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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-13 07:14:29.606180 | 2026-04-14 00:50:37.486164 | 23602749 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23602749 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-04-15 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_23602749_99eb40ae-41a6-411e-bfb2-77bec5732743.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313718 | N/A | N/A | 5542233 | 2222 | 4793 | 23833543 | 4211 | 4214178 | 2026-04-14 00:50:37.486164 | 2025-05-13 04:29:37.228506 |
| 2026-04-13 07:14:29.451753 | 2026-04-14 00:50:16.506850 | 23602732 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 23602732 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-04-16 | M | AE | PT | VLAHOVICH | 34035035 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_23602732_b5fd0e36-73d6-451c-b30e-86f08c788faa.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313717 | N/A | N/A | 5542048 | 2222 | 4802 | 23833172 | N/A | 4214003 | 2026-04-14 00:50:16.506850 | 2025-05-13 04:29:37.228325 |
| 2026-04-13 07:14:29.179637 | 2026-04-14 00:50:35.128635 | 23602702 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 23602702 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-04-15 | F | PT | N/A | LORD | 822A5374070 | ALYSSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_23602702_373c2b38-1e26-46b7-8172-22e162d47c6f.json | N/A | N/A | N/A | N/A | N/A | 822A5374070 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2012-06-25 | N/A | N/A | N/A | N/A | false | LORD | N/A | ALYSSA | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313716 | N/A | N/A | 5541409 | 2222 | 4793 | 23833501 | 4184 | 4213435 | 2026-04-14 00:50:35.128635 | 2025-05-13 04:29:37.227756 |
| 2026-04-13 07:14:28.886492 | 2026-04-14 00:50:28.052656 | 23602671 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23602671 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-04-15 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_23602671_2f97e9ef-53f4-4855-882e-0f74f87fc54d.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313715 | N/A | N/A | 5541315 | 2222 | 4793 | 23833369 | N/A | 4213344 | 2026-04-14 00:50:28.052656 | 2025-05-13 04:29:37.227667 |
| 2026-04-13 07:14:28.717420 | 2026-04-14 00:50:25.611130 | 23602654 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23602654 | Athletic Physical Therapy Inc | 1995-06-07 | 2026-04-15 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_23602654_f8279d9a-5333-44bf-8075-b00a63360922.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313714 | N/A | N/A | 5540871 | 2222 | 4793 | 23833323 | N/A | 4212959 | 2026-04-14 00:50:25.611130 | 2025-10-17 20:08:21.136268 |
| 2026-04-13 07:14:28.293549 | 2026-04-14 00:50:43.975707 | 23602613 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23602613 | Athletic Physical Therapy Inc | 1966-07-31 | 2026-04-15 | F | AE | PT | ROSS | U9215607501 | CHRISTINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540766/check_23602613_a48a7313-29ce-4f2c-be0b-e5b954c82e2b.json | N/A | N/A | N/A | N/A | N/A | U9215607501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-31 | 67138CA0620023-00 | N/A | N/A | N/A | false | ROSS | N/A | CHRISTINE | N/A | N/A | N/A | SILVER 70 OFF EXCHANGE AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313713 | N/A | N/A | 5540766 | 2222 | 4793 | 23833657 | 4625 | 4212866 | 2026-04-14 00:50:43.975707 | 2026-04-15 15:20:50.958917 |
| 2026-04-13 07:14:27.930812 | 2026-04-14 00:51:13.829852 | 23602580 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23602580 | Athletic Physical Therapy Inc | 1947-05-03 | 2026-04-15 | F | AE | PT | HANSEN | H7490330500 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539739/check_23602580_89521112-31e3-4925-aac6-1dfd70beec79.json | N/A | N/A | N/A | N/A | N/A | H74903305 | 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 | 1947-05-03 | N/A | 2B863001 | N/A | HN | false | HANSEN | N/A | CAROL | 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 | 10569313712 | N/A | N/A | 5539739 | 2222 | 4793 | 23834312 | 5349 | 4212000 | 2026-04-14 00:51:13.829852 | 2025-05-13 04:29:37.226323 |
| 2026-04-13 07:14:27.569161 | 2026-04-14 00:51:22.760880 | 23602546 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23602546 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-04-15 | M | AE | PT | GORODENZIK | 3MC1HC7HE13 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539597/check_23602546_7739fd37-444c-4999-af79-beea9d9714b7.json | N/A | N/A | N/A | N/A | N/A | 3MC1HC7HE13 | N/A | N/A | CMS | N/A | 1956-08-13 | N/A | N/A | N/A | N/A | false | GORODENZIK | N/A | AMIR | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313711 | N/A | N/A | 5539597 | 2222 | 4793 | 23834506 | N/A | 4211880 | 2026-04-14 00:51:22.760880 | 2025-05-13 04:29:37.226201 |
| 2026-04-13 07:14:27.272436 | 2026-04-14 00:51:14.867773 | 23602519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23602519 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-04-14 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_23602519_06970b34-751d-4eb8-b96c-e1d3ccdb8789.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | N/A | N/A | CMS | N/A | 1945-04-13 | N/A | N/A | N/A | N/A | false | BLUM | N/A | BONNIE | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313709 | N/A | N/A | 5539301 | 2222 | 4802 | 23834338 | N/A | 4211624 | 2026-04-14 00:51:14.867773 | 2025-05-13 04:29:37.225953 |
| 2026-04-13 07:14:26.996755 | 2026-04-14 00:50:28.362087 | 23602494 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23602494 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-04-15 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_23602494_de8a3c59-99a6-4a65-a58d-740fbd33af74.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2026-12-31 | 2026-01-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313708 | N/A | N/A | 5539085 | 2222 | 4793 | 23833375 | N/A | 4211408 | 2026-04-14 00:50:28.362087 | 2025-09-18 00:42:48.586801 |
| 2026-04-13 07:14:26.844072 | 2026-04-14 00:51:33.407251 | 23602477 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23602477 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-04-14 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | H | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_23602477_da9d5b6c-eaf5-4881-8924-a32d114c452b.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | N/A | N/A | CMS | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313707 | N/A | N/A | 5538576 | 2222 | 4802 | 23834698 | N/A | 4210984 | 2026-04-14 00:51:33.407251 | 2025-08-15 17:42:50.500189 |
| 2026-04-13 07:14:26.725468 | 2026-04-14 00:51:19.172446 | 23602467 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23602467 | Athletic Physical Therapy Inc | 1939-08-26 | 2026-04-15 | F | AE | PT | PALTENGHE | H7957237000 | BEVERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538116/check_23602467_d8a8c04f-752b-4241-96bb-9eff5fd7bc22.json | N/A | N/A | N/A | N/A | N/A | H79572370 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1939-08-26 | N/A | Y9623001 | N/A | HN | false | PALTENGHE | N/A | BEVERLY | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313706 | N/A | N/A | 5538116 | 2222 | 4793 | 23834434 | 5349 | 4210586 | 2026-04-14 00:51:19.172446 | 2025-05-13 04:29:37.225000 |
| 2026-04-13 07:14:26.581091 | 2026-04-14 00:50:36.428296 | 23602451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23602451 | Athletic Physical Therapy Inc | 2003-06-27 | 2026-04-15 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537199/check_23602451_473ac677-3864-482b-acfe-e6c7d60d60f8.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2003-06-27 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313704 | N/A | N/A | 5537199 | 2222 | 4801 | 23833522 | N/A | 4209807 | 2026-04-14 00:50:36.428296 | 2026-02-20 19:27:47.468875 |
| 2026-04-13 07:14:26.440498 | 2026-04-14 00:50:41.013928 | 23602436 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23602436 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-04-16 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_23602436_708ea527-772c-4716-82fc-08ec441a5b73.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA CA/OOS | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2026-05-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313703 | N/A | N/A | 5537188 | 2222 | 4802 | 23833612 | N/A | 4209789 | 2026-04-14 00:50:41.013928 | 2025-05-13 04:29:37.224215 |
| 2026-04-13 07:14:26.324047 | 2026-04-14 00:50:07.635093 | 23602420 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23602420 | Athletic Physical Therapy Inc | 1949-08-09 | 2026-04-15 | F | AE | PT | NOWAK | 31183221401 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537039/check_23602420_1b5d47fb-71e8-462f-92b8-ff898e494fd1.json | N/A | N/A | N/A | N/A | N/A | 31183221401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-08-09 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DEBORAH | 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 | 10569313702 | N/A | N/A | 5537039 | 2222 | 4793 | 23833041 | 6237 | 4209676 | 2026-04-14 00:50:07.635093 | 2025-11-19 17:57:16.607946 |
| 2026-04-13 07:14:26.141233 | 2026-04-14 00:50:32.730617 | 23602399 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23602399 | Athletic Physical Therapy Inc | 1969-03-28 | 2026-04-15 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_23602399_4e723a48-738c-44a7-9c64-7e461a4a795d.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10569313701 | N/A | N/A | 5536722 | 2222 | 4802 | 23833455 | N/A | 4209420 | 2026-04-14 00:50:32.730617 | 2025-05-13 04:29:37.223843 |
| 2026-04-13 07:14:25.964466 | 2026-04-14 00:50:47.051080 | 23602377 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23602377 | Athletic Physical Therapy Inc | 1951-12-20 | 2026-04-16 | F | AE | PT | WHEELER | 941711796 | LYNN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536326/check_23602377_e38672ce-a1a4-411b-95da-cb4705889d3a.json | N/A | N/A | N/A | N/A | N/A | 941711796 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1951-12-20 | N/A | 01963 | N/A | HN | false | WHEELER | N/A | LYNN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313700 | N/A | N/A | 5536326 | 2222 | 4793 | 23833738 | 6411 | 4209091 | 2026-04-14 00:50:47.051080 | 2025-05-13 04:29:37.223512 |
| 2026-04-13 07:14:25.607990 | 2026-04-14 00:50:27.323510 | 23602343 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23602343 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-04-15 | M | AE | PT | ULLMAN | 03520409411 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_23602343_88924dc9-fb74-4ccb-9589-f54f90b5c463.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | 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. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569313699 | N/A | N/A | 5535842 | 2222 | 4801 | 23833354 | N/A | 4208696 | 2026-04-14 00:50:27.323510 | 2025-06-07 16:16:45.844566 |
| 2026-04-13 07:14:25.321138 | 2026-04-14 00:50:08.068923 | 23602315 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23602315 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-04-15 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.122019363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_23602315_f99bf171-ced0-498f-b039-b01169f1aded.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 10569313697 | N/A | N/A | 5535434 | 2222 | 4793 | 23833048 | 6237 | 4208356 | 2026-04-14 00:50:08.068923 | 2025-08-25 14:49:27.724897 |
| 2026-04-13 07:13:26.878211 | 2026-04-14 00:44:23.659799 | 23596052 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23596052 | Athletic Physical Therapy Inc | 1978-08-12 | 2026-04-15 | M | AE | PT | AHADIAN | JQE280A52124 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19572748/check_23596052_6e853279-78ae-4ba0-81e9-6cb5d3e6592e.json | N/A | N/A | N/A | N/A | N/A | JQE280A52124 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1978-08-12 | N/A | N/A | N/A | N/A | false | AHADIAN | N/A | FRANK | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287926 | N/A | N/A | 19572748 | 2222 | 4802 | 23826782 | N/A | 17324951 | 2026-04-14 00:44:23.659799 | 2026-04-13 21:07:10.225431 |
| 2026-04-13 07:13:26.779953 | 2026-04-14 00:42:55.566974 | 23596038 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23596038 | Athletic Physical Therapy Inc | 1955-11-03 | 2026-04-16 | F | AE | PT | SIEMINSKI | 32845919512 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19489706/check_23596038_cb10be71-0d35-4a61-b51e-99b731155901.json | N/A | N/A | N/A | N/A | N/A | 32845919512 | 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. | 1955-11-03 | N/A | N/A | N/A | SP | false | SIEMINSKI | N/A | LISA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287925 | N/A | N/A | 19489706 | 2222 | 4801 | 23824759 | N/A | 17265138 | 2026-04-14 00:42:55.566974 | 2026-04-08 18:54:32.930478 |
| 2026-04-13 07:13:26.680421 | 2026-04-14 00:44:29.234094 | 23596018 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23596018 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-04-14 | M | AE | PT | ESCOLL | 9RU1D71UT18 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075590/check_23596018_790f7cec-9cf2-4c66-bb8e-c6be94578dc0.json | N/A | N/A | N/A | N/A | N/A | 9RU1D71UT18 | N/A | N/A | CMS | N/A | 1959-08-12 | N/A | N/A | N/A | N/A | false | ESCOLL | N/A | PAUL | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287924 | N/A | N/A | 19075590 | 2222 | 4802 | 23826971 | N/A | 17061553 | 2026-04-14 00:44:29.234094 | 2026-04-03 00:44:20.509677 |
| 2026-04-13 07:13:26.573512 | 2026-04-14 00:44:31.521804 | 23596002 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23596002 | Athletic Physical Therapy Inc | 1960-09-09 | 2026-04-15 | F | AE | PT | Mathias | JOE359W24348 | Danette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19007177/check_23596002_a0f94edd-bcef-4453-b220-1c5c51f0e840.json | N/A | N/A | N/A | N/A | N/A | JQE359W24348 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-09-09 | 040 | CASUPWP0 | N/A | N/A | false | MATHIAS | N/A | DANETTE | N/A | 9999-12-31 | 2025-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287923 | N/A | N/A | 19007177 | 2222 | 4801 | 23827033 | N/A | 4208538 | 2026-04-14 00:44:31.521804 | 2026-04-08 23:04:23.819170 |
| 2026-04-13 07:13:26.273308 | 2026-04-14 00:42:51.602915 | 23595966 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23595966 | Athletic Physical Therapy Inc | 1959-06-18 | 2026-04-15 | M | AE | PT | GREEN | 31707707912 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18935549/check_23595966_5b02418c-91b8-41ec-9618-293dfeccef86.json | N/A | N/A | N/A | N/A | N/A | 31707707912 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-06-18 | N/A | N/A | N/A | SP | false | GREEN | N/A | PATRICK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287922 | N/A | N/A | 18935549 | 2222 | 4801 | 23824685 | N/A | 16813949 | 2026-04-14 00:42:51.602915 | 2026-03-31 19:01:10.524839 |
| 2026-04-13 07:13:26.035716 | 2026-04-14 00:42:53.976019 | 23595942 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23595942 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-16 | M | AE | PT | HARY | 32464179011 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18880065/check_23595942_88242fc0-a2a8-4f36-bb39-1a2660836f94.json | N/A | N/A | N/A | N/A | N/A | 32464179011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-02-13 | N/A | N/A | N/A | SP | false | HARY | N/A | DAVID | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287921 | N/A | N/A | 18880065 | 2222 | 4802 | 23824731 | N/A | 16048388 | 2026-04-14 00:42:53.976019 | 2026-03-12 19:28:18.393557 |
| 2026-04-13 07:13:25.810983 | 2026-04-14 00:42:51.220970 | 23595922 | N/A | N/A | 60054 | Aetna | 1114042165 | 23595922 | Athletic Physical Therapy Inc | 1954-09-01 | 2026-04-16 | F | AE | PT | POURMOMEN | 102088840100 | MEHRI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775066/check_23595922_4d5a9eba-d2a3-4fd4-9d2e-68763200606d.json | N/A | N/A | N/A | N/A | N/A | 102088840100 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1954-09-01 | 000003-CA000097 | 000003-CA | N/A | PR | false | POURMOMEN | N/A | MEHRI | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287920 | N/A | N/A | 18775066 | 2222 | 4802 | 23824679 | N/A | 4214341 | 2026-04-14 00:42:51.220970 | 2026-04-01 02:58:37.438629 |
| 2026-04-13 07:13:25.705064 | 2026-04-14 00:43:41.028211 | 23595913 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23595913 | Athletic Physical Therapy Inc | 1957-05-08 | 2026-04-15 | F | AE | PT | CHICAS | 96979313F | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18654874/check_23595913_a7660796-5321-4df9-8d32-dff3e1f9a138.json | N/A | N/A | N/A | N/A | N/A | 96979313F | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-05-08 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHICAS | N/A | MARIA | N/A | 2078-12-31 | 2022-09-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287919 | N/A | N/A | 18654874 | 2222 | 4802 | 23825885 | N/A | 6965620 | 2026-04-14 00:43:41.028211 | 2025-09-03 23:20:10.287852 |
| 2026-04-13 07:13:25.610561 | 2026-04-14 00:45:36.197323 | 23595904 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23595904 | Athletic Physical Therapy Inc | 1959-11-17 | 2026-04-15 | F | AE | PT | CAMACHO | XEM913139717 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18604379/check_23595904_beccb6c3-e18c-4c71-874a-5ae8aeb14a02.json | N/A | N/A | N/A | N/A | N/A | XEM913139717 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-11-17 | 2004SF000028 | X0001002 | N/A | OT | false | CAMACHO | N/A | CELESTINO | N/A | N/A | 2026-04-13 | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287918 | N/A | N/A | 18604379 | 2222 | 4801 | 23828199 | N/A | 16213336 | 2026-04-14 00:45:36.197323 | 2026-03-22 14:01:32.548786 |
| 2026-04-13 07:13:25.518530 | 2026-04-14 00:44:26.269803 | 23595895 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23595895 | Athletic Physical Therapy Inc | 1944-09-27 | 2026-04-16 | F | AE | PT | Benton | LPZ769A74781 | Harriet | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18416721/check_23595895_2fab874d-d934-4d82-8a00-3df331deaeff.json | N/A | N/A | N/A | N/A | N/A | LPZ769A74781 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1944-09-27 | 040 | 1841UN | N/A | PR | false | BENTON | N/A | HARRIET | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287917 | N/A | N/A | 18416721 | 2222 | 4793 | 23826901 | N/A | 16419098 | 2026-04-14 00:44:26.269803 | 2026-03-19 23:28:36.268438 |
| 2026-04-13 07:13:25.425282 | 2026-04-14 00:42:45.913848 | 23595885 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23595885 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-16 | M | AE | PT | BARDIA | 34703995411 | KANHAIYA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033661/check_23595885_3215bc3b-72eb-4819-9fc0-315f97541adc.json | N/A | N/A | N/A | N/A | N/A | 34703995411 | 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. | 1946-11-04 | N/A | N/A | N/A | SP | false | BARDIA | N/A | KANHAIYA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287916 | N/A | N/A | 18033661 | 2222 | 4802 | 23824594 | N/A | 16061630 | 2026-04-14 00:42:45.913848 | 2026-03-18 23:17:28.107701 |
| 2026-04-13 07:13:25.310267 | 2026-04-14 00:44:30.131271 | 23595874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23595874 | Athletic Physical Therapy Inc | 1966-02-10 | 2026-04-14 | F | AE | PT | Kaur | 2AP8VU0HM59 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736420/check_23595874_61282c2b-de7a-4b83-a853-5e9e722f0ead.json | N/A | N/A | N/A | N/A | N/A | 2AP8VU0HM59 | N/A | N/A | CMS | N/A | 1966-02-10 | N/A | N/A | N/A | N/A | false | KAUR | N/A | SARANJIT | N/A | N/A | 2026-04-13 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287915 | N/A | N/A | 17736420 | 2222 | 4801 | 23826994 | N/A | 15497513 | 2026-04-14 00:44:30.131271 | 2026-03-06 21:33:02.751048 |
| 2026-04-13 07:13:25.203019 | 2026-04-14 00:44:32.331539 | 23595863 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23595863 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-15 | F | AE | PT | Velazquez | JQE124A75580 | Victoria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16927466/check_23595863_ffe9f94d-861c-41bc-bdf2-a9301b8ad3bc.json | N/A | N/A | N/A | N/A | N/A | JQE124A75580 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-06-01 | 040 | CASUPWP0 | N/A | N/A | false | VELAZQUEZ | N/A | VICTORIA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287914 | N/A | N/A | 16927466 | 2222 | 4801 | 23827052 | N/A | 14926242 | 2026-04-14 00:44:32.331539 | 2026-03-06 18:16:10.395182 |
| 2026-04-13 07:13:25.115286 | 2026-04-14 00:45:39.157361 | 23595851 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23595851 | Athletic Physical Therapy Inc | 1955-07-13 | 2026-04-16 | M | AE | PT | GROSS | XEM909910709 | HUGH | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810928/check_23595851_7b437875-58fe-4d14-8d46-01050d09ed51.json | N/A | N/A | N/A | N/A | N/A | XEM909910709 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-13 | 2002SE000030 | X0001002 | N/A | OT | false | GROSS | N/A | HUGH | N/A | N/A | 2026-04-13 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287913 | N/A | N/A | 15810928 | 2222 | 4802 | 23828268 | N/A | 13900460 | 2026-04-14 00:45:39.157361 | 2026-01-27 16:41:56.120390 |
| 2026-04-13 07:13:25.009949 | 2026-04-14 00:42:34.509141 | 23595836 | N/A | N/A | 13193 | Continental General Insurance Company - Medicare Supplement | 1114042165 | 23595836 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-04-16 | M | AE | PT | Maher | 80Y0447913 | Timothy | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_23595836_0b684f3f-12b6-4283-8482-787624d227d0.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | GREAT AMERICAN | N/A | 1943-11-25 | MSM16F80 | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287912 | N/A | N/A | 13655343 | 2222 | 4802 | 23824375 | N/A | 11803316 | 2026-04-14 00:42:34.509141 | 2025-12-16 19:29:59.872631 |
| 2026-04-13 07:13:24.919671 | 2026-04-14 00:43:41.445161 | 23595825 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23595825 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-04-16 | F | AE | PT | KATKHOUDA | 95258599G | RYME | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12788343/check_23595825_42d9a53e-a71f-45d6-8af9-462ee7e68c2e.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLDAGG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | 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 | 10569287911 | N/A | N/A | 12788343 | 2222 | 4802 | 23825896 | N/A | 10954913 | 2026-04-14 00:43:41.445161 | 2026-02-03 00:31:49.512761 |
| 2026-04-13 07:13:24.818008 | 2026-04-14 00:43:42.419154 | 23595811 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23595811 | Athletic Physical Therapy Inc | 1956-12-19 | 2026-04-15 | F | AE | PT | YEN | 96046413F | JENNY | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033624/check_23595811_e10d3eab-d332-4d75-87ae-8a8a8058eb04.json | N/A | N/A | N/A | N/A | N/A | 96046413F | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-12-19 | MCLA | MWLLDAGG21 | N/A | N/A | false | YEN | N/A | PI CHEN | N/A | 2078-12-31 | 2021-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287910 | N/A | N/A | 10033624 | 2222 | 4793 | 23825917 | N/A | 8398587 | 2026-04-14 00:43:42.419154 | 2025-10-07 14:21:54.880940 |
| 2026-04-13 07:13:24.718771 | 2026-04-14 00:42:50.393574 | 23595800 | N/A | N/A | 60054 | Aetna | 1114042165 | 23595800 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-04-16 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_23595800_ee9b4004-3fbe-43e0-ac8b-a69495d3be4e.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287909 | N/A | N/A | 9665220 | 2222 | 4802 | 23824664 | N/A | 8086688 | 2026-04-14 00:42:50.393574 | 2026-01-15 18:07:39.869679 |
| 2026-04-13 07:13:24.617398 | 2026-04-14 00:45:38.198731 | 23595786 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23595786 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-04-16 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_23595786_b80a7780-2676-45af-8f7d-cd0c7427f08c.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | 2026-04-13 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287908 | N/A | N/A | 9411084 | 2222 | 4802 | 23828245 | N/A | 7879863 | 2026-04-14 00:45:38.198731 | 2026-02-04 18:21:13.840230 |
| 2026-04-13 07:13:24.518623 | 2026-04-14 00:43:41.889028 | 23595773 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23595773 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-15 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_23595773_c1cb5d2a-a996-428e-be58-035755d96a84.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287907 | N/A | N/A | 8979227 | 2222 | 4793 | 23825906 | N/A | 7498543 | 2026-04-14 00:43:41.889028 | 2025-10-14 17:13:32.178778 |
| 2026-04-13 07:13:24.399816 | 2026-04-14 00:44:24.882311 | 23595759 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23595759 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-04-15 | F | AE | PT | Ahadian | U5X795M98275 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_23595759_28183426-c572-4e3a-b6eb-bd80a226658f.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287906 | N/A | N/A | 8479499 | 2222 | 4802 | 23826866 | N/A | 7146980 | 2026-04-14 00:44:24.882311 | 2025-08-25 22:34:13.951153 |
| 2026-04-13 07:13:24.303016 | 2026-04-14 00:44:29.742043 | 23595743 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23595743 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-15 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_23595743_326a6b84-fac8-40cd-8104-c9bb276ac95b.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287905 | N/A | N/A | 6752939 | 2222 | 4801 | 23826983 | N/A | 5065602 | 2026-04-14 00:44:29.742043 | 2025-07-01 17:25:13.681724 |
| 2026-04-13 07:13:24.207317 | 2026-04-14 00:44:33.061056 | 23595731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23595731 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-04-16 | M | AE | PT | Walter | XDO472A63371 | Howard | N | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_23595731_0bc45db2-605d-416d-a5b0-549564ac9aae.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287904 | N/A | N/A | 6751424 | 2222 | 4802 | 23827069 | N/A | 5557241 | 2026-04-14 00:44:33.061056 | 2025-07-22 17:08:51.810153 |
| 2026-04-13 07:13:24.100802 | 2026-04-14 00:44:27.520619 | 23595717 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23595717 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-04-16 | M | AE | PT | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_23595717_b3b1be55-16c1-42db-b6b6-99341661c6f7.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287903 | N/A | N/A | 6528155 | 2222 | 4793 | 23826933 | 4185 | 4214447 | 2026-04-14 00:44:27.520619 | 2026-04-23 20:11:34.441054 |
| 2026-04-13 07:13:23.991195 | 2026-04-14 00:45:40.785224 | 23595704 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23595704 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-04-15 | F | AE | PT | MORALES | XEM904136832 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_23595704_4ffc3c19-0e54-4c1e-87b8-10c1ccad0642.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | 2026-04-13 | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287902 | N/A | N/A | 6074748 | 2222 | 4793 | 23828306 | N/A | 4718913 | 2026-04-14 00:45:40.785224 | 2025-05-29 22:23:40.462913 |
| 2026-04-13 07:13:23.892343 | 2026-04-14 00:44:28.494476 | 23595693 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23595693 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-04-16 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_23595693_fe693777-2546-4a50-b11c-926f9d6c1116.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2026-02-01 | CA PLAN F INNOVATIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287901 | N/A | N/A | 5550535 | 2222 | 4801 | 23826956 | N/A | 4219556 | 2026-04-14 00:44:28.494476 | 2025-05-13 04:29:37.230592 |
| 2026-04-13 07:13:23.781434 | 2026-04-14 00:42:51.764160 | 23595680 | N/A | N/A | 60054 | Aetna | 1114042165 | 23595680 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-04-15 | F | AE | PT | UYGUR | GLA0008101 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_23595680_7152e35f-5a49-4bb7-9279-10c01aad5e4a.json | N/A | N/A | N/A | N/A | N/A | GLA0008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287900 | N/A | N/A | 5543315 | 2222 | 4802 | 23824689 | N/A | 4215116 | 2026-04-14 00:42:51.764160 | 2025-05-29 22:32:19.748297 |
| 2026-04-13 07:13:23.663191 | 2026-04-14 00:42:52.737942 | 23595663 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23595663 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-04-16 | F | AE | PT | GRINBERG | 04690155011 | HANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_23595663_673ee9b4-0813-4d90-80e3-d1cf9a6ba255.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | 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. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287899 | N/A | N/A | 5542163 | 2222 | 4802 | 23824708 | N/A | 4214112 | 2026-04-14 00:42:52.737942 | 2025-05-13 04:29:37.228426 |
| 2026-04-13 07:13:23.496030 | 2026-04-14 00:42:54.579005 | 23595644 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 23595644 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-04-16 | F | AE | PT | MILLER | 32189178511 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541431/check_23595644_88d79751-59ff-4613-bc8e-42fd45e325b8.json | N/A | N/A | N/A | N/A | N/A | 32189178511 | 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. | 1943-11-05 | N/A | N/A | N/A | SP | false | MILLER | N/A | PEGGY | 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 | 10569287898 | N/A | N/A | 5541431 | 2222 | 4802 | 23824741 | N/A | 4213453 | 2026-04-14 00:42:54.579005 | 2025-05-13 04:29:37.227772 |
| 2026-04-13 07:13:23.402627 | 2026-04-14 00:45:41.699645 | 23595635 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23595635 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-04-16 | F | AE | PT | PODRAT | XEM904657915 | CHARLOTTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540124/check_23595635_47cb0e34-5e3c-46e1-b9c7-65eafdd03b1a.json | N/A | N/A | N/A | N/A | N/A | XEM904657915 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1943-10-18 | 2002SD000004 | X0001002 | N/A | OT | false | PODRAT | N/A | CHARLOTTE | N/A | 9999-12-31 | 2026-01-01 | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287897 | N/A | N/A | 5540124 | 2222 | 4793 | 23828327 | N/A | 4212321 | 2026-04-14 00:45:41.699645 | 2026-03-11 15:45:38.887850 |
| 2026-04-13 07:13:23.290475 | 2026-04-14 00:45:37.144948 | 23595620 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23595620 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-04-15 | M | AE | PT | GORODENZIK | XEM910692096 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260413.121735173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539599/check_23595620_b7fb5776-6af6-49bc-81cf-c4e4b77cc3db.json | N/A | N/A | N/A | N/A | N/A | XEM910692096 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-08-13 | 2002SE000030 | X0001002 | N/A | OT | false | GORODENZIK | N/A | AMIR | N/A | 2026-06-30 | 2026-01-01 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10569287896 | N/A | N/A | 5539599 | 2222 | 4793 | 23828222 | N/A | 4211880 | 2026-04-14 00:45:37.144948 | 2025-05-13 04:29:37.226201 |