API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-14 07:12:51.222881 | 2026-04-15 00:46:08.039355 | 23691299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23691299 | Athletic Physical Therapy Inc | 2020-04-30 | 2026-04-17 | M | PT | Marez | LSA753A24370 | Sebastian | Blake | 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/2222/15242730/check_23691299_ed623f1e-ee84-42d9-a5e8-450c0a593afd.json | N/A | N/A | N/A | N/A | N/A | LSA753A24370 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2020-04-30 | 040 | 1841AC | N/A | PR | false | MAREZ | N/A | VANESSA | 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 | 10580281090 | N/A | N/A | 15242730 | 2222 | 4793 | 23901430 | N/A | 13342601 | 2026-04-15 00:46:08.039355 | 2026-01-10 00:43:10.594667 |
| 2026-04-14 07:12:51.015991 | 2026-04-15 00:46:28.416337 | 23691283 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 23691283 | Athletic Physical Therapy Inc | 1979-09-06 | 2026-04-16 | F | AE | WASSEF | U9059513402 | JAKLEEN | N/A | PT | 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/2222/15215336/check_23691283_d8ecddb6-c73d-4bf4-b129-f6372000259f.json | N/A | N/A | N/A | N/A | N/A | U9059513402 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1979-09-06 | N/A | 3340850 | N/A | HM | false | WASSEF | N/A | JAKLEEN | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281089 | N/A | N/A | 15215336 | 2222 | 4801 | 23901786 | N/A | 4213924 | 2026-04-15 00:46:28.416337 | 2026-01-09 23:14:39.028891 |
| 2026-04-14 07:12:50.854028 | 2026-04-15 00:46:24.532334 | 23691271 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23691271 | Athletic Physical Therapy Inc | 1991-09-17 | 2026-04-17 | F | PT | Levitt | XEA906302743 | Hannah | N/A | 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/2222/14999324/check_23691271_ccb93c7c-0c0b-432b-b0a5-53fc21c802de.json | N/A | N/A | N/A | N/A | N/A | XEA906302743 | Preferred Provider Organization (PPO) | AETHER FILMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-09-17 | 1000VX000103 | W0065938 | N/A | PR | false | DILILLO | N/A | DAVIS | N/A | 9999-12-31 | 2025-10-01 | BLUE SHIELD GOLD 80 PPO 350 25 PCP CHILD DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281088 | N/A | N/A | 14999324 | 2222 | 4802 | 23901726 | N/A | 13112676 | 2026-04-15 00:46:24.532334 | 2026-01-05 17:03:35.278778 |
| 2026-04-14 07:12:50.699407 | 2026-04-15 00:49:27.172049 | 23691258 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23691258 | Athletic Physical Therapy Inc | 1982-07-27 | 2026-04-17 | M | PT | BOKHTIER | NGO052M92255 | GOLAM | N/A | 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/2222/14925066/check_23691258_04e074cf-4ad1-45e0-b50e-9bc4919ec14b.json | N/A | N/A | N/A | N/A | N/A | NGO052M92255 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1982-07-27 | 040 | 174022MJAD | N/A | PR | false | BOKHTIER | N/A | GOLAM | N/A | 2026-12-31 | 2026-04-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281087 | N/A | N/A | 14925066 | 2222 | 4793 | 23904291 | N/A | 4212833 | 2026-04-15 00:49:27.172049 | 2025-05-28 20:46:35.079848 |
| 2026-04-14 07:12:50.510218 | 2026-04-15 00:46:48.220359 | 23691246 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23691246 | Athletic Physical Therapy Inc | 1997-12-06 | 2026-04-16 | F | AE | GHARAVI | 99570419E | JASMINE | S | PT | 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/2222/14856447/check_23691246_74c50980-9a6b-43d3-8206-fcbd6dc57fb4.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-03-31 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281086 | N/A | N/A | 14856447 | 2222 | 4802 | 23902105 | 4625 | 12968899 | 2026-04-15 00:46:48.220359 | 2026-01-05 20:58:07.379737 |
| 2026-04-14 07:12:50.381564 | 2026-04-15 00:46:44.096810 | 23691235 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23691235 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-04-16 | F | PT | Cherry | XDP380A22244 | Megan | N/A | 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/2222/14387696/check_23691235_60234fc9-52d7-48f6-8b1b-fc40a9a3002a.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281085 | N/A | N/A | 14387696 | 2222 | 4802 | 23902040 | N/A | 12521666 | 2026-04-15 00:46:44.096810 | 2025-12-17 22:18:09.286393 |
| 2026-04-14 07:12:50.168589 | 2026-04-15 00:46:15.717117 | 23691221 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23691221 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-04-17 | F | PT | Vo | TOA651A68427 | Tram | M | 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/2222/14115191/check_23691221_85d3cb46-7465-488d-81d4-39d2d5cec21f.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281084 | N/A | N/A | 14115191 | 2222 | 4802 | 23901562 | N/A | 12253534 | 2026-04-15 00:46:15.717117 | 2025-12-11 19:59:32.714775 |
| 2026-04-14 07:12:50.042019 | 2026-04-15 00:46:54.826036 | 23691213 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23691213 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-04-17 | F | PT | STYLES | XYL990311433 | SUSAN | N/A | 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/2222/14110178/check_23691213_427be768-eca4-4709-94a4-bb0c3f793662.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281083 | N/A | N/A | 14110178 | 2222 | 4801 | 23902208 | N/A | 10999467 | 2026-04-15 00:46:54.826036 | 2025-11-14 21:36:13.911423 |
| 2026-04-14 07:12:49.906939 | 2026-04-15 00:47:21.554366 | 23691204 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 23691204 | override_provider | 1962-09-10 | 2026-04-16 | M | PT | M Johnson | KWS141015355001 | David | N/A | 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/2222/14108628/check_23691204_2c28c89d-74c7-4c7d-a0a6-83a97575720b.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281082 | N/A | N/A | 14108628 | 2222 | 4801 | 23902582 | N/A | 12247347 | 2026-04-15 00:47:21.554366 | 2025-12-10 23:35:09.824882 |
| 2026-04-14 07:12:49.737316 | 2026-04-15 00:46:21.891075 | 23691194 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23691194 | Athletic Physical Therapy Inc | 2003-10-23 | 2026-04-17 | M | AE | SMIT DUYZENTKUNST | 94370227G | JAMES | R | PT | 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/2222/14037868/check_23691194_97297eb3-63e9-47d3-9db1-86a004baa002.json | N/A | N/A | N/A | N/A | N/A | 94370227G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281081 | N/A | N/A | 14037868 | 2222 | 4793 | 23901679 | 4211 | 6038528 | 2026-04-15 00:46:21.891075 | 2025-07-24 19:34:35.056005 |
| 2026-04-14 07:12:49.507221 | 2026-04-15 00:45:48.180816 | 23691179 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23691179 | Athletic Physical Therapy Inc | 1959-02-22 | 2026-04-17 | M | AE | ELGHANIAN | H6572019100 | KAM | N/A | PT | 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/2222/13644533/check_23691179_d7d4c230-5a8a-41f2-a5c1-cf99c8ddb469.json | N/A | N/A | N/A | N/A | N/A | H65720191 | 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 | 1959-02-22 | N/A | 5A962001 | N/A | HN | false | ELGHANIAN | N/A | KAMBIZ | 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 | 10580281080 | N/A | N/A | 13644533 | 2222 | 4802 | 23901116 | 5349 | 11234326 | 2026-04-15 00:45:48.180816 | 2026-04-14 20:04:17.055093 |
| 2026-04-14 07:12:49.275454 | 2026-04-15 00:45:49.740431 | 23691165 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23691165 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-04-16 | M | AE | Kisca | H6309049800 | John | C | PT | 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/2222/13037589/check_23691165_be352c41-f19a-44d5-8233-c96b3bd1985c.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281079 | N/A | N/A | 13037589 | 2222 | 4793 | 23901138 | 5349 | 11194723 | 2026-04-15 00:45:49.740431 | 2025-12-17 17:59:32.346197 |
| 2026-04-14 07:12:49.085015 | 2026-04-15 00:45:50.292410 | 23691150 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23691150 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-04-17 | F | AE | MENDEZ | H9608321000 | LINDA | I | PT | 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/2222/12421991/check_23691150_76fac5ea-0be7-4758-ae66-79fc513eb4f5.json | N/A | N/A | N/A | N/A | N/A | H96083210 | 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 | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 10580281078 | N/A | N/A | 12421991 | 2222 | 4793 | 23901148 | 5349 | 10601861 | 2026-04-15 00:45:50.292410 | 2025-11-07 18:35:55.025808 |
| 2026-04-14 07:12:48.927311 | 2026-04-15 00:46:41.625462 | 23691137 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23691137 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-04-17 | M | AE | Vallez | UZ117007801 | Christopher | N/A | PT | 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/2222/11619496/check_23691137_22adcd21-87fd-4071-aa04-2180533f5988.json | N/A | N/A | N/A | N/A | N/A | UZ117007801 | 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. | 1986-03-20 | 67138CA0520015-06 | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | 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 | 10580281077 | N/A | N/A | 11619496 | 2222 | 4802 | 23901996 | 4625 | 9856940 | 2026-04-15 00:46:41.625462 | 2025-11-10 19:43:16.763776 |
| 2026-04-14 07:12:48.716617 | 2026-04-15 00:48:58.688940 | 23691116 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23691116 | Athletic Physical Therapy Inc | 1956-12-19 | 2026-04-15 | F | AE | YEN | 7QK3HE4XQ19 | JENNY | P | PT | 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/2222/10033466/check_23691116_34917e19-c01c-443d-a247-f19de3255ce8.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MB | false | YEN | N/A | JENNY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 23407 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281076 | N/A | N/A | 10033466 | 2222 | 4793 | 23903879 | N/A | 8398587 | 2026-04-15 00:48:58.688940 | 2025-10-07 14:21:54.880940 |
| 2026-04-14 07:12:48.431824 | 2026-04-15 00:49:29.929044 | 23691092 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 23691092 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-04-16 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | 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/2222/9194927/check_23691092_33e65c34-9fe4-4100-a4a4-2a729389d7af.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281075 | N/A | N/A | 9194927 | 2222 | 4793 | 23904344 | 4184 | 7712549 | 2026-04-15 00:49:29.929044 | 2025-09-10 17:29:28.945035 |
| 2026-04-14 07:12:48.251856 | 2026-04-15 00:48:45.387373 | 23691077 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23691077 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-15 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | N/A | PT | 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/2222/8979192/check_23691077_c89cdbe9-9731-433c-b35a-c452d723d621.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 153833 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281074 | N/A | N/A | 8979192 | 2222 | 4793 | 23903675 | N/A | 7498543 | 2026-04-15 00:48:45.387373 | 2025-10-14 17:13:32.178778 |
| 2026-04-14 07:12:48.026525 | 2026-04-15 00:47:18.967839 | 23691056 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 23691056 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-04-16 | M | AE | FAVELA | 620360888 | MAXIMILIAN | RINALDO | PT | 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/2222/8960010/check_23691056_617ea934-a0bf-4eec-8386-850489a852a5.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281073 | N/A | N/A | 8960010 | 2222 | 4802 | 23902540 | 5538 | 7476978 | 2026-04-15 00:47:18.967839 | 2026-01-07 18:27:22.752552 |
| 2026-04-14 07:12:47.613995 | 2026-04-15 00:48:23.781168 | 23691022 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23691022 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-04-15 | F | AE | Ahadian | 3PT2AT4QU70 | Vida | N/A | PT | 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/2222/8477425/check_23691022_ae677ffc-9ed2-4c08-97d7-7eac7f282865.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 187671 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281072 | N/A | N/A | 8477425 | 2222 | 4802 | 23903338 | N/A | 7146980 | 2026-04-15 00:48:23.781168 | 2025-08-25 22:34:13.951153 |
| 2026-04-14 07:12:47.438846 | 2026-04-15 00:48:25.997879 | 23691005 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23691005 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-04-15 | F | AE | CHICAS | 2VE9DX6NU27 | MARIA | N/A | PT | 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/2222/8202975/check_23691005_e920bafa-138d-47b0-9657-b04ffc24ba1a.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MA | false | CHICAS | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 38817 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281071 | N/A | N/A | 8202975 | 2222 | 4802 | 23903372 | N/A | 6965620 | 2026-04-15 00:48:25.997879 | 2025-09-03 23:20:10.287852 |
| 2026-04-14 07:12:47.283805 | 2026-04-15 00:48:29.973098 | 23690992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23690992 | Athletic Physical Therapy Inc | 1948-11-19 | 2026-04-15 | M | AE | GONZALEZ JR | 1E61CX0GK13 | LEO | N/A | PT | 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/2222/7456457/check_23690992_3e9e174f-3bb0-4fc7-a43d-269b129e33ad.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MA | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 142460 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281070 | N/A | N/A | 7456457 | 2222 | 4793 | 23903429 | N/A | 6405774 | 2026-04-15 00:48:29.973098 | 2026-03-16 21:02:08.525887 |
| 2026-04-14 07:12:47.139458 | 2026-04-15 00:48:27.103226 | 23690979 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23690979 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-15 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | 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/2222/6752936/check_23690979_56ed574f-3aec-4816-9aaf-35b6216e0c23.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 247371 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281069 | N/A | N/A | 6752936 | 2222 | 4801 | 23903387 | N/A | 5065602 | 2026-04-15 00:48:27.103226 | 2025-07-01 17:25:13.681724 |
| 2026-04-14 07:12:46.956810 | 2026-04-15 00:47:45.393536 | 23690966 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23690966 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-04-17 | M | AE | SIMMONS | 40055722801 | J | C | PT | 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/2222/6685251/check_23690966_c1987eca-cab6-4894-944a-101d8b3b6ebc.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281068 | N/A | N/A | 6685251 | 2222 | 4793 | 23902874 | 6237 | 4209868 | 2026-04-15 00:47:45.393536 | 2025-08-15 22:13:56.514261 |
| 2026-04-14 07:12:46.738704 | 2026-04-15 00:48:29.256159 | 23690948 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23690948 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-04-15 | F | AE | FABER | 4X26K21EE83 | LINDA | A | PT | 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/2222/6522947/check_23690948_05b495e1-fe06-4e31-90c1-a281d85880fc.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 141255 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281067 | N/A | N/A | 6522947 | 2222 | 4802 | 23903416 | N/A | 5146127 | 2026-04-15 00:48:29.256159 | 2025-06-20 17:58:23.371130 |
| 2026-04-14 07:12:46.598182 | 2026-04-15 00:48:42.129666 | 23690937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23690937 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-04-15 | F | AE | MORALES | 7XX8HG0UK25 | ANA | N/A | PT | 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/2222/6076917/check_23690937_e770479f-a552-47a2-9cf5-81f6a274e1bb.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MA | false | MORALES | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 127553 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281066 | N/A | N/A | 6076917 | 2222 | 4793 | 23903527 | N/A | 4718913 | 2026-04-15 00:48:42.129666 | 2025-05-29 22:23:40.462913 |
| 2026-04-14 07:12:46.383871 | 2026-04-15 00:46:06.523358 | 23690919 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690919 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-04-17 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | 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/2222/5549317/check_23690919_3e6a6bf9-8d94-41b8-acf9-b6a93393467a.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 | 10580281065 | N/A | N/A | 5549317 | 2222 | 4801 | 23901406 | N/A | 4219010 | 2026-04-15 00:46:06.523358 | 2026-01-09 18:32:07.618867 |
| 2026-04-14 07:12:46.147678 | 2026-04-15 00:46:41.871449 | 23690900 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23690900 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-04-17 | F | 96 | REGGIANI | 41813758 | SUSANA | N/A | 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/2222/5549015/check_23690900_a2d3e1e1-6581-4b14-8f8d-4818c8421f0a.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | 2026-04-14 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10580281064 | N/A | N/A | 5549015 | 2222 | 4801 | 23902002 | 6798 | 4208849 | 2026-04-15 00:46:41.871449 | 2025-05-13 04:29:37.223279 |
| 2026-04-14 07:12:45.902031 | 2026-04-15 00:47:40.164116 | 23690876 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23690876 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-04-16 | M | AE | AKHTARI | 40045421301 | SHAHROKH | N/A | PT | 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/2222/5543493/check_23690876_681fc735-535f-426c-b666-2f6294666ec8.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 | 10580281063 | N/A | N/A | 5543493 | 2222 | 4793 | 23902817 | 6237 | 4215273 | 2026-04-15 00:47:40.164116 | 2025-05-13 04:29:37.229594 |
| 2026-04-14 07:12:45.735679 | 2026-04-15 00:46:46.947825 | 23690860 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23690860 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-04-16 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | N/A | PT | 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/2222/5543425/check_23690860_9ad6ca02-05ae-4aea-8f15-14da85596857.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281062 | N/A | N/A | 5543425 | 2222 | 4801 | 23902084 | 4625 | 4215211 | 2026-04-15 00:46:46.947825 | 2026-04-02 22:30:20.020246 |
| 2026-04-14 07:12:45.530248 | 2026-04-15 00:45:48.527316 | 23690840 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23690840 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-04-17 | F | AD | TORRES | 40067303001 | OLGA | N/A | 30 | 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/2222/5543371/check_23690840_55e559e2-40be-4f06-be4e-1d8d1a37b3fa.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 10580281061 | N/A | N/A | 5543371 | 2222 | 4793 | 23901122 | 6237 | 4215172 | 2026-04-15 00:45:48.527316 | 2025-05-13 04:29:37.229489 |
| 2026-04-14 07:12:45.338424 | 2026-04-15 00:46:05.776585 | 23690824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690824 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-04-17 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | 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/2222/5543167/check_23690824_d1f79e1b-deb2-4e72-b196-f5dca0f4b656.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | 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 | 10580281060 | N/A | N/A | 5543167 | 2222 | 4793 | 23901390 | N/A | 4214995 | 2026-04-15 00:46:05.776585 | 2025-05-13 04:29:37.229315 |
| 2026-04-14 07:12:45.123059 | 2026-04-15 00:46:04.317746 | 23690806 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23690806 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-04-17 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | N/A | 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/2222/5542812/check_23690806_1c03f84f-a534-473c-afa4-7772144aee92.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 2026-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281059 | N/A | N/A | 5542812 | 2222 | 4801 | 23901361 | 4185 | 4214677 | 2026-04-15 00:46:04.317746 | 2026-03-18 22:35:37.752534 |
| 2026-04-14 07:12:44.867747 | 2026-04-15 00:46:28.475530 | 23690778 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23690778 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-04-17 | M | PT | MOYNIHAN | QMS905764029 | KEITH | N/A | 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/2222/5542720/check_23690778_983fc1bf-da2a-4dc4-9ea7-d06bdf1fcb39.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | 2026-04-14 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281058 | N/A | N/A | 5542720 | 2222 | 4802 | 23901787 | N/A | 4214596 | 2026-04-15 00:46:28.475530 | 2025-05-13 04:29:37.228923 |
| 2026-04-14 07:12:44.696940 | 2026-04-15 00:49:40.739323 | 23690766 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690766 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-04-16 | F | PT | GOLDMAN | MBL801W11756 | ROBERTA | N/A | 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/2222/5542655/check_23690766_2c4d86f6-954a-41a1-ac0b-b7ec1ad3d311.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281057 | N/A | N/A | 5542655 | 2222 | 4802 | 23904546 | N/A | 4214541 | 2026-04-15 00:49:40.739323 | 2025-05-13 04:29:37.228867 |
| 2026-04-14 07:12:44.495900 | 2026-04-15 00:49:32.979893 | 23690753 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23690753 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-04-17 | M | PT | FERNANDEZ | JQS315W00257 | FREDERICO | N/A | 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/2222/5542274/check_23690753_32d5cda1-4824-42bd-a59a-77da538208d9.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 | 10580281056 | N/A | N/A | 5542274 | 2222 | 4801 | 23904408 | 4185 | 4214212 | 2026-04-15 00:49:32.979893 | 2025-05-13 04:29:37.228546 |
| 2026-04-14 07:12:44.294810 | 2026-04-15 00:47:41.667007 | 23690737 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23690737 | Athletic Physical Therapy Inc | 1954-12-02 | 2026-04-17 | M | AD | DEMOULIN | 40027880801 | MICHAEL | N/A | 30 | 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/2222/5542180/check_23690737_e8ba2d0c-b1ce-4080-835a-aedac0dfb709.json | N/A | N/A | N/A | N/A | N/A | 40027880801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-12-02 | 2026H5425001 | H5425M | N/A | N/A | false | DEMOULIN | N/A | MICHAEL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10580281055 | N/A | N/A | 5542180 | 2222 | 4801 | 23902833 | 6237 | 4214126 | 2026-04-15 00:47:41.667007 | 2026-03-31 17:10:38.239315 |
| 2026-04-14 07:12:44.036691 | 2026-04-15 00:47:42.980440 | 23690718 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23690718 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-04-16 | F | AD | POLAK | 40047825101 | JOANNA | N/A | 30 | 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/2222/5541023/check_23690718_3e7ce5ca-fbe4-4548-b867-427abec9ded2.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 | 10580281054 | N/A | N/A | 5541023 | 2222 | 4793 | 23902846 | 6237 | 4213093 | 2026-04-15 00:47:42.980440 | 2025-05-13 04:29:37.227419 |
| 2026-04-14 07:12:43.805151 | 2026-04-15 00:49:29.020922 | 23690698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690698 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-04-16 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | 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/2222/5540282/check_23690698_d2e1dc5b-2997-4ac1-a9d7-ad078ed4f184.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281053 | N/A | N/A | 5540282 | 2222 | 4802 | 23904330 | N/A | 4212465 | 2026-04-15 00:49:29.020922 | 2025-05-13 04:29:37.226801 |
| 2026-04-14 07:12:43.636090 | 2026-04-15 00:49:28.225677 | 23690683 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690683 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-04-16 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_23690683_cbf65c80-0659-42f2-9fa3-202f272e20df.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281052 | N/A | N/A | 5540074 | 2222 | 4802 | 23904313 | N/A | 4212282 | 2026-04-15 00:49:28.225677 | 2025-05-13 04:29:37.226623 |
| 2026-04-14 07:12:43.470990 | 2026-04-15 00:46:15.117341 | 23690670 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690670 | Athletic Physical Therapy Inc | 1967-09-30 | 2026-04-15 | F | PT | HOW | LTC753A71345 | DEBORAH | N/A | 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/2222/5539919/check_23690670_b61e77de-2e50-4328-bc20-218abaa73fc6.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 | 10580281051 | N/A | N/A | 5539919 | 2222 | 4802 | 23901551 | N/A | 4212155 | 2026-04-15 00:46:15.117341 | 2025-05-13 04:29:37.226493 |
| 2026-04-14 07:12:43.242650 | 2026-04-15 00:46:14.092011 | 23690651 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23690651 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-04-17 | M | AE | RUIZ | 594887901 | EDUARDO | N/A | PT | 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/2222/5539853/check_23690651_8f5f3b31-204e-48e5-8210-49663e027d05.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | N/A | 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 | 10580281050 | N/A | N/A | 5539853 | 2222 | 4801 | 23901536 | 6411 | 4212098 | 2026-04-15 00:46:14.092011 | 2025-05-13 04:29:37.226429 |
| 2026-04-14 07:12:43.035227 | 2026-04-15 00:46:13.631711 | 23690632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23690632 | Athletic Physical Therapy Inc | 1985-08-05 | 2026-04-16 | F | PT | ROSKUL | JQT213W04900 | ANASTASIA | N/A | 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/2222/5539652/check_23690632_fa580dd4-0778-4863-9846-24c6e69837ca.json | N/A | N/A | N/A | N/A | N/A | JQT213W04900 | Health Maintenance Organization (HMO) | GOLDEN ENTROPY MARKETING | ANTHEM BLUE CROSS | N/A | 1985-08-05 | 040 | F22035 | N/A | HM | false | ROSKUL | N/A | VALENTIN | N/A | 2026-12-31 | 2026-01-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281049 | N/A | N/A | 5539652 | 2222 | 4793 | 23901531 | N/A | 4211923 | 2026-04-15 00:46:13.631711 | 2026-03-05 01:01:11.510730 |
| 2026-04-14 07:12:42.840530 | 2026-04-15 00:48:30.715282 | 23690615 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23690615 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-04-15 | M | AE | GORODENZIK | 3MC1HC7HE13 | AMIR | N/A | PT | 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/2222/5539597/check_23690615_89817cf1-6e59-4a26-80aa-d010da63a051.json | N/A | N/A | N/A | N/A | N/A | 3MC1HC7HE13 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-08-13 | S5601 | N/A | N/A | MA | false | GORODENZIK | N/A | AMIR | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281048 | N/A | N/A | 5539597 | 2222 | 4793 | 23903441 | N/A | 4211880 | 2026-04-15 00:48:30.715282 | 2025-05-13 04:29:37.226201 |
| 2026-04-14 07:12:42.596967 | 2026-04-15 00:46:41.347810 | 23690593 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23690593 | Athletic Physical Therapy Inc | 1940-04-11 | 2026-04-16 | F | AE | HAUSMAN | 34751865 | JUDITH | N/A | PT | 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/2222/5539527/check_23690593_4ff0d411-8c68-45cc-a625-9f11a1b946ce.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 | 2026-04-14 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281047 | N/A | N/A | 5539527 | 2222 | 4793 | 23901990 | 6798 | 4211820 | 2026-04-15 00:46:41.347810 | 2026-04-10 18:02:32.809721 |
| 2026-04-14 07:12:42.287881 | 2026-04-15 00:47:41.183918 | 23690561 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23690561 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-04-16 | M | AE | CHADIDA | 40060913601 | DAVID | N/A | PT | 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/2222/5538674/check_23690561_63527afe-edb2-4352-b349-224570159585.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281046 | N/A | N/A | 5538674 | 2222 | 4793 | 23902827 | 6237 | 4211039 | 2026-04-15 00:47:41.183918 | 2025-05-13 04:29:37.225444 |
| 2026-04-14 07:12:41.847079 | 2026-04-15 00:46:42.496480 | 23690524 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23690524 | Athletic Physical Therapy Inc | 1967-04-02 | 2026-04-16 | M | PT | BONO | JQC99173907F | STEVEN | N/A | 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/2222/5538400/check_23690524_ffc1bbd7-4d0a-4520-93e6-b527e4e9798a.json | N/A | N/A | N/A | N/A | N/A | JQC99173907F | N/A | LOS ANGELES MEDI-CAL/FAMILY | BLUE SHIELD OF CALIFORNIA | N/A | 1967-04-02 | 040 | 1191ZA | N/A | N/A | false | BONO | N/A | STEVEN | 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 | 10580281045 | N/A | N/A | 5538400 | 2222 | 4793 | 23902012 | N/A | 4210823 | 2026-04-15 00:46:42.496480 | 2026-04-05 20:40:03.498759 |
| 2026-04-14 07:12:41.525364 | 2026-04-15 00:46:13.720078 | 23690491 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23690491 | Athletic Physical Therapy Inc | 1980-09-10 | 2026-04-16 | M | AE | BRUNSKILL | 9853463 | NATHAN | N/A | PT | 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/2222/5538359/check_23690491_ded6b67d-f0da-4189-b917-219a982b7ec9.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10580281044 | N/A | N/A | 5538359 | 2222 | 4802 | 23901532 | 6411 | 4210784 | 2026-04-15 00:46:13.720078 | 2025-05-13 04:29:37.225193 |
| 2026-04-14 07:12:41.346455 | 2026-04-15 00:46:26.097098 | 23690476 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23690476 | Athletic Physical Therapy Inc | 1966-10-22 | 2026-04-17 | F | PT | KINSLEY | 913281434000 | MICHELLE | N/A | 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/2222/5537996/check_23690476_e27d44ef-3824-4fe8-8f06-bbbb83c89e6b.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2024-06-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281043 | N/A | N/A | 5537996 | 2222 | 4793 | 23901752 | 4191 | 4210486 | 2026-04-15 00:46:26.097098 | 2025-05-13 04:29:37.224904 |
| 2026-04-14 07:12:41.201059 | 2026-04-15 00:46:30.730652 | 23690461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23690461 | Athletic Physical Therapy Inc | 1974-09-12 | 2026-04-16 | M | PT | YOUNG | XEH910885070 | PAUL | N/A | 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/2222/5537663/check_23690461_a172cb4c-b526-43d5-897f-b63745bb0c2e.json | N/A | N/A | N/A | N/A | N/A | XEH910885070 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-09-12 | 1010VX000001 | W0069783 | N/A | HM | false | YOUNG | N/A | PAUL | N/A | 9999-12-31 | 2024-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281042 | N/A | N/A | 5537663 | 2222 | 4793 | 23901819 | N/A | 4210189 | 2026-04-15 00:46:30.730652 | 2026-02-23 16:32:53.562405 |
| 2026-04-14 07:12:41.048255 | 2026-04-15 00:46:11.601574 | 23690448 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23690448 | Athletic Physical Therapy Inc | 1965-05-30 | 2026-04-16 | M | PT | SILVA | NCF278A23385 | IRAN | N/A | 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/2222/5537475/check_23690448_61906c5a-5f90-4b58-a312-cb3db5a4f2e0.json | N/A | N/A | N/A | N/A | N/A | NCF278A23385 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 57AJCA | N/A | HM | false | ROBLES SILVA | N/A | VERONICA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10580281041 | N/A | N/A | 5537475 | 2222 | 4801 | 23901490 | 4185 | 4210032 | 2026-04-15 00:46:11.601574 | 2026-03-11 16:04:50.320792 |