API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-18 09:05:55.983944 | 2025-07-19 02:10:28.067853 | 9950374 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9950374 | Athletic Physical Therapy Inc | 1998-05-22 | 2025-07-21 | M | PT | HAFNER | JQV598W06257 | DYLAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541976/check_9950374_370f1558-1693-4954-b867-d79a2695b0df.json | N/A | N/A | N/A | N/A | N/A | JQV598W06257 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-05-22 | N/A | N/A | N/A | N/A | false | HAFNER | N/A | DYLAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355512 | N/A | N/A | 5541976 | 2222 | 4793 | 9719202 | N/A | 4213943 | 2025-07-19 02:10:28.067853 | 2025-05-13 04:29:37.228261 |
| 2025-07-18 09:05:55.782028 | 2025-07-19 02:10:29.322490 | 9950365 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9950365 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-07-21 | M | AE | YEE | 412922301 | HARRY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_9950365_6709be71-eb48-427e-a265-362f4cae3268.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355511 | N/A | N/A | 5541972 | 2222 | 4793 | 9719243 | N/A | 4213941 | 2025-07-19 02:10:29.322490 | 2025-05-13 04:29:37.228259 |
| 2025-07-18 09:05:55.546573 | 2025-07-19 02:20:27.721337 | 9950352 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9950352 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-07-21 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9950352_7f245a57-fe87-45cc-88e4-f9f040693958.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355510 | N/A | N/A | 5541944 | 2222 | 4801 | 9729969 | 4184 | 4213907 | 2025-07-19 02:20:27.721337 | 2025-05-13 04:29:37.228228 |
| 2025-07-18 09:05:55.373273 | 2025-07-19 02:20:36.427002 | 9950345 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9950345 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-07-21 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9950345_efbf67a0-c209-4bab-8179-e902f5e50f09.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355509 | N/A | N/A | 5541917 | 2222 | 4793 | 9730050 | N/A | 4213891 | 2025-07-19 02:20:36.427002 | 2025-05-13 04:29:37.228207 |
| 2025-07-18 09:05:55.235859 | 2025-07-19 02:10:27.188255 | 9950337 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9950337 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-21 | F | PT | GARCIA | NCF666A56083 | DAWN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9950337_94be9b9b-405a-4510-aad2-51380015aa32.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355508 | N/A | N/A | 5541664 | 2222 | 4793 | 9719182 | N/A | 4213662 | 2025-07-19 02:10:27.188255 | 2025-05-13 04:29:37.227982 |
| 2025-07-18 09:05:55.028098 | 2025-07-19 02:21:47.085142 | 9950330 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9950330 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-07-21 | M | PT | TOHLCHINSKY | XEA901508061 | MICHAEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9950330_ceb5970a-aea5-4cd4-9221-4076d8b35206.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 9999-12-31 | 2016-12-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355507 | N/A | N/A | 5541542 | 2222 | 4793 | 9730595 | N/A | 4213542 | 2025-07-19 02:21:47.085142 | 2025-06-03 22:12:38.498592 |
| 2025-07-18 09:05:54.853815 | 2025-07-19 02:10:20.719648 | 9950319 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9950319 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-07-21 | M | AE | FARAHMAND | 91957675E | ALEX | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_9950319_234b902e-bb60-4c16-a291-af6ff6746ea4.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355505 | N/A | N/A | 5541163 | 2222 | 4802 | 9718998 | N/A | 4213207 | 2025-07-19 02:10:20.719648 | 2025-05-13 04:29:37.227536 |
| 2025-07-18 09:05:54.491937 | 2025-07-19 02:13:06.708614 | 9950304 | N/A | N/A | 60054 | Aetna | 1114042165 | 9950304 | Athletic Physical Therapy Inc | 1959-03-07 | 2025-07-21 | F | AE | AFSHAR | W225594564 | NAZFAR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_9950304_9e3b5a51-43e6-470c-85c8-81311f9ae347.json | N/A | N/A | N/A | N/A | N/A | W225594564 | N/A | N/A | AETNA | N/A | 1959-03-07 | 0803677 | 080367701200001 | N/A | N/A | false | AFSHAR | N/A | NAZFAR | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355504 | N/A | N/A | 5541142 | 2222 | 4802 | 9723118 | N/A | 4213197 | 2025-07-19 02:13:06.708614 | 2025-06-03 05:25:30.972895 |
| 2025-07-18 09:05:54.224338 | 2025-07-19 02:10:17.771179 | 9950294 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9950294 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-07-21 | F | AE | BENDAVID | 95318118F | TALIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9950294_bce31543-38a8-4177-8e64-fc7922f289e2.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355503 | N/A | N/A | 5540893 | 2222 | 4793 | 9718937 | N/A | 4212979 | 2025-07-19 02:10:17.771179 | 2025-06-04 21:11:15.590634 |
| 2025-07-18 09:05:54.060085 | 2025-07-19 02:27:56.427977 | 9950287 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9950287 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-07-21 | M | AE | DASILVA | 4KY4HX3NJ05 | BOB | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9950287_dfcc8471-6d9f-49cf-b19f-f2bc4147223f.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MA | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355502 | N/A | N/A | 5540840 | 2222 | 4793 | 9733601 | N/A | 4212930 | 2025-07-19 02:27:56.427977 | 2025-05-13 04:29:37.227258 |
| 2025-07-18 09:05:53.809189 | 2025-07-19 02:20:32.758881 | 9950275 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9950275 | Athletic Physical Therapy Inc | 1967-09-15 | 2025-07-21 | M | PT | HELLER | XDL463A68495 | MATT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_9950275_47906883-0b08-447c-a6f4-64d0fcadc89f.json | N/A | N/A | N/A | N/A | N/A | XDL463A68495 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1967-09-15 | 040 | Z13100 | N/A | PR | false | HELLER | N/A | MATTHEW | N/A | 9999-12-31 | 2009-08-01 | LUMENOS HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355501 | N/A | N/A | 5540316 | 2222 | 4793 | 9730015 | N/A | 4212462 | 2025-07-19 02:20:32.758881 | 2025-06-24 20:27:22.939881 |
| 2025-07-18 09:05:53.593603 | 2025-07-19 02:20:28.255909 | 9950264 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9950264 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-07-21 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_9950264_a6288f14-4c3f-49a0-a8f5-17fa5f1a6ded.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355500 | N/A | N/A | 5540074 | 2222 | 4802 | 9729975 | N/A | 4212282 | 2025-07-19 02:20:28.255909 | 2025-05-13 04:29:37.226623 |
| 2025-07-18 09:05:53.383765 | 2025-07-19 02:20:38.569080 | 9950252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9950252 | Athletic Physical Therapy Inc | 1968-12-03 | 2025-07-21 | F | PT | YANG | FJB27468841M | JINING | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9950252_f3a1a484-2d42-4b37-994f-8eb47c9b4fa5.json | N/A | N/A | N/A | N/A | N/A | FJB27468841M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1968-12-03 | 101 | 174549M311 | N/A | PR | false | YANG | N/A | JINING | N/A | 9999-12-31 | 2021-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355499 | N/A | N/A | 5539727 | 2222 | 4793 | 9730068 | N/A | 4211988 | 2025-07-19 02:20:38.569080 | 2025-07-02 16:33:22.389736 |
| 2025-07-18 09:05:53.195445 | 2025-07-19 02:10:22.943651 | 9950238 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9950238 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-07-21 | F | AE | WENSEL | 40065419401 | KAREN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9950238_f0d67824-28a5-4441-a493-4d784d3bd9f9.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355498 | N/A | N/A | 5539718 | 2222 | 4793 | 9719067 | N/A | 4211977 | 2025-07-19 02:10:22.943651 | 2025-05-13 04:29:37.226299 |
| 2025-07-18 09:05:53.009094 | 2025-07-19 02:18:20.418320 | 9950230 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9950230 | N/A | 1958-02-11 | 2025-07-21 | F | AE | LEVESQUE | 097A2439020 | JACQUELINE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_9950230_ab4c9837-f949-46b7-ba46-a5f80dd0f32b.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355497 | N/A | N/A | 5539382 | 2222 | 4793 | 9728784 | N/A | 4211704 | 2025-07-19 02:18:20.418320 | 2025-06-06 23:08:42.876895 |
| 2025-07-18 09:05:52.855110 | 2025-07-19 02:16:22.684467 | 9950221 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9950221 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-07-21 | F | AD | CHUNG | U8197480201 | KRISTINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9950221_29f24d62-0fe2-477a-8c78-fd72def67206.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8297355496 | N/A | N/A | 5539237 | 2222 | 4802 | 9727360 | N/A | 4211568 | 2025-07-19 02:16:22.684467 | 2025-05-13 04:29:37.225900 |
| 2025-07-18 09:05:52.384298 | 2025-07-19 02:20:30.852290 | 9950193 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9950193 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-07-21 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_9950193_a4201e79-0955-4a2f-8319-4a57f264d3c9.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355494 | N/A | N/A | 5538693 | 2222 | 4793 | 9729999 | N/A | 4211081 | 2025-07-19 02:20:30.852290 | 2025-05-13 04:29:37.225492 |
| 2025-07-18 09:05:52.244260 | 2025-07-19 02:21:48.865786 | 9950187 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9950187 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-07-21 | M | PT | WARD | XED913389013 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9950187_9ff86dbf-308e-414a-aad8-326ff0b576a4.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355493 | N/A | N/A | 5538129 | 2222 | 4802 | 9730607 | N/A | 4210590 | 2025-07-19 02:21:48.865786 | 2025-05-13 04:29:37.225004 |
| 2025-07-18 09:05:52.083694 | 2025-07-19 02:22:10.292529 | 9950178 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9950178 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-07-21 | M | PT | RITENOUR | NCF553A20679 | TIM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9950178_a6acf582-7dee-400a-b4f2-c7b2186c4089.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355492 | N/A | N/A | 5537911 | 2222 | 4793 | 9730771 | N/A | 4210415 | 2025-07-19 02:22:10.292529 | 2025-06-11 20:40:26.862752 |
| 2025-07-18 09:05:51.803681 | 2025-07-19 02:22:10.893307 | 9950165 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9950165 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-07-21 | F | PT | SONDREAAL | WMC125993776001 | DIANE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_9950165_cb993606-33d1-49fb-a469-ce4e01cd9582.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297355491 | N/A | N/A | 5536323 | 2222 | 4793 | 9730776 | N/A | 4209086 | 2025-07-19 02:22:10.893307 | 2025-05-13 04:29:37.223507 |
| 2025-07-18 09:05:51.482339 | 2025-07-19 02:27:57.397961 | 9950146 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9950146 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-21 | F | AE | ELDRIDGE | 2XD1AM4AP01 | MARGARET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9950146_763e86a6-f619-45b5-b39a-40eb2750e0a6.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355490 | N/A | N/A | 5536109 | 2222 | 4793 | 9733612 | N/A | 4208915 | 2025-07-19 02:27:57.397961 | 2025-07-25 17:30:46.084330 |
| 2025-07-18 09:05:51.260070 | 2025-07-19 02:20:02.417320 | 9950129 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9950129 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-07-21 | M | AE | CHISARI | 00000386684 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_9950129_84baa96f-4c85-4cd4-a0d1-bf15774994b8.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355489 | N/A | N/A | 5536007 | 2222 | 4793 | 9729753 | N/A | 4208829 | 2025-07-19 02:20:02.417320 | 2025-06-03 01:05:45.663969 |
| 2025-07-18 09:05:50.934160 | 2025-07-19 02:02:51.916869 | 9950117 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9950117 | Athletic Physical Therapy Inc | 1960-02-12 | 2025-07-21 | F | AE | MAJEED | 94883653800 | MARY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6613631/check_9950117_cd7c71b7-1b5a-420a-a433-ad6ccb63cb19.json | N/A | N/A | N/A | N/A | N/A | 94883653800 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1960-02-12 | N/A | N/A | N/A | N/A | false | MAJEED | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297333530 | N/A | N/A | 6613631 | 2222 | 4793 | 9710888 | N/A | 5232379 | 2025-07-19 02:02:51.916869 | 2025-07-03 16:30:13.139077 |
| 2025-07-18 09:05:50.918361 | 2025-07-19 02:10:22.269951 | 9950115 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9950115 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-07-21 | F | AE | RYAN | 31026142401 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9950115_95ff1cf1-3a7a-4ded-938b-d83200045d56.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297355488 | N/A | N/A | 5535455 | 2222 | 4793 | 9719049 | N/A | 4208375 | 2025-07-19 02:10:22.269951 | 2025-08-08 21:08:12.459471 |
| 2025-07-18 09:05:46.269178 | 2025-07-19 02:08:45.880089 | 9949911 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9949911 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-07-21 | F | PT | BARRERA | XEH903389121 | LOLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9949911_f49ae7c0-5022-4661-8ef8-484b9ec9447a.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297333511 | N/A | N/A | 6611912 | 2222 | 4793 | 9716678 | N/A | 5230345 | 2025-07-19 02:08:45.880089 | 2025-07-11 20:32:03.183345 |
| 2025-07-18 09:05:19.808002 | 2025-07-19 02:10:39.592226 | 9948734 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9948734 | Athletic Physical Therapy Inc | 1962-07-13 | 2025-07-21 | F | PT | ZOU | XEK906107672 | RONG | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960966/check_9948734_707a000c-edab-4b57-9785-198010981112.json | N/A | N/A | N/A | N/A | N/A | XEK906107672 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1962-07-13 | 2001ZJ002648 | X0001000 | N/A | PR | false | ZOU | N/A | RONG | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297440190 | N/A | N/A | 6960966 | 2222 | 4793 | 9719544 | N/A | 5985701 | 2025-07-19 02:10:39.592226 | 2025-07-10 23:55:25.921381 |
| 2025-07-18 09:05:09.270394 | 2025-07-19 02:03:52.707881 | 9948252 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9948252 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-07-21 | M | AE | STECHER | 34232537512 | BRIAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_9948252_ade8e89c-a4e6-453c-a320-6144fd3f105f.json | N/A | N/A | N/A | N/A | N/A | 34232537512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-18 | N/A | N/A | N/A | SP | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297439790 | N/A | N/A | 5543053 | 2222 | 4802 | 9711419 | N/A | 4214891 | 2025-07-19 02:03:52.707881 | 2025-05-13 04:29:37.229214 |
| 2025-07-18 09:05:08.818684 | 2025-07-19 02:07:31.229789 | 9948235 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9948235 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-07-21 | M | AE | GOLDBERG | U5126496602 | Michael | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_9948235_39dbfe70-0bcd-4092-a897-61976bec2124.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297439788 | N/A | N/A | 5542973 | 2222 | 4802 | 9714961 | N/A | 4214820 | 2025-07-19 02:07:31.229789 | 2025-06-30 02:56:23.324592 |
| 2025-07-18 09:05:08.294213 | 2025-07-19 02:07:30.901267 | 9948219 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9948219 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-07-21 | F | AE | GOLDBERG | U51264966 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_9948219_362ac8a6-be5f-420b-8de6-31d9b2b14129.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297439787 | N/A | N/A | 5542937 | 2222 | 4802 | 9714954 | N/A | 4214789 | 2025-07-19 02:07:30.901267 | 2025-12-11 23:30:31.319246 |
| 2025-07-18 09:05:07.949632 | 2025-07-19 02:10:01.902690 | 9948206 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9948206 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-07-21 | M | AE | DASILVA | XEM911406068 | BOB | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_9948206_8b2b79fc-6156-4735-a870-98e777c2086e.json | N/A | N/A | N/A | N/A | N/A | XEM911406068 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-08-09 | 2002SF000028 | X0001002 | N/A | OT | false | DASILVA | N/A | BOB | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297439786 | N/A | N/A | 5540845 | 2222 | 4793 | 9718600 | N/A | 4212930 | 2025-07-19 02:10:01.902690 | 2025-05-13 04:29:37.227258 |
| 2025-07-18 09:05:07.158734 | 2025-07-19 02:09:23.047385 | 9948175 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9948175 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-21 | F | AE | ELDRIDGE | JQE441W06248 | MARGARET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536112/check_9948175_d7feccb2-d135-47ce-8e49-64d9b1c9f966.json | N/A | N/A | N/A | N/A | N/A | JQE441W06248 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-09-13 | N/A | N/A | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297439784 | N/A | N/A | 5536112 | 2222 | 4793 | 9717612 | N/A | 4208915 | 2025-07-19 02:09:23.047385 | 2025-07-25 17:30:46.084330 |
| 2025-07-18 09:04:42.160824 | 2025-07-19 02:16:08.344838 | 9947113 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9947113 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-07-21 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9947113_8f0d2268-84d2-4678-9572-8de9f8ae4653.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | STATE OF CA- MRMIB - HEALTHY FAMILIES HF, AGES 2-1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297389869 | N/A | N/A | 6721942 | 2222 | 4793 | 9727108 | N/A | 5322280 | 2025-07-19 02:16:08.344838 | 2025-07-01 21:45:15.878047 |
| 2025-07-18 09:04:26.550171 | 2025-07-19 02:16:16.626994 | 9946457 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9946457 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-07-21 | F | AE | ROBERTS | 00000402630 | DEBRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_9946457_03be2295-13d1-497d-bce7-8e0708f4b8c7.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297351397 | N/A | N/A | 6085762 | 2222 | 4793 | 9727253 | N/A | 4729138 | 2025-07-19 02:16:16.626994 | 2025-05-31 14:20:56.156252 |
| 2025-07-18 09:04:18.082673 | 2025-07-19 02:10:39.228744 | 9946180 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9946180 | Athletic Physical Therapy Inc | 1989-10-21 | 2025-07-21 | F | PT | Greif | XED913506733 | Sarah | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958051/check_9946180_6681e8bd-5081-4b76-9894-ea572acc6767.json | N/A | N/A | N/A | N/A | N/A | XED913506733 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1989-10-21 | 2001ZK002166 | X0001004 | N/A | PR | false | GREIF | N/A | SARAH | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297439050 | N/A | N/A | 6958051 | 2222 | 4802 | 9719534 | N/A | 5983453 | 2025-07-19 02:10:39.228744 | 2025-07-10 21:00:26.641701 |
| 2025-07-18 09:04:13.445251 | 2025-07-19 02:14:41.224821 | 9945993 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9945993 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-07-21 | M | AE | Dayzadeh | 9A94PK6GA08 | Nasser | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9945993_eba6a96f-ffb8-4382-8522-1f8d104491ef.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297334224 | N/A | N/A | 6583825 | 2222 | 4802 | 9725353 | N/A | 5202586 | 2025-07-19 02:14:41.224821 | 2025-06-25 17:55:27.155518 |
| 2025-07-18 09:04:05.695165 | 2025-07-19 02:09:46.650395 | 9945601 | N/A | N/A | 60054 | Aetna | 1114042165 | 9945601 | Athletic Physical Therapy Inc | 1999-04-14 | 2025-07-21 | M | AE | FAGAN | W275345811 | ARIEH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9945601_7819e035-6a35-4138-9232-84b9c0f04fb2.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297351991 | N/A | N/A | 6078250 | 2222 | 4802 | 9718219 | N/A | 4722504 | 2025-07-19 02:09:46.650395 | 2025-06-19 03:19:24.165458 |
| 2025-07-18 09:04:05.165614 | 2025-07-19 02:07:53.627548 | 9945561 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9945561 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-07-21 | M | PT | BARNETT | JMV357W05874 | MARK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_9945561_79eff7d0-0e33-4d10-851d-74fe8e96457f.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297351987 | N/A | N/A | 6078082 | 2222 | 4793 | 9715464 | N/A | 4722340 | 2025-07-19 02:07:53.627548 | 2025-06-06 20:33:59.683125 |
| 2025-07-18 09:04:00.930350 | 2025-07-19 02:16:52.324133 | 9945312 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9945312 | Athletic Physical Therapy Inc | 2005-11-11 | 2025-07-21 | M | PT | GORMLEY | SIF727A55596 | VINCENT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_9945312_96976647-51c2-49da-bd16-6890ebad17f3.json | N/A | N/A | N/A | N/A | N/A | SIF727A55596 | Preferred Provider Organization (PPO) | SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2005-11-11 | 040 | 40963A | N/A | PR | false | GORMLEY | N/A | BRYNN | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297351732 | N/A | N/A | 6074031 | 2222 | 4802 | 9727874 | N/A | 4718585 | 2025-07-19 02:16:52.324133 | 2025-05-29 22:33:31.881575 |
| 2025-07-18 09:03:55.431266 | 2025-07-19 02:08:15.852008 | 9945014 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9945014 | Athletic Physical Therapy Inc | 2009-01-23 | 2025-07-21 | M | AE | GUERRERO | 000019020622 | JOAQUIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577033/check_9945014_51191198-c74f-454d-ae0f-caa76be0810d.json | N/A | N/A | N/A | N/A | N/A | 000019020622 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 2009-01-23 | 4178930 | 104303 | N/A | N/A | false | GUERRERO | N/A | JOAQUIN | N/A | N/A | N/A | CITY OF SAN DIEGO CITY OF SAN DIEGO HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297333730 | N/A | N/A | 6577033 | 2222 | 4793 | 9715979 | N/A | 5197238 | 2025-07-19 02:08:15.852008 | 2025-07-14 23:23:31.502595 |
| 2025-07-18 09:03:47.758858 | 2025-07-19 02:07:54.172008 | 9944613 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9944613 | Athletic Physical Therapy Inc | 1993-12-11 | 2025-07-21 | F | PT | FREEMAN | XDM000900795 | NICOLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_9944613_9d3a7bef-3079-4804-a0cd-e17bb243db60.json | N/A | N/A | N/A | N/A | N/A | XDM000900795 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1993-12-11 | N/A | N/A | N/A | N/A | false | FREEMAN | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297351613 | N/A | N/A | 6068071 | 2222 | 4801 | 9715477 | N/A | 4713009 | 2025-07-19 02:07:54.172008 | 2025-05-30 17:56:41.585988 |
| 2025-07-18 09:03:45.370249 | 2025-07-19 02:08:17.426214 | 9944507 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9944507 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-07-21 | M | AE | Aldana | 95423949E | George | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_9944507_61e27d83-9fcb-4f4a-9d5c-11b8d6835541.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297332870 | N/A | N/A | 6568645 | 2222 | 4802 | 9716018 | N/A | 5190481 | 2025-07-19 02:08:17.426214 | 2025-06-24 17:29:30.756528 |
| 2025-07-18 09:03:40.962443 | 2025-07-19 02:10:24.789067 | 9944339 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9944339 | Athletic Physical Therapy Inc | 1986-12-12 | 2025-07-21 | M | PT | Nagourney | Q3N579W10549 | Sam | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9944339_bd575dca-d88d-4e1c-b66b-de0b324a59bf.json | N/A | N/A | N/A | N/A | N/A | Q3N579W10549 | Preferred Provider Organization (PPO) | PPO 1000 | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-12 | 243 | 721352N14M | N/A | PR | false | NAGOURNEY | N/A | SAM | N/A | 9999-12-31 | 2025-07-01 | PPO NY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297332850 | N/A | N/A | 6567077 | 2222 | 4802 | 9719115 | N/A | 5189425 | 2025-07-19 02:10:24.789067 | 2025-06-24 16:19:19.180675 |
| 2025-07-18 09:03:14.821746 | 2025-07-19 02:10:24.090799 | 9943195 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9943195 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-21 | F | PT | MANALO LAMANNA | GSC134174111001 | ISADORE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9943195_68c2ea79-370e-4d2b-a88a-160f6dbeb1d1.json | N/A | N/A | N/A | N/A | N/A | 01765049801 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297334160 | N/A | N/A | 6554790 | 2222 | 4793 | 9719101 | N/A | 5177947 | 2025-07-19 02:10:24.090799 | 2026-05-11 21:31:25.186699 |
| 2025-07-18 09:03:10.596614 | 2025-07-19 02:10:38.862707 | 9943024 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9943024 | Athletic Physical Therapy Inc | 1990-01-12 | 2025-07-21 | F | PT | Ahdoot | XED913946463 | Jennifer | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6947892/check_9943024_df65429c-7a04-45c6-a94e-cd9d090848a2.json | N/A | N/A | N/A | N/A | N/A | XED913946463 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1990-01-12 | 2001ZK002184 | X0001004 | N/A | PR | false | AHDOOT | N/A | JENNIFER | N/A | 9999-12-31 | 2025-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297437755 | N/A | N/A | 6947892 | 2222 | 4802 | 9719522 | N/A | 5975888 | 2025-07-19 02:10:38.862707 | 2025-07-10 15:36:45.280553 |
| 2025-07-18 09:02:58.645807 | 2025-07-19 02:00:39.649550 | 9942546 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9942546 | N/A | 1959-07-25 | 2025-07-21 | F | AE | CARRANZA | 94113505C | KISELL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.050923740.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019842/check_9942546_f6040a3d-2d2a-418f-97fc-111c499c25b6.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297297336 | N/A | N/A | 7019842 | 2222 | 4802 | 9710426 | N/A | 4214064 | 2025-07-19 02:00:39.649550 | 2025-07-15 17:36:25.711810 |
| 2025-07-18 09:02:51.933402 | 2025-07-19 02:00:42.769495 | 9942249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9942249 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-21 | F | AE | ELDRIDGE | JQE441W06428 | MARGARET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.050923740.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9942249_735f9a01-21a8-4ce9-afca-8c6f6c02861e.json | N/A | N/A | N/A | N/A | N/A | JQE441W06428 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-09-13 | 040 | CASUPWP0 | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297297298 | N/A | N/A | 5536115 | 2222 | 4793 | 9710431 | N/A | 4208915 | 2025-07-19 02:00:42.769495 | 2025-07-25 17:30:46.084330 |
| 2025-07-18 09:02:49.037417 | 2025-07-19 02:14:42.079764 | 9942122 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9942122 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-21 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9942122_f171deed-8479-48d0-aa50-af1695db52db.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297333372 | N/A | N/A | 6522947 | 2222 | 4802 | 9725368 | N/A | 5146127 | 2025-07-19 02:14:42.079764 | 2025-06-20 17:58:23.371130 |
| 2025-07-18 09:02:17.520408 | 2025-07-19 02:14:42.756315 | 9940727 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9940727 | Athletic Physical Therapy Inc | 1952-08-27 | 2025-07-21 | M | AE | STEINBERG | 7P65WE5DJ62 | PETER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473154/check_9940727_b682ae9c-0665-4dbb-bb4b-0a2c1d1a168e.json | N/A | N/A | N/A | N/A | N/A | 7P65WE5DJ62 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-27 | S5601 | N/A | N/A | MA | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8297332326 | N/A | N/A | 6473154 | 2222 | 4802 | 9725386 | N/A | 5106188 | 2025-07-19 02:14:42.756315 | 2025-06-18 23:17:37.195231 |
| 2025-07-18 09:02:16.248321 | 2025-07-19 02:08:46.736967 | 9940681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9940681 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-07-21 | F | PT | HAZARD | NCF794W22253 | PAULA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9940681_9399528c-3a3d-4353-a220-c32eec3c0560.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8297332313 | N/A | N/A | 6472283 | 2222 | 4801 | 9716693 | N/A | 5105323 | 2025-07-19 02:08:46.736967 | 2025-07-02 18:01:41.077949 |
| 2025-07-18 07:01:03.489282 | 2025-07-18 07:01:06.343171 | 9939328 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-03-03 | M | PT | Nishimoto | 8NK7-JC7-CQ39 | Richard | AE | 5323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_9939328_c3ce34f9-f8ca-4d88-bf7c-8efb4e6988d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_9939328_17c1c861-e270-40ae-8e21-d27594910cdf.json | N/A | N/A | N/A | N/A | N/A | 8NK7-JC7-CQ39 | N/A | N/A | BRAVO HEALTH | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 3843 | N/A | 6104726 | 2222 | N/A | 9681100 | N/A | 4749110 | 2025-07-18 07:01:06.343171 | 2025-06-02 15:44:17.236968 |