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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-11 07:09:35.862933 | 2026-04-12 00:32:09.844861 | 23488659 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23488659 | Athletic Physical Therapy Inc | 2015-09-12 | 2026-04-14 | M | PT | Brodersen | XEA904512777 | Russell | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19420394/check_23488659_7ee02a74-2597-4030-a6d6-ca977803f984.json | N/A | N/A | N/A | N/A | N/A | XEA904512777 | Preferred Provider Organization (PPO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 2015-09-12 | 1000PPOX0004 | W0051513 | N/A | PR | false | BRODERSEN | N/A | ROBERT | N/A | 2026-04-30 | 2025-05-01 | HRA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558773028 | N/A | N/A | 19420394 | 2222 | 4793 | 23683077 | N/A | 17221001 | 2026-04-12 00:32:09.844861 | 2026-04-07 20:28:25.222608 |
| 2026-04-11 07:09:35.778719 | 2026-04-12 00:31:59.463159 | 23488649 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23488649 | override_provider | 1975-10-30 | 2026-04-14 | F | AE | ALEJO | 000015664212 | ROCELIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19415415/check_23488649_2e9ffa4a-ac16-4470-ad22-13e4951da17d.json | N/A | N/A | N/A | N/A | N/A | 000015664212 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1975-10-30 | 4387737 | 101000 | N/A | N/A | false | ALEJO | N/A | ROCELIE | N/A | 2026-12-31 | 2026-01-01 | COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES - AC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773027 | N/A | N/A | 19415415 | 2222 | 4801 | 23682897 | N/A | 17216246 | 2026-04-12 00:31:59.463159 | 2026-04-13 20:29:43.549035 |
| 2026-04-11 07:09:35.685999 | 2026-04-12 00:31:55.947012 | 23488638 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 23488638 | Athletic Physical Therapy Inc | 1977-09-20 | 2026-04-13 | F | PT | RITENOUR | NCF553A20679 | HELEN | Sim | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19361377/check_23488638_2f4b3e07-2cdd-41d1-9cb1-679ab9020d32.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-09-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2015-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558773026 | N/A | N/A | 19361377 | 2222 | 4793 | 23682783 | 4184 | 17178881 | 2026-04-12 00:31:55.947012 | 2026-04-09 16:29:38.558863 |
| 2026-04-11 07:09:35.601369 | 2026-04-12 00:32:05.060826 | 23488627 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23488627 | Athletic Physical Therapy Inc | 2011-06-23 | 2026-04-14 | U | PT | BERMEJO | 901915985003 | JESSICA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19360333/check_23488627_5c972941-f322-4c4c-9e9f-b51cf6af21aa.json | N/A | N/A | N/A | N/A | N/A | 901915985003 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2011-06-23 | N/A | N/A | N/A | N/A | false | BERMEJO | N/A | JESSICA | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558773025 | N/A | N/A | 19360333 | 2222 | 4801 | 23683061 | 4191 | 17177883 | 2026-04-12 00:32:05.060826 | 2026-04-14 01:39:12.569779 |
| 2026-04-11 07:09:35.536825 | 2026-04-12 00:31:58.022776 | 23488621 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23488621 | Athletic Physical Therapy Inc | 1971-06-11 | 2026-04-14 | M | AE | Wagner | 000032119998 | Mark | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19346496/check_23488621_565b962d-6637-41ec-b979-4af7b6333778.json | N/A | N/A | N/A | N/A | N/A | 000032119998 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1971-06-11 | 4378726 | 1650095001 | N/A | N/A | false | WAGNER | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773023 | N/A | N/A | 19346496 | 2222 | 4802 | 23682849 | N/A | 17166239 | 2026-04-12 00:31:58.022776 | 2026-04-06 17:33:20.360853 |
| 2026-04-11 07:09:35.473254 | 2026-04-12 00:31:50.730643 | 23488613 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23488613 | Athletic Physical Therapy Inc | 2015-12-26 | 2026-04-13 | M | PT | McKee | MPI10562094Q | Zachary | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19342543/check_23488613_52df923a-a3ca-4efa-a860-778c7b51e62f.json | N/A | N/A | N/A | N/A | N/A | MPI10562094Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2015-12-26 | 040 | 277163M402 | N/A | PR | false | MCKEE | N/A | M | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558773022 | N/A | N/A | 19342543 | 2222 | 4793 | 23682649 | N/A | 17162601 | 2026-04-12 00:31:50.730643 | 2026-04-06 16:43:33.986673 |
| 2026-04-11 07:09:35.385934 | 2026-04-12 00:32:44.360645 | 23488602 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 23488602 | Athletic Physical Therapy Inc | 1999-03-02 | 2026-04-14 | F | AE | Andrieieva | 92598899G | Taisiia | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19337264/check_23488602_845428ad-659d-4594-aa66-b69a7b4b26cb.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773021 | N/A | N/A | 19337264 | 2222 | 4802 | 23684029 | 5538 | 6709145 | 2026-04-12 00:32:44.360645 | 2025-08-07 23:35:55.091438 |
| 2026-04-11 07:09:35.320198 | 2026-04-12 00:32:07.032810 | 23488595 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488595 | Athletic Physical Therapy Inc | 1955-02-18 | 2026-04-13 | M | AE | Savatteri | 6A84AX2EY86 | Roger | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249807/check_23488595_93fec36e-c0c8-4f52-b22e-af5600b7e148.json | N/A | N/A | N/A | N/A | N/A | 6A84AX2EY86 | N/A | N/A | CMS | N/A | 1955-02-18 | N/A | N/A | N/A | N/A | false | SAVATTERI | N/A | ROGER | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773020 | N/A | N/A | 19249807 | 2222 | 4793 | 23683124 | N/A | 17115438 | 2026-04-12 00:32:07.032810 | 2026-04-10 14:10:46.417236 |
| 2026-04-11 07:09:35.244321 | 2026-04-12 00:32:01.417306 | 23488584 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23488584 | override_provider | 2012-12-30 | 2026-04-14 | F | AE | Pate | 000025033815 | Starley | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19248382/check_23488584_84f3a7dc-2590-4a5a-83e2-298ef524a026.json | N/A | N/A | N/A | N/A | N/A | 000025033815 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2012-12-30 | 4292435 | 1650095001 | N/A | N/A | false | PATE | N/A | STARLEY | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773018 | N/A | N/A | 19248382 | 2222 | 4793 | 23682958 | N/A | 17113723 | 2026-04-12 00:32:01.417306 | 2026-04-14 18:27:10.279532 |
| 2026-04-11 07:09:35.158125 | 2026-04-12 00:32:31.819284 | 23488572 | N/A | N/A | 60054 | Aetna | 1114042165 | 23488572 | Athletic Physical Therapy Inc | 1991-08-14 | 2026-04-14 | F | AE | Redston | 1137531425 | Jennifer | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19239501/check_23488572_5924d44d-911f-4ddd-9b24-80301ff56245.json | N/A | N/A | N/A | N/A | N/A | 1137531425 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1991-08-14 | 005 | 25683 | N/A | GP | false | REDSTON | N/A | JENNIFER | N/A | N/A | N/A | AMERICAN ISRAEL PUBLIC AFFAIRS COMMITTEE | N/A | MINUTE CLINIC LOW COST/NO COST (CP2) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773017 | N/A | N/A | 19239501 | 2222 | 4802 | 23683702 | N/A | 15801095 | 2026-04-12 00:32:31.819284 | 2026-03-13 21:49:44.349377 |
| 2026-04-11 07:09:35.099520 | 2026-04-12 00:32:03.097585 | 23488563 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488563 | Athletic Physical Therapy Inc | 1957-05-01 | 2026-04-14 | F | AE | Dworman | 6JF9V76YG30 | Kristi | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084891/check_23488563_8029a9c5-0cb0-4fdb-8e04-66fc4fe31d8b.json | N/A | N/A | N/A | N/A | N/A | 6JF9V76YG30 | N/A | N/A | CMS | N/A | 1957-05-01 | N/A | N/A | N/A | N/A | false | DWORMAN | N/A | KRISTI | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773014 | N/A | N/A | 19084891 | 2222 | 4793 | 23683004 | N/A | 17081643 | 2026-04-12 00:32:03.097585 | 2026-04-07 16:17:40.937499 |
| 2026-04-11 07:09:35.033500 | 2026-04-12 00:32:17.031566 | 23488559 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 23488559 | Athletic Physical Therapy Inc | 1973-10-06 | 2026-04-14 | F | AE | Casagrande | R00486960FS1 | Tamara | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19084730/check_23488559_cf6c3504-8dff-4143-a1e6-b30ad1668f7a.json | N/A | N/A | N/A | N/A | N/A | R00486960FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-10-06 | N/A | N/A | N/A | N/A | false | CASAGRANDE | N/A | TAMARA | N/A | N/A | N/A | MZC BRONZHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773013 | N/A | N/A | 19084730 | 2222 | 4793 | 23683386 | N/A | 17081329 | 2026-04-12 00:32:17.031566 | 2026-04-03 22:08:08.919747 |
| 2026-04-11 07:09:34.967552 | 2026-04-12 00:32:05.789320 | 23488549 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488549 | Athletic Physical Therapy Inc | 1952-08-01 | 2026-04-14 | M | AE | REISS | 1J83JQ6JF81 | JOHN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19077902/check_23488549_427c30ea-a9e8-4e2c-88f2-ebd5dd18ad10.json | N/A | N/A | N/A | N/A | N/A | 1J83JQ6JF81 | N/A | N/A | CMS | N/A | 1952-08-01 | N/A | N/A | N/A | N/A | false | REISS | N/A | JOHN | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773012 | N/A | N/A | 19077902 | 2222 | 4801 | 23683086 | N/A | 17065421 | 2026-04-12 00:32:05.789320 | 2026-04-06 17:02:36.906045 |
| 2026-04-11 07:09:34.896402 | 2026-04-12 00:31:58.523227 | 23488539 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23488539 | Athletic Physical Therapy Inc | 1939-05-15 | 2026-04-14 | M | AE | Weiner | 000000201398 | Bernard | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19076126/check_23488539_dfba736a-ac81-4641-9a5b-62bd534c040c.json | N/A | N/A | N/A | N/A | N/A | 000000201398 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1939-05-15 | 3013928 | 100201 | N/A | N/A | false | WEINER | N/A | BERNARD | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG DEPENDENTS TPA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773009 | N/A | N/A | 19076126 | 2222 | 4802 | 23682866 | N/A | 17061917 | 2026-04-12 00:31:58.523227 | 2026-04-02 22:23:37.722121 |
| 2026-04-11 07:09:34.832510 | 2026-04-12 00:32:11.113266 | 23488532 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23488532 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-04-14 | M | AE | ESCOLL | XEM913388225 | PAUL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19075589/check_23488532_f3b9bfe2-3644-446a-8c1f-a9fd06764be2.json | N/A | N/A | N/A | N/A | N/A | XEM913388225 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-12 | 2002SE000030 | X0001002 | N/A | OT | false | ESCOLL | N/A | PAUL | N/A | N/A | 2026-04-11 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773008 | N/A | N/A | 19075589 | 2222 | 4802 | 23683234 | N/A | 17061553 | 2026-04-12 00:32:11.113266 | 2026-04-03 00:44:20.509677 |
| 2026-04-11 07:09:34.770586 | 2026-04-12 00:31:52.793167 | 23488522 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23488522 | Athletic Physical Therapy Inc | 1990-04-19 | 2026-04-14 | F | AE | Dattner | 000022376092 | Laura | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19074959/check_23488522_1152a628-09dd-4d55-9c42-24648b2dbbee.json | N/A | N/A | N/A | N/A | N/A | 000022376092 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1990-04-19 | 4335730 | 227134 | N/A | N/A | false | DATTNER | N/A | LAURA | N/A | 2026-12-31 | 2026-01-01 | NETFLIX, INC. NETFLIX STREAMING | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773007 | N/A | N/A | 19074959 | 2222 | 4802 | 23682713 | N/A | 17060842 | 2026-04-12 00:31:52.793167 | 2026-04-02 21:50:52.549307 |
| 2026-04-11 07:09:34.697475 | 2026-04-12 00:32:45.326380 | 23488511 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 23488511 | Athletic Physical Therapy Inc | 1970-11-01 | 2026-04-14 | M | AE | FRAIMAN | 95133939G | EDWARD | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19072866/check_23488511_a76466fe-1c83-49c0-b0d2-ea7ba9861a83.json | N/A | N/A | N/A | N/A | N/A | 95133939G | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1970-11-01 | MCLA | MWLLNFAG21 | N/A | N/A | false | FRAIMAN | N/A | EDWARD | N/A | 2078-12-31 | 2025-05-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773005 | N/A | N/A | 19072866 | 2222 | 4802 | 23684057 | 5538 | 17056594 | 2026-04-12 00:32:45.326380 | 2026-04-06 05:27:38.592791 |
| 2026-04-11 07:09:34.596104 | 2026-04-12 00:31:56.986603 | 23488501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23488501 | Athletic Physical Therapy Inc | 1993-03-31 | 2026-04-14 | M | PT | Rodgers | K3A701W13372 | Joshua | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19068557/check_23488501_3f8d2d38-2976-4753-9b05-ddecfae64bd0.json | N/A | N/A | N/A | N/A | N/A | K3A701W13372 | Preferred Provider Organization (PPO) | KAISER ALUMINUM CORPORATION | ANTHEM BLUE CROSS | N/A | 1993-03-31 | 040 | 2824970918 | N/A | PR | false | RODGERS | N/A | JOSHUA | N/A | 2026-12-31 | 2026-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558773002 | N/A | N/A | 19068557 | 2222 | 4793 | 23682816 | N/A | 17050652 | 2026-04-12 00:31:56.986603 | 2026-04-02 20:47:22.998000 |
| 2026-04-11 07:09:34.531656 | 2026-04-12 00:31:35.900586 | 23488493 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 23488493 | Athletic Physical Therapy Inc | 1968-07-14 | 2026-04-14 | M | AE | MACONE | UZ163510801 | SCOTT | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19060263/check_23488493_2be8cae6-65aa-4f72-8b06-26a0452029cf.json | N/A | N/A | N/A | N/A | N/A | UZ163510801 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1968-07-14 | 67138CA0520015-01 | N/A | N/A | N/A | false | MACONE | N/A | SCOTT | N/A | N/A | N/A | SILVER 70 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558773000 | N/A | N/A | 19060263 | 2222 | 4801 | 23682323 | N/A | 17042622 | 2026-04-12 00:31:35.900586 | 2026-04-10 15:16:29.151767 |
| 2026-04-11 07:09:34.470571 | 2026-04-12 00:32:02.715432 | 23488485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488485 | Athletic Physical Therapy Inc | 1950-12-02 | 2026-04-14 | F | AE | Delgado | 4d07m65da79 | Linda | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18934124/check_23488485_7721f2dc-eda4-4ed1-afa1-96fa6a73d92c.json | N/A | N/A | N/A | N/A | N/A | 4D07M65DA79 | N/A | N/A | CMS | N/A | 1950-12-02 | N/A | N/A | N/A | N/A | false | DELGADO | N/A | LINDA | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772998 | N/A | N/A | 18934124 | 2222 | 4801 | 23682994 | N/A | 16919419 | 2026-04-12 00:32:02.715432 | 2026-04-01 03:46:15.905427 |
| 2026-04-11 07:09:34.391986 | 2026-04-12 00:32:17.578366 | 23488476 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23488476 | Athletic Physical Therapy Inc | 2000-01-16 | 2026-04-14 | M | AE | COHEN | R15053348MM1 | BEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18898121/check_23488476_657e654e-8ab3-4855-a182-5f1d9e7cc2be.json | N/A | N/A | N/A | N/A | N/A | R15053348MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 2000-01-16 | N/A | N/A | N/A | N/A | false | COHEN | N/A | BEN | N/A | 2026-03-31 | 2026-01-01 | KVZ SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772997 | N/A | N/A | 18898121 | 2222 | 4802 | 23683398 | 4625 | 16884375 | 2026-04-12 00:32:17.578366 | 2026-04-01 15:30:39.812102 |
| 2026-04-11 07:09:34.329748 | 2026-04-12 00:31:51.701501 | 23488468 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23488468 | Athletic Physical Therapy Inc | 2003-07-09 | 2026-04-14 | F | PT | Miller | XDM192M99937 | Emily | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18796625/check_23488468_65d0e2a9-5bf5-4ee7-9249-71846274b0e3.json | N/A | N/A | N/A | N/A | N/A | XDM192M99937 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 2003-07-09 | 040 | 282241H001 | N/A | HM | false | MILLER | N/A | JILL | N/A | 9999-12-31 | 2019-03-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558772996 | N/A | N/A | 18796625 | 2222 | 4793 | 23682678 | N/A | 16770571 | 2026-04-12 00:31:51.701501 | 2026-04-06 21:25:26.219750 |
| 2026-04-11 07:09:34.256754 | 2026-04-12 00:31:54.419051 | 23488460 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23488460 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-14 | M | AE | LIBERMAN | 000022717735 | ANDREW | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775389/check_23488460_3560c79b-3c7f-46ea-bbc2-1570dc7b765a.json | N/A | N/A | N/A | N/A | N/A | 000022717735 | N/A | N/A | KP MEDICARE | MDC - MEDICAID | 1950-04-13 | 4378810 | 1650095002 | N/A | N/A | false | LIBERMAN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | MEDI-CAL SCR 19_MM SPD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772995 | N/A | N/A | 18775389 | 2222 | 4802 | 23682765 | N/A | 16749367 | 2026-04-12 00:31:54.419051 | 2026-03-26 23:17:06.136103 |
| 2026-04-11 07:09:34.179357 | 2026-04-12 00:32:00.339416 | 23488449 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23488449 | override_provider | 1947-12-17 | 2026-04-14 | M | AE | KANEGAI | 000004753197 | BRUCE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18771796/check_23488449_bb59c1cb-60c7-4b5c-bead-bae869385671.json | N/A | N/A | N/A | N/A | N/A | 000004753197 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1947-12-17 | 563737 | 101142 | N/A | N/A | false | KANEGAI | N/A | BRUCE | N/A | 2026-12-31 | 2026-01-01 | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772994 | N/A | N/A | 18771796 | 2222 | 4801 | 23682925 | N/A | 16745270 | 2026-04-12 00:32:00.339416 | 2026-04-07 14:47:39.458413 |
| 2026-04-11 07:09:34.116250 | 2026-04-12 00:32:15.123570 | 23488441 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23488441 | Athletic Physical Therapy Inc | 1965-08-19 | 2026-04-14 | M | PT | Baral | JQU381M93283 | Joel | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18761224/check_23488441_45718ee7-d11e-4399-b6d6-a08f86d538ed.json | N/A | N/A | N/A | N/A | N/A | JQU381M93283 | Preferred Provider Organization (PPO) | R C BARAL & COMPANY INC | BLUE SHIELD OF CALIFORNIA | N/A | 1965-08-19 | 040 | J54027 | N/A | PR | false | BARAL | N/A | JOEL | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558772993 | N/A | N/A | 18761224 | 2222 | 4793 | 23683338 | N/A | 16741890 | 2026-04-12 00:32:15.123570 | 2026-03-26 20:45:58.539701 |
| 2026-04-11 07:09:34.050961 | 2026-04-12 00:32:02.258087 | 23488431 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488431 | Athletic Physical Therapy Inc | 1944-07-26 | 2026-04-14 | M | AE | CORONA OLVERA | 8R82E31RM96 | JOSE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18754661/check_23488431_bac05572-ecc1-4c60-8be5-97d6c4dfd404.json | N/A | N/A | N/A | N/A | N/A | 8R82E31RM96 | N/A | N/A | CMS | N/A | 1944-07-26 | N/A | N/A | N/A | N/A | false | CORONA OLVERA | N/A | JOSE | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772992 | N/A | N/A | 18754661 | 2222 | 4801 | 23682981 | N/A | 16735295 | 2026-04-12 00:32:02.258087 | 2026-06-02 16:43:36.538327 |
| 2026-04-11 07:09:33.980680 | 2026-04-12 00:32:01.939856 | 23488424 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23488424 | override_provider | 2011-05-29 | 2026-04-14 | F | AE | Snider | 000019675824 | RACHEL | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18753996/check_23488424_23790cac-4ffd-4e63-9f00-0da649ff7c20.json | N/A | N/A | N/A | N/A | N/A | 000019675824 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2011-05-29 | 3076628 | 102601 | N/A | N/A | false | SNIDER | N/A | RACHEL | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772991 | N/A | N/A | 18753996 | 2222 | 4802 | 23682972 | N/A | 16734592 | 2026-04-12 00:32:01.939856 | 2026-03-26 18:52:03.602043 |
| 2026-04-11 07:09:33.916510 | 2026-04-12 00:32:07.485187 | 23488417 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488417 | Athletic Physical Therapy Inc | 1947-08-01 | 2026-04-14 | F | AE | SEELY | 3QE6CU2AN62 | LINDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18751824/check_23488417_84ee9a86-127a-4bac-84d6-9f526fde9fca.json | N/A | N/A | N/A | N/A | N/A | 3QE6CU2AN62 | N/A | N/A | CMS | N/A | 1947-08-01 | N/A | N/A | N/A | N/A | false | SEELY | N/A | LINDA | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772990 | N/A | N/A | 18751824 | 2222 | 4801 | 23683140 | N/A | 16732457 | 2026-04-12 00:32:07.485187 | 2026-04-01 21:24:57.569757 |
| 2026-04-11 07:09:33.838327 | 2026-04-12 00:32:06.905827 | 23488408 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23488408 | Athletic Physical Therapy Inc | 1946-07-13 | 2026-04-14 | F | AD | Martinez | 40019464901 | Suzanne | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18686160/check_23488408_8b84a45c-265d-450c-8390-b9f0dc08aa25.json | N/A | N/A | N/A | N/A | N/A | 40019464901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-07-13 | 2026H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | SUZANNE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10558772989 | N/A | N/A | 18686160 | 2222 | 4801 | 23683121 | 6237 | 16674025 | 2026-04-12 00:32:06.905827 | 2026-03-25 21:24:10.310122 |
| 2026-04-11 07:09:33.773360 | 2026-04-12 00:32:06.581102 | 23488399 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488399 | Athletic Physical Therapy Inc | 1952-04-08 | 2026-04-14 | M | AE | Rogers | 1A97G47KT42 | Victor | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18647667/check_23488399_61dbefbc-9845-4799-94ca-96fc01c85d88.json | N/A | N/A | N/A | N/A | N/A | 1A97G47KT42 | N/A | N/A | CMS | N/A | 1952-04-08 | N/A | N/A | N/A | N/A | false | ROGERS | N/A | VICTOR | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772988 | N/A | N/A | 18647667 | 2222 | 4801 | 23683110 | N/A | 16646727 | 2026-04-12 00:32:06.581102 | 2026-03-25 16:17:34.450358 |
| 2026-04-11 07:09:33.692032 | 2026-04-12 00:32:00.854778 | 23488389 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23488389 | override_provider | 2009-05-22 | 2026-04-14 | M | AE | LIVINGSTON | 000024871001 | DONNER | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18610016/check_23488389_8952a8ab-acee-4ec9-9b0e-c47afa5aa82d.json | N/A | N/A | N/A | N/A | N/A | 000024871001 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-05-22 | 4359961 | 108601 | N/A | N/A | false | LIVINGSTON | N/A | DONNER | N/A | 2026-12-31 | 2026-01-01 | TEAMSTERS MISCELLANEOUS SECURITY FUND TEAMSTERS MI | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772987 | N/A | N/A | 18610016 | 2222 | 4802 | 23682943 | N/A | 16611782 | 2026-04-12 00:32:00.854778 | 2026-04-29 15:29:54.461887 |
| 2026-04-11 07:09:33.613331 | 2026-04-12 00:31:50.605148 | 23488380 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23488380 | Athletic Physical Therapy Inc | 1963-04-30 | 2026-04-14 | F | AE | Anderson | 000016196311 | Janice | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18599106/check_23488380_0c6f0027-9107-42b3-8709-15d8251b3fff.json | N/A | N/A | N/A | N/A | N/A | 000016196311 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1963-04-30 | 4320310 | 1650095001 | N/A | N/A | false | ANDERSON | N/A | JANICE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772986 | N/A | N/A | 18599106 | 2222 | 4802 | 23682645 | N/A | 16601576 | 2026-04-12 00:31:50.605148 | 2026-03-24 19:40:50.353536 |
| 2026-04-11 07:09:33.532466 | 2026-04-12 00:32:46.322367 | 23488373 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23488373 | Athletic Physical Therapy Inc | 1990-12-13 | 2026-04-14 | F | AE | LARA | 629957136 | LYZBETH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18561509/check_23488373_9dc163c1-9ba4-4c1c-8fbc-4f5925c28fe8.json | N/A | N/A | N/A | N/A | N/A | 629957136 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1990-12-13 | LACC | 92815CA001000701 | N/A | N/A | false | LARA | N/A | LYZBETH | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772985 | N/A | N/A | 18561509 | 2222 | 4802 | 23684091 | N/A | 16563738 | 2026-04-12 00:32:46.322367 | 2026-03-31 15:29:05.371944 |
| 2026-04-11 07:09:33.456120 | 2026-04-12 00:31:57.432984 | 23488364 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23488364 | Athletic Physical Therapy Inc | 1962-11-13 | 2026-04-14 | M | AE | Trevellin | 000016368983 | Maurizio | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538335/check_23488364_667da18d-3836-4614-a4ca-6fe6dda073d8.json | N/A | N/A | N/A | N/A | N/A | 000016368983 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-11-13 | 562547 | 103000 | N/A | N/A | false | TREVELLIN | N/A | MAURIZIO | N/A | 2026-12-31 | 2026-01-01 | INTER REG'L NO. CAL. MBRS RES SC A-INTERREG-NCR MB | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772984 | N/A | N/A | 18538335 | 2222 | 4802 | 23682832 | N/A | 16540455 | 2026-04-12 00:31:57.432984 | 2026-03-23 15:50:46.266916 |
| 2026-04-11 07:09:33.388738 | 2026-04-12 00:31:53.786451 | 23488357 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23488357 | Athletic Physical Therapy Inc | 1953-06-23 | 2026-04-14 | M | AE | Fields | 000008100545 | Renny | Arthur | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_23488357_f436ac53-8c9f-4670-af3f-a27406e70e0c.json | N/A | N/A | N/A | N/A | N/A | 000008100545 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1953-06-23 | 4073761 | 100232 | N/A | N/A | false | FIELDS | N/A | RENNY | N/A | 2026-12-31 | 2026-01-01 | THE AEROSPACE CORPORATION AERO ACTIVES NON-UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772983 | N/A | N/A | 18473083 | 2222 | 4802 | 23682745 | N/A | 16473148 | 2026-04-12 00:31:53.786451 | 2026-03-29 14:38:33.964725 |
| 2026-04-11 07:09:33.322759 | 2026-04-12 00:32:04.933214 | 23488347 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488347 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-04-13 | M | AE | O NEILL | 3VD0U34GW90 | THOMAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_23488347_151fb49d-a7d7-45fe-ad0a-b386c2cba2ef.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | N/A | N/A | CMS | N/A | 1950-03-26 | N/A | N/A | N/A | N/A | false | O NEILL | N/A | THOMAS | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772982 | N/A | N/A | 18472576 | 2222 | 4802 | 23683058 | N/A | 16472791 | 2026-04-12 00:32:04.933214 | 2026-03-20 22:44:48.876499 |
| 2026-04-11 07:09:33.246712 | 2026-04-12 00:31:22.017271 | 23488336 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23488336 | Athletic Physical Therapy Inc | 1941-12-28 | 2026-04-14 | F | AE | KATZOFF | H5070031200 | CAROLYN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18459155/check_23488336_b0f5899d-c585-4913-8b7e-bca6181c8806.json | N/A | N/A | N/A | N/A | N/A | H50700312 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1941-12-28 | N/A | 2B722001 | N/A | HN | false | KATZOFF | N/A | CAROLYN | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772981 | N/A | N/A | 18459155 | 2222 | 4801 | 23682035 | 5349 | 16458858 | 2026-04-12 00:31:22.017271 | 2026-03-20 17:56:12.644597 |
| 2026-04-11 07:09:33.184635 | 2026-04-12 00:32:08.223794 | 23488327 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488327 | Athletic Physical Therapy Inc | 1948-12-19 | 2026-04-14 | F | AE | SULLIVAN | 5Q91C30PU13 | CATHERINE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18458100/check_23488327_2662b597-3929-4072-8817-fb41709a1e6e.json | N/A | N/A | N/A | N/A | N/A | 5Q91C30PU13 | N/A | N/A | CMS | N/A | 1948-12-19 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | CATHERINE | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772980 | N/A | N/A | 18458100 | 2222 | 4801 | 23683161 | N/A | 16457691 | 2026-04-12 00:32:08.223794 | 2026-03-20 16:17:53.406743 |
| 2026-04-11 07:09:33.120541 | 2026-04-12 00:32:17.819001 | 23488320 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23488320 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-04-14 | F | PT | FELT | JXN853M92476 | KATHRYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_23488320_caf7a2d0-ee24-43a9-af3d-40662acb90c6.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558772979 | N/A | N/A | 18326912 | 2222 | 4801 | 23683405 | N/A | 16337774 | 2026-04-12 00:32:17.819001 | 2026-03-18 18:21:21.968505 |
| 2026-04-11 07:09:33.059074 | 2026-04-12 00:32:05.390151 | 23488313 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23488313 | Athletic Physical Therapy Inc | 1943-07-29 | 2026-04-14 | F | AE | PETROSIAN | 6PK0HF2DF31 | SILVA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18321858/check_23488313_531c5a12-61db-432a-afb9-c2f4b9e6de7a.json | N/A | N/A | N/A | N/A | N/A | 6PK0HF2DF31 | N/A | N/A | CMS | N/A | 1943-07-29 | N/A | N/A | N/A | N/A | false | PETROSIAN | N/A | SILVA | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772978 | N/A | N/A | 18321858 | 2222 | 4801 | 23683073 | N/A | 4212923 | 2026-04-12 00:32:05.390151 | 2025-05-13 04:29:37.227251 |
| 2026-04-11 07:09:32.985774 | 2026-04-12 00:32:04.199026 | 23488303 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23488303 | Athletic Physical Therapy Inc | 1953-05-30 | 2026-04-14 | F | AE | LOESING | 941238323 | KAREN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18321539/check_23488303_3a6678b4-d87e-4716-a723-0b3c58f64801.json | N/A | N/A | N/A | N/A | N/A | 941238323 | 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 | 1958-05-30 | N/A | 02049 | N/A | HN | false | LOESING | N/A | KAREN | 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 | 10558772977 | N/A | N/A | 18321539 | 2222 | 4793 | 23683033 | 6411 | 16332871 | 2026-04-12 00:32:04.199026 | 2026-04-13 15:00:32.362706 |
| 2026-04-11 07:09:32.927932 | 2026-04-12 00:31:53.331099 | 23488292 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23488292 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-04-13 | F | AE | Durant | 000008717870 | Jovanna | Sharelle Shishonna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_23488292_47b875a4-e00c-4d1d-b6a9-b4bb1b6db847.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 S.E.I | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772976 | N/A | N/A | 18270267 | 2222 | 4802 | 23682730 | N/A | 16284557 | 2026-04-12 00:31:53.331099 | 2026-03-22 16:36:56.176369 |
| 2026-04-11 07:09:32.870573 | 2026-04-12 00:32:46.842612 | 23488285 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23488285 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-04-14 | M | AE | Lopez Garcia | 95890433F | Eduardo | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_23488285_d6e08f6b-6c4b-4ac1-a1ac-5f2d9cdb1c79.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772975 | N/A | N/A | 18216914 | 2222 | 4802 | 23684108 | N/A | 16232218 | 2026-04-12 00:32:46.842612 | 2026-03-16 23:33:21.904145 |
| 2026-04-11 07:09:32.813950 | 2026-04-12 00:32:47.336296 | 23488279 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23488279 | Athletic Physical Therapy Inc | 1959-09-16 | 2026-04-14 | M | AE | ALCANTAR NINO JR | 91443370E | ROBERT | D | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18211182/check_23488279_1210d58f-6afa-4ac3-9777-e52cf2b52a4b.json | N/A | N/A | N/A | N/A | N/A | 91443370E | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1959-09-16 | MCLA | MWLLDAGG21 | N/A | N/A | false | NINO | N/A | ROBERT | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772974 | N/A | N/A | 18211182 | 2222 | 4802 | 23684121 | N/A | 16226174 | 2026-04-12 00:32:47.336296 | 2026-03-16 20:58:43.263663 |
| 2026-04-11 07:09:32.744825 | 2026-04-12 00:32:05.720186 | 23488268 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23488268 | Athletic Physical Therapy Inc | 1952-05-08 | 2026-04-14 | F | AD | Capka | 40059905001 | Trina | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18203946/check_23488268_cd80f6fc-af9a-4dae-8def-2428c9409113.json | N/A | N/A | N/A | N/A | N/A | 40059905001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-05-08 | 2026H5425001 | H5425M | N/A | N/A | false | CAPKA | N/A | TRINA | 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 | 10558772973 | N/A | N/A | 18203946 | 2222 | 4793 | 23683083 | 6237 | 16218479 | 2026-04-12 00:32:05.720186 | 2026-03-21 17:16:07.215296 |
| 2026-04-11 07:09:32.679492 | 2026-04-12 00:31:35.395340 | 23488257 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23488257 | Athletic Physical Therapy Inc | 1979-07-25 | 2026-04-14 | M | PT | DOBBIE | JQU942M93268 | DRAKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_23488257_42ef03f0-8cb3-4482-8510-6d609d0ff8a0.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 2026-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558772972 | N/A | N/A | 18097686 | 2222 | 4801 | 23682314 | N/A | 16122002 | 2026-04-12 00:31:35.395340 | 2026-03-19 18:31:16.913461 |
| 2026-04-11 07:09:32.619576 | 2026-04-12 00:31:27.245020 | 23488249 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 23488249 | Athletic Physical Therapy Inc | 2008-01-01 | 2026-04-14 | M | AE | Talasazan | 90246457E | Adam | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_23488249_a7506d5d-bb4e-4855-b1e8-b5bce6b3a502.json | N/A | N/A | N/A | N/A | N/A | 90246457E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772971 | N/A | N/A | 18095833 | 2222 | 4802 | 23682137 | N/A | 16119978 | 2026-04-12 00:31:27.245020 | 2026-04-03 21:05:07.393901 |
| 2026-04-11 07:09:32.535532 | 2026-04-12 00:31:37.821027 | 23488238 | N/A | N/A | 12115 | TriWest VA CCN Region 4 (TWVACCN) | 1114042165 | 23488238 | Athletic Physical Therapy Inc | 1995-08-17 | 2026-04-14 | M | AE | MOORE | 1031444015V742597 | NICOLAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18091675/check_23488238_d6e98e2c-41d6-43a8-be56-3a2329fdca66.json | N/A | N/A | N/A | N/A | N/A | 1031444015V742597 | N/A | N/A | VETERANS AFFAIRS FEE BASIS PROGRAMS | N/A | 1995-08-17 | N/A | N/A | N/A | N/A | false | MOORE | N/A | NICOLAS | 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 | 10558772970 | N/A | N/A | 18091675 | 2222 | 4793 | 23682366 | N/A | 16115969 | 2026-04-12 00:31:37.821027 | 2026-03-13 20:43:21.494280 |
| 2026-04-11 07:09:32.457581 | 2026-04-12 00:32:10.466825 | 23488229 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23488229 | Athletic Physical Therapy Inc | 1962-12-17 | 2026-04-14 | F | PT | CROSTHWAITE | XEH909146536 | DIANE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18078000/check_23488229_efa187f0-3bc4-491e-bd56-472e274f5c92.json | N/A | N/A | N/A | N/A | N/A | XEH909146536 | Health Maintenance Organization (HMO) | PROVIDENCE HEALTH SERVICES | BLUE SHIELD CALIFORNIA | N/A | 1962-12-17 | 1005HMOX0001 | W0052198 | N/A | HM | false | CROSTHWAITE | N/A | DIANE | N/A | N/A | 2026-04-11 | PROVIDENCE HEALTH SERVICES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558772969 | N/A | N/A | 18078000 | 2222 | 4801 | 23683219 | 4191 | 16103835 | 2026-04-12 00:32:10.466825 | 2026-03-13 17:49:47.687705 |
| 2026-04-11 07:09:32.382156 | 2026-04-12 00:31:25.975669 | 23488220 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23488220 | Athletic Physical Therapy Inc | 1970-07-27 | 2026-04-14 | F | AE | NOURI | 612170695 | MARYAM | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260411.121219681.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029673/check_23488220_d39e6e99-2ffe-4aa3-b8e0-e3168865ad1d.json | N/A | N/A | N/A | N/A | N/A | 612170695 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1970-07-27 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | NOURI | N/A | MARYAM | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558772968 | N/A | N/A | 18029673 | 2222 | 4802 | 23682109 | 4211 | 16058383 | 2026-04-12 00:31:25.975669 | 2026-03-12 21:38:28.159137 |