API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-18 07:11:04.020329 | 2026-04-19 00:43:56.244803 | 24015162 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24015162 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-04-21 | M | AE | PT | IRWIN | R07798606MM1 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16037337/check_24015162_6f5e0fc9-29e0-4018-94bf-0954629a8b72.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-03-31 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609897 | N/A | N/A | 16037337 | 2222 | 4801 | 24219672 | 4625 | 14107775 | 2026-04-19 00:43:56.244803 | 2026-01-29 17:51:43.526882 |
| 2026-04-18 07:11:03.874646 | 2026-04-19 00:43:14.390369 | 24015150 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24015150 | override_provider | 1989-10-15 | 2026-04-21 | M | AE | PT | McGimpsey | 000025861666 | Gavin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15997538/check_24015150_bd7764d4-1e26-4e38-9e99-fec45a9c899d.json | N/A | N/A | N/A | N/A | N/A | 000025861666 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-10-15 | 4361630 | 1650095001 | N/A | N/A | false | MCGIMPSEY | N/A | GAVIN | N/A | 2026-12-31 | 2026-01-01 | FEDERAL EMPLOYEES HEALTH BENEFITS FEDS - OTHER - S | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609896 | N/A | N/A | 15997538 | 2222 | 4802 | 24218777 | N/A | 14070204 | 2026-04-19 00:43:14.390369 | 2026-01-28 18:14:29.010151 |
| 2026-04-18 07:11:03.717873 | 2026-04-19 00:43:37.283293 | 24015139 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24015139 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-04-21 | F | PT | N/A | ZONANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_24015139_fe3adf26-f41b-4520-b460-342edde9911b.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609895 | N/A | N/A | 15960874 | 2222 | 4802 | 24219252 | N/A | 14041811 | 2026-04-19 00:43:37.283293 | 2026-03-06 22:13:33.515742 |
| 2026-04-18 07:11:03.565274 | 2026-04-19 00:43:34.674154 | 24015129 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24015129 | Athletic Physical Therapy Inc | 1999-01-12 | 2026-04-21 | F | PT | N/A | BOSSART | JQZ016W14082 | LINDSAY | ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15838469/check_24015129_c5b8bd2a-80b6-45fe-8c5d-075a0bc7c797.json | N/A | N/A | N/A | N/A | N/A | JQV016W14082 | Health Maintenance Organization (HMO) | BFTV INC | ANTHEM BLUE CROSS | N/A | 1999-01-12 | 040 | U76970 | N/A | HM | false | BOSSART | N/A | LINDSAY | 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 | 10625609894 | N/A | N/A | 15838469 | 2222 | 4793 | 24219207 | 4185 | 13837869 | 2026-04-19 00:43:34.674154 | 2026-01-23 18:37:51.711849 |
| 2026-04-18 07:11:03.441299 | 2026-04-19 00:43:54.792397 | 24015119 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24015119 | Athletic Physical Therapy Inc | 1969-08-02 | 2026-04-21 | F | AE | PT | Tchorbajian | 000011878915 | Tamar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15811539/check_24015119_5ba19c0d-fec0-430f-b765-990b56c73cfb.json | N/A | N/A | N/A | N/A | N/A | 000011878915 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1969-08-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF DHMO TRANSFERS GF DHMO $1500 W/C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609893 | N/A | N/A | 15811539 | 2222 | 4801 | 24219633 | N/A | 13901033 | 2026-04-19 00:43:54.792397 | 2026-02-23 00:55:06.143481 |
| 2026-04-18 07:11:03.320090 | 2026-04-19 00:44:52.335054 | 24015111 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24015111 | Athletic Physical Therapy Inc | 1947-02-06 | 2026-04-21 | F | AE | PT | RIGGS | 2A62UC8QA95 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15761931/check_24015111_23a73ba1-93b3-4970-b49e-7d30a5441374.json | N/A | N/A | N/A | N/A | N/A | 2A62UC8QA95 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-06 | S5601 | N/A | N/A | MA | false | RIGGS | N/A | JAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81285 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609892 | N/A | N/A | 15761931 | 2222 | 4802 | 24221139 | N/A | 13855018 | 2026-04-19 00:44:52.335054 | 2026-01-21 23:02:56.677752 |
| 2026-04-18 07:11:03.123740 | 2026-04-19 00:43:39.409691 | 24015098 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24015098 | Athletic Physical Therapy Inc | 1976-11-10 | 2026-04-21 | F | PT | N/A | HUYNH | NCF560A74564 | NHUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14985541/check_24015098_2da8e68d-9ddc-4447-b726-7bf9aa18fb6a.json | N/A | N/A | N/A | N/A | N/A | NCF560A74564 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1976-11-10 | 040 | 57ADZG | N/A | HM | false | HUYNH | N/A | NHUNG HONG | N/A | 2026-12-31 | 2026-01-01 | HMO CEDARS SINAI ONLY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609891 | N/A | N/A | 14985541 | 2222 | 4801 | 24219297 | 4185 | 11833771 | 2026-04-19 00:43:39.409691 | 2025-12-10 10:41:11.441314 |
| 2026-04-18 07:11:02.931374 | 2026-04-19 00:43:45.182854 | 24015085 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24015085 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-04-21 | F | PT | N/A | Cherry | XDP380A22244 | Megan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14387696/check_24015085_80f3c687-e891-4681-95a9-bf4cea6fffaf.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609890 | N/A | N/A | 14387696 | 2222 | 4802 | 24219403 | N/A | 12521666 | 2026-04-19 00:43:45.182854 | 2025-12-17 22:18:09.286393 |
| 2026-04-18 07:11:02.785789 | 2026-04-19 00:42:47.250061 | 24015076 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24015076 | override_provider | 1950-06-28 | 2026-04-21 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14338876/check_24015076_24771ea3-36b2-4718-9659-fbb359092a9c.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MCCOWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609889 | N/A | N/A | 14338876 | 2222 | 4802 | 24218108 | N/A | 12476020 | 2026-04-19 00:42:47.250061 | 2025-12-16 21:49:52.634130 |
| 2026-04-18 07:11:02.671673 | 2026-04-19 00:43:36.817803 | 24015067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24015067 | Athletic Physical Therapy Inc | 1970-03-18 | 2026-04-21 | F | PT | N/A | Finn | JQU683A20101 | Farnaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_24015067_d6ebe221-509b-4132-a3db-77f31a7946b9.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1970-03-18 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609888 | N/A | N/A | 14187202 | 2222 | 4793 | 24219241 | N/A | 12318785 | 2026-04-19 00:43:36.817803 | 2026-03-02 22:19:42.373924 |
| 2026-04-18 07:11:02.468376 | 2026-04-19 00:43:47.102406 | 24015053 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24015053 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-04-21 | F | PT | N/A | Vo | TOA651A68427 | Tram | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14115191/check_24015053_1159233c-b83d-4049-a46f-a6d82294f222.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609887 | N/A | N/A | 14115191 | 2222 | 4802 | 24219449 | N/A | 12253534 | 2026-04-19 00:43:47.102406 | 2025-12-11 19:59:32.714775 |
| 2026-04-18 07:11:02.269692 | 2026-04-19 00:42:32.046429 | 24015041 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24015041 | Athletic Physical Therapy Inc | 2003-10-23 | 2026-04-21 | M | AE | PT | SMIT DUYZENTKUNST | 94370227G | JAMES | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14037868/check_24015041_2b81708f-659b-4184-a3bb-efd1f05308c7.json | N/A | N/A | N/A | N/A | N/A | 94370227G | 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) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609886 | N/A | N/A | 14037868 | 2222 | 4793 | 24217723 | 4211 | 6038528 | 2026-04-19 00:42:32.046429 | 2025-07-24 19:34:35.056005 |
| 2026-04-18 07:11:02.102032 | 2026-04-19 00:43:24.082201 | 24015030 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24015030 | Athletic Physical Therapy Inc | 1954-08-30 | 2026-04-21 | F | PT | N/A | ANTONSON | 904480315000 | SENTA | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13985539/check_24015030_4b73adf3-8a96-45b4-bfff-0244aa346ae5.json | N/A | N/A | N/A | N/A | N/A | XEH904480315 | Health Maintenance Organization (HMO) | PROVIDENCE HEALTH SERVICES | BLUE SHIELD CALIFORNIA | N/A | 1954-08-30 | 1000HMOX0001 | W0052198 | N/A | HM | false | ANTONSON | N/A | SENTA | N/A | N/A | 2026-04-18 | PROVIDENCE HEALTH SERVICES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609885 | N/A | N/A | 13985539 | 2222 | 4793 | 24219033 | 4191 | 12135642 | 2026-04-19 00:43:24.082201 | 2026-04-15 18:01:44.415572 |
| 2026-04-18 07:11:01.963011 | 2026-04-19 00:43:55.905474 | 24015021 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24015021 | Athletic Physical Therapy Inc | 1966-08-19 | 2026-04-21 | F | AE | PT | GUYON | R07053865FM1 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436292/check_24015021_59d19e73-61c8-4c15-90fa-7032dbf136c5.json | N/A | N/A | N/A | N/A | N/A | R07053865FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-08-19 | N/A | N/A | N/A | N/A | false | GUYON | N/A | EILEEN | N/A | N/A | N/A | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609884 | N/A | N/A | 13436292 | 2222 | 4801 | 24219664 | 4625 | 11597392 | 2026-04-19 00:43:55.905474 | 2025-11-26 19:15:08.793696 |
| 2026-04-18 07:11:01.793903 | 2026-04-19 00:43:12.332267 | 24015010 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24015010 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-04-21 | M | AE | PT | Kisca | H6309049800 | John | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_24015010_8231df93-74ff-49be-8a16-6ea08a6defc4.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 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 | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | 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 | 10625609883 | N/A | N/A | 13037589 | 2222 | 4793 | 24218736 | 5349 | 11194723 | 2026-04-19 00:43:12.332267 | 2025-12-17 17:59:32.346197 |
| 2026-04-18 07:11:01.616526 | 2026-04-19 00:43:12.920410 | 24014999 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24014999 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-04-21 | F | AE | PT | MENDEZ | H9608321000 | LINDA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_24014999_bf508050-60b4-4de2-ab3e-709431d1dba2.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 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 | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 10625609882 | N/A | N/A | 12421991 | 2222 | 4793 | 24218748 | 5349 | 10601861 | 2026-04-19 00:43:12.920410 | 2025-11-07 18:35:55.025808 |
| 2026-04-18 07:11:01.413759 | 2026-04-19 00:43:07.352817 | 24014987 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24014987 | override_provider | 1952-10-12 | 2026-04-21 | F | AE | PT | Abraha | 000011262592 | Tarik | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_24014987_11f47678-23ab-4e5e-a7dd-c2d8218d02fa.json | N/A | N/A | N/A | N/A | N/A | 000011262592 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1952-10-12 | 564559 | 105702 | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | 2026-12-31 | 2026-01-01 | LACERA - LOS ANGELES COUNTY EMPLOYEES RETIREMENT A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609881 | N/A | N/A | 11843086 | 2222 | 4802 | 24218629 | N/A | 10074998 | 2026-04-19 00:43:07.352817 | 2025-10-29 23:19:49.535455 |
| 2026-04-18 07:11:01.259305 | 2026-04-19 00:42:48.186435 | 24014975 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24014975 | override_provider | 1997-11-05 | 2026-04-21 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_24014975_14ab27ac-bf36-4e78-9fb9-da77dd322be2.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609880 | N/A | N/A | 11623284 | 2222 | 4801 | 24218135 | N/A | 9860485 | 2026-04-19 00:42:48.186435 | 2025-11-10 18:34:52.696278 |
| 2026-04-18 07:11:01.162249 | 2026-04-19 00:42:48.583585 | 24014969 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24014969 | override_provider | 1963-04-03 | 2026-04-21 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_24014969_db27a537-27bb-4d98-9564-d6d9e105dc55.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | 2026-04-18 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609878 | N/A | N/A | 9958584 | 2222 | 4802 | 24218142 | N/A | 7994720 | 2026-04-19 00:42:48.583585 | 2025-09-24 04:33:28.125297 |
| 2026-04-18 07:11:01.040811 | 2026-04-19 00:43:46.722824 | 24014962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014962 | Athletic Physical Therapy Inc | 2005-12-13 | 2026-04-21 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_24014962_22823ce3-ef1e-44f9-aa44-e8d9c6a3459a.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609876 | N/A | N/A | 9338185 | 2222 | 4802 | 24219439 | N/A | 7837035 | 2026-04-19 00:43:46.722824 | 2025-09-17 13:44:26.939662 |
| 2026-04-18 07:11:00.882113 | 2026-04-19 00:43:47.879108 | 24014951 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24014951 | Athletic Physical Therapy Inc | 1999-03-02 | 2026-04-21 | F | AE | PT | Andrieieva | 92598899G | Taisiia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_24014951_70d641d2-a558-4f18-89ae-d170a5ad5b6f.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625609875 | N/A | N/A | 9104487 | 2222 | 4802 | 24219466 | N/A | 6709145 | 2026-04-19 00:43:47.879108 | 2025-08-07 23:35:55.091438 |
| 2026-04-18 07:11:00.730929 | 2026-04-19 00:43:44.236334 | 24014938 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014938 | Athletic Physical Therapy Inc | 1952-08-20 | 2026-04-21 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_24014938_e46759ee-e4ef-45a7-b3bf-dd52d331f6f3.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625609874 | N/A | N/A | 9022039 | 2222 | 4801 | 24219387 | N/A | 7544773 | 2026-04-19 00:43:44.236334 | 2025-09-02 18:35:33.812098 |
| 2026-04-18 07:11:00.586249 | 2026-04-19 00:43:48.490561 | 24014932 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24014932 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-04-21 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | RINALDO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_24014932_5575cd6d-7e4a-451a-9dbb-16ab0cc7baad.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610695 | N/A | N/A | 8960010 | 2222 | 4802 | 24219479 | 5538 | 7476978 | 2026-04-19 00:43:48.490561 | 2026-01-07 18:27:22.752552 |
| 2026-04-18 07:11:00.458727 | 2026-04-19 00:44:45.095424 | 24014923 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014923 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-04-21 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8477425/check_24014923_37b42061-c48a-498e-9dce-b6978cc12401.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 218211 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610693 | N/A | N/A | 8477425 | 2222 | 4802 | 24220933 | N/A | 7146980 | 2026-04-19 00:44:45.095424 | 2025-08-25 22:34:13.951153 |
| 2026-04-18 07:11:00.314608 | 2026-04-19 00:42:31.047443 | 24014912 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24014912 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-04-21 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_24014912_9f509d04-7174-420e-bc1e-a1d6d82099bc.json | N/A | N/A | N/A | N/A | N/A | 94237973H | 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) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610692 | N/A | N/A | 7253095 | 2222 | 4802 | 24217701 | 4211 | 6219145 | 2026-04-19 00:42:31.047443 | 2025-07-21 16:40:35.276086 |
| 2026-04-18 07:11:00.177845 | 2026-04-19 00:43:50.054907 | 24014903 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24014903 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-04-20 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_24014903_95b4dd09-a624-4a3d-85c1-61944c35be8b.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 HF AID CODE H3 AGES 1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610691 | N/A | N/A | 6721942 | 2222 | 4793 | 24219516 | N/A | 5322280 | 2026-04-19 00:43:50.054907 | 2025-07-01 21:45:15.878047 |
| 2026-04-18 07:11:00.021681 | 2026-04-19 00:44:48.208328 | 24014892 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014892 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-04-21 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_24014892_2fd84fce-7f36-4bc0-92f1-537f3a157284.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 152260 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610690 | N/A | N/A | 6522947 | 2222 | 4802 | 24221026 | N/A | 5146127 | 2026-04-19 00:44:48.208328 | 2025-06-20 17:58:23.371130 |
| 2026-04-18 07:10:59.771727 | 2026-04-19 00:44:50.226789 | 24014874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014874 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-04-21 | F | AE | PT | MORALES | 7XX8HG0UK25 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_24014874_1c45eb67-6278-4ac5-903c-819e92dc7c43.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MB | false | MORALES | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 147913 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610689 | N/A | N/A | 6076917 | 2222 | 4793 | 24221083 | N/A | 4718913 | 2026-04-19 00:44:50.226789 | 2025-05-29 22:23:40.462913 |
| 2026-04-18 07:10:59.538013 | 2026-04-19 00:44:48.658388 | 24014855 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014855 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-04-21 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_24014855_84c0b392-370f-44ee-b5c9-62f4f18f5f3e.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 123141 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610688 | N/A | N/A | 5549981 | 2222 | 4802 | 24221040 | N/A | 4219436 | 2026-04-19 00:44:48.658388 | 2025-05-13 04:29:37.230471 |
| 2026-04-18 07:10:59.318155 | 2026-04-19 00:43:56.930347 | 24014841 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24014841 | Athletic Physical Therapy Inc | 1977-05-04 | 2026-04-21 | M | AE | PT | SANCHEZ | R07827214MS1 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549832/check_24014841_fe88704e-e441-4cca-8880-75dec535f797.json | N/A | N/A | N/A | N/A | N/A | R07827214MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1977-05-04 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610687 | N/A | N/A | 5549832 | 2222 | 4801 | 24219687 | 4625 | 4219391 | 2026-04-19 00:43:56.930347 | 2025-05-13 04:29:37.230420 |
| 2026-04-18 07:10:59.177131 | 2026-04-19 00:43:55.204369 | 24014832 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24014832 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-04-21 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_24014832_48a0f3c3-aabd-4a2e-afe4-f688bdd21e13.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610686 | N/A | N/A | 5543425 | 2222 | 4801 | 24219644 | 4625 | 4215211 | 2026-04-19 00:43:55.204369 | 2026-04-02 22:30:20.020246 |
| 2026-04-18 07:10:59.062405 | 2026-04-19 00:43:38.926717 | 24014822 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014822 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-04-21 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_24014822_e113edce-46f3-4332-b3d5-a9b69d514361.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | 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 | 10625610685 | N/A | N/A | 5543043 | 2222 | 4801 | 24219285 | N/A | 4214884 | 2026-04-19 00:43:38.926717 | 2025-11-12 00:46:10.301659 |
| 2026-04-18 07:10:58.899671 | 2026-04-19 00:43:40.328949 | 24014812 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24014812 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-04-21 | F | PT | N/A | LAFRENIERE | JQV736A54997 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542812/check_24014812_fdaed9e2-ff15-421f-82db-b3b5c5dd040d.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 2026-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610684 | N/A | N/A | 5542812 | 2222 | 4801 | 24219309 | 4185 | 4214677 | 2026-04-19 00:43:40.328949 | 2026-03-18 22:35:37.752534 |
| 2026-04-18 07:10:58.738349 | 2026-04-19 00:43:37.661673 | 24014800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014800 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-04-21 | F | PT | N/A | GOLDMAN | MBL801W11756 | ROBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_24014800_f0758416-a09c-4ee5-87d9-f240ae2dda1f.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610683 | N/A | N/A | 5542655 | 2222 | 4802 | 24219260 | N/A | 4214541 | 2026-04-19 00:43:37.661673 | 2025-05-13 04:29:37.228867 |
| 2026-04-18 07:10:58.483030 | 2026-04-19 00:44:49.799623 | 24014782 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014782 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-04-21 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_24014782_76eb5c79-5bf4-44ec-b008-dcae4beb0ca0.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 94018 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610681 | N/A | N/A | 5542161 | 2222 | 4802 | 24221073 | N/A | 4214112 | 2026-04-19 00:44:49.799623 | 2025-05-13 04:29:37.228426 |
| 2026-04-18 07:10:58.320424 | 2026-04-19 00:43:46.288700 | 24014771 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014771 | Athletic Physical Therapy Inc | 1940-08-31 | 2026-04-21 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_24014771_bfe45862-290a-41b1-82c4-4448526b4dca.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610680 | N/A | N/A | 5541917 | 2222 | 4793 | 24219430 | N/A | 4213891 | 2026-04-19 00:43:46.288700 | 2025-05-13 04:29:37.228207 |
| 2026-04-18 07:10:58.153327 | 2026-04-19 00:43:53.300456 | 24014759 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24014759 | Athletic Physical Therapy Inc | 1966-07-31 | 2026-04-21 | F | AE | PT | ROSS | U9215607501 | CHRISTINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540766/check_24014759_f8af21d4-f3ce-4f1e-87f2-b6d42e3739a1.json | N/A | N/A | N/A | N/A | N/A | U9215607501 | 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. | 1966-07-31 | 67138CA0620023-00 | N/A | N/A | N/A | false | ROSS | N/A | CHRISTINE | N/A | N/A | N/A | SILVER 70 OFF EXCHANGE AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610679 | N/A | N/A | 5540766 | 2222 | 4793 | 24219596 | 4625 | 4212866 | 2026-04-19 00:43:53.300456 | 2026-04-15 15:20:50.958917 |
| 2026-04-18 07:10:57.967792 | 2026-04-19 00:43:35.446585 | 24014747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014747 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-04-21 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_24014747_9e11de7e-5582-4765-9660-8804c74448d9.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610678 | N/A | N/A | 5540282 | 2222 | 4802 | 24219217 | N/A | 4212465 | 2026-04-19 00:43:35.446585 | 2025-05-13 04:29:37.226801 |
| 2026-04-18 07:10:57.816753 | 2026-04-19 00:43:35.058541 | 24014734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014734 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-04-21 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_24014734_c90eb8dd-7b3a-4a14-937b-7c1c53d2b15b.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610677 | N/A | N/A | 5540074 | 2222 | 4802 | 24219210 | N/A | 4212282 | 2026-04-19 00:43:35.058541 | 2025-05-13 04:29:37.226623 |
| 2026-04-18 07:10:57.667211 | 2026-04-19 00:43:52.692659 | 24014729 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24014729 | Athletic Physical Therapy Inc | 1983-08-31 | 2026-04-21 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_24014729_c37953ed-1463-448c-a537-668e58eb5a74.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610676 | N/A | N/A | 5539901 | 2222 | 4793 | 24219580 | N/A | 4212134 | 2026-04-19 00:43:52.692659 | 2025-08-05 02:56:55.384378 |
| 2026-04-18 07:10:57.537074 | 2026-04-19 00:44:49.200557 | 24014718 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014718 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-04-21 | M | AE | PT | GORODENZIK | 3MC1HC7HE13 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539597/check_24014718_cad4b7ae-9f48-451f-b503-5e156db36fb5.json | N/A | N/A | N/A | N/A | N/A | 3MC1HC7HE13 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-08-13 | S5601 | N/A | N/A | MA | false | GORODENZIK | N/A | AMIR | 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 | 10625610675 | N/A | N/A | 5539597 | 2222 | 4793 | 24221054 | N/A | 4211880 | 2026-04-19 00:44:49.200557 | 2025-05-13 04:29:37.226201 |
| 2026-04-18 07:10:57.406081 | 2026-04-19 00:44:45.535365 | 24014707 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014707 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-04-21 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_24014707_05d70a02-cb6c-4aa2-85d9-179e39b87d93.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5601 | N/A | N/A | MB | false | BLUM | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 154070 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610674 | N/A | N/A | 5539301 | 2222 | 4802 | 24220949 | N/A | 4211624 | 2026-04-19 00:44:45.535365 | 2025-05-13 04:29:37.225953 |
| 2026-04-18 07:10:57.270614 | 2026-04-19 00:44:53.327738 | 24014701 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24014701 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-04-21 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | H | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_24014701_b33d5795-7baa-4bbc-907d-21925098ea72.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 248000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10625610673 | N/A | N/A | 5538576 | 2222 | 4802 | 24221166 | N/A | 4210984 | 2026-04-19 00:44:53.327738 | 2025-08-15 17:42:50.500189 |
| 2026-04-18 07:10:57.130658 | 2026-04-19 00:43:43.862903 | 24014691 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014691 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-04-21 | M | PT | N/A | PERLMUTTER | JQH460A69253 | DREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_24014691_6997ca7f-e369-4c81-a30c-72a3dc8e1093.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 2026-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610672 | N/A | N/A | 5538573 | 2222 | 4801 | 24219378 | N/A | 4210980 | 2026-04-19 00:43:43.862903 | 2025-05-13 04:29:37.225377 |
| 2026-04-18 07:10:56.957270 | 2026-04-19 00:43:13.438837 | 24014679 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24014679 | Athletic Physical Therapy Inc | 1939-08-26 | 2026-04-21 | F | AE | PT | Paltenghe | H7957237000 | Beverley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538116/check_24014679_bd3ad6f8-3248-4c05-9a80-a6bacb021580.json | N/A | N/A | N/A | N/A | N/A | H79572370 | 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 | 1939-08-26 | N/A | Y9623001 | N/A | HN | false | PALTENGHE | N/A | BEVERLY | 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 | 10625610671 | N/A | N/A | 5538116 | 2222 | 4793 | 24218759 | 5349 | 15078543 | 2026-04-19 00:43:13.438837 | 2026-02-25 17:47:59.680372 |
| 2026-04-18 07:10:56.792781 | 2026-04-19 00:43:29.521149 | 24014672 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24014672 | Athletic Physical Therapy Inc | 1966-10-22 | 2026-04-20 | F | PT | N/A | KINSLEY | 913281434000 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_24014672_a1998228-cb72-4df1-b0db-1bb5d7fe0333.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2024-06-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610670 | N/A | N/A | 5537996 | 2222 | 4793 | 24219143 | 4191 | 4210486 | 2026-04-19 00:43:29.521149 | 2025-05-13 04:29:37.224904 |
| 2026-04-18 07:10:56.645427 | 2026-04-19 00:43:30.632962 | 24014663 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24014663 | Athletic Physical Therapy Inc | 1974-09-12 | 2026-04-21 | M | PT | N/A | YOUNG | XEH910885070 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537663/check_24014663_ab4a873d-f108-4eac-991a-1bce00317dde.json | N/A | N/A | N/A | N/A | N/A | XEH910885070 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-09-12 | 1010VX000001 | W0069783 | N/A | HM | false | YOUNG | N/A | PAUL | N/A | 9999-12-31 | 2024-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610669 | N/A | N/A | 5537663 | 2222 | 4793 | 24219155 | N/A | 4210189 | 2026-04-19 00:43:30.632962 | 2026-02-23 16:32:53.562405 |
| 2026-04-18 07:10:56.503298 | 2026-04-19 00:43:42.083708 | 24014652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24014652 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-04-21 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_24014652_808f15a5-9fdb-4184-b259-e60c621afc2b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA CA/OOS | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2026-05-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610668 | N/A | N/A | 5537188 | 2222 | 4802 | 24219343 | N/A | 4209789 | 2026-04-19 00:43:42.083708 | 2025-05-13 04:29:37.224215 |
| 2026-04-18 07:10:56.320749 | 2026-04-19 00:43:38.051504 | 24014642 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24014642 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-04-21 | M | PT | N/A | GOTLER | NCF018M77628 | RONALD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536875/check_24014642_d5f7747b-f847-4a64-8a5d-52c6af29c7f2.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610667 | N/A | N/A | 5536875 | 2222 | 4802 | 24219270 | 4185 | 4209547 | 2026-04-19 00:43:38.051504 | 2025-05-13 04:29:37.223974 |
| 2026-04-18 07:10:56.152243 | 2026-04-19 00:43:34.278014 | 24014631 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24014631 | Athletic Physical Therapy Inc | 1947-04-18 | 2026-04-21 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260418.121618721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_24014631_26eb7d8d-b991-4aab-b734-36683d9bf055.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10625610666 | N/A | N/A | 5536041 | 2222 | 4802 | 24219201 | 4184 | 4208856 | 2026-04-19 00:43:34.278014 | 2025-05-13 04:29:37.223284 |