_2da21fe1-cfb5-4995-ab4a-a85537d4ed70.json | N/A | N/A | N/A | N/A | N/A | NCF321A21996 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-01-02 | 040 | 276193H001 | N/A | HM | false | HERNANDEZ | N/A | JUDITH | N/A | 9999-12-31 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777975020 | N/A | N/A | 19248858 | 2222 | N/A | 25561693 | N/A | 17114281 | 2026-05-04 07:28:46.252439 | 2026-04-24 21:39:06.960668 |
| 2026-05-04 07:28:44.372536 | 2026-05-04 07:28:46.531069 | 25493830 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-07-14 | 2026-05-04 | M | AE | 1030 | MACONE | UZ163510801 | SCOTT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19060263/check_25493830_64066feb-fe53-4442-b0b4-3d98c472e45d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19060263/check_25493830_ad2c18f3-086b-441d-9a4a-cb304a783e68.json | N/A | N/A | N/A | N/A | N/A | UZ163510801 | 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. | 1968-07-14 | 67138CA0520015-01 | N/A | N/A | N/A | false | MACONE | N/A | SCOTT | N/A | N/A | N/A | SILVER 70 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777975016 | N/A | N/A | 19060263 | 2222 | N/A | 25561694 | N/A | 17042622 | 2026-05-04 07:28:46.531069 | 2026-04-10 15:16:29.151767 |
| 2026-05-04 07:28:44.368920 | 2026-05-04 07:28:47.010667 | 25493829 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-16 | 2026-05-04 | F | PT | 4185 | Corriveau | HFD100011220104 | Tabitha | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19073381/check_25493829_58f64e6c-796b-446c-b443-ee43b85275c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | N/A | N/A | N/A | N/A | N/A | N/A | HFD100011220104 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2013-08-16 | N/A | N/A | N/A | N/A | false | CORRIVEAU | N/A | TABITHA | N/A | N/A | 2026-05-04 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 19073381 | 2222 | N/A | N/A | N/A | 17057081 | 2026-05-04 07:28:47.010667 | 2026-04-13 19:30:47.842734 |
| 2026-05-04 07:28:44.297750 | 2026-05-04 07:28:47.148978 | 25493825 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-26 | 2026-05-04 | M | AE | 5505 | STOEBER | 000019325474 | EMERSON | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19242912/check_25493825_3872bad5-b276-44df-b089-8bc3402fcbbc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19242912/check_25493825_6d9153ff-0829-4a69-b1e4-992be9255374.json | N/A | N/A | N/A | N/A | N/A | 000019325474 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2010-03-26 | 4176167 | 100950 | N/A | N/A | false | STOEBER | N/A | EMERSON | N/A | 2026-12-31 | 2026-01-01 | CITY OF LOS ANGELES CITY OF LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777975004 | N/A | N/A | 19242912 | 2222 | N/A | 25561710 | N/A | 17107826 | 2026-05-04 07:28:47.148978 | 2026-04-10 02:06:54.413479 |
| 2026-05-04 07:28:44.182039 | 2026-05-04 07:28:45.914899 | 25493817 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-05-09 | 2026-05-04 | M | PT | 4191 | GARSHA | 904505247-000 | DANIEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19072215/check_25493817_6a5494c9-b502-4be6-9fb9-bf37cc0f9c54.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19072215/check_25493817_878c4e74-c42f-4319-88e3-478cadf48202.json | N/A | N/A | N/A | N/A | N/A | XEH904505247 | Health Maintenance Organization (HMO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 1967-05-09 | 1000HMOX0001 | W0051513 | N/A | HM | false | GARSHA | N/A | DANIEL | N/A | 9999-12-31 | 2026-05-01 | FOTOKEM INDUSTRIES INC CUSTOM DENTAL 50 2000 LIFET | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777974999 | N/A | N/A | 19072215 | 2222 | N/A | 25561692 | N/A | 17055925 | 2026-05-04 07:28:45.914899 | 2026-04-06 21:51:12.612789 |
| 2026-05-04 07:28:44.136966 | 2026-05-04 07:28:45.879003 | 25493814 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-11-27 | 2026-05-04 | F | AE | 5505 | Wasawas | 000022277515 | Andrea | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/19049588/check_25493814_380a3955-9300-4fe7-bd38-7ef890889b63.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19049588/check_25493814_27296b71-8cd7-485c-8277-6c922cca4360.json | N/A | N/A | N/A | N/A | N/A | 000022277515 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1993-11-27 | 4350080 | 102605 | N/A | N/A | false | WASAWAS | N/A | ANDREA | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UC IRVINE - MED CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974997 | N/A | N/A | 19049588 | 2222 | N/A | 25561691 | N/A | 17030719 | 2026-05-04 07:28:45.879003 | 2026-04-13 15:49:27.615492 |
| 2026-05-04 07:28:44.104701 | 2026-05-04 07:28:45.868962 | 25493812 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-18 | 2026-05-04 | M | AE | 4497 | GREEN | 1RT1HE3RR06 | PATRICK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18837892/check_25493812_ada513c4-a80e-4c29-90e6-bbfccdc43606.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18837892/check_25493812_11b846a4-2fe4-43b6-ab4b-8c27c1fb8a53.json | N/A | N/A | N/A | N/A | N/A | 1RT1HE3RR06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-18 | S4802 | N/A | N/A | MA | false | GREEN | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 83703 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974994 | N/A | N/A | 18837892 | 2222 | N/A | 25561690 | N/A | 16813949 | 2026-05-04 07:28:45.868962 | 2026-03-31 19:01:10.524839 |
| 2026-05-04 07:28:44.081469 | 2026-05-04 07:28:45.816062 | 25493806 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-04-07 | 2026-05-04 | M | AE | 3948 | Benson | W241108199 | Charles | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18897636/check_25493806_f5c50283-1389-4b19-aea3-39326a715b71.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_25493806_24167938-6177-4464-8b85-5a2549c3d73b.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974983 | N/A | N/A | 18897636 | 2222 | N/A | 25561688 | N/A | 16883637 | 2026-05-04 07:28:45.816062 | 2026-04-06 22:06:37.386389 |
| 2026-05-04 07:28:44.053102 | 2026-05-04 07:28:45.849082 | 25493803 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-06-01 | 2026-05-04 | F | AE | 4497 | Velazquez | 2YV3K80NR70 | Victoria | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18969574/check_25493803_55058976-dbfc-426a-8918-a8900715a163.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18969574/check_25493803_1edea128-d797-4618-9481-51f5e237ae30.json | N/A | N/A | N/A | N/A | N/A | 2YV3K80NR70 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-06-01 | S4802 | N/A | N/A | MA | false | VELAZQUEZ | N/A | VICTORIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 150955 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974988 | N/A | N/A | 18969574 | 2222 | N/A | 25561689 | N/A | 14926242 | 2026-05-04 07:28:45.849082 | 2026-03-06 18:16:10.395182 |
| 2026-05-04 07:28:43.933439 | 2026-05-04 07:28:48.733074 | 25493793 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-01-16 | 2026-05-04 | F | AE | 3948 | Tumas | W208899907 | Marina | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18777299/check_25493793_2580f50e-652e-4ec3-b6f8-bc38944800bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18777299/check_25493793_b8de9767-e5b7-47a7-a672-c479f006b30b.json | N/A | N/A | N/A | N/A | N/A | W208899907 | Health Maintenance Organization (HMO) | GENE FONG ASSOCIATES | AETNA | N/A | 1983-01-16 | EADPFC01 | 072219203500017 | N/A | HM | false | TUMAS | N/A | MARINA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO GOLD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974965 | N/A | N/A | 18777299 | 2222 | N/A | 25561723 | N/A | 16750601 | 2026-05-04 07:28:48.733074 | 2026-03-26 23:59:30.103152 |
| 2026-05-04 07:28:43.568831 | 2026-05-04 07:28:52.572029 | 25493769 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-13 | 2026-05-04 | M | AE | 5503 | LIBERMAN | 000022717735 | ANDREW | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18775389/check_25493769_d9698d7e-f000-4baa-8bfc-1cc970f8c594.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775389/check_25493769_07f96d42-bbd1-4574-98c7-97073164aab4.json | N/A | N/A | N/A | N/A | N/A | 000022717735 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1950-04-13 | 4378810 | 1650095002 | N/A | N/A | false | LIBERMAN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | SPECIAL NEEDS PLAN SCR SPECIAL NEEDS PLAN SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974928 | N/A | N/A | 18775389 | 2222 | N/A | 25561755 | N/A | 16749367 | 2026-05-04 07:28:52.572029 | 2026-03-26 23:17:06.136103 |
| 2026-05-04 07:28:43.549168 | 2026-05-04 07:28:46.500916 | 25493766 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2026-05-04 | F | AE | 6237 | NAVARRO | 40054242701 | SYLVIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18615862/check_25493766_15632163-7cc1-4921-8a54-a331045eb548.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18615862/check_25493766_d1f7abeb-c9f8-48fc-bb60-594890c02549.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 | 10777974923 | N/A | N/A | 18615862 | 2222 | N/A | 25561696 | N/A | 5788735 | 2026-05-04 07:28:46.500916 | 2025-07-09 16:24:26.907790 |
| 2026-05-04 07:28:43.540083 | 2026-05-04 07:28:53.500152 | 25493765 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-02-19 | 2026-05-04 | F | AE | 3948 | KOVACEVICH | W277953978-03 | DANIELLE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18394146/check_25493765_530ce6d0-fadf-402a-87a8-546353e17ed7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_25493765_81c6a2f9-a316-4c88-8a45-64b3cb8770ad.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | 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 | 10777974921 | N/A | N/A | 18394146 | 2222 | N/A | 25561769 | N/A | 16398404 | 2026-05-04 07:28:53.500152 | 2026-03-30 15:35:26.924597 |
| 2026-05-04 07:28:43.381202 | 2026-05-04 07:28:45.110091 | 25493751 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-15 | 2026-05-04 | F | AE | 5505 | Adams | 000008863593 | Toni | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_25493751_84a7e406-a32e-4b6d-acf5-c6de5b274a2b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_25493751_f120d227-c484-4298-87b2-21fb6bec664b.json | N/A | N/A | N/A | N/A | N/A | 000008863593 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1963-01-15 | 4308537 | 105705 | N/A | N/A | false | ADAMS | N/A | TONI | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974901 | N/A | N/A | 18427607 | 2222 | N/A | 25561683 | N/A | 16428516 | 2026-05-04 07:28:45.110091 | 2026-03-20 01:42:19.868288 |
| 2026-05-04 07:28:43.261464 | 2026-05-04 07:28:47.952174 | 25493742 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-18 | 2026-05-04 | F | AE | 3948 | THEODORE | 101217709600 | DAWN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386671/check_25493742_58b63e7e-f6e4-40f5-b0fa-34350b2d9cd1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386671/check_25493742_6dfafb10-616a-4963-82d6-16f69934af78.json | N/A | N/A | N/A | N/A | N/A | 101217709600 | Preferred Provider Organization (PPO) | UNITED AIRLINES - MA | AETNA | MEDICARE | 1956-06-18 | 100117-02EG0001 | 100117-02 | N/A | PR | false | THEODORE | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | MEDICARE ADV ESA PPO PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974885 | N/A | N/A | 18386671 | 2222 | N/A | 25561713 | N/A | 16392709 | 2026-05-04 07:28:47.952174 | 2026-03-19 17:41:51.337704 |
| 2026-05-04 07:28:42.958374 | 2026-05-04 07:28:46.677434 | 25493719 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-22 | 2026-05-04 | F | PT | 4184 | Noshi | KAE820275362 | Lisa | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18274089/check_25493719_81622e54-d372-4bcc-8535-46cdefe9e3de.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18274089/check_25493719_0a344f6e-a24c-46f8-b786-2c9923a2d574.json | N/A | N/A | N/A | N/A | N/A | KAE820275362 | Preferred Provider Organization (PPO) | PPO DED PLAN 600 SMA | ANTHEM BLUE CROSS | N/A | 1969-07-22 | N/A | 016260 | N/A | PR | false | NOSHI | N/A | LISA | N/A | 9999-12-31 | 2014-07-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777974868 | N/A | N/A | 18274089 | 2222 | N/A | 25561701 | N/A | 16288996 | 2026-05-04 07:28:46.677434 | 2026-03-17 22:30:09.889822 |
| 2026-05-04 07:28:42.906324 | 2026-05-04 07:28:44.630565 | 25493715 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-05-04 | F | PT | 4185 | Amstutz | 396W12867-40 | Lauren | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_25493715_e0e5e28b-caac-4d14-a7a8-df5dd6ed6405.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_25493715_d4e0dad2-ac00-4e46-b1ee-94c38c8a4762.json | N/A | N/A | N/A | N/A | N/A | 396W12867-40 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-07-22 | N/A | N/A | N/A | N/A | false | AMSTUTZ | N/A | LAUREN | N/A | N/A | 2026-05-04 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16765713 | 2222 | N/A | 25561678 | N/A | 14776656 | 2026-05-04 07:28:44.630565 | 2026-02-10 18:58:53.303852 |
| 2026-05-04 07:28:42.884169 | 2026-05-04 07:28:44.653073 | 25493713 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-20 | 2026-05-04 | F | AE | 5505 | Durant | 000008717870 | Jovanna | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18270267/check_25493713_240a31d9-8596-414b-8679-9335ae6242b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_25493713_ccf54ee1-f32e-4e5b-9325-6cf783d6ad73.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 S.E.I | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974858 | N/A | N/A | 18270267 | 2222 | N/A | 25561676 | N/A | 16284557 | 2026-05-04 07:28:44.653073 | 2026-03-22 16:36:56.176369 |
| 2026-05-04 07:28:42.862435 | 2026-05-04 07:28:45.594766 | 25493711 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-25 | 2026-05-04 | M | AE | 5505 | Yu | 000024627010 | Tony | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18212270/check_25493711_0d1cc3f1-5d6a-427a-ae76-7c017b4fda8c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18212270/check_25493711_11828cc7-175e-4738-9cdb-968bab9382af.json | N/A | N/A | N/A | N/A | N/A | 000024627010 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-12-25 | 4301956 | 103000 | N/A | N/A | false | YU | N/A | TONY | N/A | 2026-12-31 | 2026-01-01 | INTER REG'L NO. CAL. MBRS RES SC A-INTERREG-NCR MB | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974855 | N/A | N/A | 18212270 | 2222 | N/A | 25561686 | N/A | 16227346 | 2026-05-04 07:28:45.594766 | 2026-03-16 21:19:44.202073 |
| 2026-05-04 07:28:42.676656 | 2026-05-04 07:28:47.559159 | 25493695 | N/A | N/A | 12115 | TriWest VA CCN Region 4 (TWVACCN) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-08-17 | 2026-05-04 | M | AE | 3536 | MOORE | 1031444015V742597 | NICOLAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/18091675/check_25493695_e431bbf2-06eb-467c-afc0-32e69de29e28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18091675/check_25493695_efe86b16-c55e-4e79-a2bb-5faadb3e3161.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 | 10777974829 | N/A | N/A | 18091675 | 2222 | N/A | 25561711 | N/A | 16115969 | 2026-05-04 07:28:47.559159 | 2026-03-13 20:43:21.494280 |
| 2026-05-04 07:28:42.665846 | 2026-05-04 07:28:52.664411 | 25493694 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-27 | 2026-05-04 | M | 30 | 6237 | WEST | 40065315001 | KIRK | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/18198006/check_25493694_19725ffb-ebde-4588-a869-0138e93a0551.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18198006/check_25493694_c227a69a-db5e-4456-bb3e-229dea588b76.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-06-27 | 2026H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10777974839 | N/A | N/A | 18198006 | 2222 | N/A | 25561757 | N/A | 10033486 | 2026-05-04 07:28:52.664411 | 2025-11-04 21:34:59.842331 |
| 2026-05-04 07:28:42.495330 | 2026-05-04 07:28:44.421610 | 25493683 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-13 | 2026-05-04 | F | AE | 23323 | CHUN | ICA068643 | LINDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579154/check_25493683_80529128-ffd0-4d6f-bc6d-610063804edb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579154/check_25493683_9ab26672-8c11-4ad1-8932-6532743ced33.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 | 2026-05-04 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16579154 | 2222 | N/A | 25561675 | N/A | 14597301 | 2026-05-04 07:28:44.421610 | 2026-02-06 23:30:42.528802 |
| 2026-05-04 07:28:42.482167 | 2026-05-04 07:28:44.226431 | 25493680 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-06 | 2026-05-04 | F | AE | 4497 | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17961735/check_25493680_366764eb-a50a-4b60-a744-3d755493fe70.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_25493680_bd60be6a-9d51-47f8-ad50-40879e334b77.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 141169 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974806 | N/A | N/A | 17961735 | 2222 | N/A | 25561673 | N/A | 15883502 | 2026-05-04 07:28:44.226431 | 2026-03-11 00:48:56.434845 |
| 2026-05-04 07:28:42.367003 | 2026-05-04 07:28:44.227460 | 25493672 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-05-04 | F | AE | 179129 | MULLEN | 96337043G | MELANIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_25493672_05b3e78e-5299-4e1f-9319-7f42f8f79088.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_25493672_2730b447-09de-444a-a12a-0296502e740d.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | 2026-05-04 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16579498 | 2222 | N/A | 25561672 | N/A | 14597625 | 2026-05-04 07:28:44.227460 | 2026-02-09 19:54:47.612972 |
| 2026-05-04 07:28:42.359139 | 2026-05-04 07:28:45.315066 | 25493671 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2026-05-04 | F | AE | 6411 | Barrientos | 958247698-00 | Antoniette | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17540931/check_25493671_4de19bd4-addf-4fcf-82b7-e2e82c914257.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_25493671_c8535e13-9fb6-4e03-99f3-34585e254e45.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974797 | N/A | N/A | 17540931 | 2222 | N/A | 25561684 | N/A | 15585907 | 2026-05-04 07:28:45.315066 | 2026-03-09 18:22:22.279915 |
| 2026-05-04 07:28:42.357207 | 2026-05-04 07:28:44.063624 | 25493670 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-01-17 | 2026-05-04 | F | AE | 4497 | FLEMING | 1R95FV2XE71 | LORIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17944211/check_25493670_f9a1ee8a-3f7d-4ca8-bccf-d95340e61ec5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_25493670_d1d68336-7744-4aa4-b42d-f9030a409d44.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MB | false | FLEMING | N/A | LORIE | N/A | 2026-03-31 | 2026-01-01 | N/A | N/A | N/A | 58582 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974792 | N/A | N/A | 17944211 | 2222 | N/A | 25561667 | N/A | 15983370 | 2026-05-04 07:28:44.063624 | 2026-03-16 17:56:49.633280 |
| 2026-05-04 07:28:42.355308 | 2026-05-04 07:28:44.152203 | 25493669 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-07-23 | 2026-05-04 | F | AE | 5538 | Latty | 93805163F | Maura | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17826505/check_25493669_9829ecef-ce87-423f-96ea-a7a437e36d06.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_25493669_8305e878-3ee8-45e4-8202-d563b532b1aa.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974796 | N/A | N/A | 17826505 | 2222 | N/A | 25561670 | N/A | 15870859 | 2026-05-04 07:28:44.152203 | 2026-03-16 15:31:01.741367 |
| 2026-05-04 07:28:42.333769 | 2026-05-04 07:28:49.171393 | 25493666 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-05 | 2026-05-04 | F | AE | 4625 | BLUEROSE | 92521676F | KYRINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17939188/check_25493666_4eef102a-baa6-46d4-b651-51acff788858.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17939188/check_25493666_e99d79d0-143e-48c8-902e-417c95ebf9fc.json | N/A | N/A | N/A | N/A | N/A | 92521676F | N/A | N/A | HEALTH NET, LLC | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | N/A | 2026-03-31 | 2024-10-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974787 | N/A | N/A | 17939188 | 2222 | N/A | 25561729 | N/A | 4214558 | 2026-05-04 07:28:49.171393 | 2026-03-07 00:55:14.494391 |
| 2026-05-04 07:28:42.251555 | 2026-05-04 07:28:43.925758 | 25493658 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-26 | 2026-05-04 | F | AE | 5538 | Tadmor | 99113784F | Lisa | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17749411/check_25493658_bcec1933-9fb3-46cc-866f-93c861afa237.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_25493658_8806a234-f23a-456a-a8bc-99a95d11ec0f.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974769 | N/A | N/A | 17749411 | 2222 | N/A | 25561666 | N/A | 15798656 | 2026-05-04 07:28:43.925758 | 2026-03-07 00:12:23.548270 |
| 2026-05-04 07:28:42.183237 | 2026-05-04 07:28:44.149526 | 25493656 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-06 | 2026-05-04 | M | AE | 4211 | Tatum | 97633918F | Tatum | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17509843/check_25493656_8d6934ea-aa03-4ea6-9efb-015f052545bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_25493656_67140be0-9feb-49fc-af11-5b4dee844542.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974776 | N/A | N/A | 17509843 | 2222 | N/A | 25561669 | N/A | 15524188 | 2026-05-04 07:28:44.149526 | 2026-03-03 00:12:08.668405 |
| 2026-05-04 07:28:42.174234 | 2026-05-04 07:28:43.874089 | 25493654 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2026-05-04 | M | AE | 4211 | SHRIVER | 8300000159953 | DANIEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17744755/check_25493654_e74eb78a-1225-4254-b760-b7710ef73b09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_25493654_ca830e03-481f-453f-81e1-a1cf8e02feb3.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974765 | N/A | N/A | 17744755 | 2222 | N/A | 25561665 | N/A | 4213934 | 2026-05-04 07:28:43.874089 | 2026-01-27 23:36:44.802366 |
| 2026-05-04 07:28:42.170103 | 2026-05-04 07:28:44.469532 | 25493653 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-05-04 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_25493653_7ab80f8b-1513-4ff7-ad5b-21e02f396a8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_25493653_7eb8940a-ea8c-472c-9a03-74d4466ab178.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 2026-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777974780 | N/A | N/A | 17346208 | 2222 | N/A | 25561674 | N/A | 15356693 | 2026-05-04 07:28:44.469532 | 2026-02-25 22:30:35.848496 |
| 2026-05-04 07:28:42.148461 | 2026-05-04 07:28:44.916180 | 25493649 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-04-08 | 2026-05-04 | F | AE | 5349 | HILL | H96403611 | KAREN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17641125/check_25493649_098947d1-f7e8-404b-983c-46c7996393f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_25493649_17f65fdf-7d9e-441c-8558-e9ad9076bacb.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974766 | N/A | N/A | 17641125 | 2222 | N/A | 25561680 | N/A | 4213760 | 2026-05-04 07:28:44.916180 | 2026-03-23 22:17:45.263893 |
| 2026-05-04 07:28:42.105333 | 2026-05-04 07:28:44.836773 | 25493647 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-05 | 2026-05-04 | F | AE | 4497 | MILLER | 2nn1kp9mk97 | PEGGY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17663491/check_25493647_fc9ff167-8b0b-4a6b-b468-867cfa97e463.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_25493647_3baec292-1e6c-40a2-ae48-09bbe8971626.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 | 10777974750 | N/A | N/A | 17663491 | 2222 | N/A | 25561679 | N/A | 4213453 | 2026-05-04 07:28:44.836773 | 2025-05-13 04:29:37.227772 |
| 2026-05-04 07:28:42.081196 | 2026-05-04 07:28:43.810391 | 25493646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-02-25 | 2026-05-04 | F | PT | 4184 | Jimenez | MPI30060766Q | Arabelle | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17497004/check_25493646_fe73fc85-ddd0-4a3b-aebd-2de0c2f3ee84.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_25493646_fd226172-0573-4c3c-a92a-5ecf51d90941.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | 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 | 10777974747 | N/A | N/A | 17497004 | 2222 | N/A | 25561664 | N/A | 15511990 | 2026-05-04 07:28:43.810391 | 2026-03-02 20:39:57.609466 |
| 2026-05-04 07:28:41.865207 | 2026-05-04 07:28:45.150222 | 25493629 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-05-04 | M | PT | 4185 | Gibson | BGM8530851CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_25493629_bd843bb3-c8e7-42c5-ae3b-a6375b43ebf9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_25493629_856c9349-db62-469f-93d4-8e1cfdb28a9e.json | N/A | N/A | N/A | N/A | N/A | BGM8530851CH | Preferred Provider Organization (PPO) | BLOOM ENERGY CORPORATION | ANTHEM BLUE CROSS | N/A | 1984-10-11 | 040 | 281424M003 | N/A | PR | false | GIBSON | N/A | PAUL | 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 | 10777974743 | N/A | N/A | 17087478 | 2222 | N/A | 25561681 | N/A | 15079139 | 2026-05-04 07:28:45.150222 | 2026-03-03 01:53:25.910380 |
| 2026-05-04 07:28:41.816598 | 2026-05-04 07:28:44.656616 | 25493626 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-09 | 2026-05-04 | M | AE | 2630 | HINTZ | 00000306882 | THOMAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17287303/check_25493626_cba70846-e1d0-4c0f-8146-925932af4580.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287303/check_25493626_8f8301ca-91be-419f-a38f-31ba31fe821b.json | N/A | N/A | N/A | N/A | N/A | 00000306882 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-09 | H3815028 | N/A | N/A | HM | false | HINTZ | N/A | THOMAS | 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 | 10777974734 | N/A | N/A | 17287303 | 2222 | N/A | 25561677 | N/A | 15305290 | 2026-05-04 07:28:44.656616 | 2026-02-24 20:11:50.485490 |
| 2026-05-04 07:28:41.808090 | 2026-05-04 07:28:43.561242 | 25493625 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-04-29 | 2026-05-04 | M | AE | 5505 | Nguyen | 000025947427 | Taylor | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17435550/check_25493625_7989fca5-21d5-46f1-9146-9ad559bf6d22.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_25493625_b4c9217c-673b-473f-af55-3b7f867ee636.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | 2026-12-31 | 2026-01-01 | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974727 | N/A | N/A | 17435550 | 2222 | N/A | 25561662 | N/A | 15447177 | 2026-05-04 07:28:43.561242 | 2026-02-27 22:36:21.536137 |
| 2026-05-04 07:28:41.798800 | 2026-05-04 07:28:45.528092 | 25493624 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-17 | 2026-05-04 | M | AE | 6411 | Bischoff | 8901968-01 | Marc | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17493013/check_25493624_414331dd-0f00-467c-aa4b-25770b5b0ae2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_25493624_e58cb4ad-1d41-4957-bef3-d02dbbd0bfa3.json | N/A | N/A | N/A | N/A | N/A | 890196801 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1960-03-17 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | MARC | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974723 | N/A | N/A | 17493013 | 2222 | N/A | 25561685 | N/A | 15508155 | 2026-05-04 07:28:45.528092 | 2026-03-09 16:11:53.480346 |
| 2026-05-04 07:28:41.764903 | 2026-05-04 07:28:43.471333 | 25493622 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-23 | 2026-05-04 | M | AE | 5538 | Naito | 93614355F | Arthur | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17429709/check_25493622_b00ff312-84d0-4002-8ba0-d05f741d76df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17429709/check_25493622_d43ca146-2084-441c-a235-2d19d7d0ed25.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974717 | N/A | N/A | 17429709 | 2222 | N/A | 25561661 | N/A | 15440773 | 2026-05-04 07:28:43.471333 | 2026-02-27 19:52:08.982558 |
| 2026-05-04 07:28:41.712499 | 2026-05-04 07:28:43.516929 | 25493616 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-05-04 | F | AE | 4497 | MOLAYEM | 1FP8YH1EQ32 | JILLA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17392566/check_25493616_00be9173-2805-4a1f-a30a-bf3467efd226.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17392566/check_25493616_669790d8-1891-409c-9bfd-e615ca2ac29e.json | N/A | N/A | N/A | N/A | N/A | 1FP8YH1EQ32 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-24 | S5617 | N/A | N/A | MB | false | MOLAYEM | N/A | JILLA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 235117 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974704 | N/A | N/A | 17392566 | 2222 | N/A | 25561660 | N/A | 14498125 | 2026-05-04 07:28:43.516929 | 2026-03-11 14:35:29.812051 |
| 2026-05-04 07:28:41.592078 | 2026-05-04 07:28:43.296622 | 25493609 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-22 | 2026-05-04 | F | AE | 3948 | Clarke | W295118204 | Rebecca | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17287671/check_25493609_1c394716-caf5-4fe3-862c-be62e2d58ee5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_25493609_29222888-5646-4ae8-98f7-885c47eee3ab.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777974686 | N/A | N/A | 17287671 | 2222 | N/A | 25561658 | N/A | 15305664 | 2026-05-04 07:28:43.296622 | 2026-02-24 17:22:14.995942 |
| 2026-05-04 07:28:41.535821 | 2026-05-04 07:28:43.325844 | 25493602 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-05-04 | F | PT | 4184 | HOLLAND | YVA250263382 | KELSEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_25493602_b24cafd2-ba51-429d-8396-353e61a97aaa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-05-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_25493602_f67b1194-6005-4ec3-8cb2-60d6853bae3d.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777974678 | N/A | N/A | 17257631 | 2222 | N/A | 25561657 | N/A | 15275187 | 2026-05-04 07:28:43.325844 | 2026-02-23 23:05:07.406692 |