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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-21 07:18:41.122257 | 2026-04-22 00:49:56.251390 | 24225987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24225987 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-04-23 | M | AE | PT | ESCOLL | 9RU1D71UT18 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075590/check_24225987_daf1fa14-231f-498f-8ab3-7b8e1c0389f1.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 | 10647765629 | N/A | N/A | 19075590 | 2222 | 4802 | 24421861 | N/A | 17061553 | 2026-04-22 00:49:56.251390 | 2026-04-03 00:44:20.509677 |
| 2026-04-21 07:18:40.884883 | 2026-04-22 00:49:17.129363 | 24225966 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24225966 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-04-23 | F | AE | PT | Delgado | JQE226W24865 | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19044902/check_24225966_637a1b88-bbc4-4b4f-9f02-9a8cc78272d6.json | N/A | N/A | N/A | N/A | N/A | JQE226W24865 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-12-02 | 040 | CASUPWP0 | N/A | N/A | false | DELGADO | N/A | LINDA | N/A | 9999-12-31 | 2026-01-01 | CA PLAN F INNOVATIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765628 | N/A | N/A | 19044902 | 2222 | 4801 | 24421085 | N/A | 16919419 | 2026-04-22 00:49:17.129363 | 2026-04-01 03:46:15.905427 |
| 2026-04-21 07:18:40.527891 | 2026-04-22 00:49:18.948754 | 24225924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24225924 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-04-23 | M | AE | PT | O NEILL | JQE179A62982 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472577/check_24225924_d8b66ace-ffbd-4f3d-8a7d-e43aec73deee.json | N/A | N/A | N/A | N/A | N/A | JQE179A62982 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-03-26 | 040 | CASUPWP0 | N/A | N/A | false | O NEILL | N/A | THOMAS | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765627 | N/A | N/A | 18472577 | 2222 | 4802 | 24421119 | N/A | 16472791 | 2026-04-22 00:49:18.948754 | 2026-03-20 22:44:48.876499 |
| 2026-04-21 07:18:40.251614 | 2026-04-22 00:49:19.795151 | 24225896 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24225896 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-04-24 | M | PT | N/A | TESAR | V6D954A52172 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17483590/check_24225896_3293eb0c-37e4-45f3-8be0-ce817815a97a.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | ANTHEM BLUE CROSS | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | 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 | 10647765626 | N/A | N/A | 17483590 | 2222 | 4801 | 24421136 | N/A | 4213669 | 2026-04-22 00:49:19.795151 | 2026-02-11 01:39:53.284479 |
| 2026-04-21 07:18:39.833536 | 2026-04-22 00:48:38.398888 | 24225848 | N/A | N/A | 75261 | WebTPA Employer Services LLC | 1114042165 | 24225848 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-04-24 | F | AE | PT | BLUM | 01355035301 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15582393/check_24225848_5913a72b-ba9b-4930-aacf-8bdc7a0cdde6.json | N/A | N/A | N/A | N/A | N/A | 013550353-01 | N/A | CONNECTICUT STATE TEACHERS RETIREMENT BOARD | WEBTPA EMPLOYER SERVICES LLC | N/A | 1945-04-13 | N/A | RET-CSTRB | N/A | N/A | false | BLUM | N/A | BONNIE | 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 | 10647765625 | N/A | N/A | 15582393 | 2222 | 4802 | 24420396 | N/A | 4211624 | 2026-04-22 00:48:38.398888 | 2025-05-13 04:29:37.225953 |
| 2026-04-21 07:18:39.503432 | 2026-04-22 00:49:10.277700 | 24225812 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24225812 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-04-23 | F | AE | PT | KATKHOUDA | 95258599G | RYME | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12788343/check_24225812_2512c0ce-226e-4eda-8bf0-15bbcfd0d7ab.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLDAGG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | 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 | 10647765623 | N/A | N/A | 12788343 | 2222 | 4802 | 24420958 | N/A | 10954913 | 2026-04-22 00:49:10.277700 | 2026-02-03 00:31:49.512761 |
| 2026-04-21 07:18:39.157617 | 2026-04-22 00:49:10.742230 | 24225773 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24225773 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-04-24 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_24225773_286eb2c3-7567-48eb-abe2-7c15185c9552.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | 2026-04-21 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765621 | N/A | N/A | 9411084 | 2222 | 4802 | 24420966 | N/A | 7879863 | 2026-04-22 00:49:10.742230 | 2026-02-04 18:21:13.840230 |
| 2026-04-21 07:18:38.825122 | 2026-04-22 00:49:12.246980 | 24225738 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24225738 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-24 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_24225738_730e4a65-c305-4855-bd18-62428beb820c.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765619 | N/A | N/A | 8979227 | 2222 | 4793 | 24420969 | N/A | 7498543 | 2026-04-22 00:49:12.246980 | 2025-10-14 17:13:32.178778 |
| 2026-04-21 07:18:38.563675 | 2026-04-22 00:49:16.431401 | 24225706 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24225706 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-04-24 | F | AE | PT | Ahadian | U5X795M98275 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_24225706_51dbf5a8-1ad7-4484-9b64-6bb7fb18cb3c.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765617 | N/A | N/A | 8479499 | 2222 | 4802 | 24421072 | N/A | 7146980 | 2026-04-22 00:49:16.431401 | 2025-08-25 22:34:13.951153 |
| 2026-04-21 07:18:38.299000 | 2026-04-22 00:49:12.451020 | 24225680 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24225680 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-04-23 | F | AE | PT | MORALES | XEM904136832 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_24225680_892b60e6-a5d9-4326-a7f1-2c3af85fa9cd.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | 2026-04-21 | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765616 | N/A | N/A | 6074748 | 2222 | 4793 | 24420994 | N/A | 4718913 | 2026-04-22 00:49:12.451020 | 2025-05-29 22:23:40.462913 |
| 2026-04-21 07:18:38.087102 | 2026-04-22 00:48:27.773317 | 24225650 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 24225650 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-04-24 | F | AE | PT | UYGUR | GLA0008101 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_24225650_77dd6ce8-da9d-453e-8335-66f075ed787d.json | N/A | N/A | N/A | N/A | N/A | GLA0008101 | N/A | N/A | AETNA SENIOR SUPPLEMENTAL INSURANCE | N/A | 1947-04-14 | MMS022FRGLAC | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | 2026-03-01 | 2012-04-01 | MED SUPP PLAN F 2010 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765613 | N/A | N/A | 5543315 | 2222 | 4802 | 24420190 | N/A | 4215116 | 2026-04-22 00:48:27.773317 | 2025-05-29 22:32:19.748297 |
| 2026-04-21 07:18:37.853627 | 2026-04-22 00:49:11.472033 | 24225626 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24225626 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-04-24 | F | AE | PT | MARCUS | XEM909523924 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_24225626_735b60d4-2f00-474d-a41f-dd6f7045792a.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | 2026-04-21 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765609 | N/A | N/A | 5542324 | 2222 | 4802 | 24420976 | N/A | 4214241 | 2026-04-22 00:49:11.472033 | 2025-05-13 04:29:37.228574 |
| 2026-04-21 07:18:37.585478 | 2026-04-22 00:49:09.932146 | 24225602 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24225602 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-04-23 | M | AE | PT | GORODENZIK | XEM910692096 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539599/check_24225602_ccd12f11-d75d-49cd-9be1-eaab0f069bfe.json | N/A | N/A | N/A | N/A | N/A | XEM910692096 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-08-13 | 2002SE000030 | X0001002 | N/A | OT | false | GORODENZIK | N/A | AMIR | N/A | 2026-06-30 | 2026-01-01 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765606 | N/A | N/A | 5539599 | 2222 | 4793 | 24420951 | N/A | 4211880 | 2026-04-22 00:49:09.932146 | 2025-05-13 04:29:37.226201 |
| 2026-04-21 07:18:37.240628 | 2026-04-22 00:49:17.756397 | 24225572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24225572 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-04-24 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_24225572_4cc12e45-26c1-4efd-b64f-d75101d62782.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765603 | N/A | N/A | 5538605 | 2222 | 4793 | 24421097 | N/A | 4210998 | 2026-04-22 00:49:17.756397 | 2026-02-23 18:49:01.874308 |
| 2026-04-21 07:18:36.995687 | 2026-04-22 00:48:34.489609 | 24225552 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24225552 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-04-23 | M | AE | PT | STEIN | 31780190311 | DONALD | H | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122120121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_24225552_a333deed-2f26-4b79-9a67-4d07db867933.json | N/A | N/A | N/A | N/A | N/A | 31780190311 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1943-07-22 | N/A | N/A | N/A | SP | false | STEIN | N/A | DONALD | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647765602 | N/A | N/A | 5538579 | 2222 | 4802 | 24420312 | N/A | 4210984 | 2026-04-22 00:48:34.489609 | 2025-08-15 17:42:50.500189 |
| 2026-04-21 07:15:44.654960 | 2026-04-22 00:42:55.184713 | 24207779 | N/A | N/A | 60054 | Aetna | 1114042165 | 24207779 | Athletic Physical Therapy Inc | 1995-07-22 | 2026-04-24 | F | AE | PT | BAHIRAEI | W264818898276 | TANNAZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20225071/check_24207779_df0344e3-cefc-48db-b6e7-1dc2e549ad0d.json | N/A | N/A | N/A | N/A | N/A | W264898276 | Exclusive Provider Organization | CVS CORPORATION | AETNA | N/A | 1995-07-22 | 0247277 | 024727701900001 | N/A | EP | false | BAHIRAEI | N/A | TANNAZ | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748611 | N/A | N/A | 20225071 | 2222 | 4793 | 24413595 | N/A | 4213299 | 2026-04-22 00:42:55.184713 | 2026-04-20 18:51:09.717235 |
| 2026-04-21 07:15:44.533355 | 2026-04-22 00:42:24.947836 | 24207767 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24207767 | Athletic Physical Therapy Inc | 1967-08-20 | 2026-04-23 | F | AE | PT | MORALES | 92009538F | DOLORES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20213671/check_24207767_f5c2a4c4-1f5f-4379-a7e6-766c8e16db2b.json | N/A | N/A | N/A | N/A | N/A | 92009538F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1967-08-20 | MCLA | MWLLNMEG21 | N/A | N/A | false | MORALES | N/A | DOLORES | N/A | 2078-12-31 | 2022-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748610 | N/A | N/A | 20213671 | 2222 | 4802 | 24413031 | 5538 | 17865347 | 2026-04-22 00:42:24.947836 | 2026-04-20 16:09:41.000942 |
| 2026-04-21 07:15:44.400704 | 2026-04-22 00:43:34.366678 | 24207753 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24207753 | Athletic Physical Therapy Inc | 1962-01-16 | 2026-04-24 | F | AE | PT | NADERI | AJC914959695 | NADIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20076769/check_24207753_a13d3f90-ddb7-4629-b952-1cb5ce52098a.json | N/A | N/A | N/A | N/A | N/A | AJC914959695 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1962-01-16 | 1000MCAL0008 | E0001001 | N/A | MC | false | NADERI | N/A | NADIA | N/A | N/A | 2026-04-21 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748609 | N/A | N/A | 20076769 | 2222 | 4802 | 24414446 | N/A | 17735778 | 2026-04-22 00:43:34.366678 | 2026-04-24 13:48:25.628827 |
| 2026-04-21 07:15:44.263570 | 2026-04-22 00:42:23.575885 | 24207739 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24207739 | Athletic Physical Therapy Inc | 1976-03-26 | 2026-04-22 | F | AE | PT | LEVINE | JQC93592699F | JOANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20072271/check_24207739_309001e6-fae7-47a5-a4b3-e2c0c0def661.json | N/A | N/A | N/A | N/A | N/A | 93592699F | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1976-03-26 | BCSC | BWLLNMEG21 | N/A | N/A | false | LEVINE | N/A | JOANNE | N/A | 2078-12-31 | 2024-01-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748608 | N/A | N/A | 20072271 | 2222 | 4802 | 24413004 | 5538 | 17455445 | 2026-04-22 00:42:23.575885 | 2026-04-16 15:53:33.426118 |
| 2026-04-21 07:15:44.105268 | 2026-04-22 00:42:56.844092 | 24207720 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24207720 | Athletic Physical Therapy Inc | 1960-11-14 | 2026-04-24 | M | PT | N/A | KURITZKY | 980662074 | IRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20071271/check_24207720_0e321f07-0864-4df0-8c32-a98171f43153.json | N/A | N/A | N/A | N/A | N/A | XEE980662074 | Other | BSC HEALTH PLAN MEDICARE ADVANTAGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-14 | 1004MADV0024 | E0001000 | N/A | OT | false | KURITZKY | N/A | IRA | N/A | N/A | 2026-04-21 | BLUE SHIELD TOTALDUAL PLAN HMO D SNP | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748607 | N/A | N/A | 20071271 | 2222 | 4802 | 24413634 | 4191 | 17730334 | 2026-04-22 00:42:56.844092 | 2026-04-17 16:27:02.779076 |
| 2026-04-21 07:15:43.979736 | 2026-04-22 00:42:21.757335 | 24207706 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24207706 | Athletic Physical Therapy Inc | 1971-04-06 | 2026-04-24 | M | AE | PT | HENRY | 99118387D | TAMARA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20031544/check_24207706_ede9f137-a59b-41cb-993d-36eb71003d07.json | N/A | N/A | N/A | N/A | N/A | 99118387D | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1971-04-06 | MCLA | MWLLNMEG21 | N/A | N/A | false | HENRY | N/A | TAMARA | N/A | 2078-12-31 | 2023-04-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748606 | N/A | N/A | 20031544 | 2222 | 4802 | 24412962 | 5538 | 17704597 | 2026-04-22 00:42:21.757335 | 2026-04-24 16:39:53.091981 |
| 2026-04-21 07:15:43.821996 | 2026-04-22 00:43:44.614323 | 24207687 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24207687 | Athletic Physical Therapy Inc | 1957-03-08 | 2026-04-24 | M | AE | PT | LOITMAN | 2CD7Q93UK39 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19962881/check_24207687_6e4b7a99-6907-4793-b745-affd1e4c0be4.json | N/A | N/A | N/A | N/A | N/A | 2CD7Q93UK39 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-08 | S4802 | N/A | N/A | MA | false | LOITMAN | N/A | ROBERT | 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 | 10647748605 | N/A | N/A | 19962881 | 2222 | 4801 | 24414666 | N/A | 17645304 | 2026-04-22 00:43:44.614323 | 2026-04-27 21:30:24.278410 |
| 2026-04-21 07:15:43.660546 | 2026-04-22 00:42:28.469971 | 24207668 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 24207668 | Athletic Physical Therapy Inc | 1957-09-20 | 2026-04-23 | F | AE | PT | Martalith | 78P8SM7CR23 | Osnat | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19950241/check_24207668_a075e50e-f1b1-4173-904b-1a4437c2024f.json | N/A | N/A | N/A | N/A | N/A | 78P8SM7CR23 | N/A | N/A | HEALTHSPRING MEDICARE ADVANTAGE | N/A | 1957-09-20 | N/A | N/A | N/A | N/A | false | MARTALITH | N/A | OSNAT | N/A | N/A | 2026-04-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748604 | N/A | N/A | 19950241 | 2222 | 4802 | 24413105 | N/A | 17633673 | 2026-04-22 00:42:28.469971 | 2026-04-23 21:24:40.281742 |
| 2026-04-21 07:15:43.556912 | 2026-04-22 00:42:18.547772 | 24207655 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 24207655 | Athletic Physical Therapy Inc | 1993-10-10 | 2026-04-24 | F | AE | PT | ESKANDAR | U7803860501 | HAZAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19862193/check_24207655_69abe00d-be76-4200-bfd9-7cf21bb142e7.json | N/A | N/A | N/A | N/A | N/A | U7803860501 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1993-10-10 | N/A | 3346355 | N/A | HM | false | ESKANDAR | N/A | HAZAR | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748603 | N/A | N/A | 19862193 | 2222 | 4802 | 24412901 | 4437 | 17557649 | 2026-04-22 00:42:18.547772 | 2026-04-24 11:44:40.162002 |
| 2026-04-21 07:15:43.441686 | 2026-04-22 00:43:39.681093 | 24207643 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24207643 | Athletic Physical Therapy Inc | 1997-02-06 | 2026-04-22 | M | AE | PT | PEARSON | 000032051756 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19777494/check_24207643_a2a2e0fb-b2ae-4208-8292-3844c56f6217.json | N/A | N/A | N/A | N/A | N/A | 000032051756 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1997-02-06 | 4362456 | 1650095001 | N/A | N/A | false | PEARSON | N/A | DANIEL | 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 | 10647748602 | N/A | N/A | 19777494 | 2222 | 4802 | 24414558 | N/A | 17493982 | 2026-04-22 00:43:39.681093 | 2026-04-19 19:43:09.364397 |
| 2026-04-21 07:15:43.308483 | 2026-04-22 00:41:52.500518 | 24207625 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 24207625 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-04-24 | F | AE | PT | Saparzadeh | UZ1634809901 | Fereshteh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19777316/check_24207625_fb721c28-8235-404b-a6b3-16137c67f0a8.json | N/A | N/A | N/A | N/A | N/A | UZ1634809901 | N/A | N/A | CENTENE CORPORATION | N/A | 1961-12-01 | N/A | N/A | N/A | N/A | false | SAPARZADEH | N/A | FERESHTEH | 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 | 10647748601 | N/A | N/A | 19777316 | 2222 | 4802 | 24412418 | N/A | 17493606 | 2026-04-22 00:41:52.500518 | 2026-04-13 23:23:40.271713 |
| 2026-04-21 07:15:43.195111 | 2026-04-22 00:42:26.448609 | 24207611 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24207611 | Athletic Physical Therapy Inc | 1965-04-11 | 2026-04-24 | F | AE | PT | WALLACE | 632537357 | SHELLEY | ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19769372/check_24207611_87509b6a-b1bd-4e53-9c93-b0e6508169b7.json | N/A | N/A | N/A | N/A | N/A | 632537357 | N/A | L.A. CARE COVERED SILVER 94 HMO | LA CARE HEALTH PLAN | N/A | 1965-04-11 | LACC | 92815CA001000806 | N/A | N/A | false | WALLACE | N/A | SHELLEY | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748600 | N/A | N/A | 19769372 | 2222 | 4802 | 24413064 | N/A | 17484310 | 2026-04-22 00:42:26.448609 | 2026-04-16 00:15:17.403135 |
| 2026-04-21 07:15:43.045738 | 2026-04-22 00:42:38.455377 | 24207592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24207592 | Athletic Physical Therapy Inc | 1959-02-27 | 2026-04-22 | M | AE | PT | Schweitzer | 5EJ5t51UW73 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19738778/check_24207592_4dbce074-2cd0-4fd4-a46e-90b466b25fde.json | N/A | N/A | N/A | N/A | N/A | 5EJ5T51UW73 | Medicare Part A | N/A | AMFAM CONNECT PROPERTY AND CASUA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-27 | S5617 | DOL 06192023 | N/A | MA | false | SCHWEITZER | N/A | ROBERT | 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 | 10647748599 | N/A | N/A | 19738778 | 2222 | 4802 | 24413277 | N/A | 17452695 | 2026-04-22 00:42:38.455377 | 2026-04-13 17:21:33.646550 |
| 2026-04-21 07:15:42.919724 | 2026-04-22 00:42:57.859625 | 24207577 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24207577 | Athletic Physical Therapy Inc | 1947-03-29 | 2026-04-23 | F | PT | N/A | OWENS | XEE980274448 | BRENDA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19661632/check_24207577_d272aed7-231e-4695-981e-9bd625c2faad.json | N/A | N/A | N/A | N/A | N/A | XEE980274448 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1947-03-29 | 1000HMOX0019 | W0051752 | N/A | OT | false | OWENS | N/A | BRENDA | N/A | 9999-12-31 | 2026-01-01 | BLUE SHIELD INSPIRE HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748598 | N/A | N/A | 19661632 | 2222 | 4793 | 24413659 | 4191 | 17394794 | 2026-04-22 00:42:57.859625 | 2026-04-13 20:12:07.470356 |
| 2026-04-21 07:15:42.825268 | 2026-04-22 00:43:32.714303 | 24207565 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24207565 | Athletic Physical Therapy Inc | 1948-08-12 | 2026-04-23 | M | AE | PT | AHADIAN | 7TN5DH7YG54 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19572747/check_24207565_8c578010-0378-4f3e-a27c-8c336df7e533.json | N/A | N/A | N/A | N/A | N/A | 7TN5DH7YG54 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-12 | S4802 | N/A | N/A | MA | false | AHADIAN | N/A | FRANK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 31431 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748597 | N/A | N/A | 19572747 | 2222 | 4802 | 24414413 | N/A | 17324951 | 2026-04-22 00:43:32.714303 | 2026-04-13 21:07:10.225431 |
| 2026-04-21 07:15:42.711721 | 2026-04-22 00:42:27.363160 | 24207547 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24207547 | Athletic Physical Therapy Inc | 1963-07-09 | 2026-04-23 | F | PT | N/A | RIALL | 388W2205920 | SUSAN | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19557327/check_24207547_6ff3545a-f1e6-4309-81af-67196b016388.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 | 2026-04-21 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748596 | N/A | N/A | 19557327 | 2222 | 4793 | 24413083 | 4185 | 16976591 | 2026-04-22 00:42:27.363160 | 2026-04-06 17:18:16.461723 |
| 2026-04-21 07:15:42.618889 | 2026-04-22 00:43:38.317029 | 24207535 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24207535 | Athletic Physical Therapy Inc | 1961-08-31 | 2026-04-23 | M | AE | PT | Kanan | 000012661907 | Daniel | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19500783/check_24207535_a1dcae62-4236-4645-aad7-001540ecef11.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 | SO CA PERSONAL ADVANTAGE W DIRECT PAY SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748595 | N/A | N/A | 19500783 | 2222 | 4802 | 24414530 | N/A | 17274837 | 2026-04-22 00:43:38.317029 | 2026-04-08 22:40:47.856053 |
| 2026-04-21 07:15:42.493572 | 2026-04-22 00:42:42.530224 | 24207519 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 24207519 | Athletic Physical Therapy Inc | 1986-11-30 | 2026-04-23 | M | AE | PT | RAMOS | NCF298A72850 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19488761/check_24207519_e9241431-750c-44b5-a3ec-8844e1e116fe.json | N/A | N/A | N/A | N/A | N/A | NCF298A72850 | N/A | N/A | CENTENE CORPORATION | N/A | 1986-11-30 | N/A | N/A | N/A | N/A | false | RAMOS | N/A | NICHOLAS | N/A | 9999-12-31 | 2023-03-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748594 | N/A | N/A | 19488761 | 2222 | 4801 | 24413341 | N/A | 17264368 | 2026-04-22 00:42:42.530224 | 2026-04-20 15:11:41.838432 |
| 2026-04-21 07:15:42.417897 | 2026-04-22 00:42:23.827343 | 24207510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24207510 | Athletic Physical Therapy Inc | 1961-06-29 | 2026-04-24 | M | PT | N/A | Mastrangelo | WFQ215W18624 | Justin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19487710/check_24207510_172b6823-b72b-49bb-b5ad-6e68688d7ef6.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 | 10647748593 | N/A | N/A | 19487710 | 2222 | 4802 | 24413007 | N/A | 17263277 | 2026-04-22 00:42:23.827343 | 2026-04-08 18:10:48.914458 |
| 2026-04-21 07:15:42.287375 | 2026-04-22 00:42:20.327763 | 24207492 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24207492 | Athletic Physical Therapy Inc | 1980-05-05 | 2026-04-24 | F | PT | N/A | Keegan | R8T223M76630 | Veronica | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19486573/check_24207492_a2fafd71-cc40-42f7-8507-d333228aba02.json | N/A | N/A | N/A | N/A | N/A | R8T223M76630 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1980-05-05 | 040 | 174318M1A1 | N/A | PR | false | KEEGAN | N/A | VERONICA | N/A | 2026-12-31 | 2026-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748592 | N/A | N/A | 19486573 | 2222 | 4793 | 24412935 | N/A | 17261906 | 2026-04-22 00:42:20.327763 | 2026-04-08 17:45:06.587615 |
| 2026-04-21 07:15:42.176884 | 2026-04-22 00:43:29.976733 | 24207478 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24207478 | Athletic Physical Therapy Inc | 1994-11-08 | 2026-04-23 | F | PT | N/A | JIANG | R7K824W21258 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19483095/check_24207478_9b77d578-0cc4-4e5f-bd9b-3bb07f4d9006.json | N/A | N/A | N/A | N/A | N/A | R7K824W21258 | Preferred Provider Organization (PPO) | FETCH REWARDS LLC | BLUE SHIELD OF CALIFORNIA | 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 | 10647748591 | N/A | N/A | 19483095 | 2222 | 4802 | 24414348 | N/A | 17258855 | 2026-04-22 00:43:29.976733 | 2026-04-13 17:37:52.223301 |
| 2026-04-21 07:15:42.077734 | 2026-04-22 00:42:38.352915 | 24207465 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24207465 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-04-24 | F | AE | PT | TOBOLSKI | 40031694701 | MARSHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19453691/check_24207465_2c5c31a2-edf9-49cb-9ab7-9b4436f731e9.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | 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 | 10647748590 | N/A | N/A | 19453691 | 2222 | 4801 | 24413275 | 6237 | 14110956 | 2026-04-22 00:42:38.352915 | 2026-01-29 19:04:39.423629 |
| 2026-04-21 07:15:41.962542 | 2026-04-22 00:42:36.101874 | 24207453 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24207453 | Athletic Physical Therapy Inc | 1948-07-08 | 2026-04-23 | M | AD | 30 | Gordoni | 31156244701 | Stephen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19427394/check_24207453_14f2ae10-a19d-45dc-a30a-6859e62b7434.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 | 10647748589 | N/A | N/A | 19427394 | 2222 | 4793 | 24413247 | 6237 | 17228213 | 2026-04-22 00:42:36.101874 | 2026-04-13 20:40:55.540404 |
| 2026-04-21 07:15:41.829466 | 2026-04-22 00:42:35.665470 | 24207434 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24207434 | Athletic Physical Therapy Inc | 1951-12-05 | 2026-04-23 | M | AD | 30 | Daradics | 40087014601 | Peter | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19421991/check_24207434_34015f91-0f46-4bdc-b8bb-4efcc0cac755.json | N/A | N/A | N/A | N/A | N/A | 40087014601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-12-05 | N/A | N/A | N/A | N/A | false | DARADICS | N/A | PETER | N/A | N/A | 2026-04-21 | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10647748588 | N/A | N/A | 19421991 | 2222 | 4793 | 24413242 | 6237 | 17222519 | 2026-04-22 00:42:35.665470 | 2026-04-07 21:04:48.057565 |
| 2026-04-21 07:15:41.708870 | 2026-04-22 00:42:53.466622 | 24207418 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24207418 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-04-23 | M | PT | N/A | Brodersen | XEA904512777 | Russell | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_24207418_d609e048-590a-4fca-92cf-79ddc8254d8c.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 | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748587 | N/A | N/A | 19420394 | 2222 | 4793 | 24413557 | N/A | 17221001 | 2026-04-22 00:42:53.466622 | 2026-04-07 20:28:25.222608 |
| 2026-04-21 07:15:41.584653 | 2026-04-22 00:42:24.458282 | 24207399 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24207399 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-04-23 | M | AE | PT | MAPARA | 97729763H | VISHAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19414110/check_24207399_58bf5d03-045c-4d12-8561-6e1e5d08c739.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 | 10647748586 | N/A | N/A | 19414110 | 2222 | 4802 | 24413020 | N/A | 17213425 | 2026-04-22 00:42:24.458282 | 2026-04-07 17:44:37.574880 |
| 2026-04-21 07:15:41.429104 | 2026-04-22 00:42:28.085403 | 24207384 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24207384 | Athletic Physical Therapy Inc | 1977-09-20 | 2026-04-23 | F | PT | N/A | RITENOUR | NCF553A20679 | HELEN | Sim | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19361377/check_24207384_a9efa73c-7a09-4174-8775-42ea2bb0c599.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-09-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2015-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748585 | N/A | N/A | 19361377 | 2222 | 4793 | 24413097 | 4184 | 17178881 | 2026-04-22 00:42:28.085403 | 2026-04-09 16:29:38.558863 |
| 2026-04-21 07:15:41.331844 | 2026-04-22 00:42:52.839641 | 24207372 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24207372 | Athletic Physical Therapy Inc | 2011-06-23 | 2026-04-24 | F | PT | N/A | BERMEJO | XEH901915985 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19360333/check_24207372_9c489ca2-287c-47ed-88d6-9017ea296398.json | N/A | N/A | N/A | N/A | N/A | XEH901915985 | Health Maintenance Organization (HMO) | VINCI AND ASSOCIATES | BLUE SHIELD CALIFORNIA | N/A | 2011-06-23 | 1000VX000101 | W0057075 | N/A | HM | false | BERMEJO | N/A | JAIME | N/A | 2030-06-30 | 2015-12-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748584 | N/A | N/A | 19360333 | 2222 | 4801 | 24413547 | N/A | 17177883 | 2026-04-22 00:42:52.839641 | 2026-04-14 01:39:12.569779 |
| 2026-04-21 07:15:41.176662 | 2026-04-22 00:43:32.363702 | 24207357 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24207357 | override_provider | 2012-04-14 | 2026-04-22 | M | AE | PT | SHARPE | 0022789437 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19360170/check_24207357_8e766597-4e35-4e1f-93b2-b68f8faccfc5.json | N/A | N/A | N/A | N/A | N/A | 0022789437 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2012-04-14 | N/A | N/A | N/A | N/A | false | SHARPE | N/A | PATRICK | N/A | N/A | 2026-04-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748583 | N/A | N/A | 19360170 | 2222 | 4801 | 24414407 | N/A | 17177665 | 2026-04-22 00:43:32.363702 | 2026-04-06 20:55:13.364223 |
| 2026-04-21 07:15:41.028824 | 2026-04-22 00:43:37.708926 | 24207341 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24207341 | Athletic Physical Therapy Inc | 2012-01-08 | 2026-04-23 | F | AE | PT | IVOSHKUS | 000021390363 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19351613/check_24207341_fb5b0299-b4e3-47c4-99fa-42258dd67951.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 MEDI-CAL GOLD COAST HEALTH PLA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748582 | N/A | N/A | 19351613 | 2222 | 4801 | 24414519 | N/A | 17160109 | 2026-04-22 00:43:37.708926 | 2026-04-06 15:40:30.105869 |
| 2026-04-21 07:15:40.924522 | 2026-04-22 00:42:22.724119 | 24207331 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24207331 | Athletic Physical Therapy Inc | 2008-09-22 | 2026-04-24 | M | AE | PT | Jacobs | 985144657G | Max | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249456/check_24207331_7360bf23-0f4e-4459-a94c-27b33dd99a2c.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 | 10647748581 | N/A | N/A | 19249456 | 2222 | 4802 | 24412986 | N/A | 17114888 | 2026-04-22 00:42:22.724119 | 2026-04-03 22:39:25.409755 |
| 2026-04-21 07:15:40.824238 | 2026-04-22 00:43:39.200062 | 24207322 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24207322 | Athletic Physical Therapy Inc | 2012-12-30 | 2026-04-23 | F | AE | PT | Pate | 000025033815 | Starley | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248382/check_24207322_f131bcb8-d8f8-4800-8838-452f18eaa4f5.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 | KP INDIVIDUAL AND FAMILY SILVER 70 HMO OFF EXCHANG | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748580 | N/A | N/A | 19248382 | 2222 | 4793 | 24414548 | N/A | 17113723 | 2026-04-22 00:43:39.200062 | 2026-04-14 18:27:10.279532 |
| 2026-04-21 07:15:40.714854 | 2026-04-22 00:43:34.415370 | 24207308 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24207308 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-04-24 | F | AE | PT | Bokron | 8WT2XY5VC04 | Diana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_24207308_0f55192d-19ba-4296-b116-a373434cad0b.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MA | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 15624 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748579 | N/A | N/A | 19240401 | 2222 | 4793 | 24414449 | N/A | 17105178 | 2026-04-22 00:43:34.415370 | 2026-04-03 17:25:31.987996 |
| 2026-04-21 07:15:40.592571 | 2026-04-22 00:43:41.790959 | 24207298 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24207298 | Athletic Physical Therapy Inc | 1957-05-01 | 2026-04-23 | F | AE | PT | Dworman | 6JF9V76YG30 | Kristi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084891/check_24207298_295fc02a-faae-4597-86b8-ea6d50f002d5.json | N/A | N/A | N/A | N/A | N/A | 6JF9V76YG30 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-01 | S5617 | N/A | N/A | MA | false | DWORMAN | N/A | KRISTI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 31358 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748578 | N/A | N/A | 19084891 | 2222 | 4793 | 24414605 | N/A | 17081643 | 2026-04-22 00:43:41.790959 | 2026-04-07 16:17:40.937499 |
| 2026-04-21 07:15:40.489884 | 2026-04-22 00:41:55.169331 | 24207288 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 24207288 | Athletic Physical Therapy Inc | 1973-10-06 | 2026-04-24 | F | AE | PT | Casagrande | R00486960FS1 | Tamara | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084730/check_24207288_02fa542e-31c9-4111-88bc-1c9b032732ea.json | N/A | N/A | N/A | N/A | N/A | R00486960FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-10-06 | N/A | N/A | N/A | N/A | false | CASAGRANDE | N/A | TAMARA | N/A | N/A | N/A | MZC BRONZHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748577 | N/A | N/A | 19084730 | 2222 | 4793 | 24412458 | N/A | 17081329 | 2026-04-22 00:41:55.169331 | 2026-04-03 22:08:08.919747 |