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 07:13:29.851210 | 2026-04-21 00:58:03.078770 | 24113897 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24113897 | Athletic Physical Therapy Inc | 1994-12-26 | 2026-04-23 | F | PT | MEIKLE | NCF597A80185 | MICAELA | 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/2222/5542942/check_24113897_f0181dc4-d3b4-4e67-b6ab-adf7498ba6db.json | N/A | N/A | N/A | N/A | N/A | NCF597A80185 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1994-12-26 | 040 | 57AJCA | N/A | HM | false | MEIKLE | N/A | JERRID | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481113 | N/A | N/A | 5542942 | 2222 | 4801 | 24326633 | N/A | 4214794 | 2026-04-21 00:58:03.078770 | 2025-05-13 04:29:37.229120 |
| 2026-04-20 07:13:29.756443 | 2026-04-21 00:57:45.083783 | 24113881 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24113881 | Athletic Physical Therapy Inc | 2007-12-08 | 2026-04-23 | F | AE | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_24113881_cd5e15f4-c96a-439f-9ce8-4ae54c6263c8.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2026-02-10 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481111 | N/A | N/A | 5542850 | 2222 | 4793 | 24326240 | 4625 | 4214714 | 2026-04-21 00:57:45.083783 | 2025-05-13 04:29:37.229031 |
| 2026-04-20 07:13:29.614037 | 2026-04-21 00:57:47.118108 | 24113858 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24113858 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-04-23 | F | AE | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_24113858_df5a396d-102f-49e7-a734-ef40ca3dfd8b.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481106 | N/A | N/A | 5542752 | 2222 | 4793 | 24326292 | 4625 | 4214627 | 2026-04-21 00:57:47.118108 | 2025-06-23 18:58:46.304598 |
| 2026-04-20 07:13:29.483783 | 2026-04-21 00:57:12.072599 | 24113836 | N/A | N/A | 60054 | Aetna | 1114042165 | 24113836 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-04-22 | F | AE | FERRELL | W285064666 | AMELIA | 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/2222/5542678/check_24113836_2727fb36-5f26-4541-b18a-80d38888b104.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481104 | N/A | N/A | 5542678 | 2222 | 4802 | 24325537 | N/A | 4214560 | 2026-04-21 00:57:12.072599 | 2025-05-13 04:29:37.228883 |
| 2026-04-20 07:13:29.296574 | 2026-04-21 00:57:42.706370 | 24113802 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24113802 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-04-23 | F | AE | CHERE | 98953535F | DIANA | 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/2222/5542660/check_24113802_6037c5bd-fc18-41f8-a395-d153e248ba3b.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481103 | N/A | N/A | 5542660 | 2222 | 4802 | 24326182 | 4625 | 4214542 | 2026-04-21 00:57:42.706370 | 2025-05-13 04:29:37.228868 |
| 2026-04-20 07:13:29.217868 | 2026-04-21 00:57:45.448201 | 24113790 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 24113790 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-04-22 | M | AE | MOSLEY | R02649763MM1 | MICHAEL | 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/2222/5542606/check_24113790_95b18fd4-01e8-4992-befa-1dab8ceafa08.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2026-03-31 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481101 | N/A | N/A | 5542606 | 2222 | 4801 | 24326247 | N/A | 4214496 | 2026-04-21 00:57:45.448201 | 2025-05-13 04:29:37.228812 |
| 2026-04-20 07:13:29.114343 | 2026-04-21 00:57:18.218759 | 24113774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24113774 | Athletic Physical Therapy Inc | 1983-10-27 | 2026-04-23 | M | PT | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_24113774_0eb49b78-771f-4ff1-acb7-f1f2c1989885.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481100 | N/A | N/A | 5542512 | 2222 | 4793 | 24325648 | N/A | 4214416 | 2026-04-21 00:57:18.218759 | 2025-05-13 04:29:37.228740 |
| 2026-04-20 07:13:29.019054 | 2026-04-21 00:57:13.713822 | 24113755 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24113755 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-04-22 | F | AE | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_24113755_dc0e3de4-c900-4899-973d-5344a8515904.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481094 | N/A | N/A | 5542233 | 2222 | 4793 | 24325567 | 4211 | 4214178 | 2026-04-21 00:57:13.713822 | 2025-05-13 04:29:37.228506 |
| 2026-04-20 07:13:28.880470 | 2026-04-21 00:57:08.216625 | 24113729 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24113729 | Athletic Physical Therapy Inc | 1954-12-02 | 2026-04-22 | M | AD | DEMOULIN | 40027880801 | MICHAEL | 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/2222/5542180/check_24113729_7cf1a362-63d9-4413-9f49-a3b897770d0f.json | N/A | N/A | N/A | N/A | N/A | 40027880801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-12-02 | 2026H5425001 | H5425M | N/A | N/A | false | DEMOULIN | N/A | MICHAEL | 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 | 10637481093 | N/A | N/A | 5542180 | 2222 | 4801 | 24325457 | 6237 | 4214126 | 2026-04-21 00:57:08.216625 | 2026-03-31 17:10:38.239315 |
| 2026-04-20 07:13:28.794158 | 2026-04-21 00:58:23.149532 | 24113714 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24113714 | Athletic Physical Therapy Inc | 1961-06-02 | 2026-04-23 | M | AE | MOGES | 9MF8NH0KD45 | MEKONNEN | 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/2222/5541892/check_24113714_35464b84-4dc5-4adc-a1e5-95f84227c625.json | N/A | N/A | N/A | N/A | N/A | 9MF8NH0KD45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1961-06-02 | S5617 | N/A | N/A | MA | false | MOGES | N/A | MEKONNEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 110672 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481088 | N/A | N/A | 5541892 | 2222 | 4801 | 24327078 | N/A | 4213870 | 2026-04-21 00:58:23.149532 | 2026-02-04 16:47:08.016880 |
| 2026-04-20 07:13:28.644583 | 2026-04-21 00:58:08.641195 | 24113691 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24113691 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-04-22 | M | AE | DOUGHERTY | 7EE9WG6YG17 | KENNETH | 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/2222/5541619/check_24113691_77778115-c406-41b6-a785-78b1618cad6d.json | N/A | N/A | N/A | N/A | N/A | 7EE9WG6YG17 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-19 | S5601 | N/A | N/A | MB | false | DOUGHERTY | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 123850 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481087 | N/A | N/A | 5541619 | 2222 | 4793 | 24326786 | N/A | 4213619 | 2026-04-21 00:58:08.641195 | 2025-05-13 04:29:37.227951 |
| 2026-04-20 07:13:28.559929 | 2026-04-21 00:57:23.531940 | 24113676 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24113676 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-04-22 | F | PT | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_24113676_e0cdb737-897f-46f9-80b5-7e39087733a2.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481085 | N/A | N/A | 5541315 | 2222 | 4793 | 24325758 | N/A | 4213344 | 2026-04-21 00:57:23.531940 | 2025-05-13 04:29:37.227667 |
| 2026-04-20 07:13:28.435747 | 2026-04-21 00:57:16.233474 | 24113654 | N/A | N/A | 60054 | Aetna | 1114042165 | 24113654 | Athletic Physical Therapy Inc | 1986-01-30 | 2026-04-23 | F | AE | SOYSTER | W263195316 | RACHEL | 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/2222/5541088/check_24113654_9cdb1796-327b-4a73-8d70-e2046f39a26a.json | N/A | N/A | N/A | N/A | N/A | W263195316 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1986-01-30 | 0256679 | 025667905000013 | N/A | PR | false | SOYSTER | N/A | RACHEL | N/A | N/A | N/A | OPEN CHOICE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481084 | N/A | N/A | 5541088 | 2222 | 4801 | 24325607 | N/A | 4213145 | 2026-04-21 00:57:16.233474 | 2025-05-13 04:29:37.227475 |
| 2026-04-20 07:13:28.346522 | 2026-04-21 00:57:12.256460 | 24113638 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24113638 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-04-22 | F | AD | POLAK | 40047825101 | JOANNA | 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/2222/5541023/check_24113638_c7439b11-0e5e-4a03-aaf2-070ed50fc23a.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10637481083 | N/A | N/A | 5541023 | 2222 | 4793 | 24325540 | 6237 | 4213093 | 2026-04-21 00:57:12.256460 | 2025-05-13 04:29:37.227419 |
| 2026-04-20 07:13:28.237044 | 2026-04-21 00:57:44.889857 | 24113622 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24113622 | Athletic Physical Therapy Inc | 1995-06-07 | 2026-04-22 | M | PT | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_24113622_2b4aa7b4-dff8-4ed8-9f0f-e1770f1fb871.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481081 | N/A | N/A | 5540871 | 2222 | 4793 | 24326234 | N/A | 4212959 | 2026-04-21 00:57:44.889857 | 2025-10-17 20:08:21.136268 |
| 2026-04-20 07:13:28.141738 | 2026-04-21 00:58:27.646502 | 24113605 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24113605 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-04-23 | F | AE | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | 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/2222/5540122/check_24113605_3f2d22d2-1a55-4c4f-b4c8-93513f5dfcfe.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MA | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 63337 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481080 | N/A | N/A | 5540122 | 2222 | 4793 | 24327116 | N/A | 4212321 | 2026-04-21 00:58:27.646502 | 2026-03-11 15:45:38.887850 |
| 2026-04-20 07:13:28.005070 | 2026-04-21 00:57:13.093193 | 24113581 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 24113581 | Athletic Physical Therapy Inc | 1981-03-02 | 2026-04-22 | M | AE | DALE | 90961772C | RYAN | 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/2222/5539741/check_24113581_545c251d-a564-4a62-8fea-323115847d16.json | N/A | N/A | N/A | N/A | N/A | 90961772C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 05/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1981-03-02 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DALE | N/A | RYAN | 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 | 10637481079 | N/A | N/A | 5539741 | 2222 | 4802 | 24325555 | N/A | 4212001 | 2026-04-21 00:57:13.093193 | 2025-05-13 04:29:37.226324 |
| 2026-04-20 07:13:27.896838 | 2026-04-21 00:56:57.487606 | 24113558 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 24113558 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-04-23 | F | 96 | HAUSMAN | 34751865 | JUDITH | 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/2222/5539527/check_24113558_0903a70d-57be-4018-8673-36bb6a7880d9.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | 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 | 10637481078 | N/A | N/A | 5539527 | 2222 | 4793 | 24325245 | 6798 | 4211820 | 2026-04-21 00:56:57.487606 | 2026-04-10 18:02:32.809721 |
| 2026-04-20 07:13:27.760306 | 2026-04-21 00:57:50.693867 | 24113537 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24113537 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-04-22 | F | PT | JOHNSON | JQS766M90611 | JANET | 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/2222/5539188/check_24113537_83c31278-7b62-4721-81de-d3cff4d41808.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | 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 | 10637481077 | N/A | N/A | 5539188 | 2222 | 4801 | 24326382 | 4185 | 4211521 | 2026-04-21 00:57:50.693867 | 2025-10-19 23:43:25.603984 |
| 2026-04-20 07:13:27.666119 | 2026-04-21 00:57:07.394420 | 24113521 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24113521 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-04-22 | M | AE | CHADIDA | 40060913601 | 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/2222/5538674/check_24113521_6f7571c2-ad76-4621-acc3-9e140de74f5b.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | 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 | 10637481075 | N/A | N/A | 5538674 | 2222 | 4793 | 24325442 | 6237 | 4211039 | 2026-04-21 00:57:07.394420 | 2025-05-13 04:29:37.225444 |
| 2026-04-20 07:13:27.561342 | 2026-04-21 00:58:12.456597 | 24113501 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24113501 | Athletic Physical Therapy Inc | 1980-09-10 | 2026-04-23 | M | AE | BRUNSKILL | 9853463 | NATHAN | 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/2222/5538359/check_24113501_402efbe7-ce4c-4571-a031-57a3931eb088.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | THE J PAUL GETTY TRUST SVA-ACT | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481074 | N/A | N/A | 5538359 | 2222 | 4802 | 24326873 | 6411 | 4210784 | 2026-04-21 00:58:12.456597 | 2025-05-13 04:29:37.225193 |
| 2026-04-20 07:13:27.471379 | 2026-04-21 00:57:47.488300 | 24113486 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 24113486 | override_provider | 1956-10-22 | 2026-04-23 | F | AE | VARGAS | 91004885D | AUXILIADORA | 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/2222/5538314/check_24113486_c9080ee2-a8ae-4c59-b0a3-a3cdb72e054c.json | N/A | N/A | N/A | N/A | N/A | 91004885D | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481073 | N/A | N/A | 5538314 | 2222 | 4802 | 24326303 | N/A | 4210749 | 2026-04-21 00:57:47.488300 | 2026-01-29 18:21:20.298304 |
| 2026-04-20 07:13:27.352691 | 2026-04-21 00:58:02.492616 | 24113466 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24113466 | Athletic Physical Therapy Inc | 1937-10-18 | 2026-04-22 | F | AE | HARRIS | H31377947 | SARA | 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/2222/5538240/check_24113466_eb42103e-c7db-4023-bf9d-221b1ad1010b.json | N/A | N/A | N/A | N/A | N/A | H31377947 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1937-10-18 | N/A | Y9623001 | N/A | HN | false | HARRIS | N/A | SARA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481072 | N/A | N/A | 5538240 | 2222 | 4802 | 24326672 | 5349 | 4210683 | 2026-04-21 00:58:02.492616 | 2025-05-13 04:29:37.225096 |
| 2026-04-20 07:13:27.228917 | 2026-04-21 00:58:08.721461 | 24113446 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24113446 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-04-22 | F | PT | OATES | JQS723M87472 | STACY | 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/2222/5537951/check_24113446_15723a9b-a408-4609-a3c2-068e3e50b901.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | N/A | 9999-12-31 | 2025-01-01 | 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 | 10637481071 | N/A | N/A | 5537951 | 2222 | 4793 | 24326789 | 4184 | 4210449 | 2026-04-21 00:58:08.721461 | 2026-02-25 15:35:31.486496 |
| 2026-04-20 07:13:27.071110 | 2026-04-21 00:57:39.961514 | 24113420 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24113420 | Athletic Physical Therapy Inc | 1967-04-18 | 2026-04-22 | M | AE | CRANE | KVK646A68822 | STEPHEN | 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/2222/5537873/check_24113420_c57ec6ad-3154-4ffa-b382-f9b092649de5.json | N/A | N/A | N/A | N/A | N/A | KVK646A68822 | Health Maintenance Organization (HMO) | CLASSIC WIRE CUT COMPANY INC | ANTHEM BLUE CROSS | N/A | 1967-04-18 | 040 | L11481H001 | N/A | HM | false | CRANE | N/A | STEPHEN | N/A | 2026-12-31 | 2026-01-01 | CLASSIC PRIORITY SELECT HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481070 | N/A | N/A | 5537873 | 2222 | 4801 | 24326102 | N/A | 4210375 | 2026-04-21 00:57:39.961514 | 2026-04-15 00:19:27.078421 |
| 2026-04-20 07:13:26.990270 | 2026-04-21 00:57:11.527721 | 24113407 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24113407 | Athletic Physical Therapy Inc | 1949-08-09 | 2026-04-22 | F | AE | NOWAK | 31183221401 | 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/2222/5537039/check_24113407_27bdb80f-3576-4550-8c8a-dbb93c517619.json | N/A | N/A | N/A | N/A | N/A | 31183221401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-08-09 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DEBORAH | 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 | 10637481067 | N/A | N/A | 5537039 | 2222 | 4793 | 24325523 | 6237 | 4209676 | 2026-04-21 00:57:11.527721 | 2025-11-19 17:57:16.607946 |
| 2026-04-20 07:13:26.861993 | 2026-04-21 00:58:03.802380 | 24113387 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24113387 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-04-22 | F | AE | HASSEY DE HANSON | H6569972200 | HILDA | 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/2222/5536963/check_24113387_ac81ee90-fbcc-4cc2-9bb2-e7010f7f94e3.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481065 | N/A | N/A | 5536963 | 2222 | 4801 | 24326689 | 5349 | 4209616 | 2026-04-21 00:58:03.802380 | 2025-12-02 19:38:35.715555 |
| 2026-04-20 07:13:26.774046 | 2026-04-21 00:58:09.238553 | 24113372 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24113372 | Athletic Physical Therapy Inc | 2001-07-02 | 2026-04-23 | M | AE | AHL | 664607703 | CONNOR | 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/2222/5536688/check_24113372_bc9e1de2-24b6-49f9-a75d-e8885b04d08b.json | N/A | N/A | N/A | N/A | N/A | 664607703 | Commercial | SOCAL GLAZIERS ARCHITECTURAL | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 2001-07-02 | N/A | 368901 | N/A | C1 | false | AHL | N/A | CONNOR | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481064 | N/A | N/A | 5536688 | 2222 | 4801 | 24326799 | 6411 | 4209387 | 2026-04-21 00:58:09.238553 | 2026-03-19 16:56:14.029767 |
| 2026-04-20 07:13:26.651267 | 2026-04-21 00:58:24.325912 | 24113354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24113354 | Athletic Physical Therapy Inc | 1943-10-22 | 2026-04-23 | F | AE | ODONNELL | 8XF6N21DN43 | AUDREY | 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/2222/5536184/check_24113354_b451e198-05e0-4020-84d3-7da40be5e4ae.json | N/A | N/A | N/A | N/A | N/A | 8XF6N21DN43 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | AUDREY | 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 | 10637481063 | N/A | N/A | 5536184 | 2222 | 4802 | 24327100 | N/A | 4208979 | 2026-04-21 00:58:24.325912 | 2025-05-13 04:29:37.223405 |
| 2026-04-20 07:12:06.286312 | 2026-04-21 00:59:17.654609 | 24102260 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24102260 | Athletic Physical Therapy Inc | 1960-09-09 | 2026-04-22 | F | AE | Mathias | JQE359W24348 | Danette | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20030409/check_24102260_314158c1-f09a-4593-a9be-bf7b23f6dcc6.json | N/A | N/A | N/A | N/A | N/A | JQE359W24348 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-09-09 | 040 | CASUPWP0 | N/A | N/A | false | MATHIAS | N/A | DANETTE | N/A | 9999-12-31 | 2025-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479831 | N/A | N/A | 20030409 | 2222 | 4801 | 24328248 | N/A | 4208538 | 2026-04-21 00:59:17.654609 | 2026-04-08 23:04:23.819170 |
| 2026-04-20 07:12:06.212502 | 2026-04-21 00:59:57.162438 | 24102250 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 24102250 | Athletic Physical Therapy Inc | 1992-05-25 | 2026-04-22 | F | AE | ZHU | QVVKND01 | XINYUE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19963682/check_24102250_e89f5d8c-03c7-493a-9f19-a79f5520c658.json | N/A | N/A | N/A | N/A | N/A | QVVKND01 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1992-05-25 | N/A | N/A | N/A | N/A | false | ZHU | N/A | XINYUE | 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 | 10637479830 | N/A | N/A | 19963682 | 2222 | 4802 | 24329235 | N/A | 17646203 | 2026-04-21 00:59:57.162438 | 2026-04-16 15:51:21.138443 |
| 2026-04-20 07:12:06.106776 | 2026-04-21 00:58:44.774799 | 24102230 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24102230 | Athletic Physical Therapy Inc | 1955-07-29 | 2026-04-22 | F | AE | Guerboian | XEM905356317 | Evelyn | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19962316/check_24102230_870ee5fa-211c-47da-8d1d-1f68c835f85a.json | N/A | N/A | N/A | N/A | N/A | XEM905356317 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-29 | 2004SE000030 | X0001002 | N/A | OT | false | GUERBOIAN | N/A | EDWARD | 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 | 10637479829 | N/A | N/A | 19962316 | 2222 | 4802 | 24327512 | N/A | 17644966 | 2026-04-21 00:58:44.774799 | 2026-04-22 18:59:05.351432 |
| 2026-04-20 07:12:06.003385 | 2026-04-21 00:58:44.223746 | 24102213 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 24102213 | Athletic Physical Therapy Inc | 1944-11-01 | 2026-04-22 | U | AE | LEWIS | D24951505 | SANDRA | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19947085/check_24102213_4ea8978a-87b3-4fcc-b03f-66da080f372e.json | N/A | N/A | N/A | N/A | N/A | D24951505 | N/A | N/A | UNITED STATES AUTOMOBILE ASSOCIATION USAA | N/A | 1944-11-01 | N/A | N/A | N/A | N/A | false | LEWIS | N/A | SANDRA | N/A | N/A | 2026-04-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479828 | N/A | N/A | 19947085 | 2222 | 4802 | 24327498 | N/A | 17630973 | 2026-04-21 00:58:44.223746 | 2026-05-14 19:58:26.032681 |
| 2026-04-20 07:12:05.918818 | 2026-04-21 00:58:41.200537 | 24102197 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24102197 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-22 | F | AE | KIM | 40086743101 | SARAH | J | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567411/check_24102197_f68a32cc-2a11-4c24-86f7-0bfe4a3134d4.json | N/A | N/A | N/A | N/A | N/A | 40086743101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-01-27 | 2026H5425006 | H5425M | N/A | N/A | false | KIM | N/A | SARAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479827 | N/A | N/A | 19567411 | 2222 | 4802 | 24327435 | N/A | 16386056 | 2026-04-21 00:58:41.200537 | 2026-03-19 16:01:57.090565 |
| 2026-04-20 07:12:05.831834 | 2026-04-21 00:57:48.319646 | 24102181 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24102181 | Athletic Physical Therapy Inc | 1955-11-03 | 2026-04-22 | F | AE | SIEMINSKI | 32845919512 | LISA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19489706/check_24102181_cbdb9427-b830-49ad-87a9-155e0f2d4010.json | N/A | N/A | N/A | N/A | N/A | 32845919512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1955-11-03 | N/A | N/A | N/A | SP | false | SIEMINSKI | N/A | LISA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479826 | N/A | N/A | 19489706 | 2222 | 4801 | 24326324 | N/A | 17265138 | 2026-04-21 00:57:48.319646 | 2026-04-08 18:54:32.930478 |
| 2026-04-20 07:12:05.748182 | 2026-04-21 00:58:45.118490 | 24102167 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24102167 | Athletic Physical Therapy Inc | 1950-10-02 | 2026-04-22 | F | AE | Kemmerling | XAN913637518 | Beverly | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19237664/check_24102167_980647b5-efb4-41bb-b4d4-e0978ef14a0c.json | N/A | N/A | N/A | N/A | N/A | XAN913637518 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1950-10-02 | 1002VX000001 | W0051411 | N/A | PR | false | KEMMERLING | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479825 | N/A | N/A | 19237664 | 2222 | 4793 | 24327521 | N/A | 17102724 | 2026-04-21 00:58:45.118490 | 2026-04-03 16:16:17.741948 |
| 2026-04-20 07:12:05.668516 | 2026-04-21 00:57:47.289557 | 24102156 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24102156 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-04-22 | M | AE | GREEN | 31707707912 | PATRICK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935549/check_24102156_91d5e553-ca7e-4490-9070-ee725b46070e.json | N/A | N/A | N/A | N/A | N/A | 31707707912 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-06-18 | N/A | N/A | N/A | SP | false | GREEN | N/A | PATRICK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479824 | N/A | N/A | 18935549 | 2222 | 4801 | 24326299 | N/A | 16813949 | 2026-04-21 00:57:47.289557 | 2026-03-31 19:01:10.524839 |
| 2026-04-20 07:12:05.584027 | 2026-04-21 00:57:47.694349 | 24102143 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24102143 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-23 | M | AE | HARY | 32464179011 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18880065/check_24102143_f74783df-d215-48f6-abfa-2a9e4ee80ac1.json | N/A | N/A | N/A | N/A | N/A | 32464179011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-02-13 | N/A | N/A | N/A | SP | false | HARY | N/A | DAVID | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479822 | N/A | N/A | 18880065 | 2222 | 4802 | 24326309 | N/A | 16048388 | 2026-04-21 00:57:47.694349 | 2026-03-12 19:28:18.393557 |
| 2026-04-20 07:12:05.506883 | 2026-04-21 01:00:12.659525 | 24102129 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24102129 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-04-22 | F | AE | CHICAS | 96979313F | MARIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18654874/check_24102129_09f99b60-df66-4277-8409-31d247b00c29.json | N/A | N/A | N/A | N/A | N/A | 96979313F | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-05-08 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHICAS | N/A | MARIA | N/A | 2078-12-31 | 2022-09-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479821 | N/A | N/A | 18654874 | 2222 | 4802 | 24329639 | N/A | 6965620 | 2026-04-21 01:00:12.659525 | 2025-09-03 23:20:10.287852 |
| 2026-04-20 07:12:05.426820 | 2026-04-21 00:59:14.993989 | 24102114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24102114 | Athletic Physical Therapy Inc | 1944-09-27 | 2026-04-22 | F | AE | Benton | LPZ769A74781 | Harriet | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18416721/check_24102114_ef65e22e-e142-4d56-96b7-d9feac10931e.json | N/A | N/A | N/A | N/A | N/A | LPZ769A74781 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1944-09-27 | 040 | 1841UN | N/A | PR | false | BENTON | N/A | HARRIET | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479820 | N/A | N/A | 18416721 | 2222 | 4793 | 24328182 | N/A | 16419098 | 2026-04-21 00:59:14.993989 | 2026-03-19 23:28:36.268438 |
| 2026-04-20 07:12:05.335277 | 2026-04-21 00:59:18.050863 | 24102101 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24102101 | Athletic Physical Therapy Inc | 1983-02-18 | 2026-04-23 | F | PT | MENDOZA | JMV327W24025 | MARTHA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18232470/check_24102101_a9e7ecc3-9276-4165-8266-9d47452d5c27.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637479819 | N/A | N/A | 18232470 | 2222 | 4801 | 24328259 | 4185 | 13900510 | 2026-04-21 00:59:18.050863 | 2026-01-27 00:13:26.286289 |
| 2026-04-20 07:12:05.250397 | 2026-04-21 00:57:46.966740 | 24102086 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24102086 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-23 | M | AE | BARDIA | 34703995411 | KANHAIYA | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033661/check_24102086_e823189c-9d83-468d-92bf-1a38dcfe52f0.json | N/A | N/A | N/A | N/A | N/A | 34703995411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-04 | N/A | N/A | N/A | SP | false | BARDIA | N/A | KANHAIYA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479818 | N/A | N/A | 18033661 | 2222 | 4802 | 24326288 | N/A | 16061630 | 2026-04-21 00:57:46.966740 | 2026-03-18 23:17:28.107701 |
| 2026-04-20 07:12:05.173866 | 2026-04-21 00:58:56.431149 | 24102074 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 24102074 | Athletic Physical Therapy Inc | 1945-04-09 | 2026-04-22 | M | AE | Kelly | R13037972MM1 | Eugene | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929436/check_24102074_ee9bd133-1ab8-4ec0-b38e-d0c449e62037.json | N/A | N/A | N/A | N/A | N/A | R13037972MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1945-04-09 | N/A | N/A | N/A | N/A | false | KELLY | N/A | EUGENE | N/A | 2026-03-31 | 2021-10-01 | FAP MEDIFLEX | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479817 | N/A | N/A | 17929436 | 2222 | 4793 | 24327771 | N/A | 15967689 | 2026-04-21 00:58:56.431149 | 2026-03-23 15:15:28.421254 |
| 2026-04-20 07:12:05.098131 | 2026-04-21 00:58:44.136032 | 24102059 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24102059 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-04-22 | M | AE | DHIR | XEM912603274 | PRADEEP | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17555796/check_24102059_1d1fef96-ce32-4a99-ba34-d7f4895f38aa.json | N/A | N/A | N/A | N/A | N/A | XEM912603274 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-08-24 | 2004SE000030 | X0001002 | N/A | OT | false | DHIR | N/A | REVA | N/A | N/A | 2026-04-20 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479816 | N/A | N/A | 17555796 | 2222 | 4801 | 24327496 | N/A | 15603579 | 2026-04-21 00:58:44.136032 | 2026-04-17 17:11:47.109035 |
| 2026-04-20 07:12:05.002871 | 2026-04-21 01:00:10.577088 | 24102044 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24102044 | Athletic Physical Therapy Inc | 1952-05-31 | 2026-04-23 | M | AE | ANDERSON | 5M59GF6KP35 | ERIC | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17335575/check_24102044_1a52cc05-acdf-4895-848f-5874b073000b.json | N/A | N/A | N/A | N/A | N/A | 5M59GF6KP35 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-31 | H5521 | N/A | N/A | MA | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479815 | N/A | N/A | 17335575 | 2222 | 4802 | 24329587 | N/A | 14369748 | 2026-04-21 01:00:10.577088 | 2026-03-09 18:36:27.636026 |
| 2026-04-20 07:12:04.889093 | 2026-04-21 00:59:18.857666 | 24102021 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24102021 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-22 | F | AE | Velazquez | JQE124A75580 | Victoria | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16927466/check_24102021_6d230004-dca6-4e41-884b-3b12476671bb.json | N/A | N/A | N/A | N/A | N/A | JQE124A75580 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-06-01 | 040 | CASUPWP0 | N/A | N/A | false | VELAZQUEZ | N/A | VICTORIA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479814 | N/A | N/A | 16927466 | 2222 | 4801 | 24328279 | N/A | 14926242 | 2026-04-21 00:59:18.857666 | 2026-03-06 18:16:10.395182 |
| 2026-04-20 07:12:04.797149 | 2026-04-21 00:59:38.502971 | 24102005 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 24102005 | Athletic Physical Therapy Inc | 1952-08-20 | 2026-04-22 | M | 96 | SHARAWY | 90865222d46016 | HUSSEIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16823029/check_24102005_1434e57b-4b04-4a12-972f-28e8e8d62698.json | N/A | N/A | N/A | N/A | N/A | 90865222D46016 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | SHARAWY | N/A | HUSSEIN | N/A | N/A | 2026-04-20 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10637479813 | N/A | N/A | 16823029 | 2222 | 4801 | 24328728 | N/A | 14730725 | 2026-04-21 00:59:38.502971 | 2026-02-09 23:27:38.570173 |
| 2026-04-20 07:12:04.706641 | 2026-04-21 00:57:48.659579 | 24101990 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 24101990 | Athletic Physical Therapy Inc | 1956-06-01 | 2026-04-22 | F | AE | SNYDER | 34489374912 | ANN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16269837/check_24101990_af8dd5fd-156d-4b12-a0f7-7fe498a271d7.json | N/A | N/A | N/A | N/A | N/A | 34489374912 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-06-01 | N/A | N/A | N/A | SP | false | SNYDER | N/A | ANN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479812 | N/A | N/A | 16269837 | 2222 | 4793 | 24326334 | N/A | 14318816 | 2026-04-21 00:57:48.659579 | 2026-02-03 18:58:39.277258 |
| 2026-04-20 07:12:04.630898 | 2026-04-21 00:58:51.932801 | 24101977 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24101977 | Athletic Physical Therapy Inc | 1957-05-28 | 2026-04-23 | M | AE | URGERO | H96252962 | PAUL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16127642/check_24101977_b94e6ae3-f2d1-4034-9589-aae171eebe5b.json | N/A | N/A | N/A | N/A | N/A | H96252962 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1957-05-28 | N/A | 2B722001 | N/A | HN | false | URGERO | N/A | PAUL | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479811 | N/A | N/A | 16127642 | 2222 | 4793 | 24327675 | N/A | 14187446 | 2026-04-21 00:58:51.932801 | 2026-01-30 22:41:52.330110 |
| 2026-04-20 07:12:04.551647 | 2026-04-21 00:59:15.616668 | 24101963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24101963 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-04-23 | M | AE | brosh | JQE517M95625 | RAMI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113777/check_24101963_8e4c9d95-2903-445a-96e0-60849aab485b.json | N/A | N/A | N/A | N/A | N/A | JQE517M95625 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-08-16 | 040 | CASUPWP0 | N/A | N/A | false | BROSH | N/A | RAMI | N/A | 9999-12-31 | 2018-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637479810 | N/A | N/A | 16113777 | 2222 | 4793 | 24328199 | N/A | 14174363 | 2026-04-21 00:59:15.616668 | 2026-05-29 18:00:53.778221 |