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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-17 07:12:33.749451 | 2026-04-18 00:49:04.372190 | 23943070 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23943070 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-04-20 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_23943070_39847d4a-8ea9-4d7e-8c17-ab8120138225.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614700665 | N/A | N/A | 5568076 | 2222 | 4802 | 24157770 | 4625 | 4209480 | 2026-04-18 00:49:04.372190 | 2026-04-10 02:05:15.976484 |
| 2026-04-17 07:12:33.381872 | 2026-04-18 00:48:31.104414 | 23943030 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23943030 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-04-20 | F | AE | PT | SIMONS | 94378141G | DESIREE | 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/2222/5550102/check_23943030_aef5647a-96ee-4be0-a430-09ad7dd3ece9.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614700664 | N/A | N/A | 5550102 | 2222 | 4802 | 24156822 | 4211 | 4212176 | 2026-04-18 00:48:31.104414 | 2025-05-13 04:29:37.226514 |
| 2026-04-17 07:12:33.190934 | 2026-04-18 00:49:06.810023 | 23943014 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23943014 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-04-20 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_23943014_b5a3f901-a66c-4af6-842b-586923caf659.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701847 | N/A | N/A | 5549317 | 2222 | 4801 | 24157852 | N/A | 4219010 | 2026-04-18 00:49:06.810023 | 2026-01-09 18:32:07.618867 |
| 2026-04-17 07:12:33.026881 | 2026-04-18 00:49:21.132265 | 23942999 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942999 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-04-20 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | 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/2222/5548965/check_23942999_540823c7-30f5-4fa6-ae70-2c9e69cff232.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111659 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701846 | N/A | N/A | 5548965 | 2222 | 4802 | 24158312 | N/A | 4218725 | 2026-04-18 00:49:21.132265 | 2025-05-13 04:29:37.229715 |
| 2026-04-17 07:12:32.891335 | 2026-04-18 00:49:17.440355 | 23942982 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23942982 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-04-20 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_23942982_a4ae7d5f-294a-4531-b7c0-8109bbda6e61.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701845 | N/A | N/A | 5543493 | 2222 | 4793 | 24158197 | 6237 | 4215273 | 2026-04-18 00:49:17.440355 | 2025-05-13 04:29:37.229594 |
| 2026-04-17 07:12:32.759202 | 2026-04-18 00:49:06.486876 | 23942965 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23942965 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-04-20 | F | AE | PT | BALAGHI ASEFI | 91331342H | SAMIRA | 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/2222/5543363/check_23942965_5ddd7841-e1e3-487d-80f1-4db5d71899f1.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701844 | N/A | N/A | 5543363 | 2222 | 4793 | 24157839 | 4625 | 4215163 | 2026-04-18 00:49:06.486876 | 2026-03-24 20:35:50.273384 |
| 2026-04-17 07:12:32.633937 | 2026-04-18 00:49:36.321641 | 23942951 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942951 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-04-20 | F | AE | PT | UYGUR | 1VV2MA6GE80 | NUKHET | 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/2222/5543311/check_23942951_a8ada385-f645-47d9-adbf-f57dc0239711.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MB | false | UYGUR | N/A | NUKHET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 104383 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701843 | N/A | N/A | 5543311 | 2222 | 4802 | 24158707 | N/A | 4215116 | 2026-04-18 00:49:36.321641 | 2025-05-29 22:32:19.748297 |
| 2026-04-17 07:12:32.399632 | 2026-04-18 00:49:08.012547 | 23942921 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23942921 | Athletic Physical Therapy Inc | 2007-12-08 | 2026-04-20 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_23942921_77832ae2-b30a-400c-9cb4-9df4cf3bf5a3.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2026-02-10 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701842 | N/A | N/A | 5542850 | 2222 | 4793 | 24157891 | 4625 | 4214714 | 2026-04-18 00:49:08.012547 | 2025-05-13 04:29:37.229031 |
| 2026-04-17 07:12:32.087905 | 2026-04-18 00:49:04.753815 | 23942883 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 23942883 | override_provider | 1972-07-22 | 2026-04-20 | M | AE | PT | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_23942883_92ce42aa-a877-4f7c-954f-b39710492198.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701841 | N/A | N/A | 5542709 | 2222 | 4802 | 24157785 | N/A | 4214582 | 2026-04-18 00:49:04.753815 | 2025-12-02 00:00:04.433236 |
| 2026-04-17 07:12:31.903353 | 2026-04-18 00:49:09.095998 | 23942859 | N/A | N/A | 60054 | Aetna | 1114042165 | 23942859 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-04-20 | F | AE | PT | FERRELL | W285064666 | AMELIA | 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/2222/5542678/check_23942859_c6393069-43cc-4613-83d1-cae47146f5e7.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701840 | N/A | N/A | 5542678 | 2222 | 4802 | 24157927 | N/A | 4214560 | 2026-04-18 00:49:09.095998 | 2025-05-13 04:29:37.228883 |
| 2026-04-17 07:12:31.787373 | 2026-04-18 00:49:07.293550 | 23942840 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23942840 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-04-20 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_23942840_bb4ca838-b684-4892-a9e8-1da2f28df89a.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701839 | N/A | N/A | 5542660 | 2222 | 4802 | 24157869 | 4625 | 4214542 | 2026-04-18 00:49:07.293550 | 2025-05-13 04:29:37.228868 |
| 2026-04-17 07:12:31.696395 | 2026-04-18 00:49:55.012425 | 23942828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23942828 | Athletic Physical Therapy Inc | 1988-03-09 | 2026-04-20 | M | PT | N/A | STONE | AQT60391177101 | JASON | 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/2222/5542653/check_23942828_1cc3a903-79a2-4115-bcaf-f38ccf6dab78.json | N/A | N/A | N/A | N/A | N/A | AQT60391177101 | Preferred Provider Organization (PPO) | AMAZON AND SUBSIDIARIES | BLUE SHIELD OF CALIFORNIA | N/A | 1988-03-09 | N/A | 4000083 | N/A | PR | false | STONE | N/A | JASON | N/A | 9999-12-31 | 2026-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701838 | N/A | N/A | 5542653 | 2222 | 4801 | 24159157 | N/A | 4214538 | 2026-04-18 00:49:55.012425 | 2025-05-13 04:29:37.228864 |
| 2026-04-17 07:12:31.591693 | 2026-04-18 00:49:33.548870 | 23942814 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942814 | Athletic Physical Therapy Inc | 1954-09-01 | 2026-04-20 | F | AE | PT | POURMOMEN | 1FJ2V05EW92 | MEHRI | 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/2222/5542428/check_23942814_cacff9a4-d49b-4adb-b0bf-cf5ee45edffc.json | N/A | N/A | N/A | N/A | N/A | 1FJ2V05EW92 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-09-01 | H5521 | N/A | N/A | MA | false | POURMOMEN | N/A | MEHRI | 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 | 10614701837 | N/A | N/A | 5542428 | 2222 | 4802 | 24158636 | N/A | 4214341 | 2026-04-18 00:49:33.548870 | 2026-04-01 02:58:37.438629 |
| 2026-04-17 07:12:31.437396 | 2026-04-18 00:49:00.664939 | 23942796 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23942796 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-04-20 | M | PT | N/A | FERNANDEZ | JQS315W00257 | FREDERICO | 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/2222/5542274/check_23942796_89272c89-61c6-410a-92b6-70c0c802892f.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701836 | N/A | N/A | 5542274 | 2222 | 4801 | 24157649 | 4185 | 4214212 | 2026-04-18 00:49:00.664939 | 2025-05-13 04:29:37.228546 |
| 2026-04-17 07:12:31.302925 | 2026-04-18 00:49:28.474321 | 23942777 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942777 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-04-20 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_23942777_2528c6ee-ede7-452f-9d59-348d05c35648.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 141758 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701835 | N/A | N/A | 5542251 | 2222 | 4802 | 24158515 | N/A | 4214191 | 2026-04-18 00:49:28.474321 | 2025-05-13 04:29:37.228525 |
| 2026-04-17 07:12:31.163795 | 2026-04-18 00:48:30.016739 | 23942759 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23942759 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-04-20 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_23942759_07bcc534-c516-474a-a7c1-467e8ecf976a.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701834 | N/A | N/A | 5542233 | 2222 | 4793 | 24156792 | 4211 | 4214178 | 2026-04-18 00:48:30.016739 | 2025-05-13 04:29:37.228506 |
| 2026-04-17 07:12:31.053582 | 2026-04-18 00:49:20.563689 | 23942746 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942746 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-04-20 | M | AE | PT | DOUGHERTY | 7EE9WG6YG17 | KENNETH | 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/2222/5541619/check_23942746_422d5aea-90c4-4bf8-9da3-3c61dc65aa56.json | N/A | N/A | N/A | N/A | N/A | 7EE9WG6YG17 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-19 | S5601 | N/A | N/A | MA | false | DOUGHERTY | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 123850 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701833 | N/A | N/A | 5541619 | 2222 | 4793 | 24158296 | N/A | 4213619 | 2026-04-18 00:49:20.563689 | 2025-05-13 04:29:37.227951 |
| 2026-04-17 07:12:30.895107 | 2026-04-18 00:49:50.596679 | 23942727 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23942727 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-04-20 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_23942727_757ae2ef-2b39-4f18-a383-763437216a70.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701832 | N/A | N/A | 5541315 | 2222 | 4793 | 24159051 | N/A | 4213344 | 2026-04-18 00:49:50.596679 | 2025-05-13 04:29:37.227667 |
| 2026-04-17 07:12:30.769531 | 2026-04-18 00:49:18.236998 | 23942709 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23942709 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-04-20 | F | AD | 30 | POLAK | 40047825101 | JOANNA | 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/2222/5541023/check_23942709_91d66e04-def9-44a3-9c3e-bd813fb68ae5.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10614701831 | N/A | N/A | 5541023 | 2222 | 4793 | 24158225 | 6237 | 4213093 | 2026-04-18 00:49:18.236998 | 2025-05-13 04:29:37.227419 |
| 2026-04-17 07:12:30.656463 | 2026-04-18 00:49:33.017412 | 23942695 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942695 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-04-20 | F | AE | PT | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | 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/2222/5540122/check_23942695_04e352b1-a9e7-49a7-88b2-d3bb7e361493.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MB | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 53157 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701830 | N/A | N/A | 5540122 | 2222 | 4793 | 24158624 | N/A | 4212321 | 2026-04-18 00:49:33.017412 | 2026-03-11 15:45:38.887850 |
| 2026-04-17 07:12:30.490700 | 2026-04-18 00:49:48.873713 | 23942672 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23942672 | Athletic Physical Therapy Inc | 1985-09-13 | 2026-04-20 | F | PT | N/A | GAVIN | XEH906490685 | STEPHANIE | 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/2222/5540039/check_23942672_73752169-0c0a-47f9-b472-69b4f697563a.json | N/A | N/A | N/A | N/A | N/A | XEH906490685 | Health Maintenance Organization (HMO) | KB SYNERGY HOLDINGS INC | BLUE SHIELD CALIFORNIA | N/A | 1985-09-13 | 1000VX000101 | W0098452 | N/A | HM | false | GAVIN | N/A | DANIEL | N/A | 9999-12-31 | 2019-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701828 | N/A | N/A | 5540039 | 2222 | 4793 | 24159017 | 4191 | 4212252 | 2026-04-18 00:49:48.873713 | 2025-05-13 04:29:37.226588 |
| 2026-04-17 07:12:30.406299 | 2026-04-18 00:49:19.756764 | 23942659 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23942659 | Athletic Physical Therapy Inc | 1967-09-30 | 2026-04-20 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | 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/2222/5539919/check_23942659_13c75c25-088f-4a88-9d8a-3654251bca2d.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 2026-12-31 | 2026-04-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701827 | N/A | N/A | 5539919 | 2222 | 4802 | 24158273 | N/A | 4212155 | 2026-04-18 00:49:19.756764 | 2025-05-13 04:29:37.226493 |
| 2026-04-17 07:12:30.286255 | 2026-04-18 00:49:55.346835 | 23942644 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23942644 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-04-20 | M | AE | PT | RUIZ | 594887901 | EDUARDO | 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/2222/5539853/check_23942644_1455e59d-ba7c-460a-a405-e7d22cc9dfba.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | CALPERS-LTB050H | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701826 | N/A | N/A | 5539853 | 2222 | 4801 | 24159162 | 6411 | 4212098 | 2026-04-18 00:49:55.346835 | 2025-05-13 04:29:37.226429 |
| 2026-04-17 07:12:30.160505 | 2026-04-18 00:49:01.942652 | 23942631 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23942631 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-04-20 | F | 96 | N/A | HAUSMAN | 34751865 | JUDITH | 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/2222/5539527/check_23942631_694d59ee-fef3-494e-af5f-cc3524fed4bd.json | N/A | N/A | N/A | N/A | N/A | 34751865 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1940-04-11 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | JUDITH | N/A | N/A | 2026-04-17 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10614701825 | N/A | N/A | 5539527 | 2222 | 4793 | 24157695 | 6798 | 4211820 | 2026-04-18 00:49:01.942652 | 2026-04-10 18:02:32.809721 |
| 2026-04-17 07:12:30.044832 | 2026-04-18 00:49:09.751168 | 23942613 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 23942613 | override_provider | 1956-10-22 | 2026-04-20 | F | AE | PT | VARGAS | C4080406701 | AUXILIADORA | 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/2222/5538314/check_23942613_55ae701c-a365-42ae-a56a-ab7d590e7bb7.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701824 | N/A | N/A | 5538314 | 2222 | 4802 | 24157951 | N/A | 4210749 | 2026-04-18 00:49:09.751168 | 2026-01-29 18:21:20.298304 |
| 2026-04-17 07:12:29.920626 | 2026-04-18 00:49:06.306625 | 23942596 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23942596 | Athletic Physical Therapy Inc | 2003-06-27 | 2026-04-20 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DANIELLA | 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/2222/5537199/check_23942596_bc4098c7-8d23-4018-94cc-be9f7508770b.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2003-06-27 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10614701823 | N/A | N/A | 5537199 | 2222 | 4801 | 24157833 | N/A | 4209807 | 2026-04-18 00:49:06.306625 | 2026-02-20 19:27:47.468875 |
| 2026-04-17 07:12:29.797800 | 2026-04-18 00:49:22.322663 | 23942579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23942579 | Athletic Physical Therapy Inc | 1946-05-12 | 2026-04-20 | M | AE | PT | EGGLETON | 9HG9HV5AM53 | PAUL | 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/2222/5536868/check_23942579_3e4d7e4b-08ac-452c-8d01-676d202e98a4.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 40229 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614701822 | N/A | N/A | 5536868 | 2222 | 4801 | 24158347 | N/A | 4209543 | 2026-04-18 00:49:22.322663 | 2025-06-18 17:33:51.700160 |
| 2026-04-17 07:12:03.707062 | 2026-04-18 00:34:14.075845 | 23939068 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 23939068 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-20 | F | AE | PT | KIM | 40086743101 | SARAH | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567411/check_23939068_c5622956-8dfc-4007-a95a-cddf04065322.json | N/A | N/A | N/A | N/A | N/A | 40086743101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-01-27 | 2026H5425006 | H5425M | N/A | N/A | false | KIM | N/A | SARAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678927 | N/A | N/A | 19567411 | 2222 | 4802 | 24135725 | N/A | 16386056 | 2026-04-18 00:34:14.075845 | 2026-03-19 16:01:57.090565 |
| 2026-04-17 07:12:03.624445 | 2026-04-18 00:33:09.104659 | 23939059 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23939059 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-04-20 | F | AE | PT | Bokron | XEM914577353 | Diana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19240586/check_23939059_371cd166-31d8-4414-875e-04609c5511fd.json | N/A | N/A | N/A | N/A | N/A | XEM914577353 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-09-17 | 2002SFW00028 | X0001002 | N/A | OT | false | BOKRON | N/A | DIANA | N/A | N/A | 2026-04-17 | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678926 | N/A | N/A | 19240586 | 2222 | 4793 | 24134931 | N/A | 17105178 | 2026-04-18 00:33:09.104659 | 2026-04-03 17:25:31.987996 |
| 2026-04-17 07:12:03.536247 | 2026-04-18 00:33:05.010745 | 23939047 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23939047 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-04-20 | M | AE | PT | GREEN | 31707707912 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935549/check_23939047_3b74a0e8-d083-4530-bca7-4cb830228f48.json | N/A | N/A | N/A | N/A | N/A | 31707707912 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-06-18 | N/A | N/A | N/A | SP | false | GREEN | N/A | PATRICK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678925 | N/A | N/A | 18935549 | 2222 | 4801 | 24134893 | N/A | 16813949 | 2026-04-18 00:33:05.010745 | 2026-03-31 19:01:10.524839 |
| 2026-04-17 07:12:03.433485 | 2026-04-18 00:33:05.998230 | 23939033 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23939033 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-20 | M | AE | PT | HARY | 32464179011 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18880065/check_23939033_bb62b82a-c819-4b9a-8b01-606f9488deec.json | N/A | N/A | N/A | N/A | N/A | 32464179011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-02-13 | N/A | N/A | N/A | SP | false | HARY | N/A | DAVID | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678924 | N/A | N/A | 18880065 | 2222 | 4802 | 24134901 | N/A | 16048388 | 2026-04-18 00:33:05.998230 | 2026-03-12 19:28:18.393557 |
| 2026-04-17 07:12:03.349457 | 2026-04-18 00:32:57.728663 | 23939019 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 23939019 | Athletic Physical Therapy Inc | 1945-04-09 | 2026-04-20 | M | AE | PT | Kelly | R13037972MM1 | Eugene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929436/check_23939019_91d5049d-26a9-4ced-93e7-ff7598484be3.json | N/A | N/A | N/A | N/A | N/A | R13037972MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1945-04-09 | N/A | N/A | N/A | N/A | false | KELLY | N/A | EUGENE | N/A | 2026-03-31 | 2021-10-01 | FAP MEDIFLEX | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678923 | N/A | N/A | 17929436 | 2222 | 4793 | 24134846 | N/A | 15967689 | 2026-04-18 00:32:57.728663 | 2026-03-23 15:15:28.421254 |
| 2026-04-17 07:12:03.264087 | 2026-04-18 00:34:15.553665 | 23939008 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 23939008 | Athletic Physical Therapy Inc | 1947-01-16 | 2026-04-20 | F | AE | PT | Teichner | J131344231 | Miriam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17925134/check_23939008_61bf0e4f-5313-436a-b27e-5f7f974f370d.json | N/A | N/A | N/A | N/A | N/A | J131344231 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1947-01-16 | 05052FZ61 | N/A | N/A | N/A | false | TEICHNER | N/A | MIRIAM | N/A | N/A | N/A | MED SUPP F 2010 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678922 | N/A | N/A | 17925134 | 2222 | 4793 | 24135752 | N/A | 15507331 | 2026-04-18 00:34:15.553665 | 2026-03-02 19:12:00.362589 |
| 2026-04-17 07:12:03.167316 | 2026-04-18 00:35:00.878538 | 23938999 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23938999 | Athletic Physical Therapy Inc | 1952-05-31 | 2026-04-20 | M | AE | PT | ANDERSON | 5M59GF6KP35 | ERIC | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17335575/check_23938999_fc67150b-3968-41cf-8ffc-a31cce5aa3fc.json | N/A | N/A | N/A | N/A | N/A | 5M59GF6KP35 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-31 | H5521 | N/A | N/A | MA | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678921 | N/A | N/A | 17335575 | 2222 | 4802 | 24136484 | N/A | 14369748 | 2026-04-18 00:35:00.878538 | 2026-03-09 18:36:27.636026 |
| 2026-04-17 07:12:03.021348 | 2026-04-18 00:31:31.533818 | 23938984 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938984 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-20 | F | AE | PT | Velazquez | JQE124A75580 | Victoria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16927466/check_23938984_6b3764df-32c0-428e-a953-6d948192d071.json | N/A | N/A | N/A | N/A | N/A | JQE124A75580 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-06-01 | 040 | CASUPWP0 | N/A | N/A | false | VELAZQUEZ | N/A | VICTORIA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678920 | N/A | N/A | 16927466 | 2222 | 4801 | 24133814 | N/A | 14926242 | 2026-04-18 00:31:31.533818 | 2026-03-06 18:16:10.395182 |
| 2026-04-17 07:12:02.943419 | 2026-04-18 00:33:16.276312 | 23938971 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23938971 | Athletic Physical Therapy Inc | 1955-11-25 | 2026-04-20 | M | AE | PT | RUBIN | XEM910074494 | RONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16917800/check_23938971_e6184911-160e-4fa2-8a81-a943b5bf2fe3.json | N/A | N/A | N/A | N/A | N/A | XEM910074494 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-25 | 2002SE000030 | X0001002 | N/A | OT | false | RUBIN | N/A | RONALD | N/A | N/A | 2026-04-17 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678919 | N/A | N/A | 16917800 | 2222 | 4793 | 24134985 | N/A | 14917009 | 2026-04-18 00:33:16.276312 | 2026-02-20 22:29:32.356717 |
| 2026-04-17 07:12:02.855271 | 2026-04-17 07:12:02.940679 | 23938964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938964 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-04-20 | M | AE | PT | brosh | JQE517M95625 | RAMI | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16113777 | 2222 | 4793 | N/A | N/A | 14174363 | 2026-04-17 07:12:02.940679 | 2026-05-29 18:00:53.778221 |
| 2026-04-17 07:12:02.757787 | 2026-04-18 00:31:29.520414 | 23938953 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938953 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-04-20 | F | AE | PT | Rund | JQE413W24976 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14414101/check_23938953_01134edc-a36d-4be0-ae55-ed06f01a059f.json | N/A | N/A | N/A | N/A | N/A | JQE413W24976 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | CASUPWP0 | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2025-11-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678917 | N/A | N/A | 14414101 | 2222 | 4802 | 24133792 | N/A | 5046194 | 2026-04-18 00:31:29.520414 | 2026-01-06 19:15:31.520951 |
| 2026-04-17 07:12:02.675089 | 2026-04-17 07:12:02.755425 | 23938944 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23938944 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-04-20 | F | AE | PT | KATKHOUDA | 95258599G | RYME | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12788343 | 2222 | 4802 | N/A | N/A | 10954913 | 2026-04-17 07:12:02.755425 | 2026-02-03 00:31:49.512761 |
| 2026-04-17 07:12:02.564586 | 2026-04-17 07:12:02.671527 | 23938926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938926 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-04-20 | M | AE | PT | Bogen | WXY091A22808 | Andrew | E | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11174641 | 2222 | 4802 | N/A | N/A | 9519718 | 2026-04-17 07:12:02.671527 | 2026-02-02 19:30:57.219688 |
| 2026-04-17 07:12:02.475701 | 2026-04-17 07:12:02.561740 | 23938920 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23938920 | Athletic Physical Therapy Inc | 1956-12-19 | 2026-04-20 | F | AE | PT | YEN | 96046413F | JENNY | P | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10033624 | 2222 | 4793 | N/A | N/A | 8398587 | 2026-04-17 07:12:02.561740 | 2025-10-07 14:21:54.880940 |
| 2026-04-17 07:12:02.389300 | 2026-04-18 00:33:11.538698 | 23938910 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23938910 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-04-20 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_23938910_02638c7e-4617-4ac2-9798-320cb5936d17.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | 2026-04-17 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678913 | N/A | N/A | 9411084 | 2222 | 4802 | 24134954 | N/A | 7879863 | 2026-04-18 00:33:11.538698 | 2026-02-04 18:21:13.840230 |
| 2026-04-17 07:12:02.263533 | 2026-04-17 07:12:02.386705 | 23938892 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23938892 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-20 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8979227 | 2222 | 4793 | N/A | N/A | 7498543 | 2026-04-17 07:12:02.386705 | 2025-10-14 17:13:32.178778 |
| 2026-04-17 07:12:02.168311 | 2026-04-18 00:31:25.838885 | 23938877 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938877 | Athletic Physical Therapy Inc | 1948-07-07 | 2026-04-20 | F | AE | PT | GOEL | JQE690A74746 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_23938877_088b5bb0-909d-472c-99ac-99808a2c6892.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678911 | N/A | N/A | 8969545 | 2222 | 4802 | 24133769 | N/A | 7485064 | 2026-04-18 00:31:25.838885 | 2025-12-29 22:41:16.623495 |
| 2026-04-17 07:12:02.092461 | 2026-04-18 00:33:12.832321 | 23938868 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23938868 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-04-20 | F | AE | PT | McKinnon | XEM913376502 | Dawn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783106/check_23938868_7469b47b-e213-49c3-a2dc-eb8c05b06d55.json | N/A | N/A | N/A | N/A | N/A | XEM913376502 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-14 | 2002SE000030 | X0001002 | N/A | OT | false | MCKINNON | N/A | DAWN | N/A | N/A | 2026-04-17 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678910 | N/A | N/A | 7783106 | 2222 | 4802 | 24134966 | N/A | 6628331 | 2026-04-18 00:33:12.832321 | 2025-08-22 15:16:03.942743 |
| 2026-04-17 07:12:02.007768 | 2026-04-18 00:31:27.783805 | 23938857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938857 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-04-20 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_23938857_c1fbad01-1864-4cd4-8440-de7dd8f2c6f8.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678909 | N/A | N/A | 6821574 | 2222 | 4802 | 24133779 | N/A | 4214191 | 2026-04-18 00:31:27.783805 | 2025-05-13 04:29:37.228525 |
| 2026-04-17 07:12:01.911358 | 2026-04-17 07:12:02.004905 | 23938841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938841 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-20 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6752939 | 2222 | 4801 | N/A | N/A | 5065602 | 2026-04-17 07:12:02.004905 | 2025-07-01 17:25:13.681724 |
| 2026-04-17 07:12:01.805496 | 2026-04-17 07:12:01.907106 | 23938829 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938829 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-04-20 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-04-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550535 | 2222 | 4801 | N/A | N/A | 4219556 | 2026-04-17 07:12:01.907106 | 2025-05-13 04:29:37.230592 |
| 2026-04-17 07:12:01.723268 | 2026-04-18 00:32:27.074589 | 23938819 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 23938819 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-04-20 | F | AE | PT | UYGUR | GLA0008101 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_23938819_bd56783a-985c-46a0-87dd-1fb003b40e92.json | N/A | N/A | N/A | N/A | N/A | GLA0008101 | N/A | N/A | AETNA SENIOR SUPPLEMENTAL INSURANCE | N/A | 1947-04-14 | MMS022FRGLAC | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | 2026-03-01 | 2012-04-01 | MED SUPP PLAN F 2010 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678906 | N/A | N/A | 5543315 | 2222 | 4802 | 24134446 | N/A | 4215116 | 2026-04-18 00:32:27.074589 | 2025-05-29 22:32:19.748297 |
| 2026-04-17 07:12:01.633083 | 2026-04-18 00:31:21.318936 | 23938805 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23938805 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-04-20 | M | AE | PT | DOUGHERTY | XEA913685152 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260417.121419725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541623/check_23938805_2012dac9-12a9-4ffa-8c2e-4c411ad09016.json | N/A | N/A | N/A | N/A | N/A | XAN913685152 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1949-09-19 | 1002VX000001 | W0051411 | N/A | PR | false | DOUGHERTY | N/A | AGNES | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10614678905 | N/A | N/A | 5541623 | 2222 | 4793 | 24133746 | N/A | 4213619 | 2026-04-18 00:31:21.318936 | 2025-05-13 04:29:37.227951 |