API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-10 07:14:30.601283 | 2026-04-11 00:50:02.737138 | 23405962 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 23405962 | Athletic Physical Therapy Inc | 1953-02-12 | 2026-04-13 | M | AE | PT | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_23405962_ca76cf6b-1d68-4a03-995a-22d3b89a449c.json | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | N/A | N/A | 2026-04-10 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998215 | N/A | N/A | 16060541 | 2222 | 4801 | 23632873 | N/A | 6841390 | 2026-04-11 00:50:02.737138 | 2026-02-24 00:29:14.751930 |
| 2026-04-10 07:14:30.331143 | 2026-04-11 00:53:05.718704 | 23405936 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23405936 | override_provider | 1989-10-15 | 2026-04-13 | M | AE | PT | McGimpsey | 000025861666 | Gavin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15997538/check_23405936_f0af563a-1f37-47ec-b2c0-795ad44198d0.json | N/A | N/A | N/A | N/A | N/A | 000025861666 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-10-15 | 4361630 | 1650095001 | N/A | N/A | false | MCGIMPSEY | N/A | GAVIN | N/A | 2026-12-31 | 2026-01-01 | ORRICK, HERRINGTON & SUTCLIFFE, LLP ORRICK, HERRIN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998214 | N/A | N/A | 15997538 | 2222 | 4802 | 23634829 | N/A | 14070204 | 2026-04-11 00:53:05.718704 | 2026-01-28 18:14:29.010151 |
| 2026-04-10 07:14:30.025995 | 2026-04-11 00:51:52.400274 | 23405908 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23405908 | Athletic Physical Therapy Inc | 1958-08-15 | 2026-04-13 | M | AE | PT | MARTIN | H90190700 | JAMES | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15941985/check_23405908_a68c369b-2a16-455e-8c0e-b61e0c66c87e.json | N/A | N/A | N/A | N/A | N/A | H90190700 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-08-15 | N/A | 2B722001 | N/A | HN | false | MARTIN | N/A | JAMES | 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 | 10547998213 | N/A | N/A | 15941985 | 2222 | 4793 | 23633975 | 5349 | 14024715 | 2026-04-11 00:51:52.400274 | 2026-02-27 22:16:01.917155 |
| 2026-04-10 07:14:29.763988 | 2026-04-11 00:53:03.247484 | 23405890 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23405890 | override_provider | 1970-10-11 | 2026-04-13 | M | AE | PT | Downes | 000032002308 | Gile | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_23405890_18ce57e6-42b3-4c7e-826a-e2f321289414.json | N/A | N/A | N/A | N/A | N/A | 000032002308 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1970-10-11 | 4362456 | 1650095001 | N/A | N/A | false | DOWNES | N/A | GILE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998212 | N/A | N/A | 15904788 | 2222 | 4802 | 23634791 | N/A | 13988678 | 2026-04-11 00:53:03.247484 | 2026-01-26 21:20:00.552687 |
| 2026-04-10 07:14:29.453491 | 2026-04-11 00:52:42.472164 | 23405864 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23405864 | Athletic Physical Therapy Inc | 1966-10-27 | 2026-04-13 | F | AE | PT | Danielson | 000010738990 | Christianne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15755764/check_23405864_bd419a7f-d8ca-4275-ae9f-271f3c21dc2b.json | N/A | N/A | N/A | N/A | N/A | 000010738990 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1966-10-27 | 4332382 | 1650095001 | N/A | N/A | false | DANIELSON | N/A | CHRISTIANNE | N/A | 2026-12-31 | 2026-01-01 | MERCURY MEDIA TRADITIONAL HMO SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998211 | N/A | N/A | 15755764 | 2222 | 4802 | 23634510 | N/A | 13849069 | 2026-04-11 00:52:42.472164 | 2026-01-21 20:42:00.444431 |
| 2026-04-10 07:14:29.234076 | 2026-04-11 00:52:40.364001 | 23405845 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 23405845 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-04-13 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15737586/check_23405845_037a3af5-762b-4826-988d-10b711fb60b1.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | 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 | 10547998210 | N/A | N/A | 15737586 | 2222 | 4793 | 23634493 | N/A | 13837022 | 2026-04-11 00:52:40.364001 | 2026-01-27 20:49:36.385334 |
| 2026-04-10 07:14:28.873519 | 2026-04-11 00:52:53.566085 | 23405819 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23405819 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-04-13 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534853/check_23405819_0c1fe008-ddbb-4bc5-b272-9bc7babce104.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | 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 | 10547998209 | N/A | N/A | 15534853 | 2222 | 4801 | 23634637 | 6237 | 4219334 | 2026-04-11 00:52:53.566085 | 2025-05-13 04:29:37.230357 |
| 2026-04-10 07:14:28.600414 | 2026-04-11 00:53:01.133032 | 23405799 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23405799 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-04-13 | M | AE | PT | Wilson | 40066267001 | Jesse | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_23405799_5bae7546-2f84-4c53-8e97-97d52ff9eccb.json | N/A | N/A | N/A | N/A | N/A | 40066267001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-08-30 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | 2026-01-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998208 | N/A | N/A | 15459527 | 2222 | 4802 | 23634758 | 6237 | 13546654 | 2026-04-11 00:53:01.133032 | 2026-01-15 21:26:11.579374 |
| 2026-04-10 07:14:28.330845 | 2026-04-11 00:51:57.561557 | 23405779 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23405779 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-04-13 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15276776/check_23405779_08cc5811-295d-46e8-8ab1-c77ab71bfed6.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547998207 | N/A | N/A | 15276776 | 2222 | 4801 | 23634026 | 4185 | 9766947 | 2026-04-11 00:51:57.561557 | 2025-11-11 21:32:02.372730 |
| 2026-04-10 07:14:28.005528 | 2026-04-11 00:52:01.997196 | 23405751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405751 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-04-13 | M | PT | N/A | FRIEDMAN | JPU173A63431 | PHILLIP | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15026498/check_23405751_06e4f1d7-34cc-479e-997d-fe113878dbb8.json | N/A | N/A | N/A | N/A | N/A | JPU173A63431 | Preferred Provider Organization (PPO) | NC DYNAMICS LLC | ANTHEM BLUE CROSS | N/A | 1952-11-07 | 040 | L03068M001 | N/A | PR | false | FRIEDMAN | N/A | PHILLIP | 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 | 10547998206 | N/A | N/A | 15026498 | 2222 | 4802 | 23634068 | N/A | 13139277 | 2026-04-11 00:52:01.997196 | 2026-01-08 19:03:05.462828 |
| 2026-04-10 07:14:27.816879 | 2026-04-11 00:52:41.425123 | 23405738 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23405738 | Athletic Physical Therapy Inc | 1958-04-18 | 2026-04-13 | F | AE | PT | Carrillo | 000021555700 | Yolanda | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14778386/check_23405738_55e65cff-7eb5-44ea-b2ac-ceb58460c5ae.json | N/A | N/A | N/A | N/A | N/A | 000021555700 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1958-04-18 | 4385825 | 236396 | N/A | N/A | false | CARRILLO | N/A | YOLANDA | N/A | 2026-12-31 | 2026-01-01 | PRIMEX CLINICAL LABORATORIES PRIMEX CLINICAL LABS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998205 | N/A | N/A | 14778386 | 2222 | 4802 | 23634501 | N/A | 12908843 | 2026-04-11 00:52:41.425123 | 2025-12-29 19:20:06.652914 |
| 2026-04-10 07:14:27.529840 | 2026-04-11 00:52:14.143894 | 23405713 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23405713 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-04-13 | M | PT | N/A | LANDAVERDE | 833W19349 | OSCAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_23405713_e94a40b4-5859-4e53-bba7-071ddd7fcf48.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547998204 | N/A | N/A | 14413682 | 2222 | 4802 | 23634221 | 4185 | 12549123 | 2026-04-11 00:52:14.143894 | 2025-12-18 17:22:21.485744 |
| 2026-04-10 07:14:27.279910 | 2026-04-11 00:53:04.711940 | 23405692 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23405692 | override_provider | 1937-11-24 | 2026-04-13 | M | AE | PT | Hahn | 000002537359 | John | Y | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14297735/check_23405692_a51df371-43e4-48ab-9850-c6315ecef257.json | N/A | N/A | N/A | N/A | N/A | 000002537359 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1937-11-24 | 1730439 | 100990 | N/A | N/A | false | HAHN | N/A | JOHN | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998203 | N/A | N/A | 14297735 | 2222 | 4802 | 23634813 | N/A | 12431457 | 2026-04-11 00:53:04.711940 | 2025-12-24 16:43:10.665380 |
| 2026-04-10 07:14:27.050429 | 2026-04-11 00:52:08.996959 | 23405672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23405672 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-04-13 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14110178/check_23405672_a0fe08aa-751c-486e-9e1d-c5c971f49a49.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547998202 | N/A | N/A | 14110178 | 2222 | 4801 | 23634152 | N/A | 10999467 | 2026-04-11 00:52:08.996959 | 2025-11-14 21:36:13.911423 |
| 2026-04-10 07:14:26.837500 | 2026-04-11 00:54:35.106317 | 23405654 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405654 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-04-13 | M | AE | PT | Maher | 6FT2G33TN93 | Timothy | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655342/check_23405654_d951f3b9-925d-4e1a-94ee-2a08c8e130f8.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part A | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MA | false | MAHER | N/A | TIMOTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 244654 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998201 | N/A | N/A | 13655342 | 2222 | 4802 | 23635926 | N/A | 11803316 | 2026-04-11 00:54:35.106317 | 2025-12-16 19:29:59.872631 |
| 2026-04-10 07:14:26.634041 | 2026-04-11 00:50:43.606762 | 23405635 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23405635 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-04-13 | F | AE | PT | watson | 00000380103 | stella | G | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_23405635_3f25088b-2ad3-4d56-a583-3efc3b3b01c2.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 | 2026-04-10 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998200 | N/A | N/A | 13644272 | 2222 | 4801 | 23633255 | 2630 | 11792017 | 2026-04-11 00:50:43.606762 | 2025-12-04 01:49:08.682293 |
| 2026-04-10 07:14:26.454243 | 2026-04-11 00:51:53.793553 | 23405621 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23405621 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-04-13 | F | AE | PT | MENDEZ | H9608321000 | LINDA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_23405621_dfedfeec-7413-44b0-9fc0-50eb919a19e9.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 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 | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 10547998199 | N/A | N/A | 12421991 | 2222 | 4793 | 23633988 | 5349 | 10601861 | 2026-04-11 00:51:53.793553 | 2025-11-07 18:35:55.025808 |
| 2026-04-10 07:14:26.219841 | 2026-04-11 00:52:23.630671 | 23405600 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405600 | Athletic Physical Therapy Inc | 1994-07-03 | 2026-04-13 | M | PT | N/A | STEALEY | JQU013W15922 | JACOB | REDMOND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_23405600_86464c9c-48db-4134-83c6-ac0c8374ec3b.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 2026-12-31 | 2026-02-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547998198 | N/A | N/A | 12010678 | 2222 | 4801 | 23634321 | N/A | 10232475 | 2026-04-11 00:52:23.630671 | 2025-11-01 00:03:21.076437 |
| 2026-04-10 07:14:26.048327 | 2026-04-11 00:51:55.849034 | 23405585 | N/A | N/A | 60054 | Aetna | 1114042165 | 23405585 | Athletic Physical Therapy Inc | 1998-11-14 | 2026-04-13 | M | AE | PT | Shirian | W742094344 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_23405585_27286be0-2572-4052-b273-e9574d04ef6f.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998197 | N/A | N/A | 11519732 | 2222 | 4802 | 23634009 | N/A | 9760542 | 2026-04-11 00:51:55.849034 | 2025-10-27 21:44:20.466934 |
| 2026-04-10 07:14:25.843438 | 2026-04-11 00:54:06.930401 | 23405565 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405565 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-04-13 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_23405565_f248bfe0-fda4-4b82-b6b6-85d9f6499dba.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 245853 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998196 | N/A | N/A | 11174640 | 2222 | 4802 | 23635583 | N/A | 9519718 | 2026-04-11 00:54:06.930401 | 2026-02-02 19:30:57.219688 |
| 2026-04-10 07:14:25.657367 | 2026-04-11 00:51:56.327090 | 23405549 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405549 | Athletic Physical Therapy Inc | 1977-11-16 | 2026-04-13 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_23405549_8ec97d4a-d62f-42d0-bb92-884b9703c86c.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547998195 | N/A | N/A | 10355543 | 2222 | 4801 | 23634012 | N/A | 8619978 | 2026-04-11 00:51:56.327090 | 2025-10-13 20:53:09.422541 |
| 2026-04-10 07:14:25.474452 | 2026-04-11 00:54:46.269816 | 23405530 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405530 | Athletic Physical Therapy Inc | 1956-12-19 | 2026-04-13 | F | AE | PT | YEN | 7QK3HE4XQ19 | JENNY | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033466/check_23405530_041a23eb-2006-4330-81b8-a507315026f5.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MA | false | YEN | N/A | JENNY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 23407 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998194 | N/A | N/A | 10033466 | 2222 | 4793 | 23636061 | N/A | 8398587 | 2026-04-11 00:54:46.269816 | 2025-10-07 14:21:54.880940 |
| 2026-04-10 07:14:25.280486 | 2026-04-11 00:52:17.388166 | 23405512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405512 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-04-13 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_23405512_07b602a4-aeb2-411c-a559-4ba213c29868.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 2026-12-31 | 2026-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547998193 | N/A | N/A | 9691081 | 2222 | 4801 | 23634261 | N/A | 8110015 | 2026-04-11 00:52:17.388166 | 2025-10-05 15:24:30.421551 |
| 2026-04-10 07:14:25.076041 | 2026-04-11 00:54:15.539275 | 23405496 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405496 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-04-13 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9556751/check_23405496_e058215b-12c2-49e5-8da3-4f2621d1ef67.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 133510 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998192 | N/A | N/A | 9556751 | 2222 | 4793 | 23635680 | N/A | 4210998 | 2026-04-11 00:54:15.539275 | 2026-02-23 18:49:01.874308 |
| 2026-04-10 07:14:24.807349 | 2026-04-11 00:51:45.221027 | 23405474 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 23405474 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-04-13 | M | AE | PT | HOPE | 101144710900 | LYNN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_23405474_d4eb3484-9012-4b4b-9b42-93a70381bcce.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998191 | N/A | N/A | 9477069 | 2222 | 4802 | 23633896 | 3948 | 7927787 | 2026-04-11 00:51:45.221027 | 2025-09-17 17:11:58.574244 |
| 2026-04-10 07:14:24.622498 | 2026-04-11 00:54:25.610106 | 23405457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405457 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-04-13 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_23405457_4f4dda2e-deec-4fff-8dc7-40212815c17d.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 142200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998190 | N/A | N/A | 9411083 | 2222 | 4802 | 23635798 | N/A | 7879863 | 2026-04-11 00:54:25.610106 | 2026-02-04 18:21:13.840230 |
| 2026-04-10 07:14:24.405438 | 2026-04-11 00:52:06.122510 | 23405443 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23405443 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-04-13 | M | 96 | N/A | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_23405443_71fa8c69-29f3-428d-a2a1-bdb129898f67.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-04-10 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10547998189 | N/A | N/A | 9280203 | 2222 | 4793 | 23634117 | 6798 | 7788651 | 2026-04-11 00:52:06.122510 | 2025-09-10 18:50:22.494063 |
| 2026-04-10 07:14:24.231237 | 2026-04-11 00:51:36.994648 | 23405427 | N/A | N/A | 60054 | Aetna | 1114042165 | 23405427 | Athletic Physical Therapy Inc | 1967-12-19 | 2026-04-13 | F | AE | PT | BURRY | 101323278900 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_23405427_83767882-f2ad-4701-a95c-550c18eba82a.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998188 | N/A | N/A | 8971092 | 2222 | 4801 | 23633809 | N/A | 7486536 | 2026-04-11 00:51:36.994648 | 2025-09-15 03:16:44.869236 |
| 2026-04-10 07:14:24.041733 | 2026-04-11 00:54:20.516960 | 23405411 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405411 | Athletic Physical Therapy Inc | 1948-07-07 | 2026-04-13 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_23405411_6ee0a66c-0b96-4c82-97d3-ff000833e03c.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S4802 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 134796 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547998187 | N/A | N/A | 8969533 | 2222 | 4802 | 23635744 | N/A | 7485064 | 2026-04-11 00:54:20.516960 | 2025-12-29 22:41:16.623495 |
| 2026-04-10 07:14:23.841532 | 2026-04-11 00:51:44.558256 | 23405393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23405393 | Athletic Physical Therapy Inc | 1980-12-02 | 2026-04-13 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_23405393_70538770-ba76-4b7c-b3f0-15804242ce12.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZL002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2026-01-01 | BLUE SHIELD GOLD 80 PPO JAN26 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547999137 | N/A | N/A | 8202901 | 2222 | 4793 | 23633889 | N/A | 6965521 | 2026-04-11 00:51:44.558256 | 2025-09-10 21:42:23.177790 |
| 2026-04-10 07:14:23.564712 | 2026-04-11 00:52:23.075876 | 23405372 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405372 | Athletic Physical Therapy Inc | 1964-07-02 | 2026-04-13 | M | PT | N/A | SMITH | XDM991A72122 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7489791/check_23405372_37ae8b35-4bc6-4fc6-be32-c3c959995892.json | N/A | N/A | N/A | N/A | N/A | XDM991A72122 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1964-07-02 | 040 | 57ARJS | N/A | HM | false | SMITH | N/A | THOMAS | N/A | 2026-08-01 | 2025-10-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547999136 | N/A | N/A | 7489791 | 2222 | 4801 | 23634313 | N/A | 5285158 | 2026-04-11 00:52:23.075876 | 2025-07-17 18:25:07.830041 |
| 2026-04-10 07:14:23.374345 | 2026-04-11 00:51:54.830394 | 23405357 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405357 | Athletic Physical Therapy Inc | 1965-07-08 | 2026-04-13 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_23405357_5a859fd3-304f-4380-a21b-84e6021ba377.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 2026-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547999135 | N/A | N/A | 7456267 | 2222 | 4793 | 23633996 | N/A | 6405582 | 2026-04-11 00:51:54.830394 | 2025-08-04 21:58:38.426681 |
| 2026-04-10 07:14:23.128334 | 2026-04-11 00:51:47.347972 | 23405340 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23405340 | Athletic Physical Therapy Inc | 1977-10-04 | 2026-04-13 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444072/check_23405340_58944bd3-0192-4f2a-98f3-ba5475a98bfd.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547999134 | N/A | N/A | 7444072 | 2222 | 4801 | 23633919 | N/A | 6394822 | 2026-04-11 00:51:47.347972 | 2025-07-24 18:01:25.336701 |
| 2026-04-10 07:14:22.861079 | 2026-04-11 00:51:55.429737 | 23405319 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23405319 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-04-13 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_23405319_13374265-4975-4832-8cff-bdf1aeee0833.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547999132 | N/A | N/A | 7246170 | 2222 | 4801 | 23634004 | 4185 | 4837995 | 2026-04-11 00:51:55.429737 | 2025-06-13 00:15:18.726975 |
| 2026-04-10 07:14:22.602690 | 2026-04-11 00:54:11.437800 | 23405296 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405296 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-13 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_23405296_adc357d4-ef8e-43f6-8c52-16d0f320f9ac.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 225753 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999131 | N/A | N/A | 6752936 | 2222 | 4801 | 23635632 | N/A | 5065602 | 2026-04-11 00:54:11.437800 | 2025-07-01 17:25:13.681724 |
| 2026-04-10 07:14:22.293321 | 2026-04-11 00:52:42.016299 | 23405273 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23405273 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-04-13 | M | AE | PT | SIMMONS | 40055722801 | J | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_23405273_ee9956ea-c132-4529-be25-771125878be0.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999130 | N/A | N/A | 6685251 | 2222 | 4793 | 23634504 | 6237 | 4209868 | 2026-04-11 00:52:42.016299 | 2025-08-15 22:13:56.514261 |
| 2026-04-10 07:14:21.938685 | 2026-04-11 00:54:17.941005 | 23405245 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405245 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-04-13 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_23405245_7d932be2-7817-41d3-a13e-3a0cddd3cca6.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 130250 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999129 | N/A | N/A | 6522947 | 2222 | 4802 | 23635711 | N/A | 5146127 | 2026-04-11 00:54:17.941005 | 2025-06-20 17:58:23.371130 |
| 2026-04-10 07:14:21.702432 | 2026-04-11 00:52:38.869103 | 23405226 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23405226 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-04-13 | M | AE | PT | NOWAK | 31172069101 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_23405226_61e32fa2-f7b0-4f90-accf-64338cfa7784.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | 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 | 10547999128 | N/A | N/A | 6492025 | 2222 | 4793 | 23634475 | 6237 | 5121181 | 2026-04-11 00:52:38.869103 | 2025-06-19 16:42:31.208252 |
| 2026-04-10 07:14:21.515751 | 2026-04-11 00:52:30.402530 | 23405214 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 23405214 | Athletic Physical Therapy Inc | 1944-11-30 | 2026-04-13 | F | AD | 30 | AMOROSA | 40037132201 | RITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_23405214_0f027b0b-1798-4602-b801-a101cc240801.json | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | 2026H5425001 | H5425M | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | 10547999127 | N/A | N/A | 5874458 | 2222 | 4801 | 23634386 | N/A | 4534582 | 2026-04-11 00:52:30.402530 | 2026-03-02 22:06:30.224734 |
| 2026-04-10 07:14:21.254818 | 2026-04-11 00:53:43.551096 | 23405191 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23405191 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-04-13 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_23405191_ec861bf0-f6af-436e-b9c7-38cf387bc6f4.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | 2026-03-31 | 2024-02-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999126 | N/A | N/A | 5874423 | 2222 | 4802 | 23635352 | 4625 | 4534552 | 2026-04-11 00:53:43.551096 | 2025-05-30 18:01:03.324126 |
| 2026-04-10 07:14:21.007903 | 2026-04-11 00:53:39.216566 | 23405173 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23405173 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-04-13 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_23405173_eb83782e-e7f5-4265-b024-c344ad12a2ea.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 10547999125 | N/A | N/A | 5568076 | 2222 | 4802 | 23635295 | 4625 | 4209480 | 2026-04-11 00:53:39.216566 | 2026-04-10 02:05:15.976484 |
| 2026-04-10 07:14:20.769182 | 2026-04-11 00:51:53.671519 | 23405155 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23405155 | Athletic Physical Therapy Inc | 1985-07-25 | 2026-04-13 | F | PT | N/A | MEZA CABALLERO | NTF931W20537 | INGRID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550971/check_23405155_9f2899b6-c68b-4846-8e64-5ceb0ac63084.json | N/A | N/A | N/A | N/A | N/A | NTF931W20537 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1985-07-25 | 040 | L08669M001 | N/A | PR | false | BROWN | N/A | CAROLYN | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10547999124 | N/A | N/A | 5550971 | 2222 | 4802 | 23633986 | N/A | 4219797 | 2026-04-11 00:51:53.671519 | 2026-03-13 17:55:37.298425 |
| 2026-04-10 07:14:20.619053 | 2026-04-11 00:54:08.549160 | 23405141 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405141 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-04-13 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_23405141_4e7c7d98-4841-4108-aece-43d95f497ea4.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 141832 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999123 | N/A | N/A | 5550534 | 2222 | 4801 | 23635598 | N/A | 4219556 | 2026-04-11 00:54:08.549160 | 2025-05-13 04:29:37.230592 |
| 2026-04-10 07:14:20.426576 | 2026-04-11 00:53:02.116856 | 23405125 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23405125 | Athletic Physical Therapy Inc | 1949-06-06 | 2026-04-13 | M | AD | 30 | WILSON | 31187497801 | MARVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_23405125_9c08cdf7-8ea2-47d3-b9f5-43168adb885c.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-06-06 | 2026H5425001 | H5425M | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 10547999122 | N/A | N/A | 5549707 | 2222 | 4801 | 23634774 | 6237 | 4219317 | 2026-04-11 00:53:02.116856 | 2025-05-13 04:29:37.230340 |
| 2026-04-10 07:14:20.193547 | 2026-04-11 00:52:08.010636 | 23405105 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23405105 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-04-13 | F | 96 | N/A | REGGIANI | 41813758 | SUSANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_23405105_ed157b99-c991-40d9-b11e-cf79faf2366f.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | 2026-04-10 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10547999121 | N/A | N/A | 5549015 | 2222 | 4801 | 23634141 | 6798 | 4208849 | 2026-04-11 00:52:08.010636 | 2025-05-13 04:29:37.223279 |
| 2026-04-10 07:14:20.040993 | 2026-04-11 00:54:13.857391 | 23405093 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405093 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-04-13 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_23405093_630bcea0-eb9c-494c-89a4-7515815d0f08.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999120 | N/A | N/A | 5548965 | 2222 | 4802 | 23635661 | N/A | 4218725 | 2026-04-11 00:54:13.857391 | 2025-05-13 04:29:37.229715 |
| 2026-04-10 07:14:19.874417 | 2026-04-11 00:52:43.894180 | 23405077 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23405077 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-04-13 | F | AD | 30 | TORRES | 40067303001 | OLGA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_23405077_92200e87-1b80-49cd-a24f-9f3b17fe340a.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10547999119 | N/A | N/A | 5543371 | 2222 | 4793 | 23634524 | 6237 | 4215172 | 2026-04-11 00:52:43.894180 | 2025-05-13 04:29:37.229489 |
| 2026-04-10 07:14:19.635117 | 2026-04-11 00:53:46.847766 | 23405057 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23405057 | Athletic Physical Therapy Inc | 2004-11-06 | 2026-04-13 | M | AE | PT | HAZANY | 90993600H | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543309/check_23405057_92781a12-e2f3-470d-96aa-49b1e8784b22.json | N/A | N/A | N/A | N/A | N/A | 90993600H | N/A | N/A | PDHN | N/A | 2004-11-06 | N/A | N/A | N/A | N/A | false | HAZANY | N/A | DAVID | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999118 | N/A | N/A | 5543309 | 2222 | 4802 | 23635389 | 4625 | 4215115 | 2026-04-11 00:53:46.847766 | 2026-02-17 23:55:26.098884 |
| 2026-04-10 07:14:19.423026 | 2026-04-11 00:54:22.995264 | 23405038 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23405038 | Athletic Physical Therapy Inc | 1940-11-11 | 2026-04-13 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_23405038_f799764d-1781-4f01-b645-f208debaf0ad.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 148600 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999117 | N/A | N/A | 5542970 | 2222 | 4802 | 23635771 | N/A | 4214820 | 2026-04-11 00:54:22.995264 | 2025-06-30 02:56:23.324592 |
| 2026-04-10 07:14:19.236896 | 2026-04-11 00:51:49.677458 | 23405022 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23405022 | Athletic Physical Therapy Inc | 1962-06-19 | 2026-04-13 | M | AE | PT | HAFNER | 896752501 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260410.121857206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542940/check_23405022_bfb41e92-18e6-4102-91be-8699196ededf.json | N/A | N/A | N/A | N/A | N/A | 896752501 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1962-06-19 | N/A | 621350 | N/A | C1 | false | HAFNER | N/A | MARK | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO SILVER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10547999116 | N/A | N/A | 5542940 | 2222 | 4793 | 23633943 | 6411 | 4214793 | 2026-04-11 00:51:49.677458 | 2025-05-13 04:29:37.229118 |