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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-28 07:13:32.338853 | 2026-04-28 07:13:32.540275 | 24831290 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24831290 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-04-30 | F | AE | PT | Delgado | 4d07m65da79 | Linda | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18934124 | 2222 | 4801 | N/A | N/A | 16919419 | 2026-04-28 07:13:32.540275 | 2026-04-01 03:46:15.905427 |
| 2026-04-28 07:13:32.079712 | 2026-04-28 07:13:32.315854 | 24831264 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24831264 | Athletic Physical Therapy Inc | 1934-08-28 | 2026-04-30 | F | AE | PT | INAO | H9810673000 | JANE | Y | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18933246 | 2222 | 4801 | N/A | 5349 | 16918423 | 2026-04-28 07:13:32.315854 | 2026-03-31 19:05:41.556695 |
| 2026-04-28 07:13:31.875625 | 2026-04-29 00:53:53.341944 | 24831239 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24831239 | Athletic Physical Therapy Inc | 2000-01-16 | 2026-05-01 | M | AE | PT | COHEN | R15053348MM1 | BEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18898121/check_24831239_b8510efd-6e64-4f44-852f-8fb922568dff.json | N/A | N/A | N/A | N/A | N/A | R15053348MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 2000-01-16 | N/A | N/A | N/A | N/A | false | COHEN | N/A | BENJAMIN | N/A | 2026-03-31 | 2026-01-01 | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244773 | N/A | N/A | 18898121 | 2222 | 4802 | 25067464 | 4625 | 16884375 | 2026-04-29 00:53:53.341944 | 2026-04-01 15:30:39.812102 |
| 2026-04-28 07:13:31.649603 | 2026-04-29 00:51:50.546307 | 24831215 | N/A | N/A | 60054 | Aetna | 1114042165 | 24831215 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-05-01 | M | AE | PT | Benson | W241108199 | Charles | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_24831215_e832b657-9192-4c25-959c-ca3bcdd25e83.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244772 | N/A | N/A | 18897636 | 2222 | 4802 | 25065954 | N/A | 16883637 | 2026-04-29 00:51:50.546307 | 2026-04-06 22:06:37.386389 |
| 2026-04-28 07:13:31.457353 | 2026-04-29 00:51:44.014990 | 24831196 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24831196 | Athletic Physical Therapy Inc | 2003-07-09 | 2026-04-30 | F | PT | N/A | Miller | XDM192M99937 | Emily | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18796625/check_24831196_6b22d0e0-a61f-4111-a4c4-4b640e17fea0.json | N/A | N/A | N/A | N/A | N/A | XDM192M99937 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 2003-07-09 | 040 | 282241H001 | N/A | HM | false | MILLER | N/A | JILL | N/A | 9999-12-31 | 2019-03-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244771 | N/A | N/A | 18796625 | 2222 | 4793 | 25065879 | N/A | 16770571 | 2026-04-29 00:51:44.014990 | 2026-04-06 21:25:26.219750 |
| 2026-04-28 07:13:31.236648 | 2026-04-29 00:52:22.114976 | 24831173 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24831173 | Athletic Physical Therapy Inc | 2011-05-29 | 2026-04-30 | F | AE | PT | Snider | 000019675824 | RACHEL | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18753996/check_24831173_84bf9874-4008-43b7-a7d6-7f89a5f4e157.json | N/A | N/A | N/A | N/A | N/A | 000019675824 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2011-05-29 | 3076628 | 102601 | N/A | N/A | false | SNIDER | N/A | RACHEL | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244770 | N/A | N/A | 18753996 | 2222 | 4802 | 25066372 | N/A | 16734592 | 2026-04-29 00:52:22.114976 | 2026-03-26 18:52:03.602043 |
| 2026-04-28 07:13:31.000693 | 2026-04-29 00:52:27.983200 | 24831148 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24831148 | override_provider | 2009-05-22 | 2026-04-30 | M | AE | PT | LIVINGSTON | 000024871001 | DONNER | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18610016/check_24831148_c52ae7ff-3bbb-418f-870c-aa7bf5f30449.json | N/A | N/A | N/A | N/A | N/A | 000024871001 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-05-22 | 4359961 | 108601 | N/A | N/A | false | LIVINGSTON | N/A | DONNER | N/A | 2026-12-31 | 2026-01-01 | TEAMSTERS MULTI BENEFIT TRUST TMBT-TIP-KP ONLY / 1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244769 | N/A | N/A | 18610016 | 2222 | 4802 | 25066460 | N/A | 16611782 | 2026-04-29 00:52:27.983200 | 2026-04-29 15:29:54.461887 |
| 2026-04-28 07:13:30.875802 | 2026-04-29 00:52:14.558743 | 24831135 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24831135 | Athletic Physical Therapy Inc | 1963-04-30 | 2026-04-30 | F | AE | PT | Anderson | 000016196311 | Janice | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18599106/check_24831135_9999abb9-e707-4907-ba77-1c50d413d37e.json | N/A | N/A | N/A | N/A | N/A | 000016196311 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1963-04-30 | 4320310 | 1650095001 | N/A | N/A | false | ANDERSON | N/A | JANICE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE GOLD 80 HMO COINSUR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244767 | N/A | N/A | 18599106 | 2222 | 4802 | 25066294 | N/A | 16601576 | 2026-04-29 00:52:14.558743 | 2026-03-24 19:40:50.353536 |
| 2026-04-28 07:13:30.659833 | 2026-04-29 00:52:23.153652 | 24831114 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24831114 | Athletic Physical Therapy Inc | 1962-11-13 | 2026-04-30 | M | AE | PT | Trevellin | 000016368983 | Maurizio | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538335/check_24831114_83270f83-3bee-4056-ab40-88e2b7b16ce0.json | N/A | N/A | N/A | N/A | N/A | 000016368983 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-11-13 | 562547 | 103000 | N/A | N/A | false | TREVELLIN | N/A | MAURIZIO | N/A | 2026-12-31 | 2026-01-01 | NABIH YOUSSEF AND ASSOCIATES NABIH YOUSSEF AND ASS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244766 | N/A | N/A | 18538335 | 2222 | 4802 | 25066383 | N/A | 16540455 | 2026-04-29 00:52:23.153652 | 2026-03-23 15:50:46.266916 |
| 2026-04-28 07:13:30.317749 | 2026-04-29 00:52:24.708178 | 24831081 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24831081 | Athletic Physical Therapy Inc | 1959-09-16 | 2026-05-01 | M | AE | PT | ALCANTAR NINO JR | 00000343214 | ROBERT | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18522411/check_24831081_6e5c357c-1c8a-4c23-9662-4162f6253c5d.json | N/A | N/A | N/A | N/A | N/A | 91443370E | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1959-09-16 | MCLA | MWLLDAGG21 | N/A | N/A | false | NINO | N/A | ROBERT | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244765 | N/A | N/A | 18522411 | 2222 | 4802 | 25066405 | 5538 | 16226174 | 2026-04-29 00:52:24.708178 | 2026-03-16 20:58:43.263663 |
| 2026-04-28 07:13:29.910497 | 2026-04-29 00:52:16.407974 | 24831041 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 24831041 | Athletic Physical Therapy Inc | 1953-06-23 | 2026-05-01 | M | AE | PT | Fields | 000008100545 | Renny | Arthur | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_24831041_1784ef85-62e3-4d65-8cba-eb0f5499740b.json | N/A | N/A | N/A | N/A | N/A | 000008100545 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1953-06-23 | 4073761 | 100232 | N/A | N/A | false | FIELDS | N/A | RENNY | N/A | 2026-12-31 | 2026-01-01 | THE AEROSPACE CORPORATION AERO ACTIVES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244764 | N/A | N/A | 18473083 | 2222 | 4802 | 25066314 | N/A | 16473148 | 2026-04-29 00:52:16.407974 | 2026-03-29 14:38:33.964725 |
| 2026-04-28 07:13:29.726112 | 2026-04-28 07:13:29.905410 | 24831019 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24831019 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-04-30 | M | AE | PT | O NEILL | 3VD0U34GW90 | THOMAS | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18472576 | 2222 | 4802 | N/A | N/A | 16472791 | 2026-04-28 07:13:29.905410 | 2026-03-20 22:44:48.876499 |
| 2026-04-28 07:13:29.510927 | 2026-04-29 00:52:13.721923 | 24830998 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24830998 | Athletic Physical Therapy Inc | 1963-01-15 | 2026-04-30 | F | AE | PT | Adams | 000008863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_24830998_6ce3ca52-9b0a-4480-b752-a6fff67cc094.json | N/A | N/A | N/A | N/A | N/A | 000008863593 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1963-01-15 | 4308537 | 105705 | N/A | N/A | false | ADAMS | N/A | TONI | N/A | 2026-12-31 | 2026-01-01 | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 46 - $1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244762 | N/A | N/A | 18427607 | 2222 | 4802 | 25066282 | N/A | 16428516 | 2026-04-29 00:52:13.721923 | 2026-03-20 01:42:19.868288 |
| 2026-04-28 07:13:29.282812 | 2026-04-28 07:13:29.498426 | 24830974 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24830974 | Athletic Physical Therapy Inc | 1944-09-27 | 2026-04-30 | F | AE | PT | Benton | 1AJ9K18AK34 | Harriet | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18416720 | 2222 | 4793 | N/A | N/A | 16419098 | 2026-04-28 07:13:29.498426 | 2026-03-19 23:28:36.268438 |
| 2026-04-28 07:13:29.033332 | 2026-04-29 00:52:13.118998 | 24830951 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24830951 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-04-30 | M | AE | PT | JACOBS | 909763451 | JESSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_24830951_f15ed90a-3b87-4e92-bb07-62ab400a6427.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244760 | N/A | N/A | 18407669 | 2222 | 4802 | 25066275 | 5538 | 16411150 | 2026-04-29 00:52:13.118998 | 2026-03-20 21:53:00.475363 |
| 2026-04-28 07:13:28.784084 | 2026-04-29 00:52:40.127372 | 24830922 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24830922 | Athletic Physical Therapy Inc | 2009-09-02 | 2026-05-01 | F | PT | N/A | DECKER | JQU849A78963 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18328449/check_24830922_a9b69290-7082-47e0-a1a3-0973db976594.json | N/A | N/A | N/A | N/A | N/A | JQU849A78963 | Preferred Provider Organization (PPO) | ROLLING OAKS RADIOLOGY ME | BLUE SHIELD OF CALIFORNIA | N/A | 2009-09-02 | 040 | 422228 | N/A | PR | false | DECKER | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER PPO HSA/H 2300/3400/4600 30% PREVRX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245771 | N/A | N/A | 18328449 | 2222 | 4801 | 25066587 | N/A | 16339129 | 2026-04-29 00:52:40.127372 | 2026-03-26 22:11:26.115150 |
| 2026-04-28 07:13:28.549958 | 2026-04-29 00:52:41.339452 | 24830901 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24830901 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-04-30 | F | PT | N/A | FELT | JXN853M92476 | KATHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_24830901_e2bbd83f-db68-4a74-969e-5fa3481b6068.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245770 | N/A | N/A | 18326912 | 2222 | 4801 | 25066597 | N/A | 16337774 | 2026-04-29 00:52:41.339452 | 2026-03-18 18:21:21.968505 |
| 2026-04-28 07:13:28.289653 | 2026-04-29 00:52:24.146889 | 24830872 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24830872 | Athletic Physical Therapy Inc | 1964-09-19 | 2026-04-30 | F | PT | N/A | CHILAKOS | XAN913820374 | JANIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_24830872_7a2c4e1c-073f-42e8-aad0-6cbeaac1008c.json | N/A | N/A | N/A | N/A | N/A | XAN913820374 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | 1000PPOX0003 | W0051411 | N/A | PR | false | CHILAKOS | N/A | JANIS | N/A | N/A | 2026-04-28 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245769 | N/A | N/A | 18247267 | 2222 | 4793 | 25066400 | N/A | 16262937 | 2026-04-29 00:52:24.146889 | 2026-03-23 18:45:59.777696 |
| 2026-04-28 07:13:28.127204 | 2026-04-29 00:53:48.322036 | 24830859 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24830859 | Athletic Physical Therapy Inc | 1979-07-25 | 2026-04-30 | M | PT | N/A | DOBBIE | JQU942M93268 | DRAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_24830859_05cc510a-47fb-45d0-b92e-af5013c203d7.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245768 | N/A | N/A | 18097686 | 2222 | 4801 | 25067401 | N/A | 16122002 | 2026-04-29 00:53:48.322036 | 2026-03-19 18:31:16.913461 |
| 2026-04-28 07:13:27.852785 | 2026-04-29 00:50:58.053255 | 24830827 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24830827 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-04-29 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_24830827_db13a1f2-2c47-49c8-848b-9af28ce65f06.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 | 10715245767 | N/A | N/A | 18095882 | 2222 | 4802 | 25065265 | 4211 | 6219145 | 2026-04-29 00:50:58.053255 | 2025-07-21 16:40:35.276086 |
| 2026-04-28 07:13:27.672347 | 2026-04-29 00:51:08.267280 | 24830811 | N/A | N/A | 12115 | TriWest VA CCN Region 4 (TWVACCN) | 1114042165 | 24830811 | Athletic Physical Therapy Inc | 1995-08-17 | 2026-05-01 | M | AE | PT | MOORE | 1031444015V742597 | NICOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18091675/check_24830811_ed71f39b-f320-41df-91c8-390033e7f34f.json | N/A | N/A | N/A | N/A | N/A | 1031444015V742597 | N/A | N/A | VETERANS AFFAIRS FEE BASIS PROGRAMS | N/A | 1995-08-17 | N/A | N/A | N/A | N/A | false | MOORE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245766 | N/A | N/A | 18091675 | 2222 | 4793 | 25065434 | N/A | 16115969 | 2026-04-29 00:51:08.267280 | 2026-03-13 20:43:21.494280 |
| 2026-04-28 07:13:27.536006 | 2026-04-28 07:13:27.668820 | 24830799 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24830799 | Athletic Physical Therapy Inc | 1956-01-25 | 2026-04-30 | F | AE | PT | URIBE | 40085522401 | ROSA | I | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18084855 | 2222 | 4802 | N/A | 6237 | 13816533 | 2026-04-28 07:13:27.668820 | 2026-03-06 21:23:14.977254 |
| 2026-04-28 07:13:27.344605 | 2026-04-29 00:50:58.720014 | 24830777 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24830777 | Athletic Physical Therapy Inc | 1970-07-27 | 2026-05-01 | F | AE | PT | NOURI | 612170695 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029673/check_24830777_3983d7c7-b352-4137-bc7e-88caa4d4c12c.json | N/A | N/A | N/A | N/A | N/A | 612170695 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1970-07-27 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | NOURI | N/A | MARYAM | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245764 | N/A | N/A | 18029673 | 2222 | 4802 | 25065276 | 4211 | 16058383 | 2026-04-29 00:50:58.720014 | 2026-03-12 21:38:28.159137 |
| 2026-04-28 07:13:27.161530 | 2026-04-29 00:52:27.996966 | 24830758 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24830758 | Athletic Physical Therapy Inc | 1978-12-17 | 2026-05-01 | F | PT | N/A | UPDIKE | XAN903412717 | AMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18021836/check_24830758_c64f41ec-0b54-4721-b20b-3234a58317d1.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | 2026-04-28 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245763 | N/A | N/A | 18021836 | 2222 | 4801 | 25066463 | N/A | 14884291 | 2026-04-29 00:52:27.996966 | 2026-02-12 23:28:22.567862 |
| 2026-04-28 07:13:27.034116 | 2026-04-29 00:52:15.463027 | 24830746 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24830746 | Athletic Physical Therapy Inc | 1976-02-21 | 2026-04-29 | F | AE | PT | Cohen | 000026138884 | Hally | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938276/check_24830746_b54ca278-1f5d-4ed1-9e2c-94e186583a04.json | N/A | N/A | N/A | N/A | N/A | 000026138884 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1976-02-21 | 4388738 | 102601 | N/A | N/A | false | COHEN | N/A | HALLY | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245762 | N/A | N/A | 17938276 | 2222 | 4802 | 25066303 | N/A | 15976613 | 2026-04-29 00:52:15.463027 | 2026-03-11 20:32:37.861830 |
| 2026-04-28 07:13:26.875192 | 2026-04-29 00:52:14.351710 | 24830728 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24830728 | Athletic Physical Therapy Inc | 1989-07-23 | 2026-04-30 | F | AE | PT | Latty | 93805163F | Maura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_24830728_cc885496-446e-4964-9cf9-7dfcca2f10d3.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245761 | N/A | N/A | 17826505 | 2222 | 4793 | 25066291 | N/A | 15870859 | 2026-04-29 00:52:14.351710 | 2026-03-16 15:31:01.741367 |
| 2026-04-28 07:13:26.669213 | 2026-04-29 00:52:15.893622 | 24830704 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24830704 | Athletic Physical Therapy Inc | 1985-08-17 | 2026-05-01 | M | AE | PT | Cruz | 000022373578 | Edwin | Frank | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17815376/check_24830704_ba60954c-1f2b-4594-98d7-c44b36b00989.json | N/A | N/A | N/A | N/A | N/A | 000022373578 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1985-08-17 | 4383886 | 105705 | N/A | N/A | false | CRUZ | N/A | EDWIN | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245760 | N/A | N/A | 17815376 | 2222 | 4802 | 25066308 | N/A | 15860207 | 2026-04-29 00:52:15.893622 | 2026-03-09 16:33:41.451823 |
| 2026-04-28 07:13:26.493570 | 2026-04-29 00:51:38.035760 | 24830687 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24830687 | Athletic Physical Therapy Inc | 1963-11-18 | 2026-04-30 | F | PT | N/A | Gutierrez | JQK595A63188 | Donna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_24830687_592f2ea8-ab7c-46bd-b8d3-a3e499397a94.json | N/A | N/A | N/A | N/A | N/A | JQK595A63188 | Health Maintenance Organization (HMO) | CIRCULAR CONNECTORS INC | ANTHEM BLUE CROSS | N/A | 1963-11-18 | 040 | 216721 | N/A | HM | false | GUTIERREZ | N/A | DONNA | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245759 | N/A | N/A | 17747293 | 2222 | 4801 | 25065826 | N/A | 15796426 | 2026-04-29 00:51:38.035760 | 2026-03-25 16:15:17.757715 |
| 2026-04-28 07:13:26.315826 | 2026-04-28 07:13:26.476228 | 24830667 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24830667 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-04-30 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17663491 | 2222 | 4802 | N/A | N/A | 4213453 | 2026-04-28 07:13:26.476228 | 2025-05-13 04:29:37.227772 |
| 2026-04-28 07:13:26.128976 | 2026-04-29 00:52:12.038696 | 24830645 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24830645 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-04-30 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_24830645_73aa46b2-3320-47bc-941e-27b848602d19.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245757 | N/A | N/A | 17650446 | 2222 | 4802 | 25066255 | N/A | 9635663 | 2026-04-29 00:52:12.038696 | 2025-10-22 19:43:50.510670 |
| 2026-04-28 07:13:25.942898 | 2026-04-28 07:13:26.121271 | 24830627 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24830627 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-30 | F | AE | PT | HILL | H96403611 | KAREN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17641125 | 2222 | 4793 | N/A | N/A | 4213760 | 2026-04-28 07:13:26.121271 | 2026-03-23 22:17:45.263893 |
| 2026-04-28 07:13:25.779363 | 2026-04-28 07:13:25.936556 | 24830606 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24830606 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-04-30 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17533302 | 2222 | 4793 | N/A | 6237 | 15565486 | 2026-04-28 07:13:25.936556 | 2026-03-17 20:55:49.152309 |
| 2026-04-28 07:13:25.568986 | 2026-04-29 00:53:42.065593 | 24830579 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24830579 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-04-30 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_24830579_21081fbc-be0d-4c6c-9d90-48384bd1a495.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245754 | N/A | N/A | 17492780 | 2222 | 4802 | 25067308 | 4625 | 15085116 | 2026-04-29 00:53:42.065593 | 2026-02-18 20:26:50.354139 |
| 2026-04-28 07:13:25.429415 | 2026-04-29 00:51:38.506701 | 24830563 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24830563 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-05-01 | M | PT | N/A | Higa | NCF843A55961 | Parrish | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_24830563_9271cb0b-8b31-4dab-85b9-11ce56da207a.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245753 | N/A | N/A | 17446858 | 2222 | 4801 | 25065831 | 4185 | 14698980 | 2026-04-29 00:51:38.506701 | 2026-02-09 18:51:36.820546 |
| 2026-04-28 07:13:25.253068 | 2026-04-29 00:50:56.892777 | 24830545 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24830545 | Athletic Physical Therapy Inc | 1978-01-20 | 2026-04-30 | M | AE | PT | GOTTLIEB | 95971728F | GUY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_24830545_ef3a7d40-9221-4448-996b-00d62d4dd5e1.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245752 | N/A | N/A | 17437673 | 2222 | 4802 | 25065249 | 4211 | 15449397 | 2026-04-29 00:50:56.892777 | 2026-02-28 00:00:01.256842 |
| 2026-04-28 07:13:25.104864 | 2026-04-28 07:13:25.249002 | 24830530 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24830530 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-04-29 | F | AE | PT | MONTALVO | 40057101101 | PAMELA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17396005 | 2222 | 4801 | N/A | 6237 | 15407473 | 2026-04-28 07:13:25.249002 | 2026-03-02 03:41:34.276739 |
| 2026-04-28 07:13:24.956781 | 2026-04-28 07:13:25.100165 | 24830515 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24830515 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-04-29 | F | AE | PT | MOLAYEM | 1FP8YH1EQ32 | JILLA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17392566 | 2222 | 4802 | N/A | N/A | 14498125 | 2026-04-28 07:13:25.100165 | 2026-03-11 14:35:29.812051 |
| 2026-04-28 07:13:24.783506 | 2026-04-29 00:53:44.704946 | 24830496 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24830496 | Athletic Physical Therapy Inc | 1963-04-12 | 2026-05-01 | F | PT | N/A | BANKI | JQU128A72700 | AFSANEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17369730/check_24830496_52502798-7e41-48f1-b534-35f38e281c91.json | N/A | N/A | N/A | N/A | N/A | JQU128A72700 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1963-04-12 | 040 | 225912 | N/A | PR | false | BANKI | N/A | AFSANEH | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245749 | N/A | N/A | 17369730 | 2222 | 4802 | 25067352 | N/A | 14333576 | 2026-04-29 00:53:44.704946 | 2026-02-10 01:00:55.560606 |
| 2026-04-28 07:13:24.591088 | 2026-04-29 00:52:24.121329 | 24830470 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24830470 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-04-30 | F | AE | PT | Valenza | 000026028938 | Magali | Giselle | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_24830470_4b124271-f1b1-41d2-8fac-fad4cda01f41.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | 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 | 10715245748 | N/A | N/A | 17355763 | 2222 | 4802 | 25066397 | N/A | 15367776 | 2026-04-29 00:52:24.121329 | 2026-03-02 18:02:01.247721 |
| 2026-04-28 07:13:24.447168 | 2026-04-29 00:53:53.902550 | 24830455 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24830455 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-05-01 | M | AE | PT | GRAY | R15051156MM1 | DAVID | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_24830455_ff8f5df9-45a3-4deb-9212-4b6a3aaefb0d.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245747 | N/A | N/A | 17309570 | 2222 | 4802 | 25067468 | 4625 | 15324565 | 2026-04-29 00:53:53.902550 | 2026-02-27 21:58:34.959613 |
| 2026-04-28 07:13:24.275659 | 2026-04-28 07:13:24.441752 | 24830441 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24830441 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-04-30 | F | AE | PT | ROGERS | 31093568401 | MARY | E | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17306773 | 2222 | 4801 | N/A | 6237 | 15321704 | 2026-04-28 07:13:24.441752 | 2026-02-26 19:15:43.216582 |
| 2026-04-28 07:13:24.065526 | 2026-04-28 07:13:24.268979 | 24830423 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24830423 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-04-30 | M | AE | PT | FARRUGIA | H6573816900 | JEFFREY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17264465 | 2222 | 4801 | N/A | 5349 | 15281758 | 2026-04-28 07:13:24.268979 | 2026-04-16 18:41:33.012590 |
| 2026-04-28 07:13:23.931413 | 2026-04-29 00:52:15.926550 | 24830409 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24830409 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-04-30 | F | AE | PT | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_24830409_fb48e169-f9e3-4597-a1f7-a661a143f448.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245744 | N/A | N/A | 17099336 | 2222 | 4802 | 25066309 | 5538 | 6725117 | 2026-04-29 00:52:15.926550 | 2026-02-18 22:27:04.950292 |
| 2026-04-28 07:13:23.769729 | 2026-04-29 00:51:17.895955 | 24830394 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24830394 | override_provider | 1979-02-02 | 2026-05-01 | F | PT | N/A | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_24830394_42c8cdf4-edf9-43a8-b040-df057eeb3453.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245743 | N/A | N/A | 17094664 | 2222 | 4802 | 25065598 | N/A | 15086531 | 2026-04-29 00:51:17.895955 | 2026-02-18 21:22:56.146803 |
| 2026-04-28 07:13:23.533155 | 2026-04-29 00:51:30.037896 | 24830370 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24830370 | Athletic Physical Therapy Inc | 1963-03-21 | 2026-04-30 | F | AE | PT | Bischoff | 890196802 | Kaycee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17003130/check_24830370_03102706-3a45-4a04-85c1-b4dbeb5f50be.json | N/A | N/A | N/A | N/A | N/A | 890196802 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1963-03-21 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | KAYCEE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245742 | N/A | N/A | 17003130 | 2222 | 4801 | 25065756 | 6411 | 14999773 | 2026-04-29 00:51:30.037896 | 2026-02-17 00:31:52.140400 |
| 2026-04-28 07:13:23.407051 | 2026-04-28 07:13:23.529410 | 24830358 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24830358 | Athletic Physical Therapy Inc | 1956-08-31 | 2026-05-01 | M | AE | PT | MICHAEL | H6792434100 | TIWEN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-01 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16769985 | 2222 | 4801 | N/A | 5349 | 14780524 | 2026-04-28 07:13:23.529410 | 2026-02-10 19:48:19.076611 |
| 2026-04-28 07:13:23.215980 | 2026-04-29 00:53:43.405643 | 24830339 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24830339 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-04-30 | F | PT | N/A | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_24830339_3f2c5e2a-0e59-4846-b3a8-f6e94f0d3729.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245740 | N/A | N/A | 16765713 | 2222 | 4801 | 25067334 | 4185 | 14776656 | 2026-04-29 00:53:43.405643 | 2026-02-10 18:58:53.303852 |
| 2026-04-28 07:13:23.028619 | 2026-04-29 00:52:14.990022 | 24830321 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24830321 | Athletic Physical Therapy Inc | 1990-09-07 | 2026-04-30 | F | AE | PT | BATES | 000020963640 | DAISHA | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16698600/check_24830321_9031be76-a890-4beb-9243-648a0eb684c1.json | N/A | N/A | N/A | N/A | N/A | 000020963640 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1990-09-07 | 4320968 | 1650095001 | N/A | N/A | false | BATES | N/A | DAISHA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE-AMERICAN INDIAN BRO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245739 | N/A | N/A | 16698600 | 2222 | 4802 | 25066297 | N/A | 14711287 | 2026-04-29 00:52:14.990022 | 2026-02-20 02:01:03.455950 |
| 2026-04-28 07:13:22.830079 | 2026-04-29 00:52:26.565949 | 24830300 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24830300 | Athletic Physical Therapy Inc | 1997-11-01 | 2026-05-01 | M | PT | N/A | PANCER | STS914365541 | JORDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16366027/check_24830300_942bbb45-3787-47c8-9179-094069387680.json | N/A | N/A | N/A | N/A | N/A | STS914365541 | Preferred Provider Organization (PPO) | CAREISMATIC BRANDS INC | BLUE SHIELD CALIFORNIA | N/A | 1997-11-01 | 1000PPOX0004 | W0054275 | N/A | PR | false | PANCER | N/A | JORDAN | N/A | N/A | 2026-04-28 | CAREISMATIC BRANDS INC ASO PPO COMBINED DEDUCTIB | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245738 | N/A | N/A | 16366027 | 2222 | 4802 | 25066435 | N/A | 4213469 | 2026-04-29 00:52:26.565949 | 2025-05-13 04:29:37.227786 |
| 2026-04-28 07:13:22.592218 | 2026-04-29 00:52:16.923841 | 24830275 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24830275 | Athletic Physical Therapy Inc | 1993-04-05 | 2026-05-01 | M | AE | PT | GREY | 000023251060 | MO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260428.122219735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284323/check_24830275_75578225-7146-485f-a34e-bc9b287abe54.json | N/A | N/A | N/A | N/A | N/A | 000023251060 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1993-04-05 | 4285549 | 296002 | N/A | N/A | false | GREY | N/A | MO | N/A | 2026-12-31 | 2026-01-01 | RIOT GAMES RIOT GAMES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245737 | N/A | N/A | 16284323 | 2222 | 4802 | 25066322 | N/A | 14332946 | 2026-04-29 00:52:16.923841 | 2026-02-11 16:44:34.390628 |