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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-25 07:15:08.870650 | 2026-04-26 00:47:24.573873 | 24589765 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589765 | Athletic Physical Therapy Inc | 1950-05-29 | 2026-04-28 | F | AE | PT | DAVIS | 1JG4G13YA83 | BONNIE | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20302905/check_24589765_a11064ed-a0cd-4b33-b78a-25639c08618e.json | N/A | N/A | N/A | N/A | N/A | 1JG4G13YA83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-29 | S5617 | N/A | N/A | MA | false | DAVIS | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447561 | N/A | N/A | 20302905 | 2222 | 4802 | 24784146 | N/A | 17556439 | 2026-04-26 00:47:24.573873 | 2026-04-22 18:55:41.092273 |
| 2026-04-25 07:15:08.412566 | 2026-04-26 00:46:57.336960 | 24589749 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24589749 | Athletic Physical Therapy Inc | 1968-08-08 | 2026-04-28 | F | AE | PT | Silva | 93964782C | Aracely | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20302595/check_24589749_80d390dd-5514-41a9-9fe1-dcc363ab827c.json | N/A | N/A | N/A | N/A | N/A | 93964782C | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1968-08-08 | MCLA | MWLLNMEG21 | N/A | N/A | false | SILVA | N/A | ARACELY | N/A | 2078-12-31 | 2024-04-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447560 | N/A | N/A | 20302595 | 2222 | 4802 | 24783694 | 5538 | 17970462 | 2026-04-26 00:46:57.336960 | 2026-04-21 20:36:50.966391 |
| 2026-04-25 07:15:07.772258 | 2026-04-26 00:46:30.552456 | 24589730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24589730 | Athletic Physical Therapy Inc | 2011-12-04 | 2026-04-28 | F | PT | N/A | Mason | NTF411A78634 | Abigail | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20300373/check_24589730_4fc3ebad-a3ab-487c-b593-b3f258b5493f.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | 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 | 10693447557 | N/A | N/A | 20300373 | 2222 | 4793 | 24783277 | N/A | 15393771 | 2026-04-26 00:46:30.552456 | 2026-02-26 19:44:45.385491 |
| 2026-04-25 07:15:07.281147 | 2026-04-26 00:48:03.823024 | 24589708 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24589708 | override_provider | 2008-07-11 | 2026-04-28 | M | AE | PT | Shams | 000025487927 | Rocco | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20238926/check_24589708_1e314635-472d-44b0-94d5-2365fea83c61.json | N/A | N/A | N/A | N/A | N/A | 000025487927 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-07-11 | 4327759 | 231629 | N/A | N/A | false | SHAMS | N/A | ROCCO | N/A | N/A | N/A | MEDI-CAL SCR 56_ADULT & FAMILY | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447556 | N/A | N/A | 20238926 | 2222 | 4793 | 24784861 | N/A | 17894369 | 2026-04-26 00:48:03.823024 | 2026-04-28 05:22:03.593425 |
| 2026-04-25 07:15:06.717341 | 2026-04-26 00:44:41.912051 | 24589687 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 24589687 | Athletic Physical Therapy Inc | 1964-04-30 | 2026-04-28 | F | AE | PT | ZARIF | 94085792H | SANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20077357/check_24589687_efbc5c35-549d-419e-8227-60d9a37bd599.json | N/A | N/A | N/A | N/A | N/A | 94085792H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1964-04-30 | N/A | N/A | N/A | N/A | false | ZARIF | N/A | SANA | N/A | N/A | 2026-04-25 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447555 | N/A | N/A | 20077357 | 2222 | 4802 | 24781463 | N/A | 17736575 | 2026-04-26 00:44:41.912051 | 2026-04-17 18:59:03.002622 |
| 2026-04-25 07:15:06.385362 | 2026-04-26 00:46:23.060355 | 24589678 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24589678 | Athletic Physical Therapy Inc | 1962-07-14 | 2026-04-28 | F | PT | N/A | Davis | MPI01395199Q | Carol | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20032314/check_24589678_edd69e9e-ea6f-443b-a2af-4d12b62b1f1e.json | N/A | N/A | N/A | N/A | N/A | MPI01395199Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1962-07-14 | 040 | 277163M405 | N/A | PR | false | DAVIS | N/A | DWAYNE | N/A | 9999-12-31 | 2025-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447554 | N/A | N/A | 20032314 | 2222 | 4801 | 24783159 | N/A | 17705571 | 2026-04-26 00:46:23.060355 | 2026-04-16 23:27:11.972937 |
| 2026-04-25 07:15:06.124631 | 2026-04-26 00:46:07.973174 | 24589673 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24589673 | Athletic Physical Therapy Inc | 1953-01-10 | 2026-04-28 | M | AD | 30 | VILLEGAS | 40083899001 | GONZALO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20031803/check_24589673_49c0946a-909a-4a33-90aa-d93c99c63402.json | N/A | N/A | N/A | N/A | N/A | 40083899001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-01-10 | 2026H5425001 | H5425M | N/A | N/A | false | VILLEGAS | N/A | GONZALO | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10693447552 | N/A | N/A | 20031803 | 2222 | 4801 | 24782917 | N/A | 17704878 | 2026-04-26 00:46:07.973174 | 2026-04-28 00:33:32.718470 |
| 2026-04-25 07:15:05.859238 | 2026-04-26 00:46:13.078132 | 24589669 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24589669 | Athletic Physical Therapy Inc | 1967-03-20 | 2026-04-28 | F | PT | N/A | Weisenberg | XEH907100764 | Evlynn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20022468/check_24589669_ab44276a-6952-47e6-a390-b76b3c7d7dfc.json | N/A | N/A | N/A | N/A | N/A | XEH907100764 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1967-03-20 | 1000HMOX0002 | W0067449 | N/A | HM | false | WEISENBERG | N/A | MICHAEL | N/A | N/A | 2026-04-25 | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447551 | N/A | N/A | 20022468 | 2222 | 4793 | 24783000 | N/A | 17695878 | 2026-04-26 00:46:13.078132 | 2026-04-16 20:01:31.841104 |
| 2026-04-25 07:15:05.518387 | 2026-04-26 00:47:50.375221 | 24589659 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24589659 | Athletic Physical Therapy Inc | 1955-10-11 | 2026-04-28 | F | AE | PT | Dale | 0012276388 | Catherine | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20018920/check_24589659_37a2f841-c0d7-45c9-9eaf-dc3dfda81f4d.json | N/A | N/A | N/A | N/A | N/A | 0012276388 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1955-10-11 | N/A | N/A | N/A | N/A | false | DALE | N/A | CATHERINE | N/A | N/A | 2026-04-25 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447550 | N/A | N/A | 20018920 | 2222 | 4802 | 24784643 | N/A | 17692317 | 2026-04-26 00:47:50.375221 | 2026-04-16 17:31:07.396883 |
| 2026-04-25 07:15:05.155306 | 2026-04-26 00:46:07.348555 | 24589642 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24589642 | Athletic Physical Therapy Inc | 1973-02-02 | 2026-04-28 | U | PT | N/A | Glassman | 903872136000 | Letisha | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20016080/check_24589642_d4710d47-fb64-489d-8951-2179c3fc25f4.json | N/A | N/A | N/A | N/A | N/A | 903872136000 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1973-02-02 | N/A | N/A | N/A | N/A | false | GLASSMAN | N/A | LETISHA | N/A | N/A | 2026-04-25 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447549 | N/A | N/A | 20016080 | 2222 | 4793 | 24782904 | 4191 | 17689918 | 2026-04-26 00:46:07.348555 | 2026-04-29 18:58:10.101542 |
| 2026-04-25 07:15:04.895459 | 2026-04-26 00:46:20.476612 | 24589632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24589632 | Athletic Physical Therapy Inc | 1965-08-19 | 2026-04-28 | M | PT | N/A | Baral | JQU381M93283 | Joel | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19993577/check_24589632_33ca1c78-fc1a-4e71-9396-621c5a66c2c7.json | N/A | N/A | N/A | N/A | N/A | JQU381M93283 | Preferred Provider Organization (PPO) | R C BARAL & COMPANY INC | ANTHEM BLUE CROSS | N/A | 1965-08-19 | 040 | J54027 | N/A | PR | false | BARAL | N/A | JOEL | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447548 | N/A | N/A | 19993577 | 2222 | 4793 | 24783122 | N/A | 16741890 | 2026-04-26 00:46:20.476612 | 2026-03-26 20:45:58.539701 |
| 2026-04-25 07:15:04.690911 | 2026-04-26 00:46:26.106347 | 24589618 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24589618 | Athletic Physical Therapy Inc | 1958-08-14 | 2026-04-28 | F | PT | N/A | GOMEZ | JQW262W17195 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19947786/check_24589618_d48d3196-66bf-4966-a71a-35d9335f1d8a.json | N/A | N/A | N/A | N/A | N/A | JQW262W17195 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-08-14 | 040 | CAMCRWP0 | N/A | MP | false | GOMEZ | N/A | MARIA | 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 | 10693447547 | N/A | N/A | 19947786 | 2222 | 4801 | 24783202 | 4185 | 17631639 | 2026-04-26 00:46:26.106347 | 2026-04-15 18:54:25.995383 |
| 2026-04-25 07:15:04.436756 | 2026-04-26 00:46:52.663848 | 24589606 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 24589606 | Athletic Physical Therapy Inc | 1988-01-01 | 2026-04-28 | M | AE | PT | KISS | 22597460 | WILLIAM | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19945756/check_24589606_b3e7e523-9038-4a34-bd58-3cf46a0270f7.json | N/A | N/A | N/A | N/A | N/A | 22597460 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1988-01-01 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | KISS | N/A | WILLIAM | N/A | 2026-12-31 | 2026-01-01 | BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447546 | N/A | N/A | 19945756 | 2222 | 4802 | 24783616 | N/A | 17629599 | 2026-04-26 00:46:52.663848 | 2026-04-21 17:10:39.932316 |
| 2026-04-25 07:15:03.994214 | 2026-04-26 00:46:19.404027 | 24589588 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24589588 | Athletic Physical Therapy Inc | 1966-10-15 | 2026-04-28 | M | PT | N/A | Weinstein | DJM825846461 | Carl | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19782866/check_24589588_46402900-b915-4110-9c68-1b9657a66a63.json | N/A | N/A | N/A | N/A | N/A | DJM825846461 | Preferred Provider Organization (PPO) | TEGNA INC | BLUE SHIELD OF CALIFORNIA | N/A | 1966-10-15 | N/A | 169400 | N/A | PR | false | WEINSTEIN | N/A | CARL | N/A | 9999-12-31 | 2024-12-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447545 | N/A | N/A | 19782866 | 2222 | 4802 | 24783106 | N/A | 17498358 | 2026-04-26 00:46:19.404027 | 2026-04-14 02:15:13.686046 |
| 2026-04-25 07:15:03.281778 | 2026-04-26 00:46:22.614353 | 24589561 | N/A | N/A | 60054 | AETNA | 1114042165 | 24589561 | Athletic Physical Therapy Inc | 1971-02-27 | 2026-04-28 | M | AE | PT | Greene | W28640133501 | Steven | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19668642/check_24589561_cdd7ea2b-bb43-453d-972b-258fe0285a55.json | N/A | N/A | N/A | N/A | N/A | W286401335 | Health Maintenance Organization (HMO) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1971-02-27 | EADI1Q02 | 017657604000095 | N/A | HM | false | GREENE | N/A | STEVEN | N/A | N/A | N/A | AWH SOUTHERN CA HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447544 | N/A | N/A | 19668642 | 2222 | 4801 | 24783151 | 3939 | 17401389 | 2026-04-26 00:46:22.614353 | 2026-04-21 23:05:52.494357 |
| 2026-04-25 07:15:02.797390 | 2026-04-26 00:47:33.763391 | 24589541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589541 | Athletic Physical Therapy Inc | 1944-12-21 | 2026-04-28 | M | AE | PT | Rom | 3CK0N94KV13 | Douglas | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19636380/check_24589541_fb2b652c-0ae7-4f32-9229-5e6e716f2c37.json | N/A | N/A | N/A | N/A | N/A | 3CK0N94KV13 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-12-21 | S5617 | N/A | N/A | MA | false | ROM | N/A | DOUGLAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 30672 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447543 | N/A | N/A | 19636380 | 2222 | 4793 | 24784324 | N/A | 17367714 | 2026-04-26 00:47:33.763391 | 2026-04-17 19:20:04.134252 |
| 2026-04-25 07:15:02.389743 | 2026-04-26 00:46:23.915967 | 24589520 | N/A | N/A | 60054 | Aetna | 1114042165 | 24589520 | Athletic Physical Therapy Inc | 1969-03-31 | 2026-04-28 | M | AE | PT | JASSO | N1076755801 | ALEJANDRO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19636197/check_24589520_9a4301c5-8dd9-4225-af79-b071fd9417da.json | N/A | N/A | N/A | N/A | N/A | N1076755801 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1969-03-31 | 0706458 | 070645801000001 | N/A | N/A | false | JASSO | N/A | ALEJANDRO | 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 | 10693447542 | N/A | N/A | 19636197 | 2222 | 4801 | 24783171 | N/A | 17367500 | 2026-04-26 00:46:23.915967 | 2026-04-10 15:24:57.848923 |
| 2026-04-25 07:15:02.209909 | 2026-04-26 00:47:19.817300 | 24589513 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589513 | Athletic Physical Therapy Inc | 1948-08-12 | 2026-04-28 | M | AE | PT | AHADIAN | 7TN5DH7YG54 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19572747/check_24589513_c1336f09-81a1-449d-846d-d95ed29c0252.json | N/A | N/A | N/A | N/A | N/A | 7TN5DH7YG54 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-12 | S4802 | N/A | N/A | MB | false | AHADIAN | N/A | FRANK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 63622 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447541 | N/A | N/A | 19572747 | 2222 | 4802 | 24784052 | N/A | 17324951 | 2026-04-26 00:47:19.817300 | 2026-04-13 21:07:10.225431 |
| 2026-04-25 07:15:01.976660 | 2026-04-26 00:47:56.074731 | 24589504 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 24589504 | Athletic Physical Therapy Inc | 1977-12-29 | 2026-04-28 | M | AE | PT | RETIZ | 000022539507 | ARTHUR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567462/check_24589504_485cea16-f733-4516-8555-61fe41d80168.json | N/A | N/A | N/A | N/A | N/A | 000022539507 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1977-12-29 | 4362456 | 1650095001 | N/A | N/A | false | RETIZ | N/A | ARTHUR | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447539 | N/A | N/A | 19567462 | 2222 | 4802 | 24784752 | N/A | 17320186 | 2026-04-26 00:47:56.074731 | 2026-04-09 21:37:54.901530 |
| 2026-04-25 07:15:01.798410 | 2026-04-26 00:47:23.675794 | 24589496 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589496 | Athletic Physical Therapy Inc | 1937-12-01 | 2026-04-28 | M | AE | PT | Dannett | 8PW7U77TW63 | Kenneth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19559643/check_24589496_e4078c31-320b-4d1e-8a62-a59bb3affed2.json | N/A | N/A | N/A | N/A | N/A | 8PW7U77TW63 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-12-01 | S5921 | N/A | N/A | MA | false | DANNETT | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 40145 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447536 | N/A | N/A | 19559643 | 2222 | 4793 | 24784128 | N/A | 17312075 | 2026-04-26 00:47:23.675794 | 2026-04-09 18:23:04.574943 |
| 2026-04-25 07:15:01.623899 | 2026-04-26 00:46:36.484972 | 24589488 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24589488 | Athletic Physical Therapy Inc | 1963-07-09 | 2026-04-28 | F | PT | N/A | RIALL | 388W2205920 | SUSAN | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19557327/check_24589488_57611103-4eed-4834-9810-a68bc4623b36.json | N/A | N/A | N/A | N/A | N/A | 388W2205920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-07-09 | N/A | N/A | N/A | N/A | false | RIALL | N/A | SUSAN | N/A | N/A | 2026-04-25 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447535 | N/A | N/A | 19557327 | 2222 | 4793 | 24783385 | 4185 | 16976591 | 2026-04-26 00:46:36.484972 | 2026-04-06 17:18:16.461723 |
| 2026-04-25 07:15:01.381607 | 2026-04-26 00:46:05.245730 | 24589478 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24589478 | Athletic Physical Therapy Inc | 1947-09-26 | 2026-04-28 | F | AE | PT | REINA | 40065297001 | MILLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19500962/check_24589478_c80757a4-861f-4aae-80cf-ac45138b156c.json | N/A | N/A | N/A | N/A | N/A | 40065297001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-09-26 | 2026H5425001 | H5425M | N/A | N/A | false | REINA | N/A | MILLIE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447534 | N/A | N/A | 19500962 | 2222 | 4801 | 24782875 | 6237 | 4212568 | 2026-04-26 00:46:05.245730 | 2026-04-08 23:11:00.379161 |
| 2026-04-25 07:15:01.151521 | 2026-04-26 00:47:54.726710 | 24589465 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24589465 | Athletic Physical Therapy Inc | 1961-08-31 | 2026-04-28 | M | AE | PT | Kanan | 000012661907 | Daniel | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19500783/check_24589465_16618456-71c6-402a-aa8e-2b3bd82a8e21.json | N/A | N/A | N/A | N/A | N/A | 000012661907 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1961-08-31 | 515238 | 146313 | N/A | N/A | false | KANAN | N/A | DANIEL | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447533 | N/A | N/A | 19500783 | 2222 | 4802 | 24784731 | N/A | 17274837 | 2026-04-26 00:47:54.726710 | 2026-04-08 22:40:47.856053 |
| 2026-04-25 07:15:00.946550 | 2026-04-26 00:46:31.066498 | 24589454 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24589454 | Athletic Physical Therapy Inc | 1961-06-29 | 2026-04-27 | M | PT | N/A | Mastrangelo | WFQ215W18624 | Justin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19487710/check_24589454_7cb02b75-a068-47c0-aafd-8a1f262f0ccc.json | N/A | N/A | N/A | N/A | N/A | WFQ215W18624 | Preferred Provider Organization (PPO) | WELLS FARGO | ANTHEM BLUE CROSS | N/A | 1961-06-29 | 130 | 174245MCCF | N/A | PR | false | MASTRANGELO | N/A | JUSTIN | N/A | 2026-12-31 | 2026-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447532 | N/A | N/A | 19487710 | 2222 | 4802 | 24783286 | N/A | 17263277 | 2026-04-26 00:46:31.066498 | 2026-04-08 18:10:48.914458 |
| 2026-04-25 07:15:00.712353 | 2026-04-26 00:46:28.015542 | 24589442 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24589442 | Athletic Physical Therapy Inc | 1994-11-08 | 2026-04-28 | F | PT | N/A | JIANG | R7K824W21258 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19483095/check_24589442_4f627f0d-703c-408a-88f9-2a4240616c9b.json | N/A | N/A | N/A | N/A | N/A | R7K824W21258 | Preferred Provider Organization (PPO) | FETCH REWARDS LLC | ANTHEM BLUE CROSS | N/A | 1994-11-08 | 450 | L01300M017 | N/A | PR | false | JIANG | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS FOR HSA PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447531 | N/A | N/A | 19483095 | 2222 | 4802 | 24783238 | N/A | 17258855 | 2026-04-26 00:46:28.015542 | 2026-04-13 17:37:52.223301 |
| 2026-04-25 07:15:00.490992 | 2026-04-26 00:46:03.599490 | 24589432 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24589432 | Athletic Physical Therapy Inc | 1948-07-08 | 2026-04-28 | M | AD | 30 | Gordoni | 31156244701 | Stephen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19427394/check_24589432_00ec1e36-3b43-4189-a4fa-db25346e5fbe.json | N/A | N/A | N/A | N/A | N/A | 31156244701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1948-07-08 | 2026H5425001 | H5425M | N/A | N/A | false | GORDONI | N/A | STEPHEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10693447528 | N/A | N/A | 19427394 | 2222 | 4793 | 24782849 | 6237 | 17228213 | 2026-04-26 00:46:03.599490 | 2026-04-13 20:40:55.540404 |
| 2026-04-25 07:15:00.075872 | 2026-04-26 00:46:03.194241 | 24589418 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24589418 | Athletic Physical Therapy Inc | 1951-12-05 | 2026-04-28 | M | AD | 30 | Daradics | 40087014601 | Peter | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19421991/check_24589418_093be228-52d1-4fd9-af71-db2fd1883f20.json | N/A | N/A | N/A | N/A | N/A | 40087014601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-12-05 | 2026H5425001 | H5425M | N/A | N/A | false | DARADICS | N/A | PETER | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10693447527 | N/A | N/A | 19421991 | 2222 | 4793 | 24782844 | 6237 | 17222519 | 2026-04-26 00:46:03.194241 | 2026-04-07 21:04:48.057565 |
| 2026-04-25 07:14:59.652397 | 2026-04-26 00:47:19.639675 | 24589405 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24589405 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-04-28 | M | PT | N/A | Brodersen | XEA904512777 | Russell | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_24589405_5e7987e2-8bc2-4cb4-b795-03ccd0ad9943.json | N/A | N/A | N/A | N/A | N/A | XEA904512777 | Preferred Provider Organization (PPO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 2015-09-12 | 1000PPOX0004 | W0051513 | N/A | PR | false | BRODERSEN | N/A | ROBERT | N/A | 2026-04-30 | 2025-05-01 | HRA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447526 | N/A | N/A | 19420394 | 2222 | 4793 | 24784049 | N/A | 17221001 | 2026-04-26 00:47:19.639675 | 2026-04-07 20:28:25.222608 |
| 2026-04-25 07:14:59.121092 | 2026-04-26 00:47:52.502898 | 24589385 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 24589385 | Athletic Physical Therapy Inc | 1975-10-30 | 2026-04-28 | F | AE | PT | ALEJO | 000015664212 | ROCELIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19415415/check_24589385_8cf15e0a-5062-4bae-9bf2-abb44eb0a02d.json | N/A | N/A | N/A | N/A | N/A | 000015664212 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1975-10-30 | 4387737 | 101000 | N/A | N/A | false | ALEJO | N/A | ROCELIE | 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 | 10693447525 | N/A | N/A | 19415415 | 2222 | 4801 | 24784688 | N/A | 17216246 | 2026-04-26 00:47:52.502898 | 2026-04-13 20:29:43.549035 |
| 2026-04-25 07:14:58.640517 | 2026-04-26 00:46:25.793206 | 24589364 | N/A | N/A | 60054 | Aetna | 1114042165 | 24589364 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-04-28 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19414195/check_24589364_df4930f0-dd00-47ca-af5f-69457c18c760.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000104 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE EXTRA (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447524 | N/A | N/A | 19414195 | 2222 | 4793 | 24783198 | N/A | 5818009 | 2026-04-26 00:46:25.793206 | 2025-07-15 23:19:05.900633 |
| 2026-04-25 07:14:58.071277 | 2026-04-26 00:46:53.669259 | 24589341 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24589341 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-04-28 | M | AE | PT | MAPARA | 97729763H | VISHAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19414110/check_24589341_e893a4b0-9280-4dc9-a431-5226f0570abd.json | N/A | N/A | N/A | N/A | N/A | 97729763H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-19 | MCLA | MWLLNMEG21 | N/A | N/A | false | MAPARA | N/A | VISHAL | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447523 | N/A | N/A | 19414110 | 2222 | 4802 | 24783630 | N/A | 17213425 | 2026-04-26 00:46:53.669259 | 2026-04-07 17:44:37.574880 |
| 2026-04-25 07:14:57.794167 | 2026-04-26 00:47:54.017628 | 24589333 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24589333 | Athletic Physical Therapy Inc | 2012-01-08 | 2026-04-28 | F | AE | PT | IVOSHKUS | 000021390363 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19351613/check_24589333_1468a9d5-0e94-4513-833e-2f51172151ae.json | N/A | N/A | N/A | N/A | N/A | 000021390363 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2012-01-08 | 4327748 | 231629 | N/A | N/A | false | IVOSHKUS | N/A | MARIA | N/A | N/A | N/A | MEDI-CAL GOLD COAST HF TRANSITIONAL AID CODE 5C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447522 | N/A | N/A | 19351613 | 2222 | 4801 | 24784719 | N/A | 17160109 | 2026-04-26 00:47:54.017628 | 2026-04-06 15:40:30.105869 |
| 2026-04-25 07:14:57.459856 | 2026-04-26 00:46:37.411083 | 24589320 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24589320 | Athletic Physical Therapy Inc | 1980-02-04 | 2026-04-28 | M | PT | N/A | SCHIFTAN | 976A5409710 | BEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19350692/check_24589320_7d48d0c4-d3e3-4abb-9034-e3a238b6fc14.json | N/A | N/A | N/A | N/A | N/A | 976A5409710 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-02-04 | N/A | N/A | N/A | N/A | false | SCHIFTAN | N/A | BEN | N/A | N/A | 2026-04-25 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447519 | N/A | N/A | 19350692 | 2222 | 4801 | 24783404 | 4185 | 17169451 | 2026-04-26 00:46:37.411083 | 2026-04-28 18:55:15.380939 |
| 2026-04-25 07:14:57.104122 | 2026-04-26 00:47:59.046931 | 24589305 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24589305 | Athletic Physical Therapy Inc | 1971-06-11 | 2026-04-28 | M | AE | PT | Wagner | 000032119998 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19346496/check_24589305_41c48c64-a641-4c6c-99f2-4d1e1996c3da.json | N/A | N/A | N/A | N/A | N/A | 000032119998 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1971-06-11 | 4378726 | 1650095001 | N/A | N/A | false | WAGNER | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447518 | N/A | N/A | 19346496 | 2222 | 4802 | 24784793 | N/A | 17166239 | 2026-04-26 00:47:59.046931 | 2026-04-06 17:33:20.360853 |
| 2026-04-25 07:14:56.724647 | 2026-04-26 00:46:49.041061 | 24589288 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24589288 | Athletic Physical Therapy Inc | 1999-03-02 | 2026-04-28 | F | AE | PT | Andrieieva | 92598899G | Taisiia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19337264/check_24589288_268c4a58-365e-474d-a683-11d1137fcc83.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447517 | N/A | N/A | 19337264 | 2222 | 4802 | 24783566 | 5538 | 6709145 | 2026-04-26 00:46:49.041061 | 2025-08-07 23:35:55.091438 |
| 2026-04-25 07:14:56.365842 | 2026-04-26 00:46:51.734585 | 24589272 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24589272 | Athletic Physical Therapy Inc | 2008-09-22 | 2026-04-28 | M | AE | PT | Jacobs | 985144657G | Max | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249456/check_24589272_e5f4780f-bc11-4ad1-8793-324ced319039.json | N/A | N/A | N/A | N/A | N/A | 98514465G | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2008-09-22 | MCLA | MCLANFAL19 | N/A | N/A | false | JACOBS | N/A | MAX | N/A | 2078-12-31 | 2025-11-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447516 | N/A | N/A | 19249456 | 2222 | 4802 | 24783604 | N/A | 17114888 | 2026-04-26 00:46:51.734585 | 2026-04-03 22:39:25.409755 |
| 2026-04-25 07:14:55.989975 | 2026-04-26 00:47:55.516182 | 24589253 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24589253 | Athletic Physical Therapy Inc | 2012-12-30 | 2026-04-28 | F | AE | PT | Pate | 000025033815 | Starley | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248382/check_24589253_5999c55a-1d0a-43c1-bd8a-1a7b4fb91efc.json | N/A | N/A | N/A | N/A | N/A | 000025033815 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-12-30 | 4292435 | 1650095001 | N/A | N/A | false | PATE | N/A | STARLEY | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447515 | N/A | N/A | 19248382 | 2222 | 4793 | 24784743 | N/A | 17113723 | 2026-04-26 00:47:55.516182 | 2026-04-14 18:27:10.279532 |
| 2026-04-25 07:14:55.538606 | 2026-04-26 00:47:22.099201 | 24589232 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589232 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-04-28 | F | AE | PT | Bokron | 8WT2XY5VC04 | Diana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_24589232_6aad8000-7981-4901-936a-71568cc839fa.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MB | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 21228 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447514 | N/A | N/A | 19240401 | 2222 | 4793 | 24784099 | N/A | 17105178 | 2026-04-26 00:47:22.099201 | 2026-04-03 17:25:31.987996 |
| 2026-04-25 07:14:54.910277 | 2026-04-26 00:47:32.745295 | 24589211 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589211 | Athletic Physical Therapy Inc | 1952-08-01 | 2026-04-28 | M | AE | PT | REISS | 1J83JQ6JF81 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19077902/check_24589211_fede4309-4c72-4f05-af86-38c4d07e85ee.json | N/A | N/A | N/A | N/A | N/A | 1J83JQ6JF81 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-01 | N/A | N/A | N/A | MB | false | REISS | N/A | JOHN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 55789 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447512 | N/A | N/A | 19077902 | 2222 | 4801 | 24784304 | N/A | 17065421 | 2026-04-26 00:47:32.745295 | 2026-04-06 17:02:36.906045 |
| 2026-04-25 07:14:54.329247 | 2026-04-26 00:47:26.278270 | 24589187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589187 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-04-28 | M | AE | PT | ESCOLL | 9RU1D71UT18 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075590/check_24589187_0c83b4c9-f961-472e-ac70-fe615be5312f.json | N/A | N/A | N/A | N/A | N/A | 9RU1D71UT18 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S4802 | N/A | N/A | MB | false | ESCOLL | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447511 | N/A | N/A | 19075590 | 2222 | 4802 | 24784179 | N/A | 17061553 | 2026-04-26 00:47:26.278270 | 2026-04-03 00:44:20.509677 |
| 2026-04-25 07:14:53.828963 | 2026-04-26 00:46:28.458845 | 24589164 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24589164 | Athletic Physical Therapy Inc | 1958-12-02 | 2026-04-28 | M | PT | N/A | KOCOGLU | MMA694W17659 | GARABET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19027766/check_24589164_8df9b1fe-bf80-41c6-b1ed-5244a74a11cc.json | N/A | N/A | N/A | N/A | N/A | MMA694W17659 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-02 | 040 | CAMCRWP0 | N/A | MP | false | KOCOGLU | N/A | GARABET | N/A | 9999-12-31 | 2025-01-01 | 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 | 10693447509 | N/A | N/A | 19027766 | 2222 | 4801 | 24783246 | 4185 | 17007847 | 2026-04-26 00:46:28.458845 | 2026-04-02 19:44:37.790679 |
| 2026-04-25 07:14:53.461682 | 2026-04-26 00:46:19.067392 | 24589150 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24589150 | Athletic Physical Therapy Inc | 1991-01-01 | 2026-04-28 | F | PT | N/A | AMEZCUA | CAI650M86977 | DAISY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18957115/check_24589150_e982e43e-5283-437b-a8dd-eaa9f1265d80.json | N/A | N/A | N/A | N/A | N/A | CAI650M86977 | Health Maintenance Organization (HMO) | CALPERS CA REGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1991-01-01 | 040 | HTB050HT | N/A | HM | false | AMEZCUA | N/A | DAISY | N/A | 9999-12-31 | 2026-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447505 | N/A | N/A | 18957115 | 2222 | 4801 | 24783102 | 4185 | 16387780 | 2026-04-26 00:46:19.067392 | 2026-03-20 18:23:19.947495 |
| 2026-04-25 07:14:53.276790 | 2026-04-26 00:46:24.473520 | 24589142 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 24589142 | Athletic Physical Therapy Inc | 2012-07-04 | 2026-04-28 | F | AE | PT | Sikiric | W22669289903 | Iva | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935993/check_24589142_c89bdd16-d067-4df6-86db-b6a68c738c8a.json | N/A | N/A | N/A | N/A | N/A | W226692899 | Health Maintenance Organization (HMO) | MITSUWA CORPORATION | AETNA | N/A | 2012-07-04 | EAB93J14 | 081059802500001 | N/A | HM | false | SIKIRIC | N/A | KRUNOSLAV | 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 | 10693447504 | N/A | N/A | 18935993 | 2222 | 4802 | 24783181 | 3948 | 16921302 | 2026-04-26 00:46:24.473520 | 2026-03-31 19:23:59.156343 |
| 2026-04-25 07:14:53.060195 | 2026-04-26 00:47:25.150205 | 24589135 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589135 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-04-28 | F | AE | PT | Delgado | 4d07m65da79 | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18934124/check_24589135_0f710193-90f4-4575-a4f2-298bd25944fb.json | N/A | N/A | N/A | N/A | N/A | 4D07M65DA79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-12-02 | S4802 | N/A | N/A | MB | false | DELGADO | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 70511 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447501 | N/A | N/A | 18934124 | 2222 | 4801 | 24784157 | N/A | 16919419 | 2026-04-26 00:47:25.150205 | 2026-04-01 03:46:15.905427 |
| 2026-04-25 07:14:52.910908 | 2026-04-26 00:45:25.442591 | 24589129 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24589129 | Athletic Physical Therapy Inc | 1934-08-28 | 2026-04-28 | F | AE | PT | INAO | H9810673000 | JANE | Y | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933246/check_24589129_f59cff1e-4b37-4253-a668-aae854dcc0a0.json | N/A | N/A | N/A | N/A | N/A | H98106730 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1934-08-28 | N/A | 2B722001 | N/A | HN | false | INAO | N/A | JANE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447500 | N/A | N/A | 18933246 | 2222 | 4801 | 24782200 | 5349 | 16918423 | 2026-04-26 00:45:25.442591 | 2026-03-31 19:05:41.556695 |
| 2026-04-25 07:14:52.708320 | 2026-04-26 00:46:09.672698 | 24589119 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24589119 | Athletic Physical Therapy Inc | 2000-01-16 | 2026-04-28 | M | AE | PT | COHEN | R15053348MM1 | BEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18898121/check_24589119_b8f53810-d82b-4090-a1e4-1046abb451a7.json | N/A | N/A | N/A | N/A | N/A | R15053348MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 2000-01-16 | N/A | N/A | N/A | N/A | false | COHEN | N/A | BENJAMIN | N/A | 2026-03-31 | 2026-01-01 | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447499 | N/A | N/A | 18898121 | 2222 | 4802 | 24782945 | 4625 | 16884375 | 2026-04-26 00:46:09.672698 | 2026-04-01 15:30:39.812102 |
| 2026-04-25 07:14:52.578189 | 2026-04-26 00:46:20.638913 | 24589110 | N/A | N/A | 60054 | Aetna | 1114042165 | 24589110 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-04-27 | M | AE | PT | Benson | W241108199 | Charles | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_24589110_2ad5ccd5-af14-4501-adf2-719ef0c09b0a.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447497 | N/A | N/A | 18897636 | 2222 | 4802 | 24783124 | N/A | 16883637 | 2026-04-26 00:46:20.638913 | 2026-04-06 22:06:37.386389 |
| 2026-04-25 07:14:52.309641 | 2026-04-26 00:46:31.951480 | 24589098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24589098 | Athletic Physical Therapy Inc | 2003-07-09 | 2026-04-28 | F | PT | N/A | Miller | XDM192M99937 | Emily | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18796625/check_24589098_1f49b00e-f059-4922-9202-b57a45630e82.json | N/A | N/A | N/A | N/A | N/A | XDM192M99937 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 2003-07-09 | 040 | 282241H001 | N/A | HM | false | MILLER | N/A | JILL | N/A | 9999-12-31 | 2019-03-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693447496 | N/A | N/A | 18796625 | 2222 | 4793 | 24783304 | N/A | 16770571 | 2026-04-26 00:46:31.951480 | 2026-04-06 21:25:26.219750 |
| 2026-04-25 07:14:52.025368 | 2026-04-26 00:48:00.868786 | 24589084 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24589084 | override_provider | 1947-12-17 | 2026-04-28 | M | AE | PT | KANEGAI | 000004753197 | BRUCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18771796/check_24589084_9bb3855a-a31e-4e8e-99d5-3ff47366eab2.json | N/A | N/A | N/A | N/A | N/A | 000004753197 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-12-17 | 563737 | 101142 | N/A | N/A | false | KANEGAI | N/A | BRUCE | N/A | 2026-12-31 | 2026-01-01 | ASCIP - SIMI VALLEY UNIFIED SCHOOL DISTRICT SVUSD- | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447495 | N/A | N/A | 18771796 | 2222 | 4801 | 24784825 | N/A | 16745270 | 2026-04-26 00:48:00.868786 | 2026-04-07 14:47:39.458413 |
| 2026-04-25 07:14:51.794817 | 2026-04-26 00:47:23.054650 | 24589069 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24589069 | Athletic Physical Therapy Inc | 1944-07-26 | 2026-04-28 | M | AE | PT | CORONA OLVERA | 8R82E31RM96 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18754661/check_24589069_205c571f-2216-489d-8dd0-e932719cf7dc.json | N/A | N/A | N/A | N/A | N/A | 8R82E31RM96 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-26 | S5921 | N/A | N/A | MA | false | CORONA | N/A | JOSE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60416 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693447494 | N/A | N/A | 18754661 | 2222 | 4801 | 24784117 | N/A | 16735295 | 2026-04-26 00:47:23.054650 | 2026-06-02 16:43:36.538327 |