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 07:13:22.418337 | 2026-04-28 07:13:22.587590 | 24830255 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24830255 | Athletic Physical Therapy Inc | 1953-09-18 | 2026-05-01 | F | AE | PT | ROZZANO | H9643373200 | GINA | Elizabeth | 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 | 16263884 | 2222 | 4801 | N/A | 5349 | 4214855 | 2026-04-28 07:13:22.587590 | 2026-02-04 07:01:53.240587 |
| 2026-04-28 07:13:22.278293 | 2026-04-29 00:51:47.667522 | 24830238 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24830238 | Athletic Physical Therapy Inc | 1950-10-02 | 2026-05-01 | M | PT | N/A | TALAMANTE | MMA979W26491 | TONY | 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/2222/16213353/check_24830238_5ce1ace0-f430-43e8-883e-c5ea2f8f1718.json | N/A | N/A | N/A | N/A | N/A | MMA979W26491 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-10-02 | 040 | CAMCRWP0 | N/A | MP | false | TALAMANTE | N/A | TONY | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245735 | N/A | N/A | 16213353 | 2222 | 4793 | 25065917 | 4185 | 13411314 | 2026-04-29 00:51:47.667522 | 2026-01-13 20:31:59.541152 |
| 2026-04-28 07:13:22.073608 | 2026-04-28 07:13:22.274268 | 24830218 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24830218 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-04-30 | M | AE | PT | brosh | 1AC1KJ0CT14 | RAMI | 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 | 16113776 | 2222 | 4793 | N/A | N/A | 14174363 | 2026-04-28 07:13:22.274268 | 2026-05-29 18:00:53.778221 |
| 2026-04-28 07:13:21.895260 | 2026-04-28 07:13:22.068221 | 24830197 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24830197 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-04-30 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | 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 | 16086772 | 2222 | 4801 | N/A | 6237 | 14151882 | 2026-04-28 07:13:22.068221 | 2026-01-30 16:12:37.739707 |
| 2026-04-28 07:13:21.738852 | 2026-04-29 00:53:54.815819 | 24830185 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24830185 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-05-01 | M | AE | PT | IRWIN | R07798606MM1 | ROBERT | 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/2222/16037337/check_24830185_35c60f92-cdcc-4c8c-9cb8-48cabea1fcdb.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-03-31 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245732 | N/A | N/A | 16037337 | 2222 | 4801 | 25067481 | 4625 | 14107775 | 2026-04-29 00:53:54.815819 | 2026-01-29 17:51:43.526882 |
| 2026-04-28 07:13:21.607034 | 2026-04-28 07:13:21.734005 | 24830167 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24830167 | Athletic Physical Therapy Inc | 1958-08-15 | 2026-04-30 | M | AE | PT | MARTIN | H90190700 | JAMES | P | 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 | 15941985 | 2222 | 4793 | N/A | 5349 | 14024715 | 2026-04-28 07:13:21.734005 | 2026-02-27 22:16:01.917155 |
| 2026-04-28 07:13:21.450068 | 2026-04-29 00:51:55.343256 | 24830150 | N/A | N/A | 60054 | AETNA | 1114042165 | 24830150 | Athletic Physical Therapy Inc | 2012-11-05 | 2026-05-01 | F | AE | PT | SCHWARTZ | W29928822803 | KATYA | 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/2222/15940921/check_24830150_f72bef84-83d1-46f3-8d33-7d587be1eeaa.json | N/A | N/A | N/A | N/A | N/A | W299288228 | Health Maintenance Organization (HMO) | LIFETECH RESOURCES LLC | AETNA | N/A | 2012-11-05 | EADOKN01 | 026948001000001 | N/A | HM | false | SCHWARTZ | N/A | JOSHUA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245730 | N/A | N/A | 15940921 | 2222 | 4793 | 25066011 | 3939 | 14023699 | 2026-04-29 00:51:55.343256 | 2026-02-04 01:25:53.978492 |
| 2026-04-28 07:13:21.240788 | 2026-04-29 00:50:59.333711 | 24830124 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24830124 | Athletic Physical Therapy Inc | 1988-03-20 | 2026-05-01 | F | AE | PT | SIEGEL | 20245734 | MELANIE | 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/2222/15746316/check_24830124_d88f54c9-0f7d-456a-891c-b3999cc542bd.json | N/A | N/A | N/A | N/A | N/A | 20245734 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1988-03-20 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | SIEGEL | N/A | MELANIE | 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 | 10715245729 | N/A | N/A | 15746316 | 2222 | 4802 | 25065284 | 4211 | 13843731 | 2026-04-29 00:50:59.333711 | 2026-03-30 23:59:22.956591 |
| 2026-04-28 07:13:21.084351 | 2026-04-29 00:52:28.448736 | 24830108 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24830108 | Athletic Physical Therapy Inc | 1975-06-19 | 2026-04-30 | M | PT | N/A | ZEITHAMMER | UCD914833466 | ROBERT | 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/2222/15745085/check_24830108_a9d37c29-85bd-4790-8392-370fdb5c8e76.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | 2026-04-28 | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245728 | N/A | N/A | 15745085 | 2222 | 4802 | 25066470 | N/A | 13842766 | 2026-04-29 00:52:28.448736 | 2026-01-26 16:51:25.727723 |
| 2026-04-28 07:13:20.900164 | 2026-04-28 07:13:21.052057 | 24830085 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24830085 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-05-01 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | 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 | AD | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15737586 | 2222 | 4793 | N/A | N/A | 13837022 | 2026-04-28 07:13:21.052057 | 2026-01-27 20:49:36.385334 |
| 2026-04-28 07:13:20.711548 | 2026-04-28 07:13:20.892171 | 24830066 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24830066 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-05-01 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | 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 | AD | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15534853 | 2222 | 4801 | N/A | 6237 | 4219334 | 2026-04-28 07:13:20.892171 | 2025-05-13 04:29:37.230357 |
| 2026-04-28 07:13:20.527520 | 2026-04-29 00:52:26.838007 | 24830048 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24830048 | override_provider | 1936-04-17 | 2026-04-30 | F | AE | PT | Frank | 000010875705 | Lya | 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/2222/15509616/check_24830048_2be9a894-ef68-46ae-b54a-25269a82d763.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715245725 | N/A | N/A | 15509616 | 2222 | 4802 | 25066440 | N/A | 13596403 | 2026-04-29 00:52:26.838007 | 2026-01-16 22:31:54.907256 |
| 2026-04-28 07:13:20.369999 | 2026-04-28 07:13:20.501436 | 24830036 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 24830036 | Athletic Physical Therapy Inc | 1960-01-06 | 2026-05-01 | F | AE | PT | MORGEN | 5852851 | MINDY | 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 | 15287121 | 2222 | 4793 | N/A | N/A | 13387979 | 2026-04-28 07:13:20.501436 | 2026-05-04 18:00:09.918838 |
| 2026-04-28 07:13:20.194329 | 2026-04-29 00:51:36.239847 | 24830022 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24830022 | Athletic Physical Therapy Inc | 2000-08-07 | 2026-05-01 | M | PT | N/A | Friedman | PDA8735243AB | Max | 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/2222/15072800/check_24830022_201784cc-1868-46bd-9621-0d95380f9348.json | N/A | N/A | N/A | N/A | N/A | PDA8735243AB | Preferred Provider Organization (PPO) | PUBLIC STORAGE INC | ANTHEM BLUE CROSS | N/A | 2000-08-07 | 040 | JNT239M3A1 | N/A | PR | false | FRIEDMAN | N/A | ANDRES | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245723 | N/A | N/A | 15072800 | 2222 | 4802 | 25065813 | N/A | 12900230 | 2026-04-29 00:51:36.239847 | 2025-12-29 17:30:18.319338 |
| 2026-04-28 07:13:20.081485 | 2026-04-29 00:51:36.765764 | 24830015 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24830015 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-04-29 | M | PT | N/A | FRIEDMAN | JPU173A63431 | PHILLIP | C | 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/2222/15026498/check_24830015_0c5745b0-2ebb-478a-9759-4154699568d6.json | N/A | N/A | N/A | N/A | N/A | JPU173A63431 | Preferred Provider Organization (PPO) | NC DYNAMICS LLC | ANTHEM BLUE CROSS | N/A | 1952-11-07 | 040 | L03068M001 | N/A | PR | false | FRIEDMAN | N/A | PHILLIP | N/A | 2026-06-01 | 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 | 10715245722 | N/A | N/A | 15026498 | 2222 | 4802 | 25065817 | N/A | 13139277 | 2026-04-29 00:51:36.765764 | 2026-01-08 19:03:05.462828 |
| 2026-04-28 07:13:19.872714 | 2026-04-29 00:52:24.648081 | 24829994 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24829994 | Athletic Physical Therapy Inc | 1991-09-17 | 2026-05-01 | F | PT | N/A | Levitt | XEA906302743 | Hannah | 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/2222/14999324/check_24829994_826f8930-3eb0-4fd2-b57d-f7bec6a53666.json | N/A | N/A | N/A | N/A | N/A | XEA906302743 | Preferred Provider Organization (PPO) | AETHER FILMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-09-17 | 1000VX000103 | W0065938 | N/A | PR | false | DILILLO | N/A | DAVIS | N/A | 9999-12-31 | 2025-10-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC CCSB MIR | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245721 | N/A | N/A | 14999324 | 2222 | 4802 | 25066404 | N/A | 13112676 | 2026-04-29 00:52:24.648081 | 2026-01-05 17:03:35.278778 |
| 2026-04-28 07:13:19.705780 | 2026-04-29 00:52:42.635049 | 24829973 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24829973 | Athletic Physical Therapy Inc | 1950-06-28 | 2026-05-01 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | 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/2222/14916087/check_24829973_6bb0fb82-e259-443d-b43e-bb9f1d35bbc9.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MCCOWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245720 | N/A | N/A | 14916087 | 2222 | 4802 | 25066608 | N/A | 12476020 | 2026-04-29 00:52:42.635049 | 2025-12-16 21:49:52.634130 |
| 2026-04-28 07:13:19.511177 | 2026-04-29 00:51:40.799706 | 24829952 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24829952 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-04-30 | M | PT | N/A | LANDAVERDE | 833W19349 | OSCAR | 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/2222/14413682/check_24829952_5a4fd13c-9eba-43bc-a303-c68e8a94819a.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245719 | N/A | N/A | 14413682 | 2222 | 4802 | 25065847 | 4185 | 12549123 | 2026-04-29 00:51:40.799706 | 2025-12-18 17:22:21.485744 |
| 2026-04-28 07:13:19.347106 | 2026-04-29 00:52:38.733186 | 24829934 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24829934 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-05-01 | F | PT | N/A | Cherry | XDP380A22244 | Megan | 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/2222/14387696/check_24829934_073a4cb7-cf83-473f-a875-8b643cf77593.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245718 | N/A | N/A | 14387696 | 2222 | 4802 | 25066552 | N/A | 12521666 | 2026-04-29 00:52:38.733186 | 2025-12-17 22:18:09.286393 |
| 2026-04-28 07:13:19.200453 | 2026-04-29 00:51:35.751607 | 24829922 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24829922 | Athletic Physical Therapy Inc | 1970-03-18 | 2026-04-30 | F | PT | N/A | Finn | JQU683A20101 | Farnaz | 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/2222/14187202/check_24829922_aebea066-2ce9-4047-9f3e-0a17762de898.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1970-03-18 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | 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 | 10715245717 | N/A | N/A | 14187202 | 2222 | 4793 | 25065810 | N/A | 12318785 | 2026-04-29 00:51:35.751607 | 2026-03-02 22:19:42.373924 |
| 2026-04-28 07:13:19.023447 | 2026-04-29 00:51:48.871062 | 24829907 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24829907 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-05-01 | F | PT | N/A | Vo | TOA651A68427 | Tram | M | 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/2222/14115191/check_24829907_49e063f6-4e04-4a14-b49b-f88dbbb08af6.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715245716 | N/A | N/A | 14115191 | 2222 | 4802 | 25065934 | N/A | 12253534 | 2026-04-29 00:51:48.871062 | 2025-12-11 19:59:32.714775 |
| 2026-04-28 07:13:18.864744 | 2026-04-29 00:52:43.351544 | 24829888 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24829888 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-05-01 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | 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/2222/14110178/check_24829888_5b0e8016-d711-4aa6-bc59-de0b3572924c.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244759 | N/A | N/A | 14110178 | 2222 | 4801 | 25066617 | N/A | 10999467 | 2026-04-29 00:52:43.351544 | 2025-11-14 21:36:13.911423 |
| 2026-04-28 07:13:18.699361 | 2026-04-29 00:53:54.306296 | 24829871 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24829871 | Athletic Physical Therapy Inc | 1966-08-19 | 2026-04-30 | F | AE | PT | GUYON | R07053865FM1 | EILEEN | 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/2222/13436292/check_24829871_df00357a-03d7-4399-a16c-9d482e2d7a8a.json | N/A | N/A | N/A | N/A | N/A | R07053865FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-08-19 | N/A | N/A | N/A | N/A | false | GUYON | N/A | EILEEN | N/A | N/A | N/A | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244758 | N/A | N/A | 13436292 | 2222 | 4801 | 25067475 | 4625 | 11597392 | 2026-04-29 00:53:54.306296 | 2025-11-26 19:15:08.793696 |
| 2026-04-28 07:13:18.518234 | 2026-04-28 07:13:18.675018 | 24829855 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24829855 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-04-30 | M | AE | PT | Kisca | H6309049800 | John | C | 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 | 13037589 | 2222 | 4793 | N/A | 5349 | 11194723 | 2026-04-28 07:13:18.675018 | 2025-12-17 17:59:32.346197 |
| 2026-04-28 07:13:18.362452 | 2026-04-29 00:51:43.205637 | 24829841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24829841 | Athletic Physical Therapy Inc | 2008-09-26 | 2026-05-01 | M | PT | N/A | Mc Nulty | NSA00515638H | Colton | James | 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/2222/12493147/check_24829841_256dc30c-de34-46ff-af9b-c2854a885096.json | N/A | N/A | N/A | N/A | N/A | NSA00515638H | Preferred Provider Organization (PPO) | MAIN PPO PLAN - EARNED | ANTHEM BLUE CROSS | N/A | 2008-09-26 | 040 | L05927A101 | N/A | PR | false | MC NULTY | N/A | MICHAEL | N/A | 2026-04-30 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244755 | N/A | N/A | 12493147 | 2222 | 4802 | 25065872 | N/A | 10669635 | 2026-04-29 00:51:43.205637 | 2026-04-13 22:33:15.662813 |
| 2026-04-28 07:13:18.185721 | 2026-04-28 07:13:18.357464 | 24829821 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24829821 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-05-01 | F | AE | PT | MENDEZ | H9608321000 | LINDA | I | 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 | 12421991 | 2222 | 4793 | N/A | 5349 | 10601861 | 2026-04-28 07:13:18.357464 | 2025-11-07 18:35:55.025808 |
| 2026-04-28 07:13:18.022371 | 2026-04-29 00:51:47.434964 | 24829800 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 24829800 | Athletic Physical Therapy Inc | 1951-05-28 | 2026-05-01 | M | 96 | N/A | ADELMAN | 27936686 | JEFFREY | 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/2222/12298760/check_24829800_3a3c60a5-0ba7-47fd-861a-0325d289b5d9.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-034-002 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | 2026-04-28 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10715244753 | N/A | N/A | 12298760 | 2222 | 4801 | 25065915 | 6798 | 10484794 | 2026-04-29 00:51:47.434964 | 2025-11-05 22:04:00.322040 |
| 2026-04-28 07:13:17.839993 | 2026-04-29 00:52:26.162784 | 24829776 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24829776 | override_provider | 1952-10-12 | 2026-04-30 | F | AE | PT | Abraha | 000011262592 | Tarik | 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/2222/11843086/check_24829776_3bf8b39a-b4c1-4df8-b1c6-dd20ff5e8077.json | N/A | N/A | N/A | N/A | N/A | 000011262592 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1952-10-12 | 564559 | 105702 | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | 2026-12-31 | 2026-01-01 | COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES - AC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244752 | N/A | N/A | 11843086 | 2222 | 4802 | 25066430 | N/A | 10074998 | 2026-04-29 00:52:26.162784 | 2025-10-29 23:19:49.535455 |
| 2026-04-28 07:13:17.628054 | 2026-04-29 00:53:42.535050 | 24829751 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24829751 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-05-01 | M | AE | PT | Vallez | UZ117007801 | Christopher | 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/2222/11619496/check_24829751_9da786ff-ff6c-40c6-865d-24ecba8c39f1.json | N/A | N/A | N/A | N/A | N/A | UZ117007801 | 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. | 1986-03-20 | 67138CA0520015-06 | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244750 | N/A | N/A | 11619496 | 2222 | 4802 | 25067316 | 4625 | 9856940 | 2026-04-29 00:53:42.535050 | 2025-11-10 19:43:16.763776 |
| 2026-04-28 07:13:17.415069 | 2026-04-29 00:51:37.597798 | 24829728 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24829728 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-05-01 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | E | 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/2222/10091887/check_24829728_d21b3fe9-80db-4f40-a77a-661759e9cdf7.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244749 | N/A | N/A | 10091887 | 2222 | 4793 | 25065823 | 4185 | 8429919 | 2026-04-29 00:51:37.597798 | 2025-10-07 22:01:52.720968 |
| 2026-04-28 07:13:17.223294 | 2026-04-28 07:13:17.411253 | 24829704 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 24829704 | Athletic Physical Therapy Inc | 1971-12-09 | 2026-04-29 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | 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 | 9905189 | 2222 | 4801 | N/A | 4437 | 7142472 | 2026-04-28 07:13:17.411253 | 2025-09-06 16:19:59.701160 |
| 2026-04-28 07:13:17.009598 | 2026-04-29 00:51:53.318437 | 24829680 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 24829680 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-05-01 | M | AE | PT | HOPE | 101144710900 | LYNN | B | 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/2222/9477069/check_24829680_83291dfc-8d28-4848-9942-47e1891b6588.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244747 | N/A | N/A | 9477069 | 2222 | 4802 | 25065981 | 3948 | 7927787 | 2026-04-29 00:51:53.318437 | 2025-09-17 17:11:58.574244 |
| 2026-04-28 07:13:16.849257 | 2026-04-29 00:53:47.474991 | 24829663 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24829663 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-04-30 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | 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/2222/9194927/check_24829663_a892898e-7739-46af-91a4-d5e5157bc38e.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244746 | N/A | N/A | 9194927 | 2222 | 4793 | 25067388 | 4184 | 7712549 | 2026-04-29 00:53:47.474991 | 2025-09-10 17:29:28.945035 |
| 2026-04-28 07:13:16.677648 | 2026-04-29 00:50:59.875383 | 24829645 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24829645 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-04-29 | M | AE | PT | Thur | 95641377F | Pyi | 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/2222/7449843/check_24829645_737eb6fc-b673-477a-be90-40ea60266924.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244745 | N/A | N/A | 7449843 | 2222 | 4802 | 25065294 | 4211 | 6399635 | 2026-04-29 00:50:59.875383 | 2025-07-29 18:42:47.970149 |
| 2026-04-28 07:13:16.485551 | 2026-04-28 07:13:16.672071 | 24829620 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24829620 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-04-29 | M | AD | 30 | NOWAK | 31172069101 | DAVID | 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 | AD | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6492025 | 2222 | 4793 | N/A | 6237 | 5121181 | 2026-04-28 07:13:16.672071 | 2025-06-19 16:42:31.208252 |
| 2026-04-28 07:13:16.290558 | 2026-04-28 07:13:16.481240 | 24829597 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24829597 | Athletic Physical Therapy Inc | 1944-11-30 | 2026-04-29 | F | AE | PT | AMOROSA | 40037132201 | RITA | 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 | 5874458 | 2222 | 4801 | N/A | 6237 | 4534582 | 2026-04-28 07:13:16.481240 | 2026-03-02 22:06:30.224734 |
| 2026-04-28 07:13:16.098634 | 2026-04-29 00:53:41.193773 | 24829576 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24829576 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-04-30 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_24829576_0b5ad517-15e6-4bcb-a2a4-d33cc39f731b.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244742 | N/A | N/A | 5568076 | 2222 | 4802 | 25067293 | 4625 | 4209480 | 2026-04-29 00:53:41.193773 | 2026-04-10 02:05:15.976484 |
| 2026-04-28 07:13:15.884287 | 2026-04-29 00:53:42.588535 | 24829550 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 24829550 | Athletic Physical Therapy Inc | 1977-05-04 | 2026-04-30 | M | AE | PT | SANCHEZ | R078272714M51 | DAVID | 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/2222/5549832/check_24829550_680e7330-fe26-47f2-83c2-797b71b10451.json | N/A | N/A | N/A | N/A | N/A | R078272714M51 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1977-05-04 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | DAVID | N/A | N/A | 2026-04-28 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244741 | N/A | N/A | 5549832 | 2222 | 4801 | 25067318 | N/A | 4219391 | 2026-04-29 00:53:42.588535 | 2025-05-13 04:29:37.230420 |
| 2026-04-28 07:13:15.749479 | 2026-04-29 00:53:44.072673 | 24829530 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24829530 | Athletic Physical Therapy Inc | 1972-06-11 | 2026-05-01 | F | AE | PT | ANDERSON | XDP564A24389 | ERIN | 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/2222/5549780/check_24829530_8f54f482-e3dd-4bb3-aaf1-8379a63f81ca.json | N/A | N/A | N/A | N/A | N/A | XDP564A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1972-06-11 | 040 | 275928M001 | N/A | PR | false | ANDERSON | N/A | ERIN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244740 | N/A | N/A | 5549780 | 2222 | 4801 | 25067343 | N/A | 4219374 | 2026-04-29 00:53:44.072673 | 2025-05-13 04:29:37.230399 |
| 2026-04-28 07:13:15.518404 | 2026-04-28 07:13:15.743386 | 24829500 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24829500 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-04-30 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | 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 | 5548970 | 2222 | 4802 | N/A | N/A | 4218728 | 2026-04-28 07:13:15.743386 | 2025-05-13 04:29:37.229718 |
| 2026-04-28 07:13:15.318679 | 2026-04-29 00:51:41.354903 | 24829478 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24829478 | Athletic Physical Therapy Inc | 1947-11-21 | 2026-05-01 | M | PT | N/A | LOCKHAT | JQS435M97823 | AHMED | 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/2222/5543586/check_24829478_5e1cc232-3ef7-49ff-a9be-b4312942a24e.json | N/A | N/A | N/A | N/A | N/A | JQS435M97823 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-11-21 | 040 | CAMCRWP0 | N/A | MP | false | LOCKHAT | N/A | AHMED | N/A | 9999-12-31 | 2026-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244738 | N/A | N/A | 5543586 | 2222 | 4801 | 25065854 | 4184 | 4215359 | 2026-04-29 00:51:41.354903 | 2026-04-17 05:33:55.315499 |
| 2026-04-28 07:13:15.065997 | 2026-04-29 00:53:57.579085 | 24829448 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 24829448 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-04-30 | F | AE | PT | Sankovich | 00000375069 | Deborah | 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/2222/5543396/check_24829448_e454989f-8e3b-4954-9a63-4d0a49d8fc05.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244737 | N/A | N/A | 5543396 | 2222 | 4793 | 25067503 | 2630 | 4215193 | 2026-04-29 00:53:57.579085 | 2026-01-16 04:38:12.725481 |
| 2026-04-28 07:13:14.837813 | 2026-04-29 00:51:38.959589 | 24829420 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24829420 | Athletic Physical Therapy Inc | 1956-05-16 | 2026-04-29 | F | PT | N/A | HORTA | MBL503W15699 | EILEEN | 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/2222/5543224/check_24829420_f4ff064e-4607-450b-afd4-25ad6dfafbec.json | N/A | N/A | N/A | N/A | N/A | MBL503W15699 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-05-16 | 040 | CAEGR002 | N/A | N/A | false | HORTA | N/A | EILEEN | N/A | 9999-12-31 | 2023-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244736 | N/A | N/A | 5543224 | 2222 | 4793 | 25065833 | N/A | 4215037 | 2026-04-29 00:51:38.959589 | 2025-05-13 04:29:37.229354 |
| 2026-04-28 07:13:14.735943 | 2026-04-29 00:52:26.139730 | 24829407 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24829407 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-05-01 | M | PT | N/A | MOYNIHAN | QMS905764029 | KEITH | 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/2222/5542720/check_24829407_40d89700-4366-4d45-ae2c-c01fc1dccb11.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | 2026-04-28 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244735 | N/A | N/A | 5542720 | 2222 | 4802 | 25066429 | N/A | 4214596 | 2026-04-29 00:52:26.139730 | 2025-05-13 04:29:37.228923 |
| 2026-04-28 07:13:14.557567 | 2026-04-29 00:53:43.012821 | 24829384 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 24829384 | override_provider | 1972-07-22 | 2026-05-01 | M | AE | PT | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_24829384_f30679b0-004f-418c-b0a6-6c9c44a9b86b.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10715244734 | N/A | N/A | 5542709 | 2222 | 4802 | 25067325 | N/A | 4214582 | 2026-04-29 00:53:43.012821 | 2025-12-02 00:00:04.433236 |
| 2026-04-28 07:13:14.328839 | 2026-04-28 07:13:14.549405 | 24829355 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 24829355 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-05-01 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | 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 | 5542606 | 2222 | 4801 | N/A | N/A | 4214496 | 2026-04-28 07:13:14.549405 | 2025-05-13 04:29:37.228812 |
| 2026-04-28 07:13:14.120121 | 2026-04-28 07:13:14.322627 | 24829331 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24829331 | Athletic Physical Therapy Inc | 1954-09-01 | 2026-04-30 | F | AE | PT | POURMOMEN | 1FJ2V05EW92 | MEHRI | 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 | 5542428 | 2222 | 4802 | N/A | N/A | 4214341 | 2026-04-28 07:13:14.322627 | 2026-04-01 02:58:37.438629 |
| 2026-04-28 07:13:13.872879 | 2026-04-29 00:51:35.112609 | 24829299 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24829299 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-05-01 | M | PT | N/A | FERNANDEZ | JQS315W00257 | FREDERICO | 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/2222/5542274/check_24829299_ae333da4-be9d-40ed-94a0-7d59f36486d0.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244730 | N/A | N/A | 5542274 | 2222 | 4801 | 25065803 | 4185 | 4214212 | 2026-04-29 00:51:35.112609 | 2025-05-13 04:29:37.228546 |
| 2026-04-28 07:13:13.660352 | 2026-04-29 00:52:21.962659 | 24829270 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24829270 | Athletic Physical Therapy Inc | 1980-10-14 | 2026-05-01 | M | PT | N/A | ABI MALHAB | KSI73549599C | NADIM | 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/2222/5541968/check_24829270_fc832c55-1f6c-45d5-a3cc-99e608981684.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | 2026-04-28 | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10715244729 | N/A | N/A | 5541968 | 2222 | 4802 | 25066369 | N/A | 4213936 | 2026-04-29 00:52:21.962659 | 2025-05-13 04:29:37.228255 |
| 2026-04-28 07:13:13.488437 | 2026-04-28 07:13:13.654598 | 24829250 | N/A | N/A | 87726 | UHC Shared Services | 1780497479 | 24829250 | override_provider | 1985-08-14 | 2026-05-01 | F | AE | PT | LIN | G44715088 | JESSICA | 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 | 5541550 | 2222 | 4802 | N/A | N/A | 4213560 | 2026-04-28 07:13:13.654598 | 2025-05-13 04:29:37.227892 |