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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-27 07:15:03.481012 | 2026-04-28 00:52:13.838171 | 24718521 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24718521 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-04-30 | F | AE | PT | RASHIDI | 93712342E | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_24718521_e5babb9e-7179-49d4-ab12-ae32332f007b.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568281 | N/A | N/A | 18279699 | 2222 | 4802 | 24936464 | 4211 | 16293253 | 2026-04-28 00:52:13.838171 | 2026-03-17 23:01:51.545839 |
| 2026-04-27 07:15:03.424052 | 2026-04-28 00:57:01.084910 | 24718517 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24718517 | Athletic Physical Therapy Inc | 1939-06-15 | 2026-04-29 | M | PT | N/A | NEPOMUCENO | 614122863A | MODESTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19947387/check_24718517_7a93be87-33b5-4014-ab06-dd3a89a0029d.json | N/A | N/A | N/A | N/A | N/A | 614122863A | N/A | N/A | CMS | N/A | 1939-06-15 | N/A | N/A | N/A | N/A | false | NEPOMUCENO | N/A | MODESTO | N/A | N/A | 2026-04-27 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704581710 | N/A | N/A | 19947387 | 2222 | 4802 | 24941008 | N/A | 17186158 | 2026-04-28 00:57:01.084910 | 2026-04-15 19:23:33.335773 |
| 2026-04-27 07:15:03.283007 | 2026-04-28 00:55:41.645105 | 24718502 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 24718502 | Athletic Physical Therapy Inc | 1944-11-01 | 2026-04-29 | U | AE | PT | LEWIS | D24951505 | SANDRA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19947085/check_24718502_082b479a-730e-4c5b-a41b-fc9bf0cf37cd.json | N/A | N/A | N/A | N/A | N/A | D24951505 | N/A | N/A | UNITED STATES AUTOMOBILE ASSOCIATION USAA | N/A | 1944-11-01 | N/A | N/A | N/A | N/A | false | LEWIS | N/A | SANDRA | N/A | N/A | 2026-04-27 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581709 | N/A | N/A | 19947085 | 2222 | 4802 | 24939800 | N/A | 17630973 | 2026-04-28 00:55:41.645105 | 2026-05-14 19:58:26.032681 |
| 2026-04-27 07:15:03.168009 | 2026-04-28 00:51:44.540862 | 24718491 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24718491 | Athletic Physical Therapy Inc | 1969-07-22 | 2026-04-29 | F | PT | N/A | Noshi | KAE820275362 | Lisa | Jayne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18274089/check_24718491_54878896-a474-4517-bc6c-c60c4700372e.json | N/A | N/A | N/A | N/A | N/A | KAE820275362 | Preferred Provider Organization (PPO) | PPO DED PLAN 600 SMA | ANTHEM BLUE CROSS | N/A | 1969-07-22 | N/A | 016260 | N/A | PR | false | NOSHI | N/A | LISA | N/A | 9999-12-31 | 2014-07-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568280 | N/A | N/A | 18274089 | 2222 | 4802 | 24936114 | N/A | 16288996 | 2026-04-28 00:51:44.540862 | 2026-03-17 22:30:09.889822 |
| 2026-04-27 07:15:02.953147 | 2026-04-28 00:53:59.422701 | 24718471 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24718471 | Athletic Physical Therapy Inc | 1958-02-17 | 2026-04-29 | F | AE | PT | Goldenberg | 33132579411 | Andrea | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19775686/check_24718471_0b2aaa84-b39c-4f24-9206-721fe8bdbf91.json | N/A | N/A | N/A | N/A | N/A | 33132579411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1958-02-17 | N/A | N/A | N/A | SP | false | GOLDENBERG | N/A | ANDREA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581708 | N/A | N/A | 19775686 | 2222 | 4793 | 24938106 | N/A | 17491882 | 2026-04-28 00:53:59.422701 | 2026-04-23 20:53:28.613621 |
| 2026-04-27 07:15:02.695114 | 2026-04-28 00:49:48.101867 | 24718443 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24718443 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-04-29 | F | AE | PT | Durant | 000008717870 | Jovanna | Sharelle Shishonna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_24718443_52f2352a-3110-4c8e-88da-e37a876dbe70.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 S.E.I | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568279 | N/A | N/A | 18270267 | 2222 | 4802 | 24934631 | N/A | 16284557 | 2026-04-28 00:49:48.101867 | 2026-03-22 16:36:56.176369 |
| 2026-04-27 07:15:02.685605 | 2026-04-28 00:55:40.605097 | 24718441 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24718441 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-29 | F | AE | PT | KIM | 40086743101 | SARAH | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567411/check_24718441_990ca356-f94b-4924-89c0-cb229a113ade.json | N/A | N/A | N/A | N/A | N/A | 40086743101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-01-27 | 2026H5425006 | H5425M | N/A | N/A | false | KIM | N/A | SARAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581707 | N/A | N/A | 19567411 | 2222 | 4802 | 24939781 | N/A | 16386056 | 2026-04-28 00:55:40.605097 | 2026-03-19 16:01:57.090565 |
| 2026-04-27 07:15:02.407761 | 2026-04-28 00:49:35.861155 | 24718410 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24718410 | override_provider | 1988-11-15 | 2026-04-29 | M | PT | N/A | RHODES | AJC914491557 | THOMAS | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18252435/check_24718410_154d8d81-aa52-40be-ba06-1ee424414887.json | N/A | N/A | N/A | N/A | N/A | AJC914491557 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1988-11-15 | 1000MCAL0008 | E0001001 | N/A | MC | false | RHODES | N/A | THOMAS | N/A | N/A | 2026-04-27 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568278 | N/A | N/A | 18252435 | 2222 | 4802 | 24934413 | N/A | 16267835 | 2026-04-28 00:49:35.861155 | 2026-04-21 18:01:49.356237 |
| 2026-04-27 07:15:02.363204 | 2026-04-28 00:54:01.026768 | 24718405 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24718405 | Athletic Physical Therapy Inc | 1955-11-03 | 2026-04-29 | F | AE | PT | SIEMINSKI | 32845919512 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19489706/check_24718405_0bea2c20-477e-40e7-a873-4109466c3e50.json | N/A | N/A | N/A | N/A | N/A | 32845919512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1955-11-03 | N/A | N/A | N/A | SP | false | SIEMINSKI | N/A | LISA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581706 | N/A | N/A | 19489706 | 2222 | 4801 | 24938144 | N/A | 17265138 | 2026-04-28 00:54:01.026768 | 2026-04-08 18:54:32.930478 |
| 2026-04-27 07:15:02.183472 | 2026-04-28 00:49:37.431827 | 24718381 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24718381 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-04-29 | M | AE | PT | Lopez Garcia | 95890433F | Eduardo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_24718381_227298c3-9127-4e81-8f27-7faf9688a041.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568277 | N/A | N/A | 18216914 | 2222 | 4802 | 24934445 | N/A | 16232218 | 2026-04-28 00:49:37.431827 | 2026-03-16 23:33:21.904145 |
| 2026-04-27 07:15:02.089684 | 2026-04-28 00:55:44.725409 | 24718369 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24718369 | Athletic Physical Therapy Inc | 1950-10-02 | 2026-04-29 | F | AE | PT | Kemmerling | XAN913637518 | Beverly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19237664/check_24718369_baf74211-ab97-44a3-8055-bd4b9dced09c.json | N/A | N/A | N/A | N/A | N/A | XAN913637518 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1950-10-02 | 1002VX000001 | W0051411 | N/A | PR | false | KEMMERLING | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO VISION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581705 | N/A | N/A | 19237664 | 2222 | 4793 | 24939847 | N/A | 17102724 | 2026-04-28 00:55:44.725409 | 2026-04-03 16:16:17.741948 |
| 2026-04-27 07:15:01.947866 | 2026-04-28 00:52:16.072391 | 24718353 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24718353 | Athletic Physical Therapy Inc | 2008-01-01 | 2026-04-30 | M | AE | PT | Talasazan | 90246457E | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_24718353_4b55ff47-3d5a-4d80-8847-dae7a4e26c5f.json | N/A | N/A | N/A | N/A | N/A | 90246457E | 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) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568276 | N/A | N/A | 18095833 | 2222 | 4802 | 24936493 | 4211 | 16119978 | 2026-04-28 00:52:16.072391 | 2026-04-03 21:05:07.393901 |
| 2026-04-27 07:15:01.789401 | 2026-04-28 00:53:59.808934 | 24718336 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24718336 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-04-29 | M | AE | PT | GREEN | 31707707912 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935549/check_24718336_7332ecd4-d787-44b6-abff-4412b85706c9.json | N/A | N/A | N/A | N/A | N/A | 31707707912 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-06-18 | N/A | N/A | N/A | SP | false | GREEN | N/A | PATRICK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581704 | N/A | N/A | 18935549 | 2222 | 4801 | 24938117 | N/A | 16813949 | 2026-04-28 00:53:59.808934 | 2026-03-31 19:01:10.524839 |
| 2026-04-27 07:15:01.665495 | 2026-04-28 00:52:28.175281 | 24718323 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24718323 | Athletic Physical Therapy Inc | 1962-12-17 | 2026-04-30 | F | PT | N/A | CROSTHWAITE | XEH909146536 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18078000/check_24718323_507ec328-96d9-4a2c-94a7-6b0607d7bf7d.json | N/A | N/A | N/A | N/A | N/A | XEH909146536 | Health Maintenance Organization (HMO) | PROVIDENCE HEALTH SERVICES | BLUE SHIELD CALIFORNIA | N/A | 1962-12-17 | 1005HMOX0001 | W0052198 | N/A | HM | false | CROSTHWAITE | N/A | DIANE | N/A | N/A | 2026-04-27 | PROVIDENCE HEALTH SERVICES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568275 | N/A | N/A | 18078000 | 2222 | 4801 | 24936666 | 4191 | 16103835 | 2026-04-28 00:52:28.175281 | 2026-03-13 17:49:47.687705 |
| 2026-04-27 07:15:01.437725 | 2026-04-28 00:54:12.347432 | 24718298 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24718298 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-30 | M | AE | PT | BARDIA | 9YD1K19FG26 | KANHAIYA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_24718298_80af1f15-7586-4bb1-81b5-92e012ca3b8b.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5884 | N/A | N/A | MB | false | BARDIA | N/A | KANHAIYA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 84317 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568273 | N/A | N/A | 18033660 | 2222 | 4802 | 24938348 | N/A | 16061630 | 2026-04-28 00:54:12.347432 | 2026-03-18 23:17:28.107701 |
| 2026-04-27 07:15:01.289773 | 2026-04-28 00:54:00.210382 | 24718280 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24718280 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-30 | M | AE | PT | HARY | 32464179011 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18880065/check_24718280_ad44ee06-082e-4173-98da-949916fc583e.json | N/A | N/A | N/A | N/A | N/A | 32464179011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-02-13 | N/A | N/A | N/A | SP | false | HARY | N/A | DAVID | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581703 | N/A | N/A | 18880065 | 2222 | 4802 | 24938121 | N/A | 16048388 | 2026-04-28 00:54:00.210382 | 2026-03-12 19:28:18.393557 |
| 2026-04-27 07:15:01.163025 | 2026-04-28 00:51:01.705071 | 24718265 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24718265 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-04-29 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_24718265_4aa5eff9-be1c-4ad2-8b5b-2fc158f6224d.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | 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 | 10704568271 | N/A | N/A | 18029271 | 2222 | 4793 | 24935489 | N/A | 16057887 | 2026-04-28 00:51:01.705071 | 2026-03-23 17:30:23.761066 |
| 2026-04-27 07:15:01.024880 | 2026-04-28 00:56:27.142947 | 24718248 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24718248 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-04-29 | F | AE | PT | CHICAS | 96979313F | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18654874/check_24718248_c30d33b5-3353-45d8-94c1-9ffaa3737a15.json | N/A | N/A | N/A | N/A | N/A | 96979313F | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-05-08 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHICAS | N/A | MARIA | N/A | 2078-12-31 | 2022-09-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581702 | N/A | N/A | 18654874 | 2222 | 4802 | 24940538 | N/A | 6965620 | 2026-04-28 00:56:27.142947 | 2025-09-03 23:20:10.287852 |
| 2026-04-27 07:15:00.908679 | 2026-04-28 00:51:36.484574 | 24718233 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24718233 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-30 | M | AE | PT | HARY | 2YH6T54NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_24718233_879eef4b-5bf4-4f82-9ec9-dc1be805b227.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MA | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 122001 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568269 | N/A | N/A | 18020019 | 2222 | 4802 | 24935970 | N/A | 16048388 | 2026-04-28 00:51:36.484574 | 2026-03-12 19:28:18.393557 |
| 2026-04-27 07:15:00.836882 | 2026-04-28 00:57:07.996391 | 24718228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24718228 | Athletic Physical Therapy Inc | 1944-09-27 | 2026-04-28 | F | AE | PT | Benton | LPZ769A74781 | Harriet | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18416721/check_24718228_26b01cca-cacc-4021-bca4-e04f798c7df0.json | N/A | N/A | N/A | N/A | N/A | LPZ769A74781 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1944-09-27 | 040 | 1841UN | N/A | PR | false | BENTON | N/A | HARRIET | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581701 | N/A | N/A | 18416721 | 2222 | 4793 | 24941085 | N/A | 16419098 | 2026-04-28 00:57:07.996391 | 2026-03-19 23:28:36.268438 |
| 2026-04-27 07:15:00.751728 | 2026-04-28 00:51:50.930685 | 24718217 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24718217 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-04-29 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_24718217_8c9981d9-a59f-4c5d-bb4f-983dbe1a43da.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 141169 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568268 | N/A | N/A | 17961735 | 2222 | 4801 | 24936195 | N/A | 15883502 | 2026-04-28 00:51:50.930685 | 2026-03-11 00:48:56.434845 |
| 2026-04-27 07:15:00.672625 | 2026-04-28 00:57:19.046340 | 24718210 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24718210 | Athletic Physical Therapy Inc | 1983-02-18 | 2026-04-29 | F | PT | N/A | MENDOZA | JMV327W24025 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18232470/check_24718210_b44f148c-7536-4daf-a432-c5faf0dc6e9f.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704581699 | N/A | N/A | 18232470 | 2222 | 4801 | 24941234 | 4185 | 13900510 | 2026-04-28 00:57:19.046340 | 2026-01-27 00:13:26.286289 |
| 2026-04-27 07:15:00.557605 | 2026-04-28 00:54:26.804814 | 24718199 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24718199 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-04-30 | F | AE | PT | FLEMING | 1R95FV2XE71 | LORIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_24718199_5411e6ef-c777-4137-a121-c144bcb5306f.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MB | false | FLEMING | N/A | LORIE | N/A | 2026-03-31 | 2026-01-01 | N/A | N/A | N/A | 48380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568267 | N/A | N/A | 17944211 | 2222 | 4801 | 24938521 | N/A | 15983370 | 2026-04-28 00:54:26.804814 | 2026-03-16 17:56:49.633280 |
| 2026-04-27 07:15:00.380202 | 2026-04-28 00:53:58.628349 | 24718177 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24718177 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-30 | M | AE | PT | BARDIA | 34703995411 | KANHAIYA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033661/check_24718177_e080f0fd-2550-4cb4-9864-2309c2e50ce7.json | N/A | N/A | N/A | N/A | N/A | 34703995411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-04 | N/A | N/A | N/A | SP | false | BARDIA | N/A | KANHAIYA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581698 | N/A | N/A | 18033661 | 2222 | 4802 | 24938091 | N/A | 16061630 | 2026-04-28 00:53:58.628349 | 2026-03-18 23:17:28.107701 |
| 2026-04-27 07:15:00.184158 | 2026-04-28 00:49:25.397464 | 24718152 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24718152 | Athletic Physical Therapy Inc | 1972-12-05 | 2026-04-30 | F | AE | PT | BLUEROSE | 92521676F | KYRINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17939188/check_24718152_62272a7e-16c1-47a6-9903-dc485979abdf.json | N/A | N/A | N/A | N/A | N/A | 92521676F | N/A | N/A | HEALTH NET, LLC | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | N/A | 2026-03-31 | 2024-10-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568265 | N/A | N/A | 17939188 | 2222 | 4802 | 24934211 | 4625 | 4214558 | 2026-04-28 00:49:25.397464 | 2026-03-07 00:55:14.494391 |
| 2026-04-27 07:15:00.135697 | 2026-04-28 00:55:43.270655 | 24718146 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24718146 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-04-30 | M | AE | PT | DHIR | XEM912603274 | PRADEEP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17555796/check_24718146_e165dd21-84d4-4dfe-86a6-93b460f40059.json | N/A | N/A | N/A | N/A | N/A | XEM912603274 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-08-24 | 2004SE000030 | X0001002 | N/A | OT | false | DHIR | N/A | REVA | N/A | N/A | 2026-04-27 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581697 | N/A | N/A | 17555796 | 2222 | 4801 | 24939821 | N/A | 15603579 | 2026-04-28 00:55:43.270655 | 2026-04-17 17:11:47.109035 |
| 2026-04-27 07:15:00.056905 | 2026-04-28 00:49:05.729762 | 24718136 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24718136 | Athletic Physical Therapy Inc | 1960-12-21 | 2026-04-29 | M | AE | PT | PACHECO | H90214706 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17932257/check_24718136_5e20edba-8766-41d8-8e54-3af66e41218a.json | N/A | N/A | N/A | N/A | N/A | H90214706 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1960-12-21 | N/A | 2B722001 | N/A | HN | false | PACHECO | N/A | PETER | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568263 | N/A | N/A | 17932257 | 2222 | 4793 | 24933884 | N/A | 15970549 | 2026-04-28 00:49:05.729762 | 2026-03-11 20:12:02.029845 |
| 2026-04-27 07:14:59.892201 | 2026-04-28 00:57:00.372492 | 24718116 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24718116 | Athletic Physical Therapy Inc | 1952-05-31 | 2026-04-30 | M | AE | PT | ANDERSON | 5M59GF6KP35 | ERIC | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17335575/check_24718116_1fbe04c4-ec4d-4fe9-8f3b-b264f3315b1e.json | N/A | N/A | N/A | N/A | N/A | 5M59GF6KP35 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-31 | H5521 | N/A | N/A | MB | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581696 | N/A | N/A | 17335575 | 2222 | 4802 | 24941000 | N/A | 14369748 | 2026-04-28 00:57:00.372492 | 2026-03-09 18:36:27.636026 |
| 2026-04-27 07:14:59.874445 | 2026-04-28 00:49:12.955635 | 24718114 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24718114 | Athletic Physical Therapy Inc | 1957-01-09 | 2026-04-29 | F | AE | PT | COLEY | 910143184 | GWENDOLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17918121/check_24718114_8ecaa641-a6ef-4784-bfd4-6f81bc981c65.json | N/A | N/A | N/A | N/A | N/A | 910143184 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-09 | N/A | 01991 | N/A | HN | false | COLEY | N/A | GWENDOLYN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568262 | N/A | N/A | 17918121 | 2222 | 4802 | 24934005 | 6411 | 4213018 | 2026-04-28 00:49:12.955635 | 2025-05-22 00:04:46.399580 |
| 2026-04-27 07:14:59.741761 | 2026-04-28 00:57:23.971115 | 24718097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24718097 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-29 | F | AE | PT | Velazquez | JQE124A75580 | Victoria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16927466/check_24718097_76d4d6fc-ce31-40d5-ae0d-8347c50359cc.json | N/A | N/A | N/A | N/A | N/A | JQE124A75580 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-06-01 | 040 | CASUPWP0 | N/A | N/A | false | VELAZQUEZ | N/A | VICTORIA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581695 | N/A | N/A | 16927466 | 2222 | 4801 | 24941306 | N/A | 14926242 | 2026-04-28 00:57:23.971115 | 2026-03-06 18:16:10.395182 |
| 2026-04-27 07:14:59.598301 | 2026-04-28 00:50:58.350750 | 24718077 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24718077 | Athletic Physical Therapy Inc | 1958-08-20 | 2026-04-29 | F | PT | N/A | HAILEMICHAEL | JQQ291W22868 | ABEBU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17880760/check_24718077_2af639bd-04fe-447b-bb26-a61e543d470a.json | N/A | N/A | N/A | N/A | N/A | JQQ291W22868 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-08-20 | 040 | CAMCRWP0 | N/A | MP | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568261 | N/A | N/A | 17880760 | 2222 | 4802 | 24935447 | 4184 | 4534565 | 2026-04-28 00:50:58.350750 | 2026-03-10 20:57:14.661259 |
| 2026-04-27 07:14:59.501132 | 2026-04-28 00:57:03.775510 | 24718065 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 24718065 | Athletic Physical Therapy Inc | 1952-08-20 | 2026-04-29 | M | 96 | N/A | SHARAWY | 90865222d46016 | HUSSEIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16823029/check_24718065_7fc75af8-8a81-4cd4-9f95-6977ea4c59ab.json | N/A | N/A | N/A | N/A | N/A | 90865222D46016 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | SHARAWY | N/A | HUSSEIN | N/A | N/A | 2026-04-27 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10704581694 | N/A | N/A | 16823029 | 2222 | 4801 | 24941041 | N/A | 14730725 | 2026-04-28 00:57:03.775510 | 2026-02-09 23:27:38.570173 |
| 2026-04-27 07:14:59.326002 | 2026-04-28 00:49:06.404232 | 24718046 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24718046 | Athletic Physical Therapy Inc | 1969-06-12 | 2026-04-29 | F | AE | PT | Rowlands | H69992193 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17870887/check_24718046_fb9649e3-7a42-497f-ab91-4cc780f2aef3.json | N/A | N/A | N/A | N/A | N/A | H69992193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1969-06-12 | N/A | 2B798001 | N/A | HN | false | ROWLANDS | N/A | KIMBERLY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568260 | N/A | N/A | 17870887 | 2222 | 4801 | 24933892 | 5349 | 15914963 | 2026-04-28 00:49:06.404232 | 2026-03-15 17:01:29.240163 |
| 2026-04-27 07:14:59.156534 | 2026-04-28 00:55:45.098992 | 24718022 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24718022 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-04-29 | F | PT | N/A | MOLAYEM | XEM904126389 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_24718022_3be67956-3fc1-4909-80dc-9ae3007f9217.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | 2026-04-27 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704581693 | N/A | N/A | 16453425 | 2222 | 4802 | 24939853 | N/A | 14498125 | 2026-04-28 00:55:45.098992 | 2026-03-11 14:35:29.812051 |
| 2026-04-27 07:14:59.074097 | 2026-04-28 00:51:49.750216 | 24718009 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24718009 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-04-29 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_24718009_4f6cc7e6-6855-46cb-b600-254ce87fd69e.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568256 | N/A | N/A | 17868567 | 2222 | 4802 | 24936180 | N/A | 15913011 | 2026-04-28 00:51:49.750216 | 2026-03-16 22:33:11.392245 |
| 2026-04-27 07:14:58.862012 | 2026-04-28 00:54:01.418551 | 24717989 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24717989 | Athletic Physical Therapy Inc | 1956-06-01 | 2026-04-29 | F | AE | PT | SNYDER | 34489374912 | ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16269837/check_24717989_cbbede68-7c02-4d0c-9dc2-9d7497ff1045.json | N/A | N/A | N/A | N/A | N/A | 34489374912 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-06-01 | N/A | N/A | N/A | SP | false | SNYDER | N/A | ANN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581692 | N/A | N/A | 16269837 | 2222 | 4793 | 24938148 | N/A | 14318816 | 2026-04-28 00:54:01.418551 | 2026-02-03 18:58:39.277258 |
| 2026-04-27 07:14:58.849640 | 2026-04-28 00:49:42.188961 | 24717987 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24717987 | Athletic Physical Therapy Inc | 1961-12-26 | 2026-04-29 | F | AE | PT | Tadmor | 99113784F | Lisa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_24717987_59b5adc8-adee-4bb1-acfd-8d0baca37dc8.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568255 | N/A | N/A | 17749411 | 2222 | 4802 | 24934536 | N/A | 15798656 | 2026-04-28 00:49:42.188961 | 2026-03-07 00:12:23.548270 |
| 2026-04-27 07:14:58.632377 | 2026-04-28 00:57:20.790882 | 24717958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24717958 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-04-30 | F | AE | PT | Rund | JQE413W24976 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14414101/check_24717958_5216021c-9280-40e6-87fe-84d62758cd19.json | N/A | N/A | N/A | N/A | N/A | JQE413W24976 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | CASUPWP0 | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2025-11-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581691 | N/A | N/A | 14414101 | 2222 | 4802 | 24941258 | N/A | 5046194 | 2026-04-28 00:57:20.790882 | 2026-01-06 19:15:31.520951 |
| 2026-04-27 07:14:58.611379 | 2026-04-28 00:52:15.027509 | 24717956 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24717956 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-04-29 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_24717956_b30cd424-e146-4597-badd-c74e02902f0e.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568254 | N/A | N/A | 17744755 | 2222 | 4802 | 24936479 | 4211 | 4213934 | 2026-04-28 00:52:15.027509 | 2026-01-27 23:36:44.802366 |
| 2026-04-27 07:14:58.416219 | 2026-04-28 00:54:20.685162 | 24717933 | N/A | N/A | 13193 | Continental General Insurance Company - Medicare Supplement | 1114042165 | 24717933 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-04-29 | M | AE | PT | Maher | 80Y0447913 | Timothy | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_24717933_6c780998-4e4a-416a-89a1-c80c615e7c5b.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | GREAT AMERICAN | N/A | 1943-11-25 | MSM16F80 | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581690 | N/A | N/A | 13655343 | 2222 | 4802 | 24938450 | N/A | 11803316 | 2026-04-28 00:54:20.685162 | 2025-12-16 19:29:59.872631 |
| 2026-04-27 07:14:58.356925 | 2026-04-28 00:54:21.393270 | 24717928 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24717928 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-04-30 | M | AE | PT | DHIR | 1C87N86JG62 | PRADEEP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17719412/check_24717928_ee324841-a29c-4d65-83cd-259d383b2746.json | N/A | N/A | N/A | N/A | N/A | 1C87N86JG62 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-24 | S4802 | N/A | N/A | MA | false | DHIR | N/A | PRADEEP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 100501 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568253 | N/A | N/A | 17719412 | 2222 | 4801 | 24938459 | N/A | 15603579 | 2026-04-28 00:54:21.393270 | 2026-04-17 17:11:47.109035 |
| 2026-04-27 07:14:58.165304 | 2026-04-28 00:50:36.747604 | 24717906 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24717906 | Athletic Physical Therapy Inc | 1958-04-28 | 2026-04-29 | F | PT | N/A | Chalquest | JQW812W16348 | Christine | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_24717906_51994b55-e523-4259-ac09-0986a76bb402.json | N/A | N/A | N/A | N/A | N/A | JQW812W16348 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-04-28 | 040 | CAMCRWP0 | N/A | MP | false | CHALQUEST | N/A | CHRISTINE | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568252 | N/A | N/A | 17660872 | 2222 | 4801 | 24935173 | 4184 | 15705146 | 2026-04-28 00:50:36.747604 | 2026-03-05 22:44:33.989062 |
| 2026-04-27 07:14:58.149168 | 2026-04-28 00:57:27.350634 | 24717902 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24717902 | Athletic Physical Therapy Inc | 1956-07-25 | 2026-04-30 | M | AE | PT | WHITAKER | JQE189M00130 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10030668/check_24717902_f22a6526-fa2f-4191-aaa0-5193a967ea56.json | N/A | N/A | N/A | N/A | N/A | JQE189M00130 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-07-25 | 040 | CASUPWP0 | N/A | N/A | false | WHITAKER | N/A | RICHARD | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581689 | N/A | N/A | 10030668 | 2222 | 4801 | 24941354 | N/A | 8396855 | 2026-04-28 00:57:27.350634 | 2026-04-30 15:25:27.283280 |
| 2026-04-27 07:14:58.003273 | 2026-04-28 00:49:34.951347 | 24717886 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24717886 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-04-29 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_24717886_d719cdfa-9af2-422c-86b8-5a06afad333c.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 | 10704568251 | N/A | N/A | 17650446 | 2222 | 4802 | 24934396 | N/A | 9635663 | 2026-04-28 00:49:34.951347 | 2025-10-22 19:43:50.510670 |
| 2026-04-27 07:14:57.836404 | 2026-04-28 00:49:58.061061 | 24717864 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24717864 | Athletic Physical Therapy Inc | 1981-07-18 | 2026-04-30 | F | AE | PT | Peterson | 000022138564 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_24717864_5e3b43ab-b153-47e7-bb84-f1f3c72dc7f4.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG - PHYSICIANS - FULL TIME | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704568250 | N/A | N/A | 17598240 | 2222 | 4802 | 24934754 | N/A | 15645175 | 2026-04-28 00:49:58.061061 | 2026-03-04 21:28:46.922129 |
| 2026-04-27 07:14:57.821439 | 2026-04-28 00:57:22.285724 | 24717860 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24717860 | Athletic Physical Therapy Inc | 1959-02-04 | 2026-04-30 | F | AE | PT | SMITS | JQE291W18998 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_24717860_6dce73bb-01ba-4b6b-94f9-e6f6e85f2f2f.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581688 | N/A | N/A | 9681615 | 2222 | 4793 | 24941278 | N/A | 8101289 | 2026-04-28 00:57:22.285724 | 2025-09-24 17:05:46.431721 |
| 2026-04-27 07:14:57.528969 | 2026-04-28 00:55:13.942475 | 24717821 | N/A | N/A | 60054 | Aetna | 1114042165 | 24717821 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-04-30 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_24717821_80115322-49ee-4e46-9db1-5d23313b7578.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 10704581687 | N/A | N/A | 9665220 | 2222 | 4802 | 24939312 | N/A | 8086688 | 2026-04-28 00:55:13.942475 | 2026-01-15 18:07:39.869679 |
| 2026-04-27 07:14:57.514909 | 2026-04-28 00:51:05.231711 | 24717820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24717820 | Athletic Physical Therapy Inc | 1954-04-01 | 2026-04-29 | F | PT | N/A | Hoffmon | FJB24530065M | Desiree | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_24717820_43c7d1ff-925b-4abb-8eff-734e23089ad6.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568249 | N/A | N/A | 17585043 | 2222 | 4802 | 24935537 | N/A | 15632407 | 2026-04-28 00:51:05.231711 | 2026-03-04 17:26:22.963141 |
| 2026-04-27 07:14:57.281270 | 2026-04-28 00:57:11.122942 | 24717792 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24717792 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-29 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122214796.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_24717792_5a3c147f-cfcc-4a84-8e43-8f72655326ab.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10704581686 | N/A | N/A | 6752939 | 2222 | 4801 | 24941126 | N/A | 5065602 | 2026-04-28 00:57:11.122942 | 2025-07-01 17:25:13.681724 |
| 2026-04-27 07:14:57.169304 | 2026-04-28 00:52:32.238772 | 24717781 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24717781 | Athletic Physical Therapy Inc | 1984-08-09 | 2026-04-29 | M | PT | N/A | MELENDEZ | XEH906557764 | GEOVANY | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260427.122116263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17558479/check_24717781_bbd7cbbb-517a-4621-be1a-16c75645cc35.json | N/A | N/A | N/A | N/A | N/A | XEH906557764 | Health Maintenance Organization (HMO) | LOS ANGELES TOURISM AND CONVENTION BOARD | BLUE SHIELD CALIFORNIA | N/A | 1984-08-09 | 1000LSXX0001 | W0002870 | N/A | HM | false | MELENDEZ | N/A | GEOVANY | N/A | 9999-12-31 | 2023-03-01 | SMILE SM SPECTRUM PREMIER 50 1500 ORTHO U90 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10704568248 | N/A | N/A | 17558479 | 2222 | 4802 | 24936732 | 4191 | 15606345 | 2026-04-28 00:52:32.238772 | 2026-03-04 00:09:36.953684 |