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 | subscriber_middle_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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-20 07:13:36.072868 | 2026-04-21 00:57:32.063109 | 24114954 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24114954 | Athletic Physical Therapy Inc | 2000-11-21 | 2026-04-22 | M | PT | Toobi | XDL045A69958 | Sean | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_24114954_2177509f-d0b7-45ad-8fa4-d4dcc221484b.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482266 | N/A | N/A | 14226250 | 2222 | 4802 | 24325939 | N/A | 12357271 | 2026-04-21 00:57:32.063109 | 2025-12-12 23:21:42.214124 |
| 2026-04-20 07:13:35.917416 | 2026-04-21 00:57:33.308558 | 24114923 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24114923 | Athletic Physical Therapy Inc | 1970-06-25 | 2026-04-22 | M | PT | WEISS | BMO846339245 | JASON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14060119/check_24114923_6d6b09c3-33b5-4b0f-8d84-12ee8d37ffb9.json | N/A | N/A | N/A | N/A | N/A | BMO846339245 | Preferred Provider Organization (PPO) | ACTIVES | BLUE SHIELD OF CALIFORNIA | N/A | 1970-06-25 | N/A | 190565 | N/A | PR | false | WEISS | N/A | JULIE | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482265 | N/A | N/A | 14060119 | 2222 | 4802 | 24325962 | N/A | 12204561 | 2026-04-21 00:57:33.308558 | 2025-12-11 19:10:26.555726 |
| 2026-04-20 07:13:35.774664 | 2026-04-21 00:57:43.825920 | 24114901 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114901 | Athletic Physical Therapy Inc | 1975-08-04 | 2026-04-23 | M | PT | GEFFEN | CFT037A52287 | JASON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13669648/check_24114901_be645a2d-2e5f-4b96-83ed-2bbbae7c9dec.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | Preferred Provider Organization (PPO) | IMAX CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-08-04 | 243 | 300539002S | N/A | PR | false | GEFFEN | N/A | JASON | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO NY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482264 | N/A | N/A | 13669648 | 2222 | 4793 | 24326207 | N/A | 10856744 | 2026-04-21 00:57:43.825920 | 2025-12-29 22:47:44.157557 |
| 2026-04-20 07:13:35.639998 | 2026-04-21 00:57:51.857559 | 24114879 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 24114879 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-04-22 | F | AE | watson | 00000380103 | stella | G | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_24114879_1b1abe91-4ca7-4f3d-8232-b2ecb10bd021.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-18 | H3815050 | N/A | N/A | HM | false | WATSON | N/A | STELLA | N/A | N/A | 2026-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482263 | N/A | N/A | 13644272 | 2222 | 4801 | 24326413 | 2630 | 11792017 | 2026-04-21 00:57:51.857559 | 2025-12-04 01:49:08.682293 |
| 2026-04-20 07:13:35.433498 | 2026-04-21 00:56:59.855062 | 24114847 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24114847 | Athletic Physical Therapy Inc | 1979-02-24 | 2026-04-22 | F | AE | McCoy | 000024352430 | Colleen | Shannon | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13582387/check_24114847_a7eec5ef-7413-4242-9da7-108092c58d9e.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | 2026-12-31 | 2026-01-01 | EDWARDS LIFESCIENCES EDWARDS LIFESCIENCES/COBRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482262 | N/A | N/A | 13582387 | 2222 | 4802 | 24325290 | N/A | 11732070 | 2026-04-21 00:56:59.855062 | 2025-12-02 18:46:08.427375 |
| 2026-04-20 07:13:35.278411 | 2026-04-21 00:56:54.966366 | 24114816 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24114816 | Athletic Physical Therapy Inc | 1996-02-29 | 2026-04-23 | F | AE | Elzinga | 000025992229 | Stevie | F | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_24114816_bd9bfa43-8059-417b-8ad2-298e46fbd919.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4383425 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482261 | N/A | N/A | 13437538 | 2222 | 4802 | 24325187 | N/A | 11598678 | 2026-04-21 00:56:54.966366 | 2025-11-26 19:50:29.795204 |
| 2026-04-20 07:13:35.145354 | 2026-04-21 00:58:10.164100 | 24114789 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114789 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-04-23 | F | AE | Dunkerley | 9M89GR7HH33 | Elizabeth | A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13335579/check_24114789_d8a12a6f-d03d-45c7-b670-64864ad12e19.json | N/A | N/A | N/A | N/A | N/A | 9M89GR7HH33 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-04 | S5884 | N/A | N/A | MA | false | DUNKERLEY | N/A | ELIZABETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 132180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482260 | N/A | N/A | 13335579 | 2222 | 4802 | 24326819 | N/A | 8086688 | 2026-04-21 00:58:10.164100 | 2026-01-15 18:07:39.869679 |
| 2026-04-20 07:13:34.986582 | 2026-04-21 00:57:58.409983 | 24114768 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114768 | Athletic Physical Therapy Inc | 2008-09-26 | 2026-04-22 | M | PT | Mc Nulty | NSA00515638H | Colton | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493147/check_24114768_b5c47ebc-1be2-44b9-977c-a0c1eb03d23d.json | N/A | N/A | N/A | N/A | N/A | NSA00515638H | Preferred Provider Organization (PPO) | MAIN PPO PLAN - EARNED | ANTHEM BLUE CROSS | N/A | 2008-09-26 | 040 | L05927A101 | N/A | PR | false | MC NULTY | N/A | MICHAEL | N/A | 2026-04-30 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482259 | N/A | N/A | 12493147 | 2222 | 4802 | 24326585 | N/A | 10669635 | 2026-04-21 00:57:58.409983 | 2026-04-13 22:33:15.662813 |
| 2026-04-20 07:13:34.838263 | 2026-04-21 00:56:58.044854 | 24114738 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24114738 | Athletic Physical Therapy Inc | 1981-02-27 | 2026-04-23 | F | AE | Lee | 000017103326 | Jean | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437386/check_24114738_a2ec4a48-e480-4499-af98-7f2f261a433a.json | N/A | N/A | N/A | N/A | N/A | 000017103326 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-02-27 | 4387911 | 226527 | N/A | N/A | false | LEE | N/A | JEAN | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF COPAY COPAYMENT $50 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482258 | N/A | N/A | 12437386 | 2222 | 4802 | 24325256 | N/A | 10617653 | 2026-04-21 00:56:58.044854 | 2025-11-07 22:17:52.515771 |
| 2026-04-20 07:13:34.671868 | 2026-04-21 00:57:35.424166 | 24114708 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24114708 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-04-23 | F | PT | BENSON | 361A5590040 | ELIZABETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_24114708_31dad163-6714-4d63-9916-bc8283e6398e.json | N/A | N/A | N/A | N/A | N/A | 361A5590040 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | N/A | N/A | 2026-04-20 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482257 | N/A | N/A | 11917007 | 2222 | 4793 | 24326006 | 4185 | 10144918 | 2026-04-21 00:57:35.424166 | 2025-11-17 16:03:18.208475 |
| 2026-04-20 07:13:34.588145 | 2026-04-21 00:57:18.632638 | 24114693 | N/A | N/A | 60054 | Aetna | 1114042165 | 24114693 | Athletic Physical Therapy Inc | 1998-11-14 | 2026-04-22 | M | AE | Shirian | W742094344 | Jonathan | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_24114693_b8c47b04-9d55-451d-9991-5625a9acbaec.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482256 | N/A | N/A | 11519732 | 2222 | 4802 | 24325658 | N/A | 9760542 | 2026-04-21 00:57:18.632638 | 2025-10-27 21:44:20.466934 |
| 2026-04-20 07:13:34.481137 | 2026-04-21 00:58:09.991735 | 24114679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114679 | Athletic Physical Therapy Inc | 1961-06-24 | 2026-04-23 | M | PT | RAY | PAS838471972 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_24114679_33e0cb2d-6b2c-4920-9b38-4717335bcaec.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482255 | N/A | N/A | 11420779 | 2222 | 4801 | 24326814 | N/A | 9673427 | 2026-04-21 00:58:09.991735 | 2025-11-03 19:27:12.288254 |
| 2026-04-20 07:13:34.347687 | 2026-04-21 00:57:12.513123 | 24114654 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24114654 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-04-22 | F | AE | CRUTCHFIELD | 90443065C | HELEN | Denise | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_24114654_e3041844-fe82-4b7d-a9c0-26ed612e474f.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482254 | N/A | N/A | 10103203 | 2222 | 4802 | 24325545 | 4211 | 8437251 | 2026-04-21 00:57:12.513123 | 2025-10-07 19:08:26.048804 |
| 2026-04-20 07:13:34.228051 | 2026-04-21 00:57:45.536251 | 24114636 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24114636 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-04-23 | M | PT | GREEN | JQV184A72608 | ALLEN | E | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_24114636_0c443160-bde3-4763-a85b-295c57416b5b.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482253 | N/A | N/A | 10091887 | 2222 | 4793 | 24326253 | 4185 | 8429919 | 2026-04-21 00:57:45.536251 | 2025-10-07 22:01:52.720968 |
| 2026-04-20 07:13:34.137222 | 2026-04-21 00:58:35.298680 | 24114622 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114622 | Athletic Physical Therapy Inc | 1956-12-19 | 2026-04-22 | F | AE | YEN | 7QK3HE4XQ19 | JENNY | P | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033466/check_24114622_3966caf4-8ec2-460f-b25f-6b4b612080c3.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MA | false | YEN | N/A | JENNY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 33587 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482252 | N/A | N/A | 10033466 | 2222 | 4793 | 24327309 | N/A | 8398587 | 2026-04-21 00:58:35.298680 | 2025-10-07 14:21:54.880940 |
| 2026-04-20 07:13:34.041120 | 2026-04-21 00:58:06.261647 | 24114604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114604 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-04-22 | M | PT | Moreno jr | VDHE01043007 | Hector | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_24114604_b4cec462-c5fa-4ca9-8552-d2128e5d8c63.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 2026-12-31 | 2026-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482251 | N/A | N/A | 9691081 | 2222 | 4801 | 24326732 | N/A | 8110015 | 2026-04-21 00:58:06.261647 | 2025-10-05 15:24:30.421551 |
| 2026-04-20 07:13:33.913389 | 2026-04-21 00:56:56.844012 | 24114583 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 24114583 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-04-23 | M | 96 | HAUSMAN | 34751866 | GARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_24114583_3c9c9db6-3bf3-4fd2-8f96-50850f96e952.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-04-20 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10637482250 | N/A | N/A | 9280203 | 2222 | 4793 | 24325227 | 6798 | 7788651 | 2026-04-21 00:56:56.844012 | 2025-09-10 18:50:22.494063 |
| 2026-04-20 07:13:33.793398 | 2026-04-21 00:57:37.604538 | 24114567 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24114567 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-04-23 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_24114567_1480fd4d-4729-4b95-9d29-6fe57134f7d7.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482249 | N/A | N/A | 9194927 | 2222 | 4793 | 24326048 | 4184 | 7712549 | 2026-04-21 00:57:37.604538 | 2025-09-10 17:29:28.945035 |
| 2026-04-20 07:13:33.672930 | 2026-04-21 00:58:09.434648 | 24114549 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24114549 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-04-23 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_24114549_7a598ef6-6cd0-4c34-a760-e765c8954552.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482248 | N/A | N/A | 9102655 | 2222 | 4801 | 24326802 | 4185 | 7621062 | 2026-04-21 00:58:09.434648 | 2025-09-12 19:10:20.936695 |
| 2026-04-20 07:13:33.574832 | 2026-04-21 00:57:11.579438 | 24114528 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 24114528 | Athletic Physical Therapy Inc | 1971-12-09 | 2026-04-22 | F | AE | OSTERHOUDT | U2156506701 | TRACY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_24114528_eb8c3ebc-8982-4483-8c10-15092b2692b1.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | 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 | 10637482247 | N/A | N/A | 8471577 | 2222 | 4801 | 24325526 | N/A | 7142472 | 2026-04-21 00:57:11.579438 | 2025-09-06 16:19:59.701160 |
| 2026-04-20 07:13:33.441686 | 2026-04-21 00:58:05.407435 | 24114505 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114505 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-04-22 | F | AE | CHICAS | 2VE9DX6NU27 | MARIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_24114505_36d258e7-68fe-4923-acb9-647e9c547a43.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MA | false | CHICAS | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 38817 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482246 | N/A | N/A | 8202975 | 2222 | 4802 | 24326716 | N/A | 6965620 | 2026-04-21 00:58:05.407435 | 2025-09-03 23:20:10.287852 |
| 2026-04-20 07:13:33.357561 | 2026-04-21 00:57:19.433181 | 24114489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24114489 | Athletic Physical Therapy Inc | 1980-12-02 | 2026-04-22 | M | PT | GODINEZ | XEK907039926 | RICHARD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_24114489_fcf725f0-e583-43cd-a184-78cdc47f5835.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZL002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2026-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482245 | N/A | N/A | 8202901 | 2222 | 4793 | 24325674 | N/A | 6965521 | 2026-04-21 00:57:19.433181 | 2025-09-10 21:42:23.177790 |
| 2026-04-20 07:13:33.221722 | 2026-04-21 00:58:31.108128 | 24114467 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114467 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-04-22 | M | AE | ULLMAN | 8HC8F35AX50 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7589050/check_24114467_3c4b06e4-2f81-4806-af6e-8b56356b5949.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 37649 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482244 | N/A | N/A | 7589050 | 2222 | 4801 | 24327226 | N/A | 4208696 | 2026-04-21 00:58:31.108128 | 2025-06-07 16:16:45.844566 |
| 2026-04-20 07:13:33.118357 | 2026-04-21 00:58:12.685703 | 24114451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114451 | Athletic Physical Therapy Inc | 1964-07-02 | 2026-04-22 | M | PT | SMITH | XDM991A72122 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7489791/check_24114451_966c4250-78fa-4519-86f0-eb07762e45d0.json | N/A | N/A | N/A | N/A | N/A | XDM991A72122 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1964-07-02 | 040 | 57ARJS | N/A | HM | false | SMITH | N/A | THOMAS | N/A | 2026-08-01 | 2025-10-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482243 | N/A | N/A | 7489791 | 2222 | 4801 | 24326876 | N/A | 5285158 | 2026-04-21 00:58:12.685703 | 2025-07-17 18:25:07.830041 |
| 2026-04-20 07:13:32.993283 | 2026-04-21 00:58:13.082305 | 24114430 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114430 | Athletic Physical Therapy Inc | 1948-11-19 | 2026-04-22 | M | AE | GONZALEZ JR | 1E61CX0GK13 | LEO | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_24114430_64acbaf8-ab2f-4ae5-8c3f-d5c720381a02.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MA | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 173187 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482242 | N/A | N/A | 7456457 | 2222 | 4793 | 24326888 | N/A | 6405774 | 2026-04-21 00:58:13.082305 | 2026-03-16 21:02:08.525887 |
| 2026-04-20 07:13:32.876274 | 2026-04-21 00:57:36.170096 | 24114409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114409 | Athletic Physical Therapy Inc | 1965-07-08 | 2026-04-22 | F | PT | CHALFIN | WAR121A52220 | LISA | R | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_24114409_1aff33b5-e96d-44a1-be5b-96c2234d579d.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637482241 | N/A | N/A | 7456267 | 2222 | 4793 | 24326020 | N/A | 6405582 | 2026-04-21 00:57:36.170096 | 2025-08-04 21:58:38.426681 |
| 2026-04-20 07:13:32.761564 | 2026-04-21 00:57:28.820847 | 24114390 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24114390 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-04-22 | M | AE | Thur | 95641377F | Pyi | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_24114390_834752f5-c0de-49e0-b68b-3d7d93c5dbe4.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482240 | N/A | N/A | 7449843 | 2222 | 4802 | 24325866 | 4211 | 6399635 | 2026-04-21 00:57:28.820847 | 2025-07-29 18:42:47.970149 |
| 2026-04-20 07:13:32.681936 | 2026-04-21 00:58:03.670139 | 24114379 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114379 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-04-23 | M | AE | BHAMRAH | 8FX0NA8MD19 | KULDIP | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_24114379_24071a92-d85b-4f9e-b169-93b96bd9ac2e.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MB | false | BHAMRAH | N/A | KULDIP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 137261 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482239 | N/A | N/A | 7442857 | 2222 | 4801 | 24326685 | N/A | 6393941 | 2026-04-21 00:58:03.670139 | 2025-08-13 16:33:53.313259 |
| 2026-04-20 07:13:32.576865 | 2026-04-21 00:58:06.213761 | 24114362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114362 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-22 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_24114362_9e5a6387-64f7-4e49-8df5-3d3b6c1d9afd.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 279798 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482238 | N/A | N/A | 6752936 | 2222 | 4801 | 24326731 | N/A | 5065602 | 2026-04-21 00:58:06.213761 | 2025-07-01 17:25:13.681724 |
| 2026-04-20 07:13:32.445097 | 2026-04-21 00:58:32.920225 | 24114337 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114337 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-04-23 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | N | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_24114337_934f1c8c-3007-4653-b971-3d60d6f9515d.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 122000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482237 | N/A | N/A | 6751304 | 2222 | 4802 | 24327261 | N/A | 5557241 | 2026-04-21 00:58:32.920225 | 2025-07-22 17:08:51.810153 |
| 2026-04-20 07:13:32.359463 | 2026-04-21 00:56:51.396821 | 24114321 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24114321 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-04-22 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_24114321_dc07b4c4-4d09-4a02-ba35-e2ad240f4ae6.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482236 | N/A | N/A | 6721942 | 2222 | 4793 | 24325129 | N/A | 5322280 | 2026-04-21 00:56:51.396821 | 2025-07-01 21:45:15.878047 |
| 2026-04-20 07:13:32.233783 | 2026-04-21 00:57:16.531169 | 24114296 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24114296 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-04-23 | M | AE | SIMMONS | 40055722801 | J | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_24114296_07d843ae-eb25-457c-8359-36242c0f6e8d.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637482235 | N/A | N/A | 6685251 | 2222 | 4793 | 24325612 | 6237 | 4209868 | 2026-04-21 00:57:16.531169 | 2025-08-15 22:13:56.514261 |
| 2026-04-20 07:13:32.122990 | 2026-04-21 00:57:10.487105 | 24114285 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24114285 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-04-22 | M | AE | NOWAK | 31172069101 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_24114285_b7b9fa7e-483f-4e97-921b-5e14554ad176.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | 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 | 10637481143 | N/A | N/A | 6492025 | 2222 | 4793 | 24325504 | 6237 | 5121181 | 2026-04-21 00:57:10.487105 | 2025-06-19 16:42:31.208252 |
| 2026-04-20 07:13:32.042592 | 2026-04-21 00:57:38.139780 | 24114270 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114270 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-04-22 | F | PT | CLOONAN | XDM481M99931 | LINDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_24114270_30fe84ec-1b5d-400c-a304-88d72fc62ae3.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481142 | N/A | N/A | 6193751 | 2222 | 4801 | 24326062 | N/A | 4837995 | 2026-04-21 00:57:38.139780 | 2025-06-13 00:15:18.726975 |
| 2026-04-20 07:13:31.938247 | 2026-04-21 00:58:17.133343 | 24114249 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114249 | Athletic Physical Therapy Inc | 1939-06-25 | 2026-04-22 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_24114249_1564ce9f-a623-4ffd-8c14-72bfc3e71e48.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481141 | N/A | N/A | 6068049 | 2222 | 4793 | 24326967 | N/A | 4642852 | 2026-04-21 00:58:17.133343 | 2025-11-21 18:38:17.056437 |
| 2026-04-20 07:13:31.842635 | 2026-04-21 00:57:38.640557 | 24114234 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24114234 | Athletic Physical Therapy Inc | 1977-09-14 | 2026-04-22 | F | PT | CONTI | CAI143A79624 | MARIANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_24114234_6f7c7e04-e7fe-4244-80b6-f0394d51a109.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481140 | N/A | N/A | 5993920 | 2222 | 4793 | 24326070 | 4184 | 4642859 | 2026-04-21 00:57:38.640557 | 2026-04-10 21:27:25.225083 |
| 2026-04-20 07:13:31.703842 | 2026-04-21 00:57:06.424886 | 24114209 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24114209 | Athletic Physical Therapy Inc | 1944-11-30 | 2026-04-22 | F | AD | AMOROSA | 40037132201 | RITA | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_24114209_1a002a58-45bf-4705-848e-89d2e496e68e.json | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | 2026H5425001 | H5425M | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | 10637481139 | N/A | N/A | 5874458 | 2222 | 4801 | 24325425 | N/A | 4534582 | 2026-04-21 00:57:06.424886 | 2026-03-02 22:06:30.224734 |
| 2026-04-20 07:13:31.602138 | 2026-04-21 00:57:39.272661 | 24114190 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24114190 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-04-21 | F | AE | GIANOLI | R11857813FM1 | ELSY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_24114190_fd262e51-83a3-4488-aa5a-3f0aa3cd3695.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481138 | N/A | N/A | 5568076 | 2222 | 4802 | 24326086 | 4625 | 4209480 | 2026-04-21 00:57:39.272661 | 2026-04-10 02:05:15.976484 |
| 2026-04-20 07:13:31.491740 | 2026-04-21 00:57:26.258423 | 24114171 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24114171 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-04-21 | F | AE | SIMONS | 94378141G | DESIREE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_24114171_abdd6d87-1755-405f-968b-6c90e9d1369a.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481135 | N/A | N/A | 5550102 | 2222 | 4802 | 24325817 | 4211 | 4212176 | 2026-04-21 00:57:26.258423 | 2025-05-13 04:29:37.226514 |
| 2026-04-20 07:13:31.342506 | 2026-04-21 00:57:55.117967 | 24114147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24114147 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-04-22 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_24114147_bba2b33b-66d3-4a5e-83db-df89e718ae49.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481134 | N/A | N/A | 5549317 | 2222 | 4801 | 24326494 | N/A | 4219010 | 2026-04-21 00:57:55.117967 | 2026-01-09 18:32:07.618867 |
| 2026-04-20 07:13:31.259116 | 2026-04-21 00:58:06.864191 | 24114133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114133 | Athletic Physical Therapy Inc | 1946-03-10 | 2026-04-23 | F | AE | CLARK | 8KR2PU6TJ09 | CARLA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549005/check_24114133_cec7bffa-6c9c-49c0-8012-fbb3f97a9d90.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part A | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MA | false | CLARK | N/A | CARLA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20041 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481133 | N/A | N/A | 5549005 | 2222 | 4801 | 24326745 | N/A | 4218754 | 2026-04-21 00:58:06.864191 | 2025-05-13 04:29:37.229746 |
| 2026-04-20 07:13:31.161966 | 2026-04-21 00:58:23.792672 | 24114116 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114116 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-04-23 | F | AE | NOGHREIAN | 6XG3KA2TP05 | FLORIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548970/check_24114116_caf4b269-71a6-44d7-9b84-9831a60d6fdc.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MA | false | NOGHREIAN | N/A | FLORIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 231105 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481130 | N/A | N/A | 5548970 | 2222 | 4802 | 24327089 | N/A | 4218728 | 2026-04-21 00:58:23.792672 | 2025-05-13 04:29:37.229718 |
| 2026-04-20 07:13:31.076543 | 2026-04-21 00:58:09.478304 | 24114099 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24114099 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-04-23 | F | AE | DOUGLAS | 6RW0R23KU11 | HEATHER | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_24114099_a7ae3282-82f9-4dff-874c-68517ca13ae4.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111659 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481127 | N/A | N/A | 5548965 | 2222 | 4802 | 24326804 | N/A | 4218725 | 2026-04-21 00:58:09.478304 | 2025-05-13 04:29:37.229715 |
| 2026-04-20 07:13:30.951067 | 2026-04-21 00:57:54.661621 | 24114077 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24114077 | Athletic Physical Therapy Inc | 1947-11-21 | 2026-04-22 | M | PT | LOCKHAT | JQS435M97823 | AHMED | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543586/check_24114077_b524254f-d0be-4650-844b-0aac795c15d6.json | N/A | N/A | N/A | N/A | N/A | JQS435M97823 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-11-21 | 040 | CAMCRWP0 | N/A | MP | false | LOCKHAT | N/A | AHMED | N/A | 9999-12-31 | 2026-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481126 | N/A | N/A | 5543586 | 2222 | 4801 | 24326483 | 4184 | 4215359 | 2026-04-21 00:57:54.661621 | 2026-04-17 05:33:55.315499 |
| 2026-04-20 07:13:30.754368 | 2026-04-21 00:57:05.252597 | 24114041 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24114041 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-04-23 | M | AE | AKHTARI | 40045421301 | SHAHROKH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_24114041_0d6753ef-5e45-498f-86e7-303ed95623b9.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481125 | N/A | N/A | 5543493 | 2222 | 4793 | 24325403 | 6237 | 4215273 | 2026-04-21 00:57:05.252597 | 2025-05-13 04:29:37.229594 |
| 2026-04-20 07:13:30.589126 | 2026-04-21 00:57:50.845621 | 24114014 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 24114014 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-04-22 | F | AE | Sankovich | 00000375069 | Deborah | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_24114014_a1b8ca54-6639-4bc7-ae6a-3d64215407ed.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481124 | N/A | N/A | 5543396 | 2222 | 4793 | 24326388 | 2630 | 4215193 | 2026-04-21 00:57:50.845621 | 2026-01-16 04:38:12.725481 |
| 2026-04-20 07:13:30.438440 | 2026-04-21 00:57:42.340846 | 24113991 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24113991 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-04-22 | F | AE | BALAGHI ASEFI | 91331342H | SAMIRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543363/check_24113991_285fa3cc-153e-4cf0-a5f0-70027c33e3bc.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481120 | N/A | N/A | 5543363 | 2222 | 4793 | 24326168 | 4625 | 4215163 | 2026-04-21 00:57:42.340846 | 2026-03-24 20:35:50.273384 |
| 2026-04-20 07:13:30.298172 | 2026-04-21 00:57:15.989135 | 24113967 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24113967 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-04-22 | M | AE | MCCOWAN | 93341440D | KEVIN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_24113967_df8252eb-9969-410b-9c99-dc71393170db.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481118 | N/A | N/A | 5543270 | 2222 | 4793 | 24325604 | 4211 | 4215086 | 2026-04-21 00:57:15.989135 | 2025-05-13 04:29:37.229401 |
| 2026-04-20 07:13:30.086726 | 2026-04-21 00:57:54.150664 | 24113932 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24113932 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-04-23 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_24113932_f709980f-1b09-44ae-8163-ac015a2e377c.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481117 | N/A | N/A | 5543167 | 2222 | 4793 | 24326469 | N/A | 4214995 | 2026-04-21 00:57:54.150664 | 2025-05-13 04:29:37.229315 |
| 2026-04-20 07:13:29.980126 | 2026-04-21 00:57:14.117267 | 24113919 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24113919 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-04-22 | M | AE | SHADDAY | 40064865601 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_24113919_dc7f42da-3eee-4286-931a-5f1d2c3362ca.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | 2026H5425001 | H5425M | N/A | N/A | false | SHADDAY | N/A | STEVEN | 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 | 10637481115 | N/A | N/A | 5543011 | 2222 | 4801 | 24325571 | 6237 | 4214861 | 2026-04-21 00:57:14.117267 | 2026-02-04 19:10:58.526441 |