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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-04 09:07:56.573646 | 2025-07-05 02:16:01.261181 | 9474047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9474047 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-07-07 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_9474047_536a346b-cff1-47ff-a495-481a64d499ff.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269180 | N/A | N/A | 5542900 | 2222 | 4801 | 9226970 | N/A | 4214759 | 2025-07-05 02:16:01.261181 | 2025-05-13 04:29:37.229079 |
| 2025-07-04 09:07:56.397221 | 2025-07-05 02:08:16.436313 | 9474041 | N/A | N/A | 60054 | Aetna | 1114042165 | 9474041 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-07-07 | M | AE | VELASQUEZ | W290801184 | EVAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_9474041_48774aec-dd72-4565-8ab5-7747c4a8522d.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269179 | N/A | N/A | 5542874 | 2222 | 4802 | 9217359 | N/A | 4214737 | 2025-07-05 02:08:16.436313 | 2025-05-13 04:29:37.229056 |
| 2025-07-04 09:07:56.173822 | 2025-07-05 02:16:11.416239 | 9474034 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9474034 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-07-07 | M | PT | GARCIA | FJB21294792M | STARR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9474034_a6aea1ab-28fd-4994-a0c7-6b24bf8db960.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269178 | N/A | N/A | 5542769 | 2222 | 4801 | 9227096 | N/A | 4214641 | 2025-07-05 02:16:11.416239 | 2025-12-09 08:50:02.875071 |
| 2025-07-04 09:07:55.794200 | 2025-07-05 02:11:58.277699 | 9474021 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9474021 | Athletic Physical Therapy Inc | 1970-01-05 | 2025-07-07 | F | AD | HOWELLS | U4973334602 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542686/check_9474021_5d0d0523-1545-4ffc-954c-db1ae0fc7798.json | N/A | N/A | N/A | N/A | N/A | U4973334602 | N/A | CRINETICS PHARMACEUTICALS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1970-01-05 | N/A | 3345982 | N/A | N/A | false | HOWELLS | N/A | EMMA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8161269177 | N/A | N/A | 5542686 | 2222 | 4793 | 9222990 | N/A | 4214565 | 2025-07-05 02:11:58.277699 | 2025-05-13 04:29:37.228889 |
| 2025-07-04 09:07:55.534911 | 2025-07-05 02:16:13.888586 | 9474012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9474012 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-07-07 | F | PT | UTLEY | MBL209M95251 | SHERIDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_9474012_e1dacae4-a338-45b9-87a4-a158f71f1655.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269176 | N/A | N/A | 5542387 | 2222 | 4801 | 9227129 | N/A | 4214300 | 2025-07-05 02:16:13.888586 | 2025-06-17 13:03:57.252701 |
| 2025-07-04 09:07:55.187318 | 2025-07-05 02:26:03.171146 | 9474000 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9474000 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-07-07 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_9474000_736a012d-dad2-485e-93a2-d512225e8b2d.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269175 | N/A | N/A | 5542251 | 2222 | 4802 | 9233677 | N/A | 4214191 | 2025-07-05 02:26:03.171146 | 2025-05-13 04:29:37.228525 |
| 2025-07-04 09:07:55.029010 | 2025-07-05 02:17:48.191739 | 9473992 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473992 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-07-07 | M | PT | KARZI | XEK904667385 | DAMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_9473992_af3e2ba6-2d5b-42f5-8708-24455bc71863.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | 2001ZH002662 | X0001000 | N/A | PR | false | KARZI | N/A | AHSAN | N/A | 2042-06-30 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269174 | N/A | N/A | 5542225 | 2222 | 4801 | 9228240 | N/A | 4214165 | 2025-07-05 02:17:48.191739 | 2025-06-06 02:22:28.229626 |
| 2025-07-04 09:07:54.862773 | 2025-07-05 02:17:52.984435 | 9473984 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473984 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-07-07 | M | PT | SIMON | 913762408 | DUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_9473984_aefbd97b-385a-4789-8438-3d07573cb88f.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269173 | N/A | N/A | 5542213 | 2222 | 4793 | 9228290 | N/A | 4214155 | 2025-07-05 02:17:52.984435 | 2025-05-13 04:29:37.228482 |
| 2025-07-04 09:07:54.721466 | 2025-07-05 02:06:45.590078 | 9473980 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9473980 | Athletic Physical Therapy Inc | 1981-08-30 | 2025-07-07 | F | PT | SUMBY | XEH905944609 | ANNIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_9473980_f945703f-d8a3-4325-9778-d483dcb3ea74.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269172 | N/A | N/A | 5542158 | 2222 | 4801 | 9214826 | N/A | 4214108 | 2025-07-05 02:06:45.590078 | 2025-05-13 04:29:37.228423 |
| 2025-07-04 09:07:54.559521 | 2025-07-05 02:16:08.472167 | 9473971 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9473971 | Athletic Physical Therapy Inc | 2000-02-29 | 2025-07-07 | M | PT | MILLER | XDM622A62041 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542028/check_9473971_9ac2711b-9a77-4f41-aec6-bd761409ca89.json | N/A | N/A | N/A | N/A | N/A | XDM622A62041 | Health Maintenance Organization (HMO) | MOUNTAINS RECREATION AND CONSERVATION AUTHORITY | ANTHEM BLUE CROSS | N/A | 2000-02-29 | 040 | 166337H004 | N/A | HM | false | MILLER | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269171 | N/A | N/A | 5542028 | 2222 | 4801 | 9227065 | 4184 | 4213985 | 2025-07-05 02:16:08.472167 | 2025-05-13 04:29:37.228303 |
| 2025-07-04 09:07:54.408663 | 2025-07-05 02:26:05.088658 | 9473965 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473965 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-07-07 | F | AE | MAYER | 5J41QM7YN93 | MARY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_9473965_322eb086-bfd5-44c4-a998-057573354922.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MB | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269170 | N/A | N/A | 5541938 | 2222 | 4801 | 9233700 | N/A | 4213917 | 2025-07-05 02:26:05.088658 | 2025-06-25 01:53:37.609327 |
| 2025-07-04 09:07:54.264344 | 2025-07-05 02:16:13.071421 | 9473962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473962 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-07-07 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9473962_aee9c23c-951f-4f10-8c81-978e181c9bf2.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269168 | N/A | N/A | 5541917 | 2222 | 4793 | 9227117 | N/A | 4213891 | 2025-07-05 02:16:13.071421 | 2025-05-13 04:29:37.228207 |
| 2025-07-04 09:07:54.130148 | 2025-07-05 02:17:53.757460 | 9473959 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473959 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-07-07 | M | PT | TOHLCHINSKY | XEA901508061 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9473959_7266fb04-0d11-42e9-afab-f0acef502da2.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 9999-12-31 | 2016-12-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269166 | N/A | N/A | 5541542 | 2222 | 4793 | 9228304 | N/A | 4213542 | 2025-07-05 02:17:53.757460 | 2025-06-03 22:12:38.498592 |
| 2025-07-04 09:07:53.956432 | 2025-07-05 02:06:42.588591 | 9473951 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9473951 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-07-07 | F | AE | SHEPHERD | 93180838F | EMILY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_9473951_7812c4e0-a8e4-4c32-9b7f-ead0161343b4.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269164 | N/A | N/A | 5541519 | 2222 | 4802 | 9214724 | N/A | 4213530 | 2025-07-05 02:06:42.588591 | 2025-05-13 04:29:37.227860 |
| 2025-07-04 09:07:53.823199 | 2025-07-05 02:16:12.079648 | 9473944 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473944 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-07-07 | M | PT | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_9473944_e86dfd93-107b-44bf-9b1c-32c03aba009f.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269163 | N/A | N/A | 5541518 | 2222 | 4793 | 9227107 | N/A | 4213526 | 2025-07-05 02:16:12.079648 | 2025-11-13 19:34:43.197819 |
| 2025-07-04 09:07:53.664140 | 2025-07-05 02:17:51.863272 | 9473939 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473939 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-07-07 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_9473939_27e429ab-4f6e-4d9f-aff2-6e3fa306197f.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269162 | N/A | N/A | 5541315 | 2222 | 4793 | 9228281 | N/A | 4213344 | 2025-07-05 02:17:51.863272 | 2025-05-13 04:29:37.227667 |
| 2025-07-04 09:07:53.291001 | 2025-07-05 02:17:47.242973 | 9473923 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473923 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-07-07 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9473923_05f14d00-70df-4744-be9f-639f18fade69.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269161 | N/A | N/A | 5541314 | 2222 | 4793 | 9228230 | N/A | 4213343 | 2025-07-05 02:17:47.242973 | 2025-06-06 02:21:37.603701 |
| 2025-07-04 09:07:52.830835 | 2025-07-05 02:06:41.548141 | 9473904 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9473904 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-07-07 | M | AE | FARAHMAND | 91957675E | ALEX | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_9473904_1e4fc98d-2aa9-4378-ae1a-93815c9ae4c8.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269160 | N/A | N/A | 5541163 | 2222 | 4802 | 9214689 | N/A | 4213207 | 2025-07-05 02:06:41.548141 | 2025-05-13 04:29:37.227536 |
| 2025-07-04 09:07:52.422845 | 2025-07-05 02:14:49.826486 | 9473886 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9473886 | Athletic Physical Therapy Inc | 1970-07-02 | 2025-07-07 | M | AE | FRIEDMAN | 23569452GEHA | JOEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9473886_c067dcdc-93ae-4a00-8668-58db29c9183c.json | N/A | N/A | N/A | N/A | N/A | 23569452GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-07-02 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269159 | N/A | N/A | 5540931 | 2222 | 4793 | 9226067 | N/A | 4213013 | 2025-07-05 02:14:49.826486 | 2025-05-13 04:29:37.227340 |
| 2025-07-04 09:07:52.255296 | 2025-07-05 02:17:46.354671 | 9473880 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473880 | Athletic Physical Therapy Inc | 1963-09-21 | 2025-07-07 | F | PT | FRCEK | XEK911607242 | LORENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540910/check_9473880_95c17103-71ba-4a3b-ac4f-65adb4cb2cfe.json | N/A | N/A | N/A | N/A | N/A | XEK911607242 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | FRCEK | N/A | LORENA | N/A | 9999-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269158 | N/A | N/A | 5540910 | 2222 | 4802 | 9228217 | N/A | 4212992 | 2025-07-05 02:17:46.354671 | 2025-05-13 04:29:37.227320 |
| 2025-07-04 09:07:52.017044 | 2025-07-05 02:06:41.216905 | 9473872 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9473872 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-07-07 | F | AE | BENDAVID | 95318118F | TALIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9473872_da3ca818-d5e3-43e4-8955-561b23efdf2e.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269157 | N/A | N/A | 5540893 | 2222 | 4793 | 9214678 | N/A | 4212979 | 2025-07-05 02:06:41.216905 | 2025-06-04 21:11:15.590634 |
| 2025-07-04 09:07:51.891722 | 2025-07-05 02:25:57.489652 | 9473866 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473866 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-07-07 | M | AE | DASILVA | 4KY4HX3NJ05 | BOB | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9473866_167b09ca-0bc2-4e61-acd0-2a547affdf1e.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MA | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269156 | N/A | N/A | 5540840 | 2222 | 4793 | 9233618 | N/A | 4212930 | 2025-07-05 02:25:57.489652 | 2025-05-13 04:29:37.227258 |
| 2025-07-04 09:07:51.709549 | 2025-07-05 02:06:45.236195 | 9473860 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9473860 | Athletic Physical Therapy Inc | 1956-12-04 | 2025-07-07 | F | PT | HUH | 5851983001 | SOON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540683/check_9473860_fc7e0e0a-f739-4654-a20e-9d72746af209.json | N/A | N/A | N/A | N/A | N/A | 5851983001 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-12-04 | N/A | N/A | N/A | N/A | false | HUH | N/A | SOON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8161269155 | N/A | N/A | 5540683 | 2222 | 4801 | 9214814 | N/A | 4212802 | 2025-07-05 02:06:45.236195 | 2025-05-27 20:48:04.588198 |
| 2025-07-04 09:07:51.526035 | 2025-07-05 02:16:05.709496 | 9473856 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473856 | Athletic Physical Therapy Inc | 1967-09-15 | 2025-07-07 | M | PT | HELLER | XDL463A68495 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_9473856_768f1716-bbf3-4b9c-b400-56ed9c873c93.json | N/A | N/A | N/A | N/A | N/A | XDL463A68495 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1967-09-15 | 040 | Z13100 | N/A | PR | false | HELLER | N/A | MATTHEW | N/A | 9999-12-31 | 2009-08-01 | LUMENOS HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269154 | N/A | N/A | 5540316 | 2222 | 4793 | 9227025 | N/A | 4212462 | 2025-07-05 02:16:05.709496 | 2025-06-24 20:27:22.939881 |
| 2025-07-04 09:07:51.364271 | 2025-07-05 02:16:16.466937 | 9473848 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473848 | Athletic Physical Therapy Inc | 1968-12-03 | 2025-07-07 | F | PT | YANG | FJB27468841M | JINING | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9473848_471792bb-2c98-4cf7-b4a7-6eaacbc3bc40.json | N/A | N/A | N/A | N/A | N/A | FJB27468841M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1968-12-03 | 101 | 174549M311 | N/A | PR | false | YANG | N/A | JINING | N/A | 9999-12-31 | 2021-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269153 | N/A | N/A | 5539727 | 2222 | 4793 | 9227156 | N/A | 4211988 | 2025-07-05 02:16:16.466937 | 2025-07-02 16:33:22.389736 |
| 2025-07-04 09:07:51.161196 | 2025-07-05 02:06:43.142626 | 9473840 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9473840 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-07-07 | F | AE | WENSEL | 40065419401 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9473840_574a7a67-4dd2-48fd-a333-9216c78187ea.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269151 | N/A | N/A | 5539718 | 2222 | 4793 | 9214737 | N/A | 4211977 | 2025-07-05 02:06:43.142626 | 2025-05-13 04:29:37.226299 |
| 2025-07-04 09:07:50.889240 | 2025-07-05 02:16:04.769743 | 9473829 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473829 | Athletic Physical Therapy Inc | 1956-12-03 | 2025-07-07 | F | PT | HARTMANN DEBIASE | MMA051W22347 | MARIANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9473829_826d397d-44f6-4e04-9bf6-d414ce64073c.json | N/A | N/A | N/A | N/A | N/A | MMA051W22347 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1956-12-03 | 040 | CAMCRWP0 | N/A | MP | false | HARTMANN DEBIASE | N/A | MARIANNE | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269149 | N/A | N/A | 5539573 | 2222 | 4793 | 9227014 | N/A | 4211857 | 2025-07-05 02:16:04.769743 | 2025-07-01 23:52:53.869019 |
| 2025-07-04 09:07:50.438386 | 2025-07-05 02:16:10.517239 | 9473811 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473811 | Athletic Physical Therapy Inc | 2007-11-18 | 2025-07-07 | F | PT | PELLEGRINI | CPR038A72156 | REY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539454/check_9473811_8743557c-841b-4bd9-9512-fe7177eb5cde.json | N/A | N/A | N/A | N/A | N/A | CPR038A72156 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2007-11-18 | N/A | N/A | N/A | N/A | false | PELLEGRINI | N/A | REY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269148 | N/A | N/A | 5539454 | 2222 | 4793 | 9227084 | N/A | 4211757 | 2025-07-05 02:16:10.517239 | 2025-06-05 23:05:44.239427 |
| 2025-07-04 09:07:50.002404 | 2025-07-05 02:13:33.724592 | 9473796 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9473796 | N/A | 1958-02-11 | 2025-07-07 | F | AE | LEVESQUE | 097A2439020 | JACQUELINE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_9473796_454e4e3c-bf78-4a02-9c82-5a546c3405b3.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269147 | N/A | N/A | 5539382 | 2222 | 4793 | 9224819 | N/A | 4211704 | 2025-07-05 02:13:33.724592 | 2025-06-06 23:08:42.876895 |
| 2025-07-04 09:07:49.683772 | 2025-07-05 02:11:56.544472 | 9473787 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9473787 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-07-07 | F | AD | CHUNG | U8197480201 | KRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9473787_2839f69a-7208-4324-a5b5-e843c774a194.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8161269146 | N/A | N/A | 5539237 | 2222 | 4802 | 9222953 | N/A | 4211568 | 2025-07-05 02:11:56.544472 | 2025-05-13 04:29:37.225900 |
| 2025-07-04 09:07:49.562376 | 2025-07-05 02:25:59.382237 | 9473780 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473780 | Athletic Physical Therapy Inc | 1933-03-03 | 2025-07-07 | M | AE | FISCHEL | 7PC7UV8HH46 | DONALD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539216/check_9473780_1ac0af9a-2559-4d6f-a000-57ddc1208c80.json | N/A | N/A | N/A | N/A | N/A | 7PC7UV8HH46 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-03-03 | S5921 | N/A | N/A | MA | false | FISCHEL | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269145 | N/A | N/A | 5539216 | 2222 | 4801 | 9233635 | N/A | 4211550 | 2025-07-05 02:25:59.382237 | 2025-07-06 18:22:48.105422 |
| 2025-07-04 09:07:49.292878 | 2025-07-05 02:16:02.986864 | 9473767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473767 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-07-07 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_9473767_fee201b8-4880-4779-b0d5-e01b3258caea.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269143 | N/A | N/A | 5538693 | 2222 | 4793 | 9226994 | N/A | 4211081 | 2025-07-05 02:16:02.986864 | 2025-05-13 04:29:37.225492 |
| 2025-07-04 09:07:49.131670 | 2025-07-05 02:18:11.276297 | 9473763 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473763 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-07-07 | M | PT | RITENOUR | NCF553A20679 | TIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9473763_fb0e4f6a-d4b0-4afc-993b-8daa8570db5d.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269141 | N/A | N/A | 5537911 | 2222 | 4793 | 9228530 | N/A | 4210415 | 2025-07-05 02:18:11.276297 | 2025-06-11 20:40:26.862752 |
| 2025-07-04 09:07:49.015240 | 2025-07-05 02:17:41.696058 | 9473759 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473759 | Athletic Physical Therapy Inc | 2013-03-27 | 2025-07-07 | F | PT | ABI MALHAB | KSI73549599C | SIENNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537782/check_9473759_f6e7a64c-f117-4ee9-b028-54f08a955d40.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 2013-03-27 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269140 | N/A | N/A | 5537782 | 2222 | 4802 | 9228164 | N/A | 4210297 | 2025-07-05 02:17:41.696058 | 2025-05-13 04:29:37.224706 |
| 2025-07-04 09:07:48.862236 | 2025-07-05 02:26:05.612114 | 9473750 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473750 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-07-07 | F | AE | MIYATA | 3HJ1RG9AV22 | LARAINE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537627/check_9473750_6fb51b9b-3808-4efa-a7c9-0905e8b27428.json | N/A | N/A | N/A | N/A | N/A | 3HJ1RG9AV22 | Medicare Part A | N/A | ONEBEACON INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-31 | S4802 | DOL 05242017 | N/A | MA | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161269139 | N/A | N/A | 5537627 | 2222 | 4802 | 9233708 | N/A | 4210159 | 2025-07-05 02:26:05.612114 | 2025-05-13 04:29:37.224576 |
| 2025-07-04 09:07:48.749419 | 2025-07-05 02:17:43.155610 | 9473744 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473744 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-07-07 | F | PT | NAIMI | KSI73549599C | ERIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537507/check_9473744_e4f3cf7f-bf29-4fd7-8d81-4f7b7d90de15.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161269138 | N/A | N/A | 5537507 | 2222 | 4802 | 9228174 | N/A | 4210057 | 2025-07-05 02:17:43.155610 | 2025-05-13 04:29:37.224477 |
| 2025-07-04 09:07:48.624091 | 2025-07-05 02:25:56.753528 | 9473738 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473738 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-07-07 | F | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_9473738_f84540b3-8fe4-48c5-9b32-b67419feb2df.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161268152 | N/A | N/A | 5537480 | 2222 | 4802 | 9233608 | N/A | 4210038 | 2025-07-05 02:25:56.753528 | 2025-06-02 14:57:36.820684 |
| 2025-07-04 09:07:48.510854 | 2025-07-05 02:16:09.159501 | 9473733 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9473733 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-07-07 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9473733_fa19c718-7f1a-4ed1-a4be-76751c872a7b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161268150 | N/A | N/A | 5537188 | 2222 | 4802 | 9227075 | N/A | 4209789 | 2025-07-05 02:16:09.159501 | 2025-05-13 04:29:37.224215 |
| 2025-07-04 09:07:48.354412 | 2025-07-05 02:25:58.116174 | 9473724 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473724 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-07 | M | AE | EGGLETON | 9HG9HV5AM53 | PAUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9473724_25580305-91c8-4b50-a22d-fafcaadc5ead.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MB | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161268149 | N/A | N/A | 5536868 | 2222 | 4801 | 9233626 | N/A | 4209543 | 2025-07-05 02:25:58.116174 | 2025-06-18 17:33:51.700160 |
| 2025-07-04 09:07:48.065081 | 2025-07-05 02:06:44.860268 | 9473713 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9473713 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-07-07 | F | PT | BRACKEN | NCF378A67692 | CELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_9473713_ee960eb6-3fef-49fc-905a-4938d013635b.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161268146 | N/A | N/A | 5535853 | 2222 | 4793 | 9214801 | N/A | 4208702 | 2025-07-05 02:06:44.860268 | 2025-05-13 04:29:37.223129 |
| 2025-07-04 09:07:47.708226 | 2025-07-05 02:06:42.238889 | 9473700 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9473700 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-07-07 | F | AE | RYAN | 31026142401 | CAROL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115825241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9473700_312f602e-01dd-42d9-9df8-7cae48df1455.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161268145 | N/A | N/A | 5535455 | 2222 | 4793 | 9214714 | N/A | 4208375 | 2025-07-05 02:06:42.238889 | 2025-08-08 21:08:12.459471 |
| 2025-07-04 09:07:37.901894 | 2025-07-05 02:14:23.633906 | 9473327 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9473327 | Athletic Physical Therapy Inc | 1962-07-05 | 2025-07-07 | M | AE | CANIZALES | 000016975259 | OVIDIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120224528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874451/check_9473327_3226136a-5a82-4279-95b3-cd72bdb64513.json | N/A | N/A | N/A | N/A | N/A | 000016975259 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-07-05 | 4089229 | 100200 | N/A | N/A | false | CANIZALES | N/A | OVIDIO | N/A | N/A | N/A | PRINCESS CRUISE LINES LTD., A BERMUDA COMPANY PRIN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161315478 | N/A | N/A | 5874451 | 2222 | 4801 | 9225666 | N/A | 4534574 | 2025-07-05 02:14:23.633906 | 2025-06-18 22:47:05.035641 |
| 2025-07-04 09:07:37.311557 | 2025-07-05 02:16:29.462029 | 9473301 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9473301 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-07-07 | F | PT | RAFFERTY | XED913453119 | ZOE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120224528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9473301_76ef64d1-9fe0-4b90-9cd7-12eaa383c7ec.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161315453 | N/A | N/A | 5874430 | 2222 | 4802 | 9227312 | N/A | 4534559 | 2025-07-05 02:16:29.462029 | 2025-06-06 02:13:35.698378 |
| 2025-07-04 09:07:36.581039 | 2025-07-05 02:06:30.367335 | 9473275 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9473275 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-07-07 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120224528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9473275_13f496bc-ca7c-43d2-9150-d49f5630bb8f.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161315441 | N/A | N/A | 5874423 | 2222 | 4802 | 9214425 | N/A | 4534552 | 2025-07-05 02:06:30.367335 | 2025-05-30 18:01:03.324126 |
| 2025-07-04 09:07:36.082938 | 2025-07-05 02:26:00.221101 | 9473258 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9473258 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-07-07 | M | AE | DERR | 4GK3GN5DV73 | DENNIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120224528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9473258_896b821d-1cc2-4ea2-8bd6-43ad013a0e07.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161315396 | N/A | N/A | 5874420 | 2222 | 4793 | 9233644 | N/A | 4534550 | 2025-07-05 02:26:00.221101 | 2025-10-15 18:36:58.255255 |
| 2025-07-04 09:07:34.566746 | 2025-07-05 02:24:08.616747 | 9473200 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 9473200 | Athletic Physical Therapy Inc | 1999-09-20 | 2025-07-07 | F | AE | MCINTOSH | 97126838E44212 | MAKENNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120322313.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643925/check_9473200_39e39dc4-b660-4675-849a-08434f335080.json | N/A | N/A | N/A | N/A | N/A | 97126838E44212 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1999-09-20 | N/A | N/A | N/A | N/A | false | MCINTOSH | N/A | MAKENNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161346872 | N/A | N/A | 6643925 | 2222 | 4801 | 9232449 | N/A | 5251186 | 2025-07-05 02:24:08.616747 | 2025-07-02 16:07:52.724735 |
| 2025-07-04 09:07:32.677337 | 2025-07-05 02:06:34.814725 | 9473136 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9473136 | Athletic Physical Therapy Inc | 1950-07-09 | 2025-07-07 | F | PT | GUTIERREZ | 005M9473920 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120322313.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9473136_86dfbff9-1f6f-4d34-9b37-f710187ee59d.json | N/A | N/A | N/A | N/A | N/A | 005M9473920 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-07-09 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161346869 | N/A | N/A | 6643742 | 2222 | 4793 | 9214531 | N/A | 5250846 | 2025-07-05 02:06:34.814725 | 2025-07-07 15:37:32.643453 |
| 2025-07-04 09:07:21.315597 | 2025-07-05 02:14:51.682893 | 9472718 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9472718 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-07-07 | F | AE | FINE | 00000272194 | MICHELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120224528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_9472718_76c7ed95-0ca4-4e6c-9ae9-97392ea487f7.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161319944 | N/A | N/A | 5858742 | 2222 | 4801 | 9226091 | 2630 | 4219630 | 2025-07-05 02:14:51.682893 | 2025-05-13 04:29:37.230672 |
| 2025-07-04 09:07:14.863045 | 2025-07-05 02:16:36.648170 | 9472466 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9472466 | Athletic Physical Therapy Inc | 1954-06-04 | 2025-07-07 | F | PT | Martin | JOQ815W10930 | Lilliane | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120322313.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641910/check_9472466_0c7d468e-8731-40d7-bc09-c3b1cf1b67c8.json | N/A | N/A | N/A | N/A | N/A | JOQ815W10930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-06-04 | N/A | N/A | N/A | N/A | false | MARTIN | N/A | LILLIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161347804 | N/A | N/A | 6641910 | 2222 | 4802 | 9227402 | N/A | 5248673 | 2025-07-05 02:16:36.648170 | 2025-09-03 18:56:09.134332 |
| 2025-07-04 09:07:05.519539 | 2025-07-05 02:14:18.557707 | 9472144 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9472144 | N/A | 1981-07-22 | 2025-07-07 | F | AE | DELAZAD | A01217025 | LEILA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120027928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9472144_62241725-2e9c-4373-8dc5-8e70f2f48872.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161293826 | N/A | N/A | 6567634 | 2222 | 4793 | 9225586 | N/A | 5189726 | 2025-07-05 02:14:18.557707 | 2025-07-08 23:50:39.999275 |