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 07:09:28.591381 | 2026-04-12 00:32:17.234563 | 23487731 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23487731 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-04-14 | F | PT | Cherry | XDP380A22244 | Megan | 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/2222/14387696/check_23487731_d6b16c85-ad23-4a9d-90cc-c42b89547b7a.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 2026-12-31 | 2026-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558775138 | N/A | N/A | 14387696 | 2222 | 4802 | 23683388 | N/A | 12521666 | 2026-04-12 00:32:17.234563 | 2025-12-17 22:18:09.286393 |
| 2026-04-11 07:09:28.508687 | 2026-04-12 00:32:20.940157 | 23487719 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23487719 | Athletic Physical Therapy Inc | 2000-11-21 | 2026-04-14 | M | PT | Toobi | XDL045A69958 | Sean | 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/2222/14226250/check_23487719_ae0d003a-395d-490e-8a9f-e7b50072698f.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558775137 | N/A | N/A | 14226250 | 2222 | 4802 | 23683471 | N/A | 12357271 | 2026-04-12 00:32:20.940157 | 2025-12-12 23:21:42.214124 |
| 2026-04-11 07:09:28.422589 | 2026-04-12 00:32:12.447047 | 23487707 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23487707 | Athletic Physical Therapy Inc | 1970-08-16 | 2026-04-14 | M | PT | TAMHANE | VBG913306283 | SHAILESH | 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/2222/14216912/check_23487707_3e83d582-b3e3-4e4c-b12b-01c4503cb56b.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1970-08-16 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558775136 | N/A | N/A | 14216912 | 2222 | 4801 | 23683273 | N/A | 12348892 | 2026-04-12 00:32:12.447047 | 2025-12-13 17:39:44.718220 |
| 2026-04-11 07:09:28.355733 | 2026-04-12 00:31:35.885920 | 23487698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487698 | Athletic Physical Therapy Inc | 1970-03-18 | 2026-04-14 | F | PT | Finn | JQU683A20101 | Farnaz | 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/2222/14187202/check_23487698_f260b4da-2c25-4ad2-9096-a5b8926013a6.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1970-03-18 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | 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 | 10558775135 | N/A | N/A | 14187202 | 2222 | 4793 | 23682322 | N/A | 12318785 | 2026-04-12 00:31:35.885920 | 2026-03-02 22:19:42.373924 |
| 2026-04-11 07:09:28.282496 | 2026-04-12 00:31:58.371367 | 23487689 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487689 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-04-14 | F | PT | Vo | TOA651A68427 | Tram | M | 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/2222/14115191/check_23487689_69a02b6d-1ac1-40e4-894d-453a625f50e6.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558775134 | N/A | N/A | 14115191 | 2222 | 4802 | 23682860 | N/A | 12253534 | 2026-04-12 00:31:58.371367 | 2025-12-11 19:59:32.714775 |
| 2026-04-11 07:09:28.210047 | 2026-04-12 00:32:01.750253 | 23487679 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 23487679 | override_provider | 1962-09-10 | 2026-04-14 | M | PT | M Johnson | KWS141015355001 | David | 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/2222/14108628/check_23487679_283c1460-5628-4f7c-897c-3a44a9477ff9.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558775133 | N/A | N/A | 14108628 | 2222 | 4801 | 23682966 | N/A | 12247347 | 2026-04-12 00:32:01.750253 | 2025-12-10 23:35:09.824882 |
| 2026-04-11 07:09:28.150952 | 2026-04-12 00:32:22.150281 | 23487669 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23487669 | Athletic Physical Therapy Inc | 1970-06-25 | 2026-04-14 | M | PT | WEISS | BMO846339245 | JASON | 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/2222/14060119/check_23487669_42841465-5171-41ee-b670-97e9138147f6.json | N/A | N/A | N/A | N/A | N/A | BMO846339245 | Preferred Provider Organization (PPO) | ACTIVES | BLUE SHIELD OF CALIFORNIA | N/A | 1970-06-25 | N/A | 190565 | N/A | PR | false | WEISS | N/A | JULIE | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558775132 | N/A | N/A | 14060119 | 2222 | 4802 | 23683494 | N/A | 12204561 | 2026-04-12 00:32:22.150281 | 2025-12-11 19:10:26.555726 |
| 2026-04-11 07:09:28.087904 | 2026-04-12 00:31:26.604697 | 23487662 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23487662 | Athletic Physical Therapy Inc | 2003-10-23 | 2026-04-14 | M | AE | SMIT DUYZENTKUNST | 94370227G | JAMES | R | 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/2222/14037868/check_23487662_955b7558-7d2d-45ec-9eaa-4982680f67a7.json | N/A | N/A | N/A | N/A | N/A | 94370227G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558775131 | N/A | N/A | 14037868 | 2222 | 4793 | 23682121 | 4211 | 6038528 | 2026-04-12 00:31:26.604697 | 2025-07-24 19:34:35.056005 |
| 2026-04-11 07:09:27.999715 | 2026-04-12 00:32:23.545370 | 23487650 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23487650 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-04-13 | F | AE | watson | 00000380103 | stella | G | 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/2222/13644272/check_23487650_2c9da034-77b8-44e7-97da-6bcd19e4dc32.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1956-07-18 | N/A | N/A | N/A | N/A | false | WATSON | N/A | STELLA | 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 | 10558775130 | N/A | N/A | 13644272 | 2222 | 4801 | 23683521 | 2630 | 11792017 | 2026-04-12 00:32:23.545370 | 2025-12-04 01:49:08.682293 |
| 2026-04-11 07:09:27.941042 | 2026-04-12 00:31:55.891480 | 23487642 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23487642 | Athletic Physical Therapy Inc | 1979-02-24 | 2026-04-14 | F | AE | McCoy | 000024352430 | Colleen | Shannon | 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/2222/13582387/check_23487642_bbdb71e5-3ad2-40d0-a805-846b25faa20a.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | 2026-12-31 | 2026-01-01 | EDWARDS LIFESCIENCES EDWARDS LIFESCIENCES/COBRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558775129 | N/A | N/A | 13582387 | 2222 | 4802 | 23682778 | N/A | 11732070 | 2026-04-12 00:31:55.891480 | 2025-12-02 18:46:08.427375 |
| 2026-04-11 07:09:27.868133 | 2026-04-12 00:31:22.439874 | 23487634 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23487634 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-04-14 | M | AE | Kisca | H6309049800 | John | C | 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/2222/13037589/check_23487634_94001771-6111-43e9-895d-d2759fc87c4a.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774405 | N/A | N/A | 13037589 | 2222 | 4793 | 23682041 | 5349 | 11194723 | 2026-04-12 00:31:22.439874 | 2025-12-17 17:59:32.346197 |
| 2026-04-11 07:09:27.806630 | 2026-04-12 00:31:51.565395 | 23487626 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23487626 | Athletic Physical Therapy Inc | 1959-06-06 | 2026-04-14 | F | AE | Benzaquen | 000007108227 | Yafa | 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/2222/13007520/check_23487626_33334221-4525-40ce-bc5e-5692c18bacf8.json | N/A | N/A | N/A | N/A | N/A | 000007108227 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | SRA - SENIOR ADVANTAGE | 1959-06-06 | 4332645 | 1650095001 | N/A | N/A | false | BENZAQUEN | N/A | YAFA | N/A | 2026-12-31 | 2026-01-01 | HILLEL HEBREW ACADEMY COBRA TRADITIONAL HMO SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774404 | N/A | N/A | 13007520 | 2222 | 4802 | 23682672 | N/A | 11166074 | 2026-04-12 00:31:51.565395 | 2025-11-18 22:12:26.920696 |
| 2026-04-11 07:09:27.722923 | 2026-04-12 00:32:15.834866 | 23487615 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23487615 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-04-14 | M | AE | Vallez | UZ117007801 | Christopher | 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/2222/11619496/check_23487615_9de41b4a-10d6-4c1a-a534-d10437e23575.json | N/A | N/A | N/A | N/A | N/A | UZ117007801 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1986-03-20 | 67138CA0520015-06 | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774403 | N/A | N/A | 11619496 | 2222 | 4802 | 23683357 | 4625 | 9856940 | 2026-04-12 00:32:15.834866 | 2025-11-10 19:43:16.763776 |
| 2026-04-11 07:09:27.647398 | 2026-04-12 00:31:53.590625 | 23487605 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487605 | Athletic Physical Therapy Inc | 1961-06-24 | 2026-04-14 | M | PT | RAY | PAS838471972 | JOHN | 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/2222/11420779/check_23487605_c6fb63c5-b876-40bb-bd31-106bfa58e00c.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774401 | N/A | N/A | 11420779 | 2222 | 4801 | 23682737 | N/A | 9673427 | 2026-04-12 00:31:53.590625 | 2025-11-03 19:27:12.288254 |
| 2026-04-11 07:09:27.580650 | 2026-04-12 00:31:21.510918 | 23487595 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 23487595 | Athletic Physical Therapy Inc | 1972-07-09 | 2026-04-13 | F | AE | JOHNSON OLAD | H6507221700 | CATINA | L | 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/2222/11415027/check_23487595_23ed4eb1-1816-4ebc-9468-c73d5fcdee93.json | N/A | N/A | N/A | N/A | N/A | H65072217 | 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 LAKESIDE MEDICAL GROUP | 1972-07-09 | N/A | 2B506001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | 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 | 10558774400 | N/A | N/A | 11415027 | 2222 | 4793 | 23682026 | N/A | 9669773 | 2026-04-12 00:31:21.510918 | 2025-10-30 23:36:57.101747 |
| 2026-04-11 07:09:27.510700 | 2026-04-12 00:32:02.341363 | 23487586 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 23487586 | override_provider | 1963-04-03 | 2026-04-14 | F | PT | Protsenko | AJC912998623 | Tetiana | 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/2222/9958584/check_23487586_31aad9d5-177a-42bb-8895-d63bb5a12542.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | 2026-04-11 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774399 | N/A | N/A | 9958584 | 2222 | 4802 | 23682985 | N/A | 7994720 | 2026-04-12 00:32:02.341363 | 2025-09-24 04:33:28.125297 |
| 2026-04-11 07:09:27.420662 | 2026-04-12 00:32:22.721245 | 23487575 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23487575 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-04-13 | F | AE | MATHESON | 00000433752 | JANET | 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/2222/9511696/check_23487575_be9ba548-8ad3-44ec-add3-cb3ed41a43ba.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | 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 | 10558774398 | N/A | N/A | 9511696 | 2222 | 4801 | 23683504 | 2630 | 7954244 | 2026-04-12 00:32:22.721245 | 2025-09-29 18:15:39.145358 |
| 2026-04-11 07:09:27.310906 | 2026-04-12 00:31:57.891695 | 23487562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487562 | Athletic Physical Therapy Inc | 2005-12-13 | 2026-04-14 | F | PT | Varivoda | ZTQ335M98588 | Alex | 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/2222/9338185/check_23487562_02f2e04a-4157-4498-93bd-fab5b2836538.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774396 | N/A | N/A | 9338185 | 2222 | 4802 | 23682845 | N/A | 7837035 | 2026-04-12 00:31:57.891695 | 2025-09-17 13:44:26.939662 |
| 2026-04-11 07:09:27.238469 | 2026-04-12 00:31:33.539640 | 23487554 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 23487554 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-04-14 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | 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/2222/9194927/check_23487554_0c0faf71-617b-4785-aaa0-1d8562059619.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774395 | N/A | N/A | 9194927 | 2222 | 4793 | 23682275 | 4184 | 7712549 | 2026-04-12 00:31:33.539640 | 2025-09-10 17:29:28.945035 |
| 2026-04-11 07:09:27.160172 | 2026-04-12 00:32:44.728455 | 23487543 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 23487543 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-04-14 | M | AE | FAVELA | 620360888 | MAXIMILIAN | RINALDO | 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/2222/8960010/check_23487543_5547edab-ca33-4dcb-84a2-fae233dad98c.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774394 | N/A | N/A | 8960010 | 2222 | 4802 | 23684039 | 5538 | 7476978 | 2026-04-12 00:32:44.728455 | 2026-01-07 18:27:22.752552 |
| 2026-04-11 07:09:27.088756 | 2026-04-12 00:31:27.893992 | 23487533 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23487533 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-04-14 | M | AE | Thur | 95641377F | Pyi | 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/2222/7449843/check_23487533_6f84d0ba-3add-4fc5-b968-056b9a8b2a13.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774392 | N/A | N/A | 7449843 | 2222 | 4802 | 23682147 | 4211 | 6399635 | 2026-04-12 00:31:27.893992 | 2025-07-29 18:42:47.970149 |
| 2026-04-11 07:09:27.027784 | 2026-04-12 00:31:52.232624 | 23487526 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23487526 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-04-13 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | 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/2222/6721942/check_23487526_667a9396-98dc-43b1-8e5e-c3c163dacfdb.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT & FAMILY | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774391 | N/A | N/A | 6721942 | 2222 | 4793 | 23682694 | N/A | 5322280 | 2026-04-12 00:31:52.232624 | 2025-07-01 21:45:15.878047 |
| 2026-04-11 07:09:26.948906 | 2026-04-12 00:32:03.676075 | 23487515 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23487515 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-04-14 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549981/check_23487515_22f06490-5e60-43c8-99e3-3856f27a20c4.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | N/A | N/A | CMS | N/A | 1951-12-26 | N/A | N/A | N/A | N/A | false | FINEBERG | N/A | MARTIN | 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 | 10558774390 | N/A | N/A | 5549981 | 2222 | 4802 | 23683020 | N/A | 4219436 | 2026-04-12 00:32:03.676075 | 2025-05-13 04:29:37.230471 |
| 2026-04-11 07:09:26.883601 | 2026-04-12 00:32:04.508087 | 23487505 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23487505 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-04-14 | F | AE | NOGHREIAN | 6XG3KA2TP05 | FLORIA | 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/2222/5548970/check_23487505_d1ee7a80-3852-44c0-9b1c-ae04c9bf83e9.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | N/A | N/A | CMS | N/A | 1947-11-15 | N/A | N/A | N/A | N/A | false | NOGHREIAN | N/A | FLORIA | 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 | 10558774389 | N/A | N/A | 5548970 | 2222 | 4802 | 23683042 | N/A | 4218728 | 2026-04-12 00:32:04.508087 | 2025-05-13 04:29:37.229718 |
| 2026-04-11 07:09:26.804751 | 2026-04-12 00:32:04.826891 | 23487497 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23487497 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-04-14 | M | AE | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_23487497_c531e05a-15f7-4c4a-8c21-0a20194c97f4.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774387 | N/A | N/A | 5543493 | 2222 | 4793 | 23683052 | 6237 | 4215273 | 2026-04-12 00:32:04.826891 | 2025-05-13 04:29:37.229594 |
| 2026-04-11 07:09:26.725456 | 2026-04-12 00:32:17.970036 | 23487487 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23487487 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-04-14 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_23487487_97e4d58c-11ab-411b-8ee5-d5599c2e3a4e.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774386 | N/A | N/A | 5543425 | 2222 | 4801 | 23683406 | 4625 | 4215211 | 2026-04-12 00:32:17.970036 | 2026-04-02 22:30:20.020246 |
| 2026-04-11 07:09:26.654400 | 2026-04-12 00:32:08.602394 | 23487476 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23487476 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-04-13 | F | AE | UYGUR | 1VV2MA6GE80 | NUKHET | 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/2222/5543311/check_23487476_427e51c7-fff9-41a0-a6d6-f5c49f549ff3.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | N/A | N/A | CMS | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 10558774385 | N/A | N/A | 5543311 | 2222 | 4802 | 23683172 | N/A | 4215116 | 2026-04-12 00:32:08.602394 | 2025-05-29 22:32:19.748297 |
| 2026-04-11 07:09:26.571899 | 2026-04-12 00:31:21.476624 | 23487465 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23487465 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-04-14 | F | AE | BERRY | 606308574 | 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/2222/5543264/check_23487465_c2666e5e-e710-4293-a0b5-cf9eb07f970a.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774382 | N/A | N/A | 5543264 | 2222 | 4802 | 23682024 | 4211 | 4215080 | 2026-04-12 00:31:21.476624 | 2025-05-13 04:29:37.229395 |
| 2026-04-11 07:09:26.497507 | 2026-04-12 00:31:40.161994 | 23487456 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23487456 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-04-14 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | 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/2222/5542812/check_23487456_ec9b24a8-ae83-414e-910f-e4fa2f3c627d.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 2026-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774380 | N/A | N/A | 5542812 | 2222 | 4801 | 23682424 | 4185 | 4214677 | 2026-04-12 00:31:40.161994 | 2026-03-18 22:35:37.752534 |
| 2026-04-11 07:09:26.427521 | 2026-04-12 00:32:20.315769 | 23487446 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23487446 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-04-14 | F | AE | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_23487446_663286c3-ade2-427e-bd50-2f8739ff9a5e.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774379 | N/A | N/A | 5542752 | 2222 | 4793 | 23683459 | 4625 | 4214627 | 2026-04-12 00:32:20.315769 | 2025-06-23 18:58:46.304598 |
| 2026-04-11 07:09:26.365772 | 2026-04-12 00:31:36.924334 | 23487442 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487442 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-04-14 | F | PT | GOLDMAN | MBL801W11756 | ROBERTA | 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/2222/5542655/check_23487442_1a589403-1a47-483d-aac0-8c932f12a22b.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774378 | N/A | N/A | 5542655 | 2222 | 4802 | 23682344 | N/A | 4214541 | 2026-04-12 00:31:36.924334 | 2025-05-13 04:29:37.228867 |
| 2026-04-11 07:09:26.277340 | 2026-04-12 00:32:01.054783 | 23487432 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 23487432 | override_provider | 1957-04-11 | 2026-04-14 | M | PT | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_23487432_041826a5-5c44-4479-a1e5-6a9dafd1f788.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774377 | N/A | N/A | 5541841 | 2222 | 4801 | 23682947 | N/A | 4213826 | 2026-04-12 00:32:01.054783 | 2025-05-13 04:29:37.228146 |
| 2026-04-11 07:09:26.183966 | 2026-04-12 00:32:19.467122 | 23487420 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23487420 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-04-14 | F | AE | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_23487420_db35c075-311d-48e9-9819-bc2e677c1fa0.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774376 | N/A | N/A | 5541519 | 2222 | 4802 | 23683441 | 4625 | 4213530 | 2026-04-12 00:32:19.467122 | 2025-05-13 04:29:37.227860 |
| 2026-04-11 07:09:26.122996 | 2026-04-12 00:32:32.462152 | 23487413 | N/A | N/A | 60054 | Aetna | 1114042165 | 23487413 | Athletic Physical Therapy Inc | 1986-01-30 | 2026-04-14 | F | AE | SOYSTER | W263195316 | RACHEL | 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/2222/5541088/check_23487413_2b2224ee-cc65-4290-b819-36cf4672fb2a.json | N/A | N/A | N/A | N/A | N/A | W263195316 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1986-01-30 | 0256679 | 025667905000013 | N/A | PR | false | SOYSTER | N/A | RACHEL | N/A | N/A | N/A | OPEN CHOICE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774375 | N/A | N/A | 5541088 | 2222 | 4801 | 23683718 | N/A | 4213145 | 2026-04-12 00:32:32.462152 | 2025-05-13 04:29:37.227475 |
| 2026-04-11 07:09:26.036894 | 2026-04-12 00:32:09.568683 | 23487404 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23487404 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-04-14 | F | AD | POLAK | 40047825101 | JOANNA | 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/2222/5541023/check_23487404_aef377fd-62be-406a-9e88-b1700ff3866f.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10558774374 | N/A | N/A | 5541023 | 2222 | 4793 | 23683146 | 6237 | 4213093 | 2026-04-12 00:32:09.568683 | 2025-05-13 04:29:37.227419 |
| 2026-04-11 07:09:25.966706 | 2026-04-12 00:31:32.976021 | 23487393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487393 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-04-14 | F | PT | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_23487393_c4aa5046-8bdd-4e48-ab60-285948e231c5.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774373 | N/A | N/A | 5540282 | 2222 | 4802 | 23682259 | N/A | 4212465 | 2026-04-12 00:31:32.976021 | 2025-05-13 04:29:37.226801 |
| 2026-04-11 07:09:25.897496 | 2026-04-12 00:31:32.330120 | 23487382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487382 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-04-14 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_23487382_09da8de1-90c2-45f2-8730-e974fcb65664.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774371 | N/A | N/A | 5540074 | 2222 | 4802 | 23682243 | N/A | 4212282 | 2026-04-12 00:31:32.330120 | 2025-05-13 04:29:37.226623 |
| 2026-04-11 07:09:25.818532 | 2026-04-12 00:31:57.447150 | 23487372 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487372 | Athletic Physical Therapy Inc | 1985-08-05 | 2026-04-14 | F | PT | ROSKUL | JQT213W04900 | ANASTASIA | 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/2222/5539652/check_23487372_414d357f-2e09-4dbe-937e-26b792baeb5a.json | N/A | N/A | N/A | N/A | N/A | JQT213W04900 | Health Maintenance Organization (HMO) | GOLDEN ENTROPY MARKETING | ANTHEM BLUE CROSS | N/A | 1985-08-05 | 040 | F22035 | N/A | HM | false | ROSKUL | N/A | VALENTIN | N/A | 2026-12-31 | 2026-01-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774370 | N/A | N/A | 5539652 | 2222 | 4793 | 23682833 | N/A | 4211923 | 2026-04-12 00:31:57.447150 | 2026-03-05 01:01:11.510730 |
| 2026-04-11 07:09:25.749477 | 2026-04-12 00:32:01.850963 | 23487363 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23487363 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-04-14 | F | AE | BLUM | 4TT3J24RG08 | BONNIE | 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/2222/5539301/check_23487363_f0a42c06-a1f6-48bb-8bd8-2c4d9cf88cac.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 | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774369 | N/A | N/A | 5539301 | 2222 | 4802 | 23682969 | N/A | 4211624 | 2026-04-12 00:32:01.850963 | 2025-05-13 04:29:37.225953 |
| 2026-04-11 07:09:25.666418 | 2026-04-12 00:32:06.103436 | 23487351 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23487351 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-04-14 | M | AE | CHADIDA | 40060913601 | DAVID | 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/2222/5538674/check_23487351_cf29ec75-b06a-4f04-a4e8-668bae39feaa.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774367 | N/A | N/A | 5538674 | 2222 | 4793 | 23683096 | 6237 | 4211039 | 2026-04-12 00:32:06.103436 | 2025-05-13 04:29:37.225444 |
| 2026-04-11 07:09:25.598623 | 2026-04-12 00:32:07.824871 | 23487341 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23487341 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-04-14 | M | AE | STEIN | 8MY3V79UN60 | DONALD | H | 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/2222/5538576/check_23487341_8a2f7e19-d8ac-4c69-82d1-a29e45648012.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 | 2026-04-11 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774364 | N/A | N/A | 5538576 | 2222 | 4802 | 23683150 | N/A | 4210984 | 2026-04-12 00:32:07.824871 | 2025-08-15 17:42:50.500189 |
| 2026-04-11 07:09:25.516661 | 2026-04-12 00:31:53.099180 | 23487331 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487331 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-04-14 | M | PT | PERLMUTTER | JQH460A69253 | DREW | 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/2222/5538573/check_23487331_4b5004ad-b54b-4875-a0e0-adf34947eb39.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 2026-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774363 | N/A | N/A | 5538573 | 2222 | 4801 | 23682724 | N/A | 4210980 | 2026-04-12 00:31:53.099180 | 2025-05-13 04:29:37.225377 |
| 2026-04-11 07:09:25.451521 | 2026-04-12 00:32:16.254417 | 23487321 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23487321 | Athletic Physical Therapy Inc | 1967-04-02 | 2026-04-14 | M | PT | BONO | JQC99173907F | STEVEN | 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/2222/5538400/check_23487321_ed3892a4-a35d-422b-817c-631cfe76a7a6.json | N/A | N/A | N/A | N/A | N/A | JQC99173907F | N/A | LOS ANGELES MEDI-CAL/FAMILY | BLUE SHIELD OF CALIFORNIA | N/A | 1967-04-02 | 040 | 1191ZA | N/A | N/A | false | BONO | N/A | STEVEN | N/A | N/A | 2026-04-11 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774362 | N/A | N/A | 5538400 | 2222 | 4793 | 23683365 | N/A | 4210823 | 2026-04-12 00:32:16.254417 | 2026-04-05 20:40:03.498759 |
| 2026-04-11 07:09:25.373533 | 2026-04-12 00:32:03.817306 | 23487312 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23487312 | Athletic Physical Therapy Inc | 1980-09-10 | 2026-04-14 | M | AE | BRUNSKILL | 9853463 | NATHAN | 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/2222/5538359/check_23487312_ae9cedd4-fe32-4278-a2d2-6082f2c93c8e.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774361 | N/A | N/A | 5538359 | 2222 | 4802 | 23683022 | 6411 | 4210784 | 2026-04-12 00:32:03.817306 | 2025-05-13 04:29:37.225193 |
| 2026-04-11 07:09:25.267152 | 2026-04-12 00:31:52.085842 | 23487296 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 23487296 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-04-14 | F | PT | OATES | 723M8747220 | STACY | 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/2222/5537951/check_23487296_69c5a658-98dd-481d-b405-828ef99839a6.json | N/A | N/A | N/A | N/A | N/A | 723M8747220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-12-11 | N/A | N/A | N/A | N/A | false | OATES | N/A | STACY | 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 | 10558774360 | N/A | N/A | 5537951 | 2222 | 4793 | 23682690 | 4184 | 4210449 | 2026-04-12 00:31:52.085842 | 2026-02-25 15:35:31.486496 |
| 2026-04-11 07:09:25.152017 | 2026-04-12 00:31:56.420574 | 23487282 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23487282 | Athletic Physical Therapy Inc | 1965-05-30 | 2026-04-14 | M | PT | SILVA | NCF278A23385 | IRAN | 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/2222/5537475/check_23487282_42e77593-d863-4744-89a3-64d2b7128c4e.json | N/A | N/A | N/A | N/A | N/A | NCF278A23385 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 57AJCA | N/A | HM | false | ROBLES SILVA | N/A | VERONICA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774359 | N/A | N/A | 5537475 | 2222 | 4801 | 23682797 | 4185 | 4210032 | 2026-04-12 00:31:56.420574 | 2026-03-11 16:04:50.320792 |
| 2026-04-11 07:09:25.048240 | 2026-04-12 00:32:13.426236 | 23487270 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23487270 | Athletic Physical Therapy Inc | 1981-07-19 | 2026-04-14 | M | PT | SWAMINATHAN | PAM911049144 | SRIHARI prasath | 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/2222/5537224/check_23487270_7c3e0c2b-c668-4635-bb87-d958e967ad32.json | N/A | N/A | N/A | N/A | N/A | PAM911049144 | Preferred Provider Organization (PPO) | PALO ALTO NETWORKS INC | BLUE SHIELD CALIFORNIA | N/A | 1981-07-19 | 1000PPOX0001 | W8000013 | N/A | PR | false | SWAMINATHAN | N/A | SRIHARI PRASATH | N/A | N/A | 2026-04-11 | PALO ALTO NETWORKS INC ASO PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774358 | N/A | N/A | 5537224 | 2222 | 4793 | 23683299 | N/A | 4209830 | 2026-04-12 00:32:13.426236 | 2026-01-05 23:05:15.485219 |
| 2026-04-11 07:09:24.972316 | 2026-04-12 00:32:21.218522 | 23487259 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23487259 | Athletic Physical Therapy Inc | 1954-02-24 | 2026-04-14 | F | AE | RAHBARI | C4080373701 | MOHTARAM | 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/2222/5536995/check_23487259_1b906a2e-786e-4562-8bab-f54b07a3d878.json | N/A | N/A | N/A | N/A | N/A | C4080373701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1954-02-24 | N/A | CA35610008 | N/A | N/A | false | RAHBARI | N/A | MOHTARAM | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10558774357 | N/A | N/A | 5536995 | 2222 | 4802 | 23683478 | 4625 | 4209647 | 2026-04-12 00:32:21.218522 | 2025-06-03 15:33:42.970733 |
| 2026-04-11 07:09:24.893802 | 2026-04-12 00:31:51.142730 | 23487249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23487249 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-04-14 | M | PT | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_23487249_bb01e5e6-c6a8-4c76-8197-fd2d4ddbccec.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774356 | N/A | N/A | 5536896 | 2222 | 4793 | 23682661 | N/A | 4209567 | 2026-04-12 00:31:51.142730 | 2025-05-13 04:29:37.223990 |
| 2026-04-11 07:09:24.808575 | 2026-04-12 00:31:37.351435 | 23487239 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23487239 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-04-14 | M | PT | GOTLER | NCF018M77628 | RONALD | 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/2222/5536875/check_23487239_6769e6e4-36dc-4483-a9b8-f04cdf28531c.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10558774353 | N/A | N/A | 5536875 | 2222 | 4802 | 23682352 | 4185 | 4209547 | 2026-04-12 00:31:37.351435 | 2025-05-13 04:29:37.223974 |