API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-29 07:11:42.795908 | 2026-04-30 00:32:57.185505 | 24948437 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 24948437 | Athletic Physical Therapy Inc | 1964-04-30 | 2026-04-30 | F | AE | PT | ZARIF | 94085792H | SANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20077357/check_24948437_f1eeac31-1125-4db8-b827-6f245b2af233.json | N/A | N/A | N/A | N/A | N/A | 94085792H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1964-04-30 | N/A | N/A | N/A | N/A | false | ZARIF | N/A | SANA | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726858196 | N/A | N/A | 20077357 | 2222 | 4802 | 25197076 | N/A | 17736575 | 2026-04-30 00:32:57.185505 | 2026-04-17 18:59:03.002622 |
| 2026-04-29 07:11:42.594856 | 2026-04-30 00:35:38.639163 | 24948423 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948423 | Athletic Physical Therapy Inc | 1962-07-14 | 2026-04-30 | F | PT | N/A | Davis | MPI01395199Q | Carol | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20032314/check_24948423_c4d68000-45d8-41d2-b8c0-64e816911787.json | N/A | N/A | N/A | N/A | N/A | MPI01395199Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1962-07-14 | 040 | 277163M405 | N/A | PR | false | DAVIS | N/A | DWAYNE | N/A | 9999-12-31 | 2025-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726858195 | N/A | N/A | 20032314 | 2222 | 4801 | 25199892 | N/A | 17705571 | 2026-04-30 00:35:38.639163 | 2026-04-16 23:27:11.972937 |
| 2026-04-29 07:11:42.383034 | 2026-04-30 00:33:51.791934 | 24948408 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24948408 | Athletic Physical Therapy Inc | 1953-01-10 | 2026-04-30 | M | AD | 30 | VILLEGAS | 40083899001 | GONZALO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20031803/check_24948408_59694ec4-d644-4b52-8752-a14b46fc7f57.json | N/A | N/A | N/A | N/A | N/A | 40083899001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-01-10 | N/A | N/A | N/A | N/A | false | VILLEGAS | N/A | GONZALO | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10726858194 | N/A | N/A | 20031803 | 2222 | 4801 | 25198034 | N/A | 17704878 | 2026-04-30 00:33:51.791934 | 2026-04-28 00:33:32.718470 |
| 2026-04-29 07:11:42.322676 | 2026-04-30 00:35:18.293834 | 24948403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24948403 | Athletic Physical Therapy Inc | 1992-05-04 | 2026-05-01 | F | PT | N/A | YEO | RGF104203727 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19879477/check_24948403_62014600-5f22-4aaa-9e7d-1ded1c14adcb.json | N/A | N/A | N/A | N/A | N/A | RGF10420372700 | Preferred Provider Organization (PPO) | EPIC GAMES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1992-05-04 | FACETS | 14167203 | N/A | PR | false | YEO | N/A | DEBBIE | N/A | 2199-12-31 | 2026-01-01 | BLUE OPTIONS | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726858193 | N/A | N/A | 19879477 | 2222 | 4802 | 25199528 | N/A | 17576853 | 2026-04-30 00:35:18.293834 | 2026-04-14 23:54:58.130760 |
| 2026-04-29 07:11:42.254346 | 2026-04-30 00:35:40.426164 | 24948399 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24948399 | Athletic Physical Therapy Inc | 2002-03-15 | 2026-05-01 | F | PT | N/A | DUMAIS | 380A6867920 | JULIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19826585/check_24948399_e02dc7a8-576b-4a8e-88ae-34784709f508.json | N/A | N/A | N/A | N/A | N/A | 380A6867920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-03-15 | N/A | N/A | N/A | N/A | false | DUMAIS | N/A | JULIA | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726858192 | N/A | N/A | 19826585 | 2222 | 4801 | 25199960 | 4185 | 9659468 | 2026-04-30 00:35:40.426164 | 2025-10-23 16:38:33.858959 |
| 2026-04-29 07:11:42.193303 | 2026-04-30 00:34:19.428795 | 24948390 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 24948390 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-05-01 | F | AE | PT | Saparzadeh | UZ163480901 | Fereshteh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19777316/check_24948390_8237f95b-d5b3-46d9-8a69-2b20c8bd6a72.json | N/A | N/A | N/A | N/A | N/A | UZ163480901 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-12-01 | 67138CA0520015-05 | N/A | N/A | N/A | false | SAPARZADEH | N/A | FERESHTEH | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726858191 | N/A | N/A | 19777316 | 2222 | 4802 | 25198548 | N/A | 17493606 | 2026-04-30 00:34:19.428795 | 2026-04-13 23:23:40.271713 |
| 2026-04-29 07:11:42.114979 | 2026-04-30 00:36:02.434381 | 24948384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948384 | Athletic Physical Therapy Inc | 1970-02-23 | 2026-05-01 | F | PT | N/A | Ollins | XDP591A50891 | Sharon | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19748354/check_24948384_9159e2a6-83e2-41b0-8bc9-331679e5cb29.json | N/A | N/A | N/A | N/A | N/A | XDP591A50891 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1970-02-23 | 040 | 280629MQ43 | N/A | PR | false | OLLINS | N/A | SHARON | N/A | 2026-05-31 | 2026-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726859283 | N/A | N/A | 19748354 | 2222 | 4793 | 25200271 | N/A | 17461855 | 2026-04-30 00:36:02.434381 | 2026-04-13 23:38:07.952388 |
| 2026-04-29 07:11:42.029034 | 2026-04-30 00:33:46.953771 | 24948375 | N/A | N/A | 60054 | Aetna | 1114042165 | 24948375 | Athletic Physical Therapy Inc | 1986-07-02 | 2026-05-01 | F | AE | PT | JENSEN | M279436485 | NICOLE | Annette | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19740051/check_24948375_c14b04bc-0100-40af-bd57-6c7cdd26d74e.json | N/A | N/A | N/A | N/A | N/A | W279436485 | Point of Service (POS) | S&P GLOBAL INC. | AETNA | N/A | 1986-07-02 | 0174995 | 017499501300010 | N/A | PS | false | JENSEN | N/A | TYLER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859282 | N/A | N/A | 19740051 | 2222 | 4801 | 25197965 | N/A | 17454029 | 2026-04-30 00:33:46.953771 | 2026-04-13 18:10:31.739838 |
| 2026-04-29 07:11:41.971334 | 2026-04-30 00:35:02.188027 | 24948370 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24948370 | Athletic Physical Therapy Inc | 1995-04-12 | 2026-04-30 | M | PT | N/A | Seraphim | BLI911865119 | Hans | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19663974/check_24948370_f0729da0-b10a-4738-9c2a-7f59ad5462e1.json | N/A | N/A | N/A | N/A | N/A | BLI911865119 | Preferred Provider Organization (PPO) | BLACKLINE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1995-04-12 | 1000PPOX0001 | W8002402 | N/A | PR | false | SERAPHIM | N/A | HANS | N/A | N/A | 2026-04-29 | BLACKLINE SYSTEMS INC PPO COMBINED DEDUCTIBLE 15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726859281 | N/A | N/A | 19663974 | 2222 | 4793 | 25199295 | N/A | 17397168 | 2026-04-30 00:35:02.188027 | 2026-04-10 21:47:38.367634 |
| 2026-04-29 07:11:41.901832 | 2026-04-30 00:33:26.290086 | 24948364 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 24948364 | Athletic Physical Therapy Inc | 1956-10-22 | 2026-05-01 | F | AE | PT | VARGAS | C4080406701 | AUXILIADORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19492089/check_24948364_d02f124f-0d35-417d-9756-7c05d585010a.json | N/A | N/A | N/A | N/A | N/A | 33970109 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859280 | N/A | N/A | 19492089 | 2222 | 4802 | 25197624 | 6798 | 4210749 | 2026-04-30 00:33:26.290086 | 2026-01-29 18:21:20.298304 |
| 2026-04-29 07:11:41.833717 | 2026-04-30 00:33:45.417745 | 24948357 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948357 | Athletic Physical Therapy Inc | 1948-07-08 | 2026-04-30 | M | AD | 30 | Gordoni | 31156244701 | Stephen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19427394/check_24948357_b43e77d8-91e1-4b0d-ab49-3b2941197c57.json | N/A | N/A | N/A | N/A | N/A | 31156244701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1948-07-08 | 2026H5425001 | H5425M | N/A | N/A | false | GORDONI | N/A | STEPHEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10726859279 | N/A | N/A | 19427394 | 2222 | 4793 | 25197941 | 6237 | 17228213 | 2026-04-30 00:33:45.417745 | 2026-04-13 20:40:55.540404 |
| 2026-04-29 07:11:41.760328 | 2026-04-30 00:33:43.828455 | 24948352 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948352 | Athletic Physical Therapy Inc | 1951-12-05 | 2026-04-30 | M | AD | 30 | Daradics | 40087014601 | Peter | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19421991/check_24948352_ff77b668-cd4c-49fa-96ce-ed199da2562f.json | N/A | N/A | N/A | N/A | N/A | 40087014601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-12-05 | 2026H5425001 | H5425M | N/A | N/A | false | DARADICS | N/A | PETER | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10726859278 | N/A | N/A | 19421991 | 2222 | 4793 | 25197921 | 6237 | 17222519 | 2026-04-30 00:33:43.828455 | 2026-04-07 21:04:48.057565 |
| 2026-04-29 07:11:41.682433 | 2026-04-30 00:35:59.525038 | 24948344 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24948344 | Athletic Physical Therapy Inc | 1942-06-15 | 2026-05-01 | M | PT | N/A | MANSUR | 105W1808010 | MUSBAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19343585/check_24948344_d12f167c-898c-42dc-ade1-262b48ebb2f7.json | N/A | N/A | N/A | N/A | N/A | 105W1808010 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1942-06-15 | N/A | N/A | N/A | N/A | false | MANSUR | N/A | MUSBAR | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726859277 | N/A | N/A | 19343585 | 2222 | 4801 | 25200230 | 4185 | 17163615 | 2026-04-30 00:35:59.525038 | 2026-04-06 16:47:08.999576 |
| 2026-04-29 07:11:41.605228 | 2026-04-30 00:36:00.604628 | 24948339 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948339 | Athletic Physical Therapy Inc | 2015-12-26 | 2026-05-01 | M | PT | N/A | McKee | MPI10562094Q | Zachary | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19342543/check_24948339_efddd952-d418-4bd5-bcb8-903a99871c5b.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 | 10726859276 | N/A | N/A | 19342543 | 2222 | 4793 | 25200243 | N/A | 17162601 | 2026-04-30 00:36:00.604628 | 2026-04-06 16:43:33.986673 |
| 2026-04-29 07:11:41.547074 | 2026-04-30 00:34:50.122940 | 24948334 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24948334 | Athletic Physical Therapy Inc | 1974-12-07 | 2026-05-01 | F | AE | PT | DATT | 95163799D | KADIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19242278/check_24948334_480d51d7-2e7f-43ff-abe4-eb9bf9ebe89f.json | N/A | N/A | N/A | N/A | N/A | 95163799D | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1974-12-07 | MCLA | MWLLNFAG21 | N/A | N/A | false | DATT | N/A | KADIA | N/A | 2078-12-31 | 2025-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859275 | N/A | N/A | 19242278 | 2222 | 4802 | 25199108 | N/A | 17107118 | 2026-04-30 00:34:50.122940 | 2026-04-03 18:17:03.985319 |
| 2026-04-29 07:11:41.486642 | 2026-04-30 00:35:16.748379 | 24948327 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24948327 | Athletic Physical Therapy Inc | 1952-08-01 | 2026-04-30 | M | AE | PT | REISS | 1J83JQ6JF81 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19077902/check_24948327_5e2deebf-6323-4917-b1a9-1b85fab5d59e.json | N/A | N/A | N/A | N/A | N/A | 1J83JQ6JF81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-01 | N/A | N/A | N/A | MA | false | REISS | N/A | JOHN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 67047 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859274 | N/A | N/A | 19077902 | 2222 | 4801 | 25199509 | N/A | 17065421 | 2026-04-30 00:35:16.748379 | 2026-04-06 17:02:36.906045 |
| 2026-04-29 07:11:41.426654 | 2026-04-30 00:33:51.631067 | 24948322 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24948322 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-04-30 | M | AE | PT | Weiner | 000000201398 | Bernard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_24948322_f45770a1-629c-41ba-ba79-c2b240053dc9.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859273 | N/A | N/A | 19076126 | 2222 | 4802 | 25198032 | N/A | 17061917 | 2026-04-30 00:33:51.631067 | 2026-04-02 22:23:37.722121 |
| 2026-04-29 07:11:41.367693 | 2026-04-30 00:35:11.994319 | 24948317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24948317 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-04-30 | M | AE | PT | ESCOLL | 9RU1D71UT18 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075590/check_24948317_67cf94bc-5bac-4c21-a70e-922a76095030.json | N/A | N/A | N/A | N/A | N/A | 9RU1D71UT18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S4802 | N/A | N/A | MA | false | ESCOLL | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859270 | N/A | N/A | 19075590 | 2222 | 4802 | 25199440 | N/A | 17061553 | 2026-04-30 00:35:11.994319 | 2026-04-03 00:44:20.509677 |
| 2026-04-29 07:11:41.303438 | 2026-04-30 00:35:36.207026 | 24948313 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948313 | Athletic Physical Therapy Inc | 2013-08-16 | 2026-05-01 | F | PT | N/A | Corriveau | HFD100011220104 | Tabitha | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19073381/check_24948313_a0efdc22-62ce-4a6f-9090-2b8dcb03f61b.json | N/A | N/A | N/A | N/A | N/A | HFD100011220104 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2013-08-16 | N/A | 716116N04 | N/A | PR | false | CORRIVEAU | N/A | BRIAN | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726859269 | N/A | N/A | 19073381 | 2222 | 4793 | 25199878 | N/A | 17057081 | 2026-04-30 00:35:36.207026 | 2026-04-13 19:30:47.842734 |
| 2026-04-29 07:11:41.216356 | 2026-04-30 00:34:50.765853 | 24948304 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24948304 | Athletic Physical Therapy Inc | 1962-12-13 | 2026-05-01 | F | AE | PT | LOZANO | JQC94977924H | CRISTINA | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19003465/check_24948304_edf03a90-2542-451b-a5fe-9c047701f17c.json | N/A | N/A | N/A | N/A | N/A | 94977924H | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1962-12-13 | BCSC | BWLLNMEG21 | N/A | N/A | false | LOZANO | N/A | CRISTINA | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859268 | N/A | N/A | 19003465 | 2222 | 4802 | 25199117 | 5538 | 16984833 | 2026-04-30 00:34:50.765853 | 2026-04-08 05:02:50.255936 |
| 2026-04-29 07:11:41.138322 | 2026-04-30 00:34:49.324721 | 24948298 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24948298 | Athletic Physical Therapy Inc | 1967-05-13 | 2026-05-01 | F | AE | PT | BERGQUIST | 96669658F | FATIMA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18940422/check_24948298_8ba61ece-af88-4388-81d1-0b0db97a662d.json | N/A | N/A | N/A | N/A | N/A | 96669658F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1967-05-13 | MCLA | MWLLNMEG21 | N/A | N/A | false | BERGQUIST | N/A | FATIMA | N/A | 2078-12-31 | 2023-10-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859267 | N/A | N/A | 18940422 | 2222 | 4802 | 25199098 | N/A | 16926220 | 2026-04-30 00:34:49.324721 | 2026-04-06 14:31:25.831923 |
| 2026-04-29 07:11:41.045655 | 2026-04-30 00:35:11.296551 | 24948291 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24948291 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-04-30 | F | AE | PT | Delgado | 4d07m65da79 | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18934124/check_24948291_6acef4c6-6fa2-4d67-a73e-d80654c9f7da.json | N/A | N/A | N/A | N/A | N/A | 4D07M65DA79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-12-02 | S4802 | N/A | N/A | MA | false | DELGADO | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 80605 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859266 | N/A | N/A | 18934124 | 2222 | 4801 | 25199431 | N/A | 16919419 | 2026-04-30 00:35:11.296551 | 2026-04-01 03:46:15.905427 |
| 2026-04-29 07:11:40.974376 | 2026-04-30 00:34:53.694487 | 24948285 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24948285 | Athletic Physical Therapy Inc | 1934-08-28 | 2026-04-30 | F | AE | PT | INAO | H9810673000 | JANE | Y | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933246/check_24948285_daf0b379-93dc-462b-8d02-e4a7e0c5e672.json | N/A | N/A | N/A | N/A | N/A | H98106730 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1934-08-28 | N/A | 2B722001 | N/A | HN | false | INAO | N/A | JANE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859265 | N/A | N/A | 18933246 | 2222 | 4801 | 25199167 | 5349 | 16918423 | 2026-04-30 00:34:53.694487 | 2026-03-31 19:05:41.556695 |
| 2026-04-29 07:11:40.913029 | 2026-04-30 00:33:47.753593 | 24948282 | N/A | N/A | 60054 | Aetna | 1114042165 | 24948282 | Athletic Physical Therapy Inc | 1965-03-12 | 2026-05-01 | F | AE | PT | Mathews | W291493622 | Suzanne | Shay | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18651871/check_24948282_53e74cdc-d6c1-4c4f-a8ca-9e9ade44317f.json | N/A | N/A | N/A | N/A | N/A | W291493622 | Point of Service (POS) | CONTRACEPTIVE SERVICES PAYMENT PROG | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | 1965-03-12 | 0865224 | 086522405000004 | N/A | PS | false | MATHEWS | N/A | SUE | N/A | N/A | 2025-01-03 | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859264 | N/A | N/A | 18651871 | 2222 | 4802 | 25197978 | N/A | 16651099 | 2026-04-30 00:33:47.753593 | 2026-03-25 17:36:49.098084 |
| 2026-04-29 07:11:40.756029 | 2026-04-30 00:33:50.938948 | 24948269 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24948269 | Athletic Physical Therapy Inc | 2004-06-16 | 2026-05-01 | M | AE | PT | Kariyakarawana | 000026520673 | Daham | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18560783/check_24948269_75560b48-c05d-4c0a-aeb9-7c1cbafbbe8e.json | N/A | N/A | N/A | N/A | N/A | 000026520673 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2004-06-16 | 4378729 | 1650095001 | N/A | N/A | false | KARIYAKARAWANA | N/A | DAHAM | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859263 | N/A | N/A | 18560783 | 2222 | 4802 | 25198025 | N/A | 16562862 | 2026-04-30 00:33:50.938948 | 2026-04-16 15:30:20.950162 |
| 2026-04-29 07:11:40.511570 | 2026-04-30 00:35:15.477086 | 24948254 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24948254 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-04-30 | M | AE | PT | O NEILL | 3VD0U34GW90 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_24948254_3874a261-8f05-451a-8739-550354c1e251.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MB | false | O'NEILL | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 89172 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859262 | N/A | N/A | 18472576 | 2222 | 4802 | 25199491 | N/A | 16472791 | 2026-04-30 00:35:15.477086 | 2026-03-20 22:44:48.876499 |
| 2026-04-29 07:11:40.290872 | 2026-04-30 00:32:56.345359 | 24948244 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 24948244 | Athletic Physical Therapy Inc | 1943-08-14 | 2026-04-30 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_24948244_bc93fa63-b4fc-488b-a730-96fb885454d3.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859261 | N/A | N/A | 18413277 | 2222 | 4793 | 25197061 | N/A | 16416105 | 2026-04-30 00:32:56.345359 | 2026-03-19 22:25:59.413894 |
| 2026-04-29 07:11:40.146894 | 2026-04-30 00:35:26.528783 | 24948235 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24948235 | Athletic Physical Therapy Inc | 2008-06-13 | 2026-05-01 | M | AE | PT | SEDGWICK | R02441791MD1 | CASEY | Antonio | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18404932/check_24948235_44353c86-6004-4eed-a983-45a20dc2f8bd.json | N/A | N/A | N/A | N/A | N/A | R02441791MD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2008-06-13 | N/A | N/A | N/A | N/A | false | SEDGWICK | N/A | CASEY | N/A | 2026-03-31 | 2026-01-01 | NC0 COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859258 | N/A | N/A | 18404932 | 2222 | 4793 | 25199683 | 4625 | 16408546 | 2026-04-30 00:35:26.528783 | 2026-03-31 19:18:31.355670 |
| 2026-04-29 07:11:40.078174 | 2026-04-30 00:33:50.261458 | 24948229 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24948229 | Athletic Physical Therapy Inc | 1992-02-05 | 2026-04-30 | F | AE | PT | Hipp | 000021264656 | Zoe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_24948229_920c9ca3-4e83-4a6e-8fd5-66049bb1d28c.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859257 | N/A | N/A | 18386550 | 2222 | 4802 | 25198017 | N/A | 16392592 | 2026-04-30 00:33:50.261458 | 2026-03-19 17:35:27.889788 |
| 2026-04-29 07:11:40.004682 | 2026-04-30 00:36:01.535180 | 24948222 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948222 | Athletic Physical Therapy Inc | 1969-07-22 | 2026-05-01 | F | PT | N/A | Noshi | KAE820275362 | Lisa | Jayne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18274089/check_24948222_b37df5a3-d449-4392-9ccc-3b36716da31a.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 | 10726859256 | N/A | N/A | 18274089 | 2222 | 4802 | 25200260 | N/A | 16288996 | 2026-04-30 00:36:01.535180 | 2026-03-17 22:30:09.889822 |
| 2026-04-29 07:11:39.936968 | 2026-04-30 00:33:49.527455 | 24948216 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24948216 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-05-01 | F | AE | PT | Durant | 000008717870 | Jovanna | Sharelle Shishonna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_24948216_299e7ab4-39ae-4398-b187-dbc88f35ad4b.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 CKPU | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859255 | N/A | N/A | 18270267 | 2222 | 4802 | 25198003 | N/A | 16284557 | 2026-04-30 00:33:49.527455 | 2026-03-22 16:36:56.176369 |
| 2026-04-29 07:11:39.868263 | 2026-04-30 00:35:21.838366 | 24948210 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24948210 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-05-01 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_24948210_43752d7d-9047-4e0b-8469-b03553f94abb.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859254 | N/A | N/A | 18095882 | 2222 | 4802 | 25199589 | 4211 | 6219145 | 2026-04-30 00:35:21.838366 | 2025-07-21 16:40:35.276086 |
| 2026-04-29 07:11:39.793295 | 2026-04-30 00:33:51.302164 | 24948204 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948204 | Athletic Physical Therapy Inc | 1956-01-25 | 2026-04-30 | F | AE | PT | URIBE | 40085522401 | ROSA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18084855/check_24948204_78a56ba9-a084-45f9-b279-20c7fca4b48f.json | N/A | N/A | N/A | N/A | N/A | 40085522401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-25 | 2026CA200ABDLAC | H0976DSNP | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | 2026-03-01 | CALIFORNIA MEDI-CAL PLAN 200 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859253 | N/A | N/A | 18084855 | 2222 | 4802 | 25198029 | 6237 | 13816533 | 2026-04-30 00:33:51.302164 | 2026-03-06 21:23:14.977254 |
| 2026-04-29 07:11:39.722409 | 2026-04-30 00:35:23.817531 | 24948196 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24948196 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-05-01 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_24948196_215134ab-24e4-4bfa-9cd0-83aad583f1d9.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 | 10726859252 | N/A | N/A | 17744755 | 2222 | 4802 | 25199623 | 4211 | 4213934 | 2026-04-30 00:35:23.817531 | 2026-01-27 23:36:44.802366 |
| 2026-04-29 07:11:39.646033 | 2026-04-30 00:35:14.033763 | 24948191 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24948191 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-04-30 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_24948191_b740b7ae-4816-45b4-a9dd-39ba3bdc64a9.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 | 178920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859249 | N/A | N/A | 17663491 | 2222 | 4802 | 25199472 | N/A | 4213453 | 2026-04-30 00:35:14.033763 | 2025-05-13 04:29:37.227772 |
| 2026-04-29 07:11:39.559348 | 2026-04-30 00:35:35.244370 | 24948181 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24948181 | Athletic Physical Therapy Inc | 1958-04-28 | 2026-05-01 | F | PT | N/A | Chalquest | 812W1634820 | Christine | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_24948181_ee5912eb-96f0-43af-850c-6ae86fbb8189.json | N/A | N/A | N/A | N/A | N/A | 812W1634820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-04-28 | N/A | N/A | N/A | N/A | false | CHALQUEST | N/A | CHRISTINE | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726859248 | N/A | N/A | 17660872 | 2222 | 4801 | 25199858 | 4184 | 15705146 | 2026-04-30 00:35:35.244370 | 2026-03-05 22:44:33.989062 |
| 2026-04-29 07:11:39.503936 | 2026-04-30 00:34:53.147645 | 24948176 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24948176 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-30 | F | AE | PT | HILL | H96403611 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_24948176_9f3484fb-bda7-468e-81bb-8e54923ae5b8.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 | 10726859247 | N/A | N/A | 17641125 | 2222 | 4793 | 25199158 | N/A | 4213760 | 2026-04-30 00:34:53.147645 | 2026-03-23 22:17:45.263893 |
| 2026-04-29 07:11:39.437769 | 2026-04-30 00:33:49.633050 | 24948172 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948172 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-04-30 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_24948172_8c4123aa-9bc6-48a4-a791-723d1b9ebdc9.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | 2026-04-29 | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10726859246 | N/A | N/A | 17533302 | 2222 | 4793 | 25198005 | 6237 | 15565486 | 2026-04-30 00:33:49.633050 | 2026-03-17 20:55:49.152309 |
| 2026-04-29 07:11:39.362245 | 2026-04-30 00:35:56.797599 | 24948165 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948165 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-04-30 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_24948165_ce356cbc-898a-46b8-8093-b3f84ed7bd88.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 | 10726859245 | N/A | N/A | 17497004 | 2222 | 4802 | 25200187 | N/A | 15511990 | 2026-04-30 00:35:56.797599 | 2026-03-02 20:39:57.609466 |
| 2026-04-29 07:11:39.298204 | 2026-04-30 00:35:55.895472 | 24948160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24948160 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-04-30 | M | PT | N/A | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_24948160_8866a978-ab54-4cdf-8005-d5460a19d11b.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 | 10726859244 | N/A | N/A | 17346208 | 2222 | 4802 | 25200174 | N/A | 15356693 | 2026-04-30 00:35:55.895472 | 2026-02-25 22:30:35.848496 |
| 2026-04-29 07:11:39.227778 | 2026-04-30 00:33:48.041198 | 24948153 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948153 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-04-30 | F | AE | PT | ROGERS | 31093568401 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_24948153_6ca1bb9e-cf8d-413f-9a3a-02996140df55.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859243 | N/A | N/A | 17306773 | 2222 | 4801 | 25197981 | 6237 | 15321704 | 2026-04-30 00:33:48.041198 | 2026-02-26 19:15:43.216582 |
| 2026-04-29 07:11:39.138867 | 2026-04-30 00:34:52.616097 | 24948147 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24948147 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-04-30 | M | AE | PT | FARRUGIA | H6573816900 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_24948147_b2fe59c7-c5eb-4af7-b1d0-8cf1c723933d.json | N/A | N/A | N/A | N/A | N/A | H65738169 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859242 | N/A | N/A | 17264465 | 2222 | 4801 | 25199148 | 5349 | 15281758 | 2026-04-30 00:34:52.616097 | 2026-04-16 18:41:33.012590 |
| 2026-04-29 07:11:39.056101 | 2026-04-30 00:34:54.770815 | 24948139 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24948139 | Athletic Physical Therapy Inc | 1958-07-12 | 2026-05-01 | M | AE | PT | LY | H6539031400 | CHAU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257404/check_24948139_edf6a7da-18e9-4f64-937d-fcf53b921882.json | N/A | N/A | N/A | N/A | N/A | H65390314 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859240 | N/A | N/A | 17257404 | 2222 | 4801 | 25199186 | 5349 | 15274585 | 2026-04-30 00:34:54.770815 | 2026-02-23 22:57:14.756651 |
| 2026-04-29 07:11:38.976876 | 2026-04-30 00:33:28.668123 | 24948134 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24948134 | Athletic Physical Therapy Inc | 1956-08-31 | 2026-05-01 | M | AE | PT | MICHAEL | H6792434100 | TIWEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16769985/check_24948134_7592e356-e252-49de-ab41-42abb599c7f6.json | N/A | N/A | N/A | N/A | N/A | H67924341 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1956-08-31 | N/A | 2B798001 | N/A | HN | false | MICHAEL | N/A | TIWEN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859239 | N/A | N/A | 16769985 | 2222 | 4801 | 25197675 | 5349 | 14780524 | 2026-04-30 00:33:28.668123 | 2026-02-10 19:48:19.076611 |
| 2026-04-29 07:11:38.902950 | 2026-04-30 00:33:46.124379 | 24948129 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948129 | Athletic Physical Therapy Inc | 1955-10-13 | 2026-05-01 | F | AE | PT | HA | 40065178501 | LYNN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16264977/check_24948129_42a49627-ab65-4234-8639-7acaa356e1cb.json | N/A | N/A | N/A | N/A | N/A | 40065178501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-10-13 | 2026H5425001 | H5425M | N/A | N/A | false | HA | N/A | LYNN | 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 | 10726859238 | N/A | N/A | 16264977 | 2222 | 4793 | 25197954 | 6237 | 14314351 | 2026-04-30 00:33:46.124379 | 2026-03-09 22:16:11.719455 |
| 2026-04-29 07:11:38.824922 | 2026-04-30 00:33:29.403287 | 24948121 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24948121 | Athletic Physical Therapy Inc | 1953-09-18 | 2026-05-01 | F | AE | PT | ROZZANO | H9643373200 | GINA | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16263884/check_24948121_179bddae-3d1d-4526-b61e-f87f1d0be4ce.json | N/A | N/A | N/A | N/A | N/A | H96433732 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-09-18 | N/A | 2B722001 | N/A | HN | false | ROZZANO | N/A | GINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859237 | N/A | N/A | 16263884 | 2222 | 4801 | 25197695 | 5349 | 4214855 | 2026-04-30 00:33:29.403287 | 2026-02-04 07:01:53.240587 |
| 2026-04-29 07:11:38.749211 | 2026-04-30 00:35:10.742385 | 24948112 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24948112 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-04-30 | M | AE | PT | brosh | 1AC1KJ0CT14 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_24948112_7892650f-1ff3-4662-bcb0-3dc448d338b8.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MA | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 178722 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859236 | N/A | N/A | 16113776 | 2222 | 4793 | 25199423 | N/A | 14174363 | 2026-04-30 00:35:10.742385 | 2026-05-29 18:00:53.778221 |
| 2026-04-29 07:11:38.659527 | 2026-04-30 00:33:50.169094 | 24948105 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24948105 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-04-30 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_24948105_3692a795-5099-4a54-b9d6-5a0e9fad870e.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10726859235 | N/A | N/A | 16086772 | 2222 | 4801 | 25198016 | 6237 | 14151882 | 2026-04-30 00:33:50.169094 | 2026-01-30 16:12:37.739707 |
| 2026-04-29 07:11:38.461717 | 2026-04-30 00:34:55.360095 | 24948092 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24948092 | Athletic Physical Therapy Inc | 1958-08-15 | 2026-04-30 | M | AE | PT | MARTIN | H90190700 | JAMES | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15941985/check_24948092_5926016c-94e9-4313-9736-37b0fcb6c7b5.json | N/A | N/A | N/A | N/A | N/A | H90190700 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-08-15 | N/A | 2B722001 | N/A | HN | false | MARTIN | N/A | JAMES | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10726859230 | N/A | N/A | 15941985 | 2222 | 4793 | 25199197 | 5349 | 14024715 | 2026-04-30 00:34:55.360095 | 2026-02-27 22:16:01.917155 |
| 2026-04-29 07:11:38.120471 | 2026-04-30 00:35:57.770762 | 24948070 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24948070 | Athletic Physical Therapy Inc | 1986-01-07 | 2026-05-01 | F | PT | N/A | Sabino Lasmarias | NCF513A21338 | Jovelyn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260429.121716575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15930622/check_24948070_22e10363-f857-4f3d-87a3-b462e3b2acc4.json | N/A | N/A | N/A | N/A | N/A | NCF513A21338 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1986-01-07 | 040 | 57AJCA | N/A | HM | false | LASMARIAS | N/A | ANTHONY | N/A | 9999-12-31 | 2024-11-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10726859229 | N/A | N/A | 15930622 | 2222 | 4801 | 25200201 | 4185 | 13567673 | 2026-04-30 00:35:57.770762 | 2026-01-28 15:52:55.238058 |