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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-17 07:12:49.656667 | 2026-04-18 00:49:00.116092 | 23945114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23945114 | Athletic Physical Therapy Inc | 2005-10-18 | 2026-04-20 | F | PT | Feldsien | PAF123A69234 | Gianna | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19501345/check_23945114_515d1516-e623-41ec-a232-d1ccc8606fa8.json | N/A | N/A | N/A | N/A | N/A | PAF123A69234 | Preferred Provider Organization (PPO) | PAC DEN ASO | ANTHEM BLUE CROSS | N/A | 2005-10-18 | 040 | C22715A4A5 | N/A | PR | false | FELDSIEN | N/A | JOSEPH | 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 | 10614699771 | N/A | N/A | 19501345 | 2222 | 4802 | 24157630 | N/A | 17275639 | 2026-04-18 00:49:00.116092 | 2026-04-15 14:50:28.992164 |
| 2026-04-17 07:12:49.457517 | 2026-04-18 00:49:14.266643 | 23945091 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23945091 | Athletic Physical Therapy Inc | 1986-11-30 | 2026-04-20 | M | PT | RAMOS | NCF298A72850 | NICHOLAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19488761/check_23945091_7f318a99-af2c-4172-89e5-f46d52fefaa7.json | N/A | N/A | N/A | N/A | N/A | NCF298A72850 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1986-11-30 | 040 | 57CP3A | N/A | HM | false | RAMOS | N/A | NICHOLAS | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699770 | N/A | N/A | 19488761 | 2222 | 4801 | 24158088 | 4185 | 17264368 | 2026-04-18 00:49:14.266643 | 2026-04-20 15:11:41.838432 |
| 2026-04-17 07:12:49.279072 | 2026-04-18 00:49:08.929954 | 23945068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23945068 | Athletic Physical Therapy Inc | 1961-06-29 | 2026-04-20 | M | PT | Mastrangelo | WFQ215W18624 | Justin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19487710/check_23945068_b3c7e191-1661-4d2e-9ab0-4eeef1e6b812.json | N/A | N/A | N/A | N/A | N/A | WFQ215W18624 | Preferred Provider Organization (PPO) | WELLS FARGO | ANTHEM BLUE CROSS | N/A | 1961-06-29 | 130 | 174245MCCF | N/A | PR | false | MASTRANGELO | N/A | JUSTIN | N/A | 2026-12-31 | 2026-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699769 | N/A | N/A | 19487710 | 2222 | 4802 | 24157925 | N/A | 17263277 | 2026-04-18 00:49:08.929954 | 2026-04-08 18:10:48.914458 |
| 2026-04-17 07:12:49.006487 | 2026-04-18 00:49:04.381258 | 23945031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23945031 | Athletic Physical Therapy Inc | 1980-05-05 | 2026-04-20 | F | PT | Keegan | R8T223M76630 | Veronica | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19486573/check_23945031_b2938e26-f1c0-4dac-8411-dcc4003c84a5.json | N/A | N/A | N/A | N/A | N/A | R8T223M76630 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1980-05-05 | 040 | 174318M1A1 | N/A | PR | false | KEEGAN | N/A | VERONICA | N/A | 2026-12-31 | 2026-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699768 | N/A | N/A | 19486573 | 2222 | 4793 | 24157771 | N/A | 17261906 | 2026-04-18 00:49:04.381258 | 2026-04-08 17:45:06.587615 |
| 2026-04-17 07:12:48.799882 | 2026-04-18 00:49:17.405791 | 23945002 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23945002 | Athletic Physical Therapy Inc | 1985-08-16 | 2026-04-20 | M | AE | NOLT | 91809013F | DAVID | A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19424748/check_23945002_7ff3d316-7b8f-4117-855b-2f7ed01036ae.json | N/A | N/A | N/A | N/A | N/A | 91809013F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1985-08-16 | MCLA | MWLLNMEG21 | N/A | N/A | false | NOLT | N/A | DAVID | N/A | 2078-12-31 | 2026-03-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699767 | N/A | N/A | 19424748 | 2222 | 4802 | 24158193 | N/A | 17225302 | 2026-04-18 00:49:17.405791 | 2026-04-07 21:40:33.029600 |
| 2026-04-17 07:12:48.562668 | 2026-04-18 00:49:20.521902 | 23944971 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944971 | Athletic Physical Therapy Inc | 1989-07-02 | 2026-04-20 | F | PT | MALDONADO | TGT800598857 | DOLCA | JULIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19405405/check_23944971_fae319de-ab20-4ad0-94de-5045cb7ae384.json | N/A | N/A | N/A | N/A | N/A | TGT800598857 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1989-07-02 | N/A | 95874 | N/A | PR | false | URIBE ZARATE | N/A | REY | N/A | 9999-12-31 | 2025-03-01 | PREFERRED CARE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699766 | N/A | N/A | 19405405 | 2222 | 4801 | 24158294 | N/A | 17207083 | 2026-04-18 00:49:20.521902 | 2026-04-10 18:21:41.684390 |
| 2026-04-17 07:12:48.454787 | 2026-04-18 00:48:52.499467 | 23944960 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23944960 | override_provider | 1982-08-27 | 2026-04-20 | M | AE | NADERI | 000012407283 | HODAD | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19372752/check_23944960_75e03e96-b53f-4366-9a6c-2c2781675d03.json | N/A | N/A | N/A | N/A | N/A | 000012407283 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-08-27 | 4391203 | 100201 | N/A | N/A | false | NADERI | N/A | HODAD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699765 | N/A | N/A | 19372752 | 2222 | 4802 | 24157414 | N/A | 17186688 | 2026-04-18 00:48:52.499467 | 2026-04-07 00:23:42.741818 |
| 2026-04-17 07:12:48.250324 | 2026-04-18 00:49:11.411153 | 23944930 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23944930 | Athletic Physical Therapy Inc | 1952-12-26 | 2026-04-20 | M | AE | CHACON | 00000386812 | GEORGE | A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19359563/check_23944930_38e0bd33-d71f-498c-ab50-2805043f9c5e.json | N/A | N/A | N/A | N/A | N/A | 00000386812 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1952-12-26 | N/A | N/A | N/A | N/A | false | CHACON | N/A | GEORGE | N/A | N/A | 2026-04-17 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699764 | N/A | N/A | 19359563 | 2222 | 4793 | 24158006 | 2630 | 17177022 | 2026-04-18 00:49:11.411153 | 2026-04-06 23:49:32.646282 |
| 2026-04-17 07:12:47.935817 | 2026-04-18 00:49:10.588597 | 23944892 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944892 | Athletic Physical Therapy Inc | 2015-12-26 | 2026-04-20 | M | PT | McKee | MPI10562094Q | Zachary | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19342543/check_23944892_5e0f429c-2ba7-4523-b530-5738e5574075.json | N/A | N/A | N/A | N/A | N/A | MPI10562094Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2015-12-26 | 040 | 277163M402 | N/A | PR | false | MCKEE | N/A | M | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699763 | N/A | N/A | 19342543 | 2222 | 4793 | 24157979 | N/A | 17162601 | 2026-04-18 00:49:10.588597 | 2026-04-06 16:43:33.986673 |
| 2026-04-17 07:12:47.679500 | 2026-04-18 00:49:01.371107 | 23944858 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23944858 | Athletic Physical Therapy Inc | 1959-01-24 | 2026-04-20 | F | PT | Flores | 320W1954220 | Maricela | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249593/check_23944858_ab0a2e79-51cf-4d53-b5ba-74705c58edca.json | N/A | N/A | N/A | N/A | N/A | 320W1954220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-01-24 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARICELA | N/A | N/A | 2026-04-17 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699761 | N/A | N/A | 19249593 | 2222 | 4793 | 24157673 | 4185 | 17115113 | 2026-04-18 00:49:01.371107 | 2026-04-03 22:39:35.295868 |
| 2026-04-17 07:12:47.552408 | 2026-04-18 00:49:09.391635 | 23944846 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 23944846 | Athletic Physical Therapy Inc | 1995-06-13 | 2026-04-20 | M | AE | Faber | C4119540801 | James | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19243049/check_23944846_21a0e2d1-8808-4ded-bbc6-38bee0131fea.json | N/A | N/A | N/A | N/A | N/A | C4119540801 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1995-06-13 | N/A | CA35610008 | N/A | N/A | false | FABER | N/A | JAMES | 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 | 10614699729 | N/A | N/A | 19243049 | 2222 | 4802 | 24157940 | N/A | 13297866 | 2026-04-18 00:49:09.391635 | 2026-01-09 00:06:05.104032 |
| 2026-04-17 07:12:47.443701 | 2026-04-18 00:49:16.481117 | 23944831 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23944831 | Athletic Physical Therapy Inc | 1974-12-07 | 2026-04-20 | F | AE | DATT | 95163799D | KADIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19242278/check_23944831_62df7972-fced-4d8a-a17c-9e1572c049b4.json | N/A | N/A | N/A | N/A | N/A | 95163799D | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1974-12-07 | MCLA | MWLLNFAG21 | N/A | N/A | false | DATT | N/A | KADIA | N/A | 2078-12-31 | 2025-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699728 | N/A | N/A | 19242278 | 2222 | 4802 | 24158162 | N/A | 17107118 | 2026-04-18 00:49:16.481117 | 2026-04-03 18:17:03.985319 |
| 2026-04-17 07:12:47.307677 | 2026-04-18 00:49:17.526648 | 23944814 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944814 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-04-20 | F | AE | Bokron | 8WT2XY5VC04 | Diana | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240401/check_23944814_f8cb5bbe-e142-4c4b-bbf7-7f82b25a8c26.json | N/A | N/A | N/A | N/A | N/A | 8WT2XY5VC04 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-17 | S4802 | N/A | N/A | MA | false | BOKRON | N/A | DIANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 15624 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699727 | N/A | N/A | 19240401 | 2222 | 4793 | 24158198 | N/A | 17105178 | 2026-04-18 00:49:17.526648 | 2026-04-03 17:25:31.987996 |
| 2026-04-17 07:12:47.204547 | 2026-04-18 00:48:56.194685 | 23944802 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944802 | Athletic Physical Therapy Inc | 2013-08-16 | 2026-04-20 | F | PT | Corriveau | HFD100011220104 | Tabitha | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19073381/check_23944802_d2e3cc8d-3785-4c9d-afa6-ab9b0b949d65.json | N/A | N/A | N/A | N/A | N/A | HFD100011220104 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2013-08-16 | N/A | 716116N04 | N/A | PR | false | CORRIVEAU | N/A | BRIAN | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699726 | N/A | N/A | 19073381 | 2222 | 4793 | 24157516 | N/A | 17057081 | 2026-04-18 00:48:56.194685 | 2026-04-13 19:30:47.842734 |
| 2026-04-17 07:12:47.052016 | 2026-04-18 00:49:48.373636 | 23944783 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23944783 | Athletic Physical Therapy Inc | 1967-05-09 | 2026-04-20 | M | PT | GARSHA | 904505247000 | DANIEL | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19072215/check_23944783_a1aa5eaa-84fa-47cc-b69c-4c286d2e80f9.json | N/A | N/A | N/A | N/A | N/A | XEH904505247 | Health Maintenance Organization (HMO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 1967-05-09 | 1000HMOX0001 | W0051513 | N/A | HM | false | GARSHA | N/A | DANIEL | N/A | 2026-04-30 | 2025-05-01 | FOTOKEM INDUSTRIES INC CUSTOM ACCESS HMO PER AD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699725 | N/A | N/A | 19072215 | 2222 | 4801 | 24159002 | 4191 | 17055925 | 2026-04-18 00:49:48.373636 | 2026-04-06 21:51:12.612789 |
| 2026-04-17 07:12:46.946458 | 2026-04-18 00:49:16.097681 | 23944769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944769 | Athletic Physical Therapy Inc | 1993-03-31 | 2026-04-20 | M | PT | Rodgers | K3A701W13372 | Joshua | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19068557/check_23944769_9ed0b0a7-2c50-4fd7-ba92-8971d53bfdff.json | N/A | N/A | N/A | N/A | N/A | K3A701W13372 | Preferred Provider Organization (PPO) | KAISER ALUMINUM CORPORATION | ANTHEM BLUE CROSS | N/A | 1993-03-31 | 040 | 2824970918 | N/A | PR | false | RODGERS | N/A | JOSHUA | N/A | 2026-12-31 | 2026-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699724 | N/A | N/A | 19068557 | 2222 | 4793 | 24158149 | N/A | 17050652 | 2026-04-18 00:49:16.097681 | 2026-04-02 20:47:22.998000 |
| 2026-04-17 07:12:46.833390 | 2026-04-18 00:49:00.171558 | 23944754 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 23944754 | Athletic Physical Therapy Inc | 1968-07-14 | 2026-04-20 | M | AE | MACONE | UZ163510801 | SCOTT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19060263/check_23944754_a3f91c45-80b5-4021-9c54-05349954ba7f.json | N/A | N/A | N/A | N/A | N/A | UZ163510801 | 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. | 1968-07-14 | 67138CA0520015-01 | N/A | N/A | N/A | false | MACONE | N/A | SCOTT | N/A | N/A | N/A | SILVER 70 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699711 | N/A | N/A | 19060263 | 2222 | 4801 | 24157637 | N/A | 17042622 | 2026-04-18 00:49:00.171558 | 2026-04-10 15:16:29.151767 |
| 2026-04-17 07:12:46.696477 | 2026-04-18 00:49:54.014102 | 23944740 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23944740 | Athletic Physical Therapy Inc | 1975-02-11 | 2026-04-20 | M | PT | Nickson | CAI102A20086 | Akili | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19059317/check_23944740_01a80dd2-4ab8-4311-843b-1121386358a7.json | N/A | N/A | N/A | N/A | N/A | CAI102A20086 | Health Maintenance Organization (HMO) | CALPERS CA REGION THREE - LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1975-02-11 | 040 | HTB050IT | N/A | HM | false | NICKSON | N/A | AKILI | N/A | 9999-12-31 | 2024-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699710 | N/A | N/A | 19059317 | 2222 | 4793 | 24159129 | N/A | 17041626 | 2026-04-18 00:49:54.014102 | 2026-04-08 17:25:21.169207 |
| 2026-04-17 07:12:46.570527 | 2026-04-18 00:49:16.961237 | 23944715 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 23944715 | Athletic Physical Therapy Inc | 1962-12-13 | 2026-04-20 | F | AE | LOZANO | JQC94977924H | CRISTINA | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19003465/check_23944715_e5869893-3863-444a-b878-f2e6825ba1d0.json | N/A | N/A | N/A | N/A | N/A | 94977924H | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1962-12-13 | BCSC | BWLLNMEG21 | N/A | N/A | false | LOZANO | N/A | CRISTINA | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699709 | N/A | N/A | 19003465 | 2222 | 4802 | 24158179 | 5538 | 16984833 | 2026-04-18 00:49:16.961237 | 2026-04-08 05:02:50.255936 |
| 2026-04-17 07:12:46.388644 | 2026-04-18 00:49:36.904940 | 23944691 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944691 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-20 | F | AE | Velazquez | 2YV3K80NR70 | Victoria | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18969574/check_23944691_d72a0adc-9d34-4fc6-8f14-c330cc7e2fd6.json | N/A | N/A | N/A | N/A | N/A | 2YV3K80NR70 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-06-01 | S4802 | N/A | N/A | MA | false | VELAZQUEZ | N/A | VICTORIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 110147 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699708 | N/A | N/A | 18969574 | 2222 | 4801 | 24158726 | N/A | 14926242 | 2026-04-18 00:49:36.904940 | 2026-03-06 18:16:10.395182 |
| 2026-04-17 07:12:46.125033 | 2026-04-18 00:49:07.986089 | 23944653 | N/A | N/A | 60054 | Aetna | 1114042165 | 23944653 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-04-20 | M | AE | Benson | W241108199 | Charles | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_23944653_df8d3928-4abe-49d0-9cda-c8ece21b99bb.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699707 | N/A | N/A | 18897636 | 2222 | 4802 | 24157890 | N/A | 16883637 | 2026-04-18 00:49:07.986089 | 2026-04-06 22:06:37.386389 |
| 2026-04-17 07:12:45.956036 | 2026-04-18 00:49:25.594241 | 23944634 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944634 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-04-20 | M | AE | GREEN | 1RT1HE3RR06 | PATRICK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18837892/check_23944634_50e96808-215f-4fab-a2b9-5ccdb2d0ee26.json | N/A | N/A | N/A | N/A | N/A | 1RT1HE3RR06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-18 | S4802 | N/A | N/A | MB | false | GREEN | N/A | PATRICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 11366 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699706 | N/A | N/A | 18837892 | 2222 | 4801 | 24158437 | N/A | 16813949 | 2026-04-18 00:49:25.594241 | 2026-03-31 19:01:10.524839 |
| 2026-04-17 07:12:45.824291 | 2026-04-18 00:48:50.707397 | 23944618 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23944618 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-20 | M | AE | LIBERMAN | 000022717735 | ANDREW | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775389/check_23944618_86cc0ac4-65d5-4d30-8ce3-4aed6dd15022.json | N/A | N/A | N/A | N/A | N/A | 000022717735 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1950-04-13 | 4378810 | 1650095002 | N/A | N/A | false | LIBERMAN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | SPECIAL NEEDS PLAN SCR SPECIAL NEEDS PLAN SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699675 | N/A | N/A | 18775389 | 2222 | 4802 | 24157369 | N/A | 16749367 | 2026-04-18 00:48:50.707397 | 2026-03-26 23:17:06.136103 |
| 2026-04-17 07:12:45.672020 | 2026-04-18 00:49:35.266724 | 23944596 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944596 | Athletic Physical Therapy Inc | 1947-08-01 | 2026-04-20 | F | AE | SEELY | 3QE6CU2AN62 | LINDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18751824/check_23944596_3cca0fa5-5c97-4583-b3bb-23109fd655c2.json | N/A | N/A | N/A | N/A | N/A | 3QE6CU2AN62 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-01 | S4802 | N/A | N/A | MA | false | SEELY | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 17774 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699674 | N/A | N/A | 18751824 | 2222 | 4801 | 24158685 | N/A | 16732457 | 2026-04-18 00:49:35.266724 | 2026-04-01 21:24:57.569757 |
| 2026-04-17 07:12:45.533301 | 2026-04-18 00:48:50.259307 | 23944577 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23944577 | Athletic Physical Therapy Inc | 1972-08-18 | 2026-04-20 | M | AE | LeMond | 000019066146 | Jonathan | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18557471/check_23944577_95272b0b-0d8e-4f9c-a903-d7257fde4edf.json | N/A | N/A | N/A | N/A | N/A | 000019066146 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-08-18 | 3004198 | 101156 | N/A | N/A | false | LEMOND | N/A | JONATHAN | N/A | 2026-12-31 | 2026-01-01 | SANTA MONICA COMMUNITY COLLEGE SANTA MONICA COMMUN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699673 | N/A | N/A | 18557471 | 2222 | 4802 | 24157356 | N/A | 16559408 | 2026-04-18 00:48:50.259307 | 2026-03-23 21:56:32.934023 |
| 2026-04-17 07:12:45.354299 | 2026-04-18 00:48:50.614318 | 23944552 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944552 | Athletic Physical Therapy Inc | 1982-05-07 | 2026-04-20 | F | PT | BELLI | BLI912524527 | ZULAY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538986/check_23944552_c76e87bd-fa6d-44ee-98d6-2414f28d2bd6.json | N/A | N/A | N/A | N/A | N/A | BLI912524527 | Preferred Provider Organization (PPO) | BLACKLINE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1982-05-07 | 1000PPOX0002 | W8002402 | N/A | PR | false | BELLI | N/A | ZULAY | N/A | N/A | 2026-04-17 | BLACKLINE SYSTEMS INC PPO SAVINGS TWO TIER EMBED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699672 | N/A | N/A | 18538986 | 2222 | 4801 | 24157364 | N/A | 16541051 | 2026-04-18 00:48:50.614318 | 2026-03-25 15:36:01.212139 |
| 2026-04-17 07:12:45.122430 | 2026-04-18 00:48:49.733057 | 23944526 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23944526 | Athletic Physical Therapy Inc | 1953-06-23 | 2026-04-20 | M | AE | Fields | 000008100545 | Renny | Arthur | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_23944526_55d151af-b4dd-411f-98f8-b19521b796f8.json | N/A | N/A | N/A | N/A | N/A | 000008100545 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1953-06-23 | 4073761 | 100232 | N/A | N/A | false | FIELDS | N/A | RENNY | N/A | 2026-12-31 | 2026-01-01 | THE AEROSPACE CORPORATION AERO ACTIVES NON-UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699671 | N/A | N/A | 18473083 | 2222 | 4802 | 24157340 | N/A | 16473148 | 2026-04-18 00:48:49.733057 | 2026-03-29 14:38:33.964725 |
| 2026-04-17 07:12:44.821959 | 2026-04-18 00:48:48.886921 | 23944482 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23944482 | Athletic Physical Therapy Inc | 1963-01-15 | 2026-04-20 | F | AE | Adams | 000008863593 | Toni | Yvette | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_23944482_73b48afe-e2a2-483b-9033-4e3026f87140.json | N/A | N/A | N/A | N/A | N/A | 000008863593 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1963-01-15 | 4308537 | 105705 | N/A | N/A | false | ADAMS | N/A | TONI | N/A | 2026-12-31 | 2026-01-01 | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 46 - $1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699670 | N/A | N/A | 18427607 | 2222 | 4802 | 24157314 | N/A | 16428516 | 2026-04-18 00:48:48.886921 | 2026-03-20 01:42:19.868288 |
| 2026-04-17 07:12:44.625385 | 2026-04-18 00:48:26.489970 | 23944453 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 23944453 | Athletic Physical Therapy Inc | 1943-08-14 | 2026-04-20 | F | AE | Peck | ICA094420 | Geraldine | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_23944453_a150200b-b9b9-479b-963e-e7a4e20459ae.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-04-17 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699657 | N/A | N/A | 18413277 | 2222 | 4793 | 24156713 | N/A | 16416105 | 2026-04-18 00:48:26.489970 | 2026-03-19 22:25:59.413894 |
| 2026-04-17 07:12:44.428364 | 2026-04-18 00:49:10.810539 | 23944427 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 23944427 | Athletic Physical Therapy Inc | 1988-02-19 | 2026-04-20 | F | AE | KOVACEVICH | W27795397803 | DANIELLE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_23944427_2b909152-3fef-4f2d-b01e-b17c22a07ec4.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699655 | N/A | N/A | 18394146 | 2222 | 4793 | 24157983 | 3948 | 16398404 | 2026-04-18 00:49:10.810539 | 2026-03-30 15:35:26.924597 |
| 2026-04-17 07:12:44.214818 | 2026-04-18 00:49:12.548661 | 23944401 | N/A | N/A | 60054 | Aetna | 1114042165 | 23944401 | Athletic Physical Therapy Inc | 1956-06-18 | 2026-04-20 | F | AE | THEODORE | 101217709600 | DAWN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386671/check_23944401_733b05b6-3633-4bb0-a475-7c0114be4f4e.json | N/A | N/A | N/A | N/A | N/A | 101217709600 | Preferred Provider Organization (PPO) | UNITED AIRLINES - MA | AETNA | MEDICARE | 1956-06-18 | 100117-02EG0001 | 100117-02 | N/A | PR | false | THEODORE | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | MEDICARE ADV ESA PPO PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699654 | N/A | N/A | 18386671 | 2222 | 4793 | 24158041 | N/A | 16392709 | 2026-04-18 00:49:12.548661 | 2026-03-19 17:41:51.337704 |
| 2026-04-17 07:12:44.024180 | 2026-04-18 00:49:30.269441 | 23944379 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944379 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-20 | F | AE | KIM | 2CK8PQ4QA27 | SARAH | J | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18379311/check_23944379_9296d0d6-7ef9-4b57-a97a-b1c542a316fd.json | N/A | N/A | N/A | N/A | N/A | 2CK8PQ4QA27 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-01-27 | H5425 | N/A | N/A | MB | false | KIM | N/A | SARAH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 18021 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699653 | N/A | N/A | 18379311 | 2222 | 4802 | 24158566 | N/A | 16386056 | 2026-04-18 00:49:30.269441 | 2026-03-19 16:01:57.090565 |
| 2026-04-17 07:12:43.793544 | 2026-04-18 00:48:49.301370 | 23944346 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23944346 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-04-20 | F | AE | Durant | 000008717870 | Jovanna | Sharelle Shishonna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_23944346_d8bee773-1c2e-4853-97b8-0da2eb4ebff7.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 CKPU | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699652 | N/A | N/A | 18270267 | 2222 | 4802 | 24157326 | N/A | 16284557 | 2026-04-18 00:48:49.301370 | 2026-03-22 16:36:56.176369 |
| 2026-04-17 07:12:43.572317 | 2026-04-18 00:49:19.365199 | 23944320 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23944320 | Athletic Physical Therapy Inc | 1952-06-27 | 2026-04-20 | M | AD | WEST | 40065315001 | KIRK | A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18198006/check_23944320_fc2b5929-6d28-4c09-bfbf-43961328a49c.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-06-27 | 2026H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 10614699651 | N/A | N/A | 18198006 | 2222 | 4801 | 24158261 | 6237 | 10033486 | 2026-04-18 00:49:19.365199 | 2025-11-04 21:34:59.842331 |
| 2026-04-17 07:12:43.431089 | 2026-04-18 00:49:27.882077 | 23944301 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944301 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-20 | M | AE | HARY | 2YH6T54NH61 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_23944301_5d1e5edc-aa7b-4d9e-a040-87298b1d1def.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MA | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 90807 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699650 | N/A | N/A | 18020019 | 2222 | 4802 | 24158497 | N/A | 16048388 | 2026-04-18 00:49:27.882077 | 2026-03-12 19:28:18.393557 |
| 2026-04-17 07:12:43.295347 | 2026-04-18 00:49:08.888594 | 23944286 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 23944286 | override_provider | 1971-01-02 | 2026-04-20 | F | AE | SIVAMALAR | 98940148E | THANGIAH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018879/check_23944286_f22d265a-7d13-484f-97be-c9fe2865c4e7.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | 2026-03-31 | 2024-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699649 | N/A | N/A | 18018879 | 2222 | 4802 | 24157924 | N/A | 8251172 | 2026-04-18 00:49:08.888594 | 2025-10-03 18:17:22.871347 |
| 2026-04-17 07:12:43.138888 | 2026-04-18 00:49:37.482729 | 23944267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944267 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-04-20 | F | AE | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_23944267_fbf063fb-c2e4-48bc-bca6-d24ed0da840e.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MB | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 110886 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699648 | N/A | N/A | 17961735 | 2222 | 4801 | 24158741 | N/A | 15883502 | 2026-04-18 00:49:37.482729 | 2026-03-11 00:48:56.434845 |
| 2026-04-17 07:12:43.027451 | 2026-04-18 00:49:22.944874 | 23944251 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944251 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-04-20 | F | AE | FLEMING | 1R95FV2XE71 | LORIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_23944251_6b3fb065-30e9-4adc-8cda-10f115475994.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MA | false | FLEMING | N/A | LORIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 27976 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699647 | N/A | N/A | 17944211 | 2222 | 4801 | 24158363 | N/A | 15983370 | 2026-04-18 00:49:22.944874 | 2026-03-16 17:56:49.633280 |
| 2026-04-17 07:12:42.887746 | 2026-04-18 00:49:06.907155 | 23944233 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23944233 | Athletic Physical Therapy Inc | 1972-12-05 | 2026-04-20 | F | AE | BLUEROSE | 92521676F | KYRINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17939188/check_23944233_65be5140-e884-4de7-8522-5041ac7743fd.json | N/A | N/A | N/A | N/A | N/A | 92521676F | N/A | N/A | HEALTH NET, LLC | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | N/A | 2026-03-31 | 2024-10-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699646 | N/A | N/A | 17939188 | 2222 | 4802 | 24157855 | 4625 | 4214558 | 2026-04-18 00:49:06.907155 | 2026-03-07 00:55:14.494391 |
| 2026-04-17 07:12:42.771595 | 2026-04-18 00:49:17.810240 | 23944217 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23944217 | Athletic Physical Therapy Inc | 2007-07-31 | 2026-04-20 | F | AE | Policarpo | 94407476E | Andrea | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938794/check_23944217_fa4b90ef-47c4-4f41-9c7f-4c3c0d30f2ac.json | N/A | N/A | N/A | N/A | N/A | 94407476E | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2007-07-31 | MCLA | MCLANFAL19 | N/A | N/A | false | POLICARPO | N/A | ANDREA | N/A | 2078-12-31 | 2017-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699645 | N/A | N/A | 17938794 | 2222 | 4802 | 24158210 | N/A | 15977182 | 2026-04-18 00:49:17.810240 | 2026-03-11 20:46:09.014259 |
| 2026-04-17 07:12:42.590006 | 2026-04-18 00:49:29.696598 | 23944193 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23944193 | Athletic Physical Therapy Inc | 1945-04-09 | 2026-04-20 | M | AE | Kelly | 7N90G97RP30 | Eugene | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929435/check_23944193_bc9223bc-dede-4711-b921-59c0ce438546.json | N/A | N/A | N/A | N/A | N/A | 7N90G97RP30 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-09 | S4802 | N/A | N/A | MA | false | KELLY | N/A | EUGENE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 64555 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699644 | N/A | N/A | 17929435 | 2222 | 4793 | 24158549 | N/A | 15967689 | 2026-04-18 00:49:29.696598 | 2026-03-23 15:15:28.421254 |
| 2026-04-17 07:12:42.272442 | 2026-04-18 00:49:54.767523 | 23944148 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23944148 | Athletic Physical Therapy Inc | 1957-01-09 | 2026-04-20 | F | AE | COLEY | 910143184 | GWENDOLYN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17918121/check_23944148_0f30b29c-dbd8-4fee-82bc-5286803d15ba.json | N/A | N/A | N/A | N/A | N/A | 910143184 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-09 | N/A | 01991 | N/A | HN | false | COLEY | N/A | GWENDOLYN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699643 | N/A | N/A | 17918121 | 2222 | 4802 | 24159150 | 6411 | 4213018 | 2026-04-18 00:49:54.767523 | 2025-05-22 00:04:46.399580 |
| 2026-04-17 07:12:42.082680 | 2026-04-18 00:48:30.576939 | 23944122 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23944122 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-04-20 | M | AE | SHRIVER | 8300000159953 | DANIEL | Adam | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_23944122_88855599-00b4-4e37-aea1-ebdfdce05d12.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699642 | N/A | N/A | 17744755 | 2222 | 4802 | 24156809 | 4211 | 4213934 | 2026-04-18 00:48:30.576939 | 2026-01-27 23:36:44.802366 |
| 2026-04-17 07:12:41.935288 | 2026-04-18 00:49:44.918079 | 23944102 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 23944102 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-20 | F | AE | HILL | H96403611 | KAREN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_23944102_32082fdc-2536-41fa-9b7b-e1feb5d41125.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614699641 | N/A | N/A | 17641125 | 2222 | 4793 | 24158916 | N/A | 4213760 | 2026-04-18 00:49:44.918079 | 2026-03-23 22:17:45.263893 |
| 2026-04-17 07:12:41.776361 | 2026-04-18 00:49:46.659735 | 23944079 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23944079 | Athletic Physical Therapy Inc | 1954-02-10 | 2026-04-20 | F | AE | SHARMA | H74807838 | MONIKA | Sarin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_23944079_7e883819-0e90-45a6-97b7-e8fe588ad3be.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | 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 | 10614699640 | N/A | N/A | 17636010 | 2222 | 4801 | 24158960 | 5349 | 10330803 | 2026-04-18 00:49:46.659735 | 2025-11-03 22:25:23.404066 |
| 2026-04-17 07:12:41.641446 | 2026-04-18 00:49:03.095476 | 23944060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944060 | Athletic Physical Therapy Inc | 1954-04-01 | 2026-04-20 | F | PT | Hoffmon | FJB24530065M | Desiree | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_23944060_1b7e2fe5-5fda-474e-acb1-24faed897b0a.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614699639 | N/A | N/A | 17585043 | 2222 | 4802 | 24157733 | N/A | 15632407 | 2026-04-18 00:49:03.095476 | 2026-03-04 17:26:22.963141 |
| 2026-04-17 07:12:41.497667 | 2026-04-18 00:49:12.638291 | 23944042 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23944042 | Athletic Physical Therapy Inc | 1986-02-14 | 2026-04-20 | F | PT | CARAZO | N8E117919898001 | EILEEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17553325/check_23944042_9584bd7c-a2ad-4e22-81bf-611ccf59b618.json | N/A | N/A | N/A | N/A | N/A | N8E117919898001 | Preferred Provider Organization (PPO) | NEP GROUP ACTIVE | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1986-02-14 | 363 | 10696646 | N/A | PR | false | PYATTE | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614700768 | N/A | N/A | 17553325 | 2222 | 4793 | 24158044 | N/A | 4214484 | 2026-04-18 00:49:12.638291 | 2025-05-13 04:29:37.228799 |
| 2026-04-17 07:12:41.356869 | 2026-04-18 00:49:52.741812 | 23944024 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23944024 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-04-20 | F | AE | Barrientos | 958247698 | Antoniette | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_23944024_36fe72a3-5597-4411-a597-2f05599fc57f.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614700767 | N/A | N/A | 17540931 | 2222 | 4801 | 24159097 | 6411 | 15585907 | 2026-04-18 00:49:52.741812 | 2026-03-09 18:22:22.279915 |
| 2026-04-17 07:12:41.182178 | 2026-04-18 00:48:31.664875 | 23944004 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23944004 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-04-20 | M | AE | Tatum | 97633918F | Tatum | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_23944004_c11529ac-c54c-40e9-8a2a-aca6abcd707e.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614700766 | N/A | N/A | 17509843 | 2222 | 4802 | 24156842 | 4211 | 15524188 | 2026-04-18 00:48:31.664875 | 2026-03-03 00:12:08.668405 |
| 2026-04-17 07:12:41.036025 | 2026-04-18 00:49:49.354385 | 23943984 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 23943984 | Athletic Physical Therapy Inc | 1978-07-01 | 2026-04-20 | M | AE | ABDELMESSIH | U9059513401 | MINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121733603.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_23943984_5adc0b09-1979-40d8-b9f7-e83858086011.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614700764 | N/A | N/A | 17498631 | 2222 | 4801 | 24159024 | 4437 | 15513934 | 2026-04-18 00:49:49.354385 | 2026-03-11 16:41:57.340816 |