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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-14 07:15:31.280638 | 2026-04-15 00:41:57.134144 | 23703887 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23703887 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-04-17 | M | AE | PT | DHIR | XEM912603274 | PRADEEP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121725097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17555796/check_23703887_a8b4b48d-944b-43d7-adaa-ce31c77259ec.json | N/A | N/A | N/A | N/A | N/A | XEM912603274 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-08-24 | 2004SE000030 | X0001002 | N/A | OT | false | DHIR | N/A | REVA | N/A | N/A | 2026-04-14 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580271086 | N/A | N/A | 17555796 | 2222 | 4801 | 23897461 | N/A | 15603579 | 2026-04-15 00:41:57.134144 | 2026-04-17 17:11:47.109035 |
| 2026-04-14 07:15:31.110498 | 2026-04-15 00:41:56.353366 | 23703877 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 23703877 | Athletic Physical Therapy Inc | 1957-05-28 | 2026-04-16 | M | AE | PT | URGERO | H96252962 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121725097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16127642/check_23703877_23cd7181-7aaa-4936-bd6a-634f5752262c.json | N/A | N/A | N/A | N/A | N/A | H96252962 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1957-05-28 | N/A | 2B722001 | N/A | HN | false | URGERO | N/A | PAUL | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580271084 | N/A | N/A | 16127642 | 2222 | 4793 | 23897451 | N/A | 14187446 | 2026-04-15 00:41:56.353366 | 2026-01-30 22:41:52.330110 |
| 2026-04-14 07:15:30.838835 | 2026-04-15 00:43:02.968247 | 23703863 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23703863 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-04-16 | F | AE | PT | NOGHREIAN | 95391425F | FLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121725097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13994768/check_23703863_9ccacc94-c6fd-431f-9f08-e8b58cf29b94.json | N/A | N/A | N/A | N/A | N/A | 95391425F | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1947-11-15 | MCLA | MWLLDAGG21 | N/A | N/A | false | NOGHREIAN | N/A | FLORIA | N/A | 2078-12-31 | 2020-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580271083 | N/A | N/A | 13994768 | 2222 | 4802 | 23898539 | N/A | 4218728 | 2026-04-15 00:43:02.968247 | 2025-05-13 04:29:37.229718 |
| 2026-04-14 07:15:30.617424 | 2026-04-15 00:43:08.375565 | 23703849 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23703849 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-04-17 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121725097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_23703849_d65886d8-3902-4918-8838-c2ca69374834.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580271082 | N/A | N/A | 5538605 | 2222 | 4793 | 23898623 | N/A | 4210998 | 2026-04-15 00:43:08.375565 | 2026-02-23 18:49:01.874308 |
| 2026-04-14 07:15:30.466818 | 2026-04-15 00:42:19.102100 | 23703841 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23703841 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-04-16 | M | AE | PT | STEIN | 31780190311 | DONALD | H | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121725097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_23703841_ab3b7a99-098a-4863-853d-d4820f1b2953.json | N/A | N/A | N/A | N/A | N/A | 31780190311 | 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. | 1943-07-22 | N/A | N/A | N/A | SP | false | STEIN | N/A | DONALD | 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 | 10580271081 | N/A | N/A | 5538579 | 2222 | 4802 | 23897777 | N/A | 4210984 | 2026-04-15 00:42:19.102100 | 2025-08-15 17:42:50.500189 |
| 2026-04-14 07:13:08.882914 | 2026-04-15 00:46:35.125539 | 23692781 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23692781 | Athletic Physical Therapy Inc | 1977-10-14 | 2026-04-17 | M | AE | PT | Fike | 0015259812 | Steve | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19648423/check_23692781_51671d34-dd19-4648-9f77-5256f52bcde4.json | N/A | N/A | N/A | N/A | N/A | 0015259812 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1977-10-14 | N/A | N/A | N/A | N/A | false | FIKE | N/A | STEVE | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280738 | N/A | N/A | 19648423 | 2222 | 4793 | 23901887 | N/A | 17381626 | 2026-04-15 00:46:35.125539 | 2026-04-10 17:13:52.227827 |
| 2026-04-14 07:13:08.706922 | 2026-04-15 00:46:47.496021 | 23692767 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23692767 | Athletic Physical Therapy Inc | 1993-12-24 | 2026-04-15 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19621931/check_23692767_bd3358c4-d880-4d1b-9ebb-18f36ba31572.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580280737 | N/A | N/A | 19621931 | 2222 | 4802 | 23902092 | 4191 | 6604326 | 2026-04-15 00:46:47.496021 | 2025-08-06 18:06:11.137864 |
| 2026-04-14 07:13:08.545031 | 2026-04-15 00:46:43.264399 | 23692752 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 23692752 | Athletic Physical Therapy Inc | 1963-11-23 | 2026-04-17 | M | AE | PT | DZIWULSKI | U24670876 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19569943/check_23692752_c70b0bd6-c7f7-4e0d-a011-f1178c69fa33.json | N/A | N/A | N/A | N/A | N/A | U2467087601 | N/A | ACCENTURE LLP | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT PATIENT HAS ACCESS TO THE CIGNA PATHWELL SPECIALTY NETWORK | 1963-11-23 | N/A | 2499754 | N/A | N/A | false | DZIWULSKI | N/A | STEVE | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280736 | N/A | N/A | 19569943 | 2222 | 4801 | 23902027 | N/A | 17322951 | 2026-04-15 00:46:43.264399 | 2026-04-16 23:32:53.288115 |
| 2026-04-14 07:13:08.420709 | 2026-04-15 00:46:10.933694 | 23692742 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23692742 | Athletic Physical Therapy Inc | 1963-07-09 | 2026-04-16 | F | PT | N/A | RIALL | 388W2205920 | SUSAN | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19557327/check_23692742_9cf3511e-ea73-4ce6-89a9-a9322f85a9d4.json | N/A | N/A | N/A | N/A | N/A | 388W2205920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-07-09 | N/A | N/A | N/A | N/A | false | RIALL | N/A | SUSAN | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580280735 | N/A | N/A | 19557327 | 2222 | 4793 | 23901480 | 4185 | 16976591 | 2026-04-15 00:46:10.933694 | 2026-04-06 17:18:16.461723 |
| 2026-04-14 07:13:08.311154 | 2026-04-15 00:47:01.278388 | 23692733 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23692733 | Athletic Physical Therapy Inc | 1954-01-10 | 2026-04-15 | M | AE | PT | DE LA TORRE | 00000168932 | JOSE | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19497119/check_23692733_4dbb63a5-6633-49bc-be6a-2399f46a9eae.json | N/A | N/A | N/A | N/A | N/A | 00000168932 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1954-01-10 | N/A | N/A | N/A | N/A | false | DE LA TORRE | N/A | JOSE | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280734 | N/A | N/A | 19497119 | 2222 | 4793 | 23902298 | 2630 | 17271609 | 2026-04-15 00:47:01.278388 | 2026-04-08 23:06:39.863308 |
| 2026-04-14 07:13:08.161765 | 2026-04-15 00:46:35.980897 | 23692719 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23692719 | override_provider | 1943-05-12 | 2026-04-17 | M | AE | PT | Rubel | 1710301 | Charles | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19494676/check_23692719_f2135696-0bef-42d0-9ecf-7c1bad5857d2.json | N/A | N/A | N/A | N/A | N/A | 1710301 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1943-05-12 | N/A | N/A | N/A | N/A | false | RUBEL | N/A | CHARLES | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280733 | N/A | N/A | 19494676 | 2222 | 4793 | 23901899 | N/A | 17269039 | 2026-04-15 00:46:35.980897 | 2026-04-08 20:08:51.467329 |
| 2026-04-14 07:13:08.039960 | 2026-04-15 00:48:57.211822 | 23692707 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692707 | Athletic Physical Therapy Inc | 1967-02-06 | 2026-04-15 | F | AE | PT | Wright | 9H97V19HA68 | Anne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19487847/check_23692707_89e056e2-4802-4623-8073-7b8d83f2d65e.json | N/A | N/A | N/A | N/A | N/A | 9H97V19HA68 | Medicare Part A | N/A | OLD REPUBLIC RISK MANAGEMENT | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1967-02-06 | S5617 | DOL 10242009 | N/A | MA | false | WRIGHT | N/A | ANNE | 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 | 10580280732 | N/A | N/A | 19487847 | 2222 | 4793 | 23903854 | N/A | 17263395 | 2026-04-15 00:48:57.211822 | 2026-04-22 17:40:54.069345 |
| 2026-04-14 07:13:07.923717 | 2026-04-15 00:47:26.763681 | 23692697 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23692697 | Athletic Physical Therapy Inc | 1978-06-19 | 2026-04-16 | M | AE | PT | MAPARA | 97729763H | VISHAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19414110/check_23692697_df6f664d-074f-496f-bce1-1ff999d36976.json | N/A | N/A | N/A | N/A | N/A | 97729763H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-19 | MCLA | MWLLNMEG21 | N/A | N/A | false | MAPARA | N/A | VISHAL | 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 | 10580280731 | N/A | N/A | 19414110 | 2222 | 4802 | 23902678 | N/A | 17213425 | 2026-04-15 00:47:26.763681 | 2026-04-07 17:44:37.574880 |
| 2026-04-14 07:13:07.743459 | 2026-04-15 00:46:59.059019 | 23692683 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23692683 | Athletic Physical Therapy Inc | 1942-09-04 | 2026-04-15 | F | AE | PT | BELTRAN | 00000300426 | GUADALUPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19405771/check_23692683_51c6ca40-e076-45bd-83d9-25fa7bf0724b.json | N/A | N/A | N/A | N/A | N/A | 00000300426 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1942-09-04 | N/A | N/A | N/A | N/A | false | BELTRAN | N/A | GUADALUPE | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280730 | N/A | N/A | 19405771 | 2222 | 4801 | 23902265 | 2630 | 16550583 | 2026-04-15 00:46:59.059019 | 2026-03-30 19:15:40.661013 |
| 2026-04-14 07:13:07.560663 | 2026-04-15 00:48:44.013923 | 23692670 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692670 | Athletic Physical Therapy Inc | 1954-10-18 | 2026-04-15 | F | AE | PT | Nager | 2CR3C66YD13 | Nancy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19362910/check_23692670_3c065e0b-3d05-4150-8226-bb51630315d0.json | N/A | N/A | N/A | N/A | N/A | 2CR3C66YD13 | Medicare Part A | N/A | HEALTHCOMP, INC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-18 | N/A | 100SC1 | N/A | MA | false | NAGER | N/A | NANCY | 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 | 10580280729 | N/A | N/A | 19362910 | 2222 | 4793 | 23903654 | N/A | 17180562 | 2026-04-15 00:48:44.013923 | 2026-04-06 22:11:35.531761 |
| 2026-04-14 07:13:07.415562 | 2026-04-15 00:47:49.421966 | 23692656 | N/A | N/A | 60054 | Aetna | 1114042165 | 23692656 | Athletic Physical Therapy Inc | 1994-09-21 | 2026-04-17 | M | AE | PT | HALPERN | W282206828 | DUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19358365/check_23692656_42469f04-56c1-4f07-8d96-4c7582fb90ae.json | N/A | N/A | N/A | N/A | N/A | W282206828 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1994-09-21 | 0256680 | 025668005000013 | N/A | PR | false | BOWLING | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280728 | N/A | N/A | 19358365 | 2222 | 4801 | 23902912 | N/A | 17175843 | 2026-04-15 00:47:49.421966 | 2026-04-06 20:23:40.327651 |
| 2026-04-14 07:13:07.303442 | 2026-04-15 00:46:44.264899 | 23692647 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 23692647 | Athletic Physical Therapy Inc | 1973-10-06 | 2026-04-17 | F | AE | PT | Casagrande | R00486960FS1 | Tamara | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084730/check_23692647_d6535ff5-76f8-4bc7-ba0d-1140805d7eec.json | N/A | N/A | N/A | N/A | N/A | R00486960FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-10-06 | N/A | N/A | N/A | N/A | false | CASAGRANDE | N/A | TAMARA | N/A | N/A | N/A | MZC BRONZHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280727 | N/A | N/A | 19084730 | 2222 | 4793 | 23902041 | N/A | 17081329 | 2026-04-15 00:46:44.264899 | 2026-04-03 22:08:08.919747 |
| 2026-04-14 07:13:07.142125 | 2026-04-15 00:46:18.441494 | 23692635 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23692635 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-04-16 | M | AE | PT | Weiner | 000000201398 | Bernard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_23692635_a5995ccc-794c-40d3-9d32-f405e9f2ae34.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280726 | N/A | N/A | 19076126 | 2222 | 4802 | 23901616 | N/A | 17061917 | 2026-04-15 00:46:18.441494 | 2026-04-02 22:23:37.722121 |
| 2026-04-14 07:13:06.950546 | 2026-04-15 00:46:25.472549 | 23692622 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23692622 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-04-16 | M | AE | PT | ESCOLL | XEM913388225 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075589/check_23692622_4500d5f0-0567-4afb-8c41-b60e76b81057.json | N/A | N/A | N/A | N/A | N/A | XEM913388225 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-12 | 2002SE000030 | X0001002 | N/A | OT | false | ESCOLL | N/A | PAUL | N/A | N/A | 2026-04-14 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280725 | N/A | N/A | 19075589 | 2222 | 4802 | 23901739 | N/A | 17061553 | 2026-04-15 00:46:25.472549 | 2026-04-03 00:44:20.509677 |
| 2026-04-14 07:13:06.787479 | 2026-04-15 00:46:12.896504 | 23692608 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23692608 | Athletic Physical Therapy Inc | 1993-03-31 | 2026-04-16 | M | PT | N/A | Rodgers | K3A701W13372 | Joshua | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19068557/check_23692608_62ae300c-d4a9-4e13-abee-07f4d3d04dd5.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 | 10580280723 | N/A | N/A | 19068557 | 2222 | 4793 | 23901517 | N/A | 17050652 | 2026-04-15 00:46:12.896504 | 2026-04-02 20:47:22.998000 |
| 2026-04-14 07:13:06.658513 | 2026-04-15 00:47:22.280859 | 23692600 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 23692600 | Athletic Physical Therapy Inc | 1968-07-14 | 2026-04-16 | M | AE | PT | MACONE | UZ163510801 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19060263/check_23692600_80d89798-76b4-4c4e-b8b8-94cc589aeafd.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 | 10580280722 | N/A | N/A | 19060263 | 2222 | 4801 | 23902594 | N/A | 17042622 | 2026-04-15 00:47:22.280859 | 2026-04-10 15:16:29.151767 |
| 2026-04-14 07:13:06.513642 | 2026-04-15 00:48:34.908936 | 23692587 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692587 | Athletic Physical Therapy Inc | 1960-09-09 | 2026-04-15 | F | AE | PT | Mathias | 9K28QH6XD53 | Danette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19007150/check_23692587_ae1ae758-7d2e-4492-aae3-26a17e0772c8.json | N/A | N/A | N/A | N/A | N/A | 9K28QH6XD53 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-09 | S5617 | N/A | N/A | MB | false | MATHIAS | N/A | DANETTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 18223 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280721 | N/A | N/A | 19007150 | 2222 | 4801 | 23903508 | N/A | 4208538 | 2026-04-15 00:48:34.908936 | 2026-04-08 23:04:23.819170 |
| 2026-04-14 07:13:06.344552 | 2026-04-15 00:48:46.598249 | 23692577 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692577 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-15 | F | AE | PT | Velazquez | 2YV3K80NR70 | Victoria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18969574/check_23692577_a9fda20d-10c5-4c3d-84e5-d07d39ea6f78.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 | 28531 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280720 | N/A | N/A | 18969574 | 2222 | 4801 | 23903694 | N/A | 14926242 | 2026-04-15 00:48:46.598249 | 2026-03-06 18:16:10.395182 |
| 2026-04-14 07:13:06.174262 | 2026-04-15 00:46:45.845506 | 23692563 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23692563 | Athletic Physical Therapy Inc | 2000-01-16 | 2026-04-17 | M | AE | PT | COHEN | R15053348MM1 | BEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18898121/check_23692563_67388101-6352-46b5-bb7b-76c33291fe97.json | N/A | N/A | N/A | N/A | N/A | R15053348MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 2000-01-16 | N/A | N/A | N/A | N/A | false | COHEN | N/A | BEN | N/A | 2026-03-31 | 2026-01-01 | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280719 | N/A | N/A | 18898121 | 2222 | 4802 | 23902067 | 4625 | 16884375 | 2026-04-15 00:46:45.845506 | 2026-04-01 15:30:39.812102 |
| 2026-04-14 07:13:05.921159 | 2026-04-15 00:47:48.368998 | 23692543 | N/A | N/A | 60054 | Aetna | 1114042165 | 23692543 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-04-15 | M | AE | PT | Benson | W241108199 | Charles | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_23692543_d62cd4e4-13c3-4549-8c66-fa7b4927071c.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 | 10580280718 | N/A | N/A | 18897636 | 2222 | 4802 | 23902903 | N/A | 16883637 | 2026-04-15 00:47:48.368998 | 2026-04-06 22:06:37.386389 |
| 2026-04-14 07:13:05.756730 | 2026-04-15 00:48:31.870288 | 23692530 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692530 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-04-15 | M | AE | PT | GREEN | 1RT1HE3RR06 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18837892/check_23692530_57d0d913-20d7-42b4-8b66-a6dd97e72f9b.json | N/A | N/A | N/A | N/A | N/A | 1RT1HE3RR06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-18 | S4802 | N/A | N/A | MA | false | GREEN | N/A | PATRICK | 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 | 10580280717 | N/A | N/A | 18837892 | 2222 | 4801 | 23903455 | N/A | 16813949 | 2026-04-15 00:48:31.870288 | 2026-03-31 19:01:10.524839 |
| 2026-04-14 07:13:05.625888 | 2026-04-15 00:46:09.823063 | 23692518 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23692518 | Athletic Physical Therapy Inc | 2003-07-09 | 2026-04-16 | F | PT | N/A | Miller | XDM192M99937 | Emily | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18796625/check_23692518_bd86bb0d-26a3-4172-b6a3-35821ca29a05.json | N/A | N/A | N/A | N/A | N/A | XDM192M99937 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 2003-07-09 | 040 | 282241H001 | N/A | HM | false | MILLER | N/A | JILL | N/A | 9999-12-31 | 2019-03-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580280716 | N/A | N/A | 18796625 | 2222 | 4793 | 23901461 | N/A | 16770571 | 2026-04-15 00:46:09.823063 | 2026-04-06 21:25:26.219750 |
| 2026-04-14 07:13:05.335599 | 2026-04-15 00:46:38.788510 | 23692491 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23692491 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-15 | M | AE | PT | LIBERMAN | 000022717735 | ANDREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775389/check_23692491_85f7bfcd-99ab-4b6f-98d0-5278ec684dcc.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 | 10580280715 | N/A | N/A | 18775389 | 2222 | 4802 | 23901942 | N/A | 16749367 | 2026-04-15 00:46:38.788510 | 2026-03-26 23:17:06.136103 |
| 2026-04-14 07:13:05.132826 | 2026-04-15 00:46:20.364845 | 23692471 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23692471 | override_provider | 1947-12-17 | 2026-04-16 | M | AE | PT | KANEGAI | 000004753197 | BRUCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18771796/check_23692471_5ada8197-353b-4124-9562-b3ee3973f645.json | N/A | N/A | N/A | N/A | N/A | 000004753197 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-12-17 | 563737 | 101142 | N/A | N/A | false | KANEGAI | N/A | BRUCE | N/A | 2026-12-31 | 2026-01-01 | ASCIP - SIMI VALLEY UNIFIED SCHOOL DISTRICT SVUSD- | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280714 | N/A | N/A | 18771796 | 2222 | 4801 | 23901653 | N/A | 16745270 | 2026-04-15 00:46:20.364845 | 2026-04-07 14:47:39.458413 |
| 2026-04-14 07:13:04.982040 | 2026-04-15 00:46:41.374070 | 23692457 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23692457 | Athletic Physical Therapy Inc | 1965-08-19 | 2026-04-17 | M | PT | N/A | Baral | JQU381M93283 | Joel | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18761224/check_23692457_e48362d1-879a-40cd-924b-c18070d016d6.json | N/A | N/A | N/A | N/A | N/A | JQU381M93283 | Preferred Provider Organization (PPO) | R C BARAL & COMPANY INC | BLUE SHIELD OF CALIFORNIA | N/A | 1965-08-19 | 040 | J54027 | N/A | PR | false | BARAL | N/A | JOEL | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580280713 | N/A | N/A | 18761224 | 2222 | 4793 | 23901991 | N/A | 16741890 | 2026-04-15 00:46:41.374070 | 2026-03-26 20:45:58.539701 |
| 2026-04-14 07:13:04.844286 | 2026-04-15 00:47:42.094385 | 23692448 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23692448 | Athletic Physical Therapy Inc | 1946-07-13 | 2026-04-16 | F | AD | 30 | Martinez | 40019464901 | Suzanne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18686160/check_23692448_5aad21c2-0f44-4090-9ece-28047ec64e89.json | N/A | N/A | N/A | N/A | N/A | 40019464901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-07-13 | 2026H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | SUZANNE | 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 | 10580280712 | N/A | N/A | 18686160 | 2222 | 4801 | 23902838 | 6237 | 16674025 | 2026-04-15 00:47:42.094385 | 2026-03-25 21:24:10.310122 |
| 2026-04-14 07:13:04.671180 | 2026-04-15 00:47:42.589964 | 23692434 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23692434 | Athletic Physical Therapy Inc | 1953-12-02 | 2026-04-17 | F | AE | PT | NAVARRO | 40054242701 | SYLVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18615862/check_23692434_e4621a7c-fbdd-42bf-b5d9-0744974e2794.json | N/A | N/A | N/A | N/A | N/A | 40054242701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-02 | 2026H5425001 | H5425M | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280711 | N/A | N/A | 18615862 | 2222 | 4793 | 23902842 | 6237 | 5788735 | 2026-04-15 00:47:42.589964 | 2025-07-09 16:24:26.907790 |
| 2026-04-14 07:13:04.518897 | 2026-04-15 00:46:21.600170 | 23692416 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23692416 | override_provider | 2009-05-22 | 2026-04-16 | M | AE | PT | LIVINGSTON | 000024871001 | DONNER | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18610016/check_23692416_775acb7f-4436-4b47-af9d-6f6c0c904379.json | N/A | N/A | N/A | N/A | N/A | 000024871001 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-05-22 | 4359961 | 108601 | N/A | N/A | false | LIVINGSTON | N/A | DONNER | N/A | 2026-12-31 | 2026-01-01 | TEAMSTERS MULTI BENEFIT TRUST TMBT-TIP-KP ONLY / 1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280710 | N/A | N/A | 18610016 | 2222 | 4802 | 23901675 | N/A | 16611782 | 2026-04-15 00:46:21.600170 | 2026-04-29 15:29:54.461887 |
| 2026-04-14 07:13:04.226008 | 2026-04-15 00:46:37.303608 | 23692387 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23692387 | Athletic Physical Therapy Inc | 1963-04-30 | 2026-04-16 | F | AE | PT | Anderson | 000016196311 | Janice | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18599106/check_23692387_6fafef64-751a-4bd2-af56-d7c5b04a5913.json | N/A | N/A | N/A | N/A | N/A | 000016196311 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1963-04-30 | 4320310 | 1650095001 | N/A | N/A | false | ANDERSON | N/A | JANICE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE GOLD 80 HMO COINSUR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280709 | N/A | N/A | 18599106 | 2222 | 4802 | 23901919 | N/A | 16601576 | 2026-04-15 00:46:37.303608 | 2026-03-24 19:40:50.353536 |
| 2026-04-14 07:13:03.931869 | 2026-04-15 00:47:22.229532 | 23692357 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23692357 | Athletic Physical Therapy Inc | 1990-12-13 | 2026-04-16 | F | AE | PT | LARA | 629957136 | LYZBETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18561509/check_23692357_036dafae-1270-4a02-a6f8-e6515204e5c5.json | N/A | N/A | N/A | N/A | N/A | 629957136 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1990-12-13 | LACC | 92815CA001000701 | N/A | N/A | false | LARA | N/A | LYZBETH | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280708 | N/A | N/A | 18561509 | 2222 | 4802 | 23902591 | N/A | 16563738 | 2026-04-15 00:47:22.229532 | 2026-03-31 15:29:05.371944 |
| 2026-04-14 07:13:03.755115 | 2026-04-15 00:46:35.499064 | 23692340 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23692340 | Athletic Physical Therapy Inc | 2004-06-16 | 2026-04-17 | M | AE | PT | KARIYAKARAWANA | 0026520673 | DAHAM | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18560783/check_23692340_fafe06b2-0a30-49cb-8707-c1fedab0aa88.json | N/A | N/A | N/A | N/A | N/A | 0026520673 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2004-06-16 | N/A | N/A | N/A | N/A | false | KARIYAKARAWANA | N/A | DAHAM | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280707 | N/A | N/A | 18560783 | 2222 | 4802 | 23901892 | N/A | 16562862 | 2026-04-15 00:46:35.499064 | 2026-04-16 15:30:20.950162 |
| 2026-04-14 07:13:03.584997 | 2026-04-15 00:46:17.376429 | 23692325 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23692325 | Athletic Physical Therapy Inc | 1962-11-13 | 2026-04-15 | M | AE | PT | Trevellin | 000016368983 | Maurizio | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538335/check_23692325_3b55fe8a-2fa8-4399-aa84-c17c5ff0ae27.json | N/A | N/A | N/A | N/A | N/A | 000016368983 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-11-13 | 562547 | 103000 | N/A | N/A | false | TREVELLIN | N/A | MAURIZIO | N/A | 2026-12-31 | 2026-01-01 | NABIH YOUSSEF & ASSOCIATION NABIH YOUSSEF & ASS/PL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280706 | N/A | N/A | 18538335 | 2222 | 4802 | 23901592 | N/A | 16540455 | 2026-04-15 00:46:17.376429 | 2026-03-23 15:50:46.266916 |
| 2026-04-14 07:13:03.431257 | 2026-04-15 00:46:38.240991 | 23692308 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23692308 | Athletic Physical Therapy Inc | 1953-06-23 | 2026-04-17 | M | AE | PT | Fields | 000008100545 | Renny | Arthur | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_23692308_f0db8c0c-6c47-4dcc-95fd-2ffec78b6678.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 UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280705 | N/A | N/A | 18473083 | 2222 | 4802 | 23901935 | N/A | 16473148 | 2026-04-15 00:46:38.240991 | 2026-03-29 14:38:33.964725 |
| 2026-04-14 07:13:03.293960 | 2026-04-15 00:45:49.131027 | 23692297 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23692297 | Athletic Physical Therapy Inc | 1941-12-28 | 2026-04-16 | F | AE | PT | KATZOFF | H5070031200 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18459155/check_23692297_4412b2cf-0833-4c88-8316-2c7e231fa28c.json | N/A | N/A | N/A | N/A | N/A | H50700312 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1941-12-28 | N/A | 2B722001 | N/A | HN | false | KATZOFF | N/A | CAROLYN | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580280704 | N/A | N/A | 18459155 | 2222 | 4801 | 23901130 | 5349 | 16458858 | 2026-04-15 00:45:49.131027 | 2026-03-20 17:56:12.644597 |
| 2026-04-14 07:13:03.067863 | 2026-04-15 00:46:01.642413 | 23692277 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23692277 | Athletic Physical Therapy Inc | 1989-09-17 | 2026-04-17 | F | PT | N/A | Hasan | C2Z2996060LM | Eeman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18405329/check_23692277_f4d549ef-c506-49f1-bd94-a5eef1e0e809.json | N/A | N/A | N/A | N/A | N/A | C2Z2996060LM | Preferred Provider Organization (PPO) | CLINICAS DEL CAMINO REAL INC | ANTHEM BLUE CROSS | N/A | 1989-09-17 | 040 | L13905M001 | N/A | PR | false | HASAN | N/A | EEMAN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580280703 | N/A | N/A | 18405329 | 2222 | 4793 | 23901314 | N/A | 16408977 | 2026-04-15 00:46:01.642413 | 2026-04-08 19:03:33.886645 |
| 2026-04-14 07:13:02.906568 | 2026-04-15 00:47:56.436753 | 23692265 | N/A | N/A | 60054 | Aetna | 1114042165 | 23692265 | Athletic Physical Therapy Inc | 1956-06-18 | 2026-04-17 | F | AE | PT | THEODORE | 101217709600 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386671/check_23692265_7d356f46-5982-40af-bd3c-581ba3ff58eb.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 | 10580280702 | N/A | N/A | 18386671 | 2222 | 4793 | 23902985 | N/A | 16392709 | 2026-04-15 00:47:56.436753 | 2026-03-19 17:41:51.337704 |
| 2026-04-14 07:13:02.707132 | 2026-04-15 00:48:32.909615 | 23692243 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692243 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-15 | F | AE | PT | KIM | 2CK8PQ4QA27 | SARAH | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18379311/check_23692243_9f5d498a-c606-472d-9fb6-7ea098386262.json | N/A | N/A | N/A | N/A | N/A | 2CK8PQ4QA27 | Medicare Part A | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-01-27 | H5425 | N/A | N/A | MA | 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 | 10580280701 | N/A | N/A | 18379311 | 2222 | 4802 | 23903476 | N/A | 16386056 | 2026-04-15 00:48:32.909615 | 2026-03-19 16:01:57.090565 |
| 2026-04-14 07:13:02.562936 | 2026-04-15 00:46:45.181124 | 23692233 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23692233 | Athletic Physical Therapy Inc | 2009-09-02 | 2026-04-17 | F | PT | N/A | DECKER | JQU849A78963 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18328449/check_23692233_5779b136-0240-4530-8c27-3cf99e831e2b.json | N/A | N/A | N/A | N/A | N/A | JQU849A78963 | Preferred Provider Organization (PPO) | ROLLING OAKS RADIOLOGY ME | BLUE SHIELD OF CALIFORNIA | N/A | 2009-09-02 | 040 | 422228 | N/A | PR | false | DECKER | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER PPO HSA/H 2300/3400/4600 30% PREVRX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580280700 | N/A | N/A | 18328449 | 2222 | 4801 | 23902054 | N/A | 16339129 | 2026-04-15 00:46:45.181124 | 2026-03-26 22:11:26.115150 |
| 2026-04-14 07:13:02.353186 | 2026-04-15 00:46:46.167665 | 23692212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23692212 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-04-16 | F | PT | N/A | FELT | JXN853M92476 | KATHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_23692212_05c3cd28-0ea1-44de-8cab-826ae0ac9e53.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281542 | N/A | N/A | 18326912 | 2222 | 4801 | 23902071 | N/A | 16337774 | 2026-04-15 00:46:46.167665 | 2026-03-18 18:21:21.968505 |
| 2026-04-14 07:13:02.164288 | 2026-04-15 00:46:37.726050 | 23692193 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23692193 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-04-17 | F | AE | PT | Durant | 000008717870 | Jovanna | Sharelle Shishonna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_23692193_9da9b4b4-5411-449d-87bc-9e7f973d992f.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 S.E.I | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281541 | N/A | N/A | 18270267 | 2222 | 4802 | 23901926 | N/A | 16284557 | 2026-04-15 00:46:37.726050 | 2026-03-22 16:36:56.176369 |
| 2026-04-14 07:13:01.925261 | 2026-04-15 00:47:24.622287 | 23692171 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23692171 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-04-15 | M | AE | PT | Lopez Garcia | 95890433F | Eduardo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_23692171_f1145b6f-bf26-46b7-92cc-85de7b70cb07.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281540 | N/A | N/A | 18216914 | 2222 | 4802 | 23902639 | N/A | 16232218 | 2026-04-15 00:47:24.622287 | 2026-03-16 23:33:21.904145 |
| 2026-04-14 07:13:01.772287 | 2026-04-15 00:47:29.398446 | 23692155 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23692155 | Athletic Physical Therapy Inc | 1959-09-16 | 2026-04-17 | M | AE | PT | ALCANTAR NINO JR | 91443370E | ROBERT | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18211182/check_23692155_8d07b5ea-8b9c-4c8d-a83a-bdfdb8d5b4d5.json | N/A | N/A | N/A | N/A | N/A | 91443370E | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1959-09-16 | MCLA | MWLLDAGG21 | N/A | N/A | false | NINO | N/A | ROBERT | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281539 | N/A | N/A | 18211182 | 2222 | 4802 | 23902716 | N/A | 16226174 | 2026-04-15 00:47:29.398446 | 2026-03-16 20:58:43.263663 |
| 2026-04-14 07:13:01.586402 | 2026-04-15 00:48:24.990335 | 23692141 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23692141 | Athletic Physical Therapy Inc | 1959-11-17 | 2026-04-15 | F | AE | PT | CAMACHO | 4UD4UH0JJ60 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18199097/check_23692141_9049c5c1-ca52-4833-94d9-d6c6be643811.json | N/A | N/A | N/A | N/A | N/A | 4UD4UH0JJ60 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-11-17 | S4802 | N/A | N/A | MA | false | CAMACHO | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 100877 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281537 | N/A | N/A | 18199097 | 2222 | 4801 | 23903357 | N/A | 16213336 | 2026-04-15 00:48:24.990335 | 2026-03-22 14:01:32.548786 |
| 2026-04-14 07:13:01.461024 | 2026-04-15 00:49:32.256742 | 23692131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23692131 | Athletic Physical Therapy Inc | 1979-07-25 | 2026-04-16 | M | PT | N/A | DOBBIE | JQU942M93268 | DRAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_23692131_35e46223-830c-464a-bf6d-a07abeb40d11.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281536 | N/A | N/A | 18097686 | 2222 | 4801 | 23904394 | N/A | 16122002 | 2026-04-15 00:49:32.256742 | 2026-03-19 18:31:16.913461 |
| 2026-04-14 07:13:01.267744 | 2026-04-15 00:46:22.908184 | 23692119 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 23692119 | Athletic Physical Therapy Inc | 2008-01-01 | 2026-04-16 | M | AE | PT | Talasazan | 90246457E | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260414.121916019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_23692119_7cfc20d9-0bc6-4131-8d8c-9bf9d9e69a38.json | N/A | N/A | N/A | N/A | N/A | 90246457E | 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) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281535 | N/A | N/A | 18095833 | 2222 | 4802 | 23901697 | N/A | 16119978 | 2026-04-15 00:46:22.908184 | 2026-04-03 21:05:07.393901 |