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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-07 07:13:26.971932 | 2026-04-08 01:06:09.824217 | 23164422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23164422 | Athletic Physical Therapy Inc | 1965-07-08 | 2026-04-09 | F | PT | CHALFIN | WAR121A52220 | LISA | R | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_23164422_79d367b8-cabf-4086-93ab-c47463fb9a2e.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 | 10514926556 | N/A | N/A | 7456267 | 2222 | 4793 | 23394678 | N/A | 6405582 | 2026-04-08 01:06:09.824217 | 2025-08-04 21:58:38.426681 |
| 2026-04-07 07:13:26.797425 | 2026-04-08 01:07:22.822368 | 23164393 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23164393 | Athletic Physical Therapy Inc | 1962-09-23 | 2026-04-08 | M | AE | Thur | 95641377F | Pyi | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_23164393_f4bfdc30-192b-48bc-a706-7f57034ea2a3.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 | 10514926555 | N/A | N/A | 7449843 | 2222 | 4802 | 23395971 | 4211 | 6399635 | 2026-04-08 01:07:22.822368 | 2025-07-29 18:42:47.970149 |
| 2026-04-07 07:13:26.657033 | 2026-04-08 01:07:13.479992 | 23164370 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23164370 | Athletic Physical Therapy Inc | 1963-05-22 | 2026-04-10 | M | AE | SMITH | 99688004H | MATTHEW | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_23164370_22622632-91dc-4717-986d-ee2feb3bf8b5.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514926554 | N/A | N/A | 7022680 | 2222 | 4793 | 23395815 | 4211 | 6037802 | 2026-04-08 01:07:13.479992 | 2025-07-22 17:48:16.997014 |
| 2026-04-07 07:13:26.564330 | 2026-04-08 01:06:47.258319 | 23164350 | N/A | N/A | 60054 | AETNA | 1114042165 | 23164350 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-04-09 | M | AE | TRUNNELL | 101505559100 | WAYNE | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_23164350_6271cd8f-9856-417e-961c-3a83629022b7.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000104 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE EXTRA (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514926553 | N/A | N/A | 6786642 | 2222 | 4793 | 23395377 | 3939 | 5818009 | 2026-04-08 01:06:47.258319 | 2025-07-15 23:19:05.900633 |
| 2026-04-07 07:13:26.475300 | 2026-04-08 01:07:20.381664 | 23164331 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23164331 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-08 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_23164331_8b215b7d-3830-48ba-8a30-cfc6b57d0d71.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MB | 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 | 10514926552 | N/A | N/A | 6752936 | 2222 | 4801 | 23395926 | N/A | 5065602 | 2026-04-08 01:07:20.381664 | 2025-07-01 17:25:13.681724 |
| 2026-04-07 07:13:26.362136 | 2026-04-08 01:08:00.912296 | 23164311 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23164311 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-04-09 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | N | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_23164311_48bd9f2c-b092-4318-9ab3-c22e153e68bb.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101640 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514926551 | N/A | N/A | 6751304 | 2222 | 4802 | 23396711 | N/A | 5557241 | 2026-04-08 01:08:00.912296 | 2025-07-22 17:08:51.810153 |
| 2026-04-07 07:13:26.290539 | 2026-04-08 01:06:52.429041 | 23164297 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23164297 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-04-08 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | BRANDON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_23164297_762488ac-8d04-4e46-bb82-4f7f588b45d2.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 LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514926550 | N/A | N/A | 6721942 | 2222 | 4793 | 23395470 | N/A | 5322280 | 2026-04-08 01:06:52.429041 | 2025-07-01 21:45:15.878047 |
| 2026-04-07 07:13:26.196214 | 2026-04-08 01:06:25.038478 | 23164279 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23164279 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-04-10 | F | 96 | SALGUERO | 35955370 | DINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_23164279_f0a3d9c7-d570-475f-bdea-43ffa882570b.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | 2026-04-07 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10514928266 | N/A | N/A | 6711965 | 2222 | 4793 | 23394935 | 6798 | 4210430 | 2026-04-08 01:06:25.038478 | 2025-05-13 04:29:37.224841 |
| 2026-04-07 07:13:26.068854 | 2026-04-08 01:06:06.786365 | 23164252 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23164252 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-04-10 | M | AE | SIMMONS | 40055722801 | J | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_23164252_c3bdaed6-5d98-4a4d-a1a7-7be268e5b82c.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 | 10514928265 | N/A | N/A | 6685251 | 2222 | 4793 | 23394625 | 6237 | 4209868 | 2026-04-08 01:06:06.786365 | 2025-08-15 22:13:56.514261 |
| 2026-04-07 07:13:25.988419 | 2026-04-08 01:07:27.921152 | 23164237 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23164237 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-04-09 | F | AE | FABER | 4X26K21EE83 | LINDA | A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_23164237_ed4e1dc1-0dc9-4228-9a02-65f89ab39bc9.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | 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 | 10514928264 | N/A | N/A | 6522947 | 2222 | 4802 | 23396069 | N/A | 5146127 | 2026-04-08 01:07:27.921152 | 2025-06-20 17:58:23.371130 |
| 2026-04-07 07:13:25.904444 | 2026-04-08 01:05:59.754099 | 23164218 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23164218 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-04-08 | M | AE | NOWAK | 31172069101 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_23164218_71f68760-b729-4b53-9398-e0964770156c.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 | 10514928263 | N/A | N/A | 6492025 | 2222 | 4793 | 23394498 | 6237 | 5121181 | 2026-04-08 01:05:59.754099 | 2025-06-19 16:42:31.208252 |
| 2026-04-07 07:13:25.825124 | 2026-04-08 01:06:23.190106 | 23164204 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 23164204 | Athletic Physical Therapy Inc | 1981-12-16 | 2026-04-08 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_23164204_d446aa19-7265-4b02-844a-df15766dd980.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | 2026-03-31 | 2025-12-01 | MI4 SBP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928262 | N/A | N/A | 6140436 | 2222 | 4801 | 23394907 | N/A | 4781417 | 2026-04-08 01:06:23.190106 | 2025-06-06 17:03:19.078153 |
| 2026-04-07 07:13:25.737415 | 2026-04-08 01:07:46.707395 | 23164187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23164187 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-04-08 | F | AE | MORALES | 7XX8HG0UK25 | ANA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_23164187_ab141992-59f2-4a60-81c6-1f949452355c.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MA | false | MORALES | N/A | ANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 117264 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928261 | N/A | N/A | 6076917 | 2222 | 4793 | 23396427 | N/A | 4718913 | 2026-04-08 01:07:46.707395 | 2025-05-29 22:23:40.462913 |
| 2026-04-07 07:13:25.628771 | 2026-04-08 01:05:54.416192 | 23164168 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 23164168 | Athletic Physical Therapy Inc | 1944-11-30 | 2026-04-08 | F | AD | AMOROSA | 40037132201 | RITA | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_23164168_153c9657-7053-46bc-8255-364bb47127e4.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 | 10514928260 | N/A | N/A | 5874458 | 2222 | 4801 | 23394409 | N/A | 4534582 | 2026-04-08 01:05:54.416192 | 2026-03-02 22:06:30.224734 |
| 2026-04-07 07:13:25.531221 | 2026-04-08 01:06:19.621074 | 23164147 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23164147 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-04-09 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_23164147_08ab6615-aba9-4438-8090-d2d456349520.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 | 10514928259 | N/A | N/A | 5874423 | 2222 | 4802 | 23394861 | 4625 | 4534552 | 2026-04-08 01:06:19.621074 | 2025-05-30 18:01:03.324126 |
| 2026-04-07 07:13:25.447473 | 2026-04-08 01:06:08.842096 | 23164126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23164126 | Athletic Physical Therapy Inc | 1985-07-25 | 2026-04-09 | F | PT | MEZA CABALLERO | NTF931W20537 | INGRID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550971/check_23164126_8fda4cbd-53f4-4452-bbdf-4931e1afa2cf.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 | 10514928258 | N/A | N/A | 5550971 | 2222 | 4802 | 23394664 | N/A | 4219797 | 2026-04-08 01:06:08.842096 | 2026-03-13 17:55:37.298425 |
| 2026-04-07 07:13:25.366478 | 2026-04-08 01:07:17.850730 | 23164114 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23164114 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-04-09 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_23164114_a8faf59c-46e5-4091-9648-014223b29646.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | 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 | 10514928257 | N/A | N/A | 5550534 | 2222 | 4801 | 23395882 | N/A | 4219556 | 2026-04-08 01:07:17.850730 | 2025-05-13 04:29:37.230592 |
| 2026-04-07 07:13:25.278678 | 2026-04-08 01:07:10.687216 | 23164092 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23164092 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-04-09 | F | AE | SIMONS | 94378141G | DESIREE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_23164092_5502140a-15a4-4072-a102-7351b99b51a1.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | 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 | 10514928256 | N/A | N/A | 5550102 | 2222 | 4802 | 23395772 | 4211 | 4212176 | 2026-04-08 01:07:10.687216 | 2025-05-13 04:29:37.226514 |
| 2026-04-07 07:13:25.052165 | 2026-04-08 01:06:12.538773 | 23164057 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23164057 | Athletic Physical Therapy Inc | 1949-06-06 | 2026-04-08 | M | AD | WILSON | 31187497801 | MARVIN | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_23164057_224621ab-09e2-4bd4-ae4e-116f4aa6b132.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 | 10514928255 | N/A | N/A | 5549707 | 2222 | 4801 | 23394723 | 6237 | 4219317 | 2026-04-08 01:06:12.538773 | 2025-05-13 04:29:37.230340 |
| 2026-04-07 07:13:24.924114 | 2026-04-08 01:06:28.824454 | 23164032 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23164032 | Athletic Physical Therapy Inc | 1981-09-25 | 2026-04-10 | F | PT | VERSTEEG | 903359946001 | CYNTHIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549702/check_23164032_4ba208ad-0997-47ba-9b83-90b56b497271.json | N/A | N/A | N/A | N/A | N/A | 903359946001 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1981-09-25 | N/A | N/A | N/A | N/A | false | VERSTEEG | N/A | CYNTHIA | N/A | N/A | 2026-04-07 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10514928254 | N/A | N/A | 5549702 | 2222 | 4801 | 23394990 | 4191 | 4219312 | 2026-04-08 01:06:28.824454 | 2026-02-23 23:08:40.715435 |
| 2026-04-07 07:13:24.835657 | 2026-04-08 01:06:30.405804 | 23164019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23164019 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-04-08 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_23164019_ed1f8d48-bcbf-43e0-a209-c04da3511b7e.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10514928253 | N/A | N/A | 5549317 | 2222 | 4801 | 23395019 | N/A | 4219010 | 2026-04-08 01:06:30.405804 | 2026-01-09 18:32:07.618867 |
| 2026-04-07 07:13:24.726479 | 2026-04-08 01:06:23.998314 | 23164001 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23164001 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-04-09 | F | 96 | REGGIANI | 41813758 | SUSANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_23164001_fa72ffba-935a-4675-a2d1-1e4b16077259.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 | 2026-04-07 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10514928252 | N/A | N/A | 5549015 | 2222 | 4801 | 23394919 | 6798 | 4208849 | 2026-04-08 01:06:23.998314 | 2025-05-13 04:29:37.223279 |
| 2026-04-07 07:13:24.645975 | 2026-04-08 01:07:24.975627 | 23163986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23163986 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-04-10 | F | AE | DOUGLAS | 6RW0R23KU11 | HEATHER | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_23163986_1fd92eb4-c1b2-4a12-96b9-8c20d00d50f5.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 | 10514928251 | N/A | N/A | 5548965 | 2222 | 4802 | 23396008 | N/A | 4218725 | 2026-04-08 01:07:24.975627 | 2025-05-13 04:29:37.229715 |
| 2026-04-07 07:13:24.557304 | 2026-04-08 01:05:53.786151 | 23163970 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23163970 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-04-09 | M | AE | AKHTARI | 40045421301 | SHAHROKH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_23163970_f033684d-b152-45d2-94c1-88c2331a1478.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 | 10514928250 | N/A | N/A | 5543493 | 2222 | 4793 | 23394395 | 6237 | 4215273 | 2026-04-08 01:05:53.786151 | 2025-05-13 04:29:37.229594 |
| 2026-04-07 07:13:24.456561 | 2026-04-08 01:06:24.135353 | 23163952 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23163952 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-04-09 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_23163952_4c69b965-a481-4d26-9b0d-c102aa88862d.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 | 10514928249 | N/A | N/A | 5543425 | 2222 | 4801 | 23394924 | 4625 | 4215211 | 2026-04-08 01:06:24.135353 | 2026-04-02 22:30:20.020246 |
| 2026-04-07 07:13:24.320530 | 2026-04-08 01:06:08.828064 | 23163932 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23163932 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-04-10 | F | AD | TORRES | 40067303001 | OLGA | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_23163932_cac5b365-5e11-4c53-995c-b0cebcddd5fe.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 | 10514928248 | N/A | N/A | 5543371 | 2222 | 4793 | 23394663 | 6237 | 4215172 | 2026-04-08 01:06:08.828064 | 2025-05-13 04:29:37.229489 |
| 2026-04-07 07:13:24.225335 | 2026-04-08 01:06:19.186285 | 23163912 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23163912 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-04-08 | F | AE | BALAGHI ASEFI | 91331342H | SAMIRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543363/check_23163912_ce4bda15-491d-44c9-b6e9-66dc12983b3f.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928247 | N/A | N/A | 5543363 | 2222 | 4793 | 23394852 | 4625 | 4215163 | 2026-04-08 01:06:19.186285 | 2026-03-24 20:35:50.273384 |
| 2026-04-07 07:13:24.136126 | 2026-04-08 01:06:53.912454 | 23163893 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23163893 | Athletic Physical Therapy Inc | 2001-01-23 | 2026-04-09 | F | AE | SILVERS | 1866968 | JOIEMAY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_23163893_749b8688-f59c-4fe6-ba98-2eaa6c58c82b.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | 2026-04-07 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928246 | N/A | N/A | 5543335 | 2222 | 4802 | 23395495 | 4211 | 4215139 | 2026-04-08 01:06:53.912454 | 2025-05-13 21:20:11.455022 |
| 2026-04-07 07:13:24.049380 | 2026-04-08 01:07:58.228420 | 23163879 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23163879 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-04-09 | F | AE | UYGUR | 1VV2MA6GE80 | NUKHET | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_23163879_f2da9375-c7c1-4de0-9af7-74f7202f82f8.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MA | false | UYGUR | N/A | NUKHET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 61148 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928245 | N/A | N/A | 5543311 | 2222 | 4802 | 23396655 | N/A | 4215116 | 2026-04-08 01:07:58.228420 | 2025-05-29 22:32:19.748297 |
| 2026-04-07 07:13:23.931006 | 2026-04-08 01:07:05.404682 | 23163858 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23163858 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-04-08 | M | AE | MCCOWAN | 93341440D | KEVIN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_23163858_d287bb8b-3062-4bb7-809a-69b005438acd.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928244 | N/A | N/A | 5543270 | 2222 | 4793 | 23395686 | 4211 | 4215086 | 2026-04-08 01:07:05.404682 | 2025-05-13 04:29:37.229401 |
| 2026-04-07 07:13:23.848209 | 2026-04-08 01:06:23.257256 | 23163841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23163841 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-04-10 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_23163841_c7f3285e-f4af-4c6a-b0cd-89868a4965eb.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10514928243 | N/A | N/A | 5543043 | 2222 | 4801 | 23394909 | N/A | 4214884 | 2026-04-08 01:06:23.257256 | 2025-11-12 00:46:10.301659 |
| 2026-04-07 07:13:23.757714 | 2026-04-08 01:06:04.387698 | 23163826 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23163826 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-04-08 | M | AE | SHADDAY | 40064865601 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_23163826_16380206-f259-4fc0-924f-49d339c8db74.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | 2026H5425001 | H5425M | N/A | N/A | false | SHADDAY | N/A | STEVEN | 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 | 10514928242 | N/A | N/A | 5543011 | 2222 | 4801 | 23394586 | 6237 | 4214861 | 2026-04-08 01:06:04.387698 | 2026-02-04 19:10:58.526441 |
| 2026-04-07 07:13:23.667576 | 2026-04-08 01:06:33.870319 | 23163806 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 23163806 | Athletic Physical Therapy Inc | 1962-06-19 | 2026-04-09 | M | AE | HAFNER | 896752501 | MARK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542940/check_23163806_1938239f-9f1a-4156-9b20-4e2984fe6d3a.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 | 10514928241 | N/A | N/A | 5542940 | 2222 | 4793 | 23395091 | 6411 | 4214793 | 2026-04-08 01:06:33.870319 | 2025-05-13 04:29:37.229118 |
| 2026-04-07 07:13:23.551928 | 2026-04-08 01:06:27.081440 | 23163783 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23163783 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-04-10 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542812/check_23163783_c0f382b3-b7a0-44a5-b1fd-562ab9fbd625.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 | 10514928240 | N/A | N/A | 5542812 | 2222 | 4801 | 23394963 | 4185 | 4214677 | 2026-04-08 01:06:27.081440 | 2026-03-18 22:35:37.752534 |
| 2026-04-07 07:13:23.466264 | 2026-04-08 01:06:29.214333 | 23163769 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23163769 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-04-10 | F | AE | WOODS | 96781627F | JESSICA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_23163769_8fc69f3e-972a-4551-99de-503a719ed9ef.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 | 10514928239 | N/A | N/A | 5542752 | 2222 | 4793 | 23394998 | 4625 | 4214627 | 2026-04-08 01:06:29.214333 | 2025-06-23 18:58:46.304598 |
| 2026-04-07 07:13:23.392346 | 2026-04-08 01:06:18.768566 | 23163756 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 23163756 | override_provider | 1972-07-22 | 2026-04-10 | M | AE | KOZMA | U9714475101 | JASON | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_23163756_fcc4d1a2-857f-4808-bf4e-62089f996c9d.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928238 | N/A | N/A | 5542709 | 2222 | 4802 | 23394844 | N/A | 4214582 | 2026-04-08 01:06:18.768566 | 2025-12-02 00:00:04.433236 |
| 2026-04-07 07:13:23.316297 | 2026-04-08 01:06:25.905184 | 23163739 | N/A | N/A | 60054 | Aetna | 1114042165 | 23163739 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-04-08 | F | AE | FERRELL | W285064666 | AMELIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_23163739_0df61bb6-5b50-44e4-bcf2-76c4928c575f.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928237 | N/A | N/A | 5542678 | 2222 | 4802 | 23394944 | N/A | 4214560 | 2026-04-08 01:06:25.905184 | 2025-05-13 04:29:37.228883 |
| 2026-04-07 07:13:23.221407 | 2026-04-08 01:06:21.409851 | 23163719 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23163719 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-04-08 | F | AE | CHERE | 98953535F | DIANA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_23163719_94fe284d-5b88-434b-b3d2-b4c8aff64e99.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | 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 | 10514928236 | N/A | N/A | 5542660 | 2222 | 4802 | 23394884 | 4625 | 4214542 | 2026-04-08 01:06:21.409851 | 2025-05-13 04:29:37.228868 |
| 2026-04-07 07:13:23.147080 | 2026-04-08 01:06:16.119332 | 23163709 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23163709 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-04-09 | F | PT | GOLDMAN | MBL801W11756 | ROBERTA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_23163709_ef8917e4-ecad-4461-ac8c-c3c2a32378f9.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 | 10514928235 | N/A | N/A | 5542655 | 2222 | 4802 | 23394795 | N/A | 4214541 | 2026-04-08 01:06:16.119332 | 2025-05-13 04:29:37.228867 |
| 2026-04-07 07:13:23.062472 | 2026-04-08 01:06:27.945631 | 23163690 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 23163690 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-04-08 | M | AE | MOSLEY | R02649763MM1 | MICHAEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_23163690_a5fc5182-53a3-455e-b8ef-f5965903b542.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2026-03-31 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928234 | N/A | N/A | 5542606 | 2222 | 4801 | 23394974 | N/A | 4214496 | 2026-04-08 01:06:27.945631 | 2025-05-13 04:29:37.228812 |
| 2026-04-07 07:13:22.951159 | 2026-04-08 01:07:15.022258 | 23163672 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23163672 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-04-09 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_23163672_bfa7aa47-c7a3-4c06-9ac4-5ebad0db6eea.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 166748 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928233 | N/A | N/A | 5542555 | 2222 | 4793 | 23395784 | N/A | 4214447 | 2026-04-08 01:07:15.022258 | 2026-04-23 20:11:34.441054 |
| 2026-04-07 07:13:22.864976 | 2026-04-08 01:06:57.424906 | 23163651 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23163651 | Athletic Physical Therapy Inc | 1983-10-27 | 2026-04-09 | M | PT | FEDERER | XEA911365031 | MITCH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_23163651_06b8fa4c-75b3-402d-b001-e41387a75f4a.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | N/A | N/A | N/A | N/A | false | FEDERER | N/A | MITCH | N/A | N/A | 2026-04-07 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10514928231 | N/A | N/A | 5542512 | 2222 | 4793 | 23395559 | N/A | 4214416 | 2026-04-08 01:06:57.424906 | 2025-05-13 04:29:37.228740 |
| 2026-04-07 07:13:22.787653 | 2026-04-08 01:07:49.675845 | 23163636 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23163636 | Athletic Physical Therapy Inc | 1954-09-01 | 2026-04-09 | F | AE | POURMOMEN | 1FJ2V05EW92 | MEHRI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542428/check_23163636_c1ac287d-7d79-48d5-a354-e12ac598d297.json | N/A | N/A | N/A | N/A | N/A | 1FJ2V05EW92 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-09-01 | H5521 | N/A | N/A | MA | false | POURMOMEN | N/A | MEHRI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928230 | N/A | N/A | 5542428 | 2222 | 4802 | 23396498 | N/A | 4214341 | 2026-04-08 01:07:49.675845 | 2026-04-01 02:58:37.438629 |
| 2026-04-07 07:13:22.708853 | 2026-04-08 01:07:43.780664 | 23163620 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23163620 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-04-10 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_23163620_510c14be-017e-4535-9b8e-8a353a3ea32b.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928229 | N/A | N/A | 5542318 | 2222 | 4802 | 23396361 | N/A | 4214241 | 2026-04-08 01:07:43.780664 | 2025-05-13 04:29:37.228574 |
| 2026-04-07 07:13:22.620507 | 2026-04-08 01:06:14.240290 | 23163600 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23163600 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-04-10 | M | PT | FERNANDEZ | JQS315W00257 | FREDERICO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542274/check_23163600_de103fe7-aa5d-429d-926c-4e0bbce00a21.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10514928228 | N/A | N/A | 5542274 | 2222 | 4801 | 23394757 | 4185 | 4214212 | 2026-04-08 01:06:14.240290 | 2025-05-13 04:29:37.228546 |
| 2026-04-07 07:13:22.530852 | 2026-04-08 01:07:01.783726 | 23163580 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23163580 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-04-08 | F | AE | HEYES | 95596436F | DARCIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_23163580_eea1b9eb-1dbb-4c69-8f3d-0d1431860527.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928227 | N/A | N/A | 5542233 | 2222 | 4793 | 23395624 | 4211 | 4214178 | 2026-04-08 01:07:01.783726 | 2025-05-13 04:29:37.228506 |
| 2026-04-07 07:13:22.437781 | 2026-04-08 01:05:56.314469 | 23163560 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23163560 | Athletic Physical Therapy Inc | 1954-12-02 | 2026-04-08 | M | AD | DEMOULIN | 40027880801 | MICHAEL | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542180/check_23163560_a44bf66c-6f3e-4f35-b8c0-097c6a96b4de.json | N/A | N/A | N/A | N/A | N/A | 40027880801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-12-02 | 2026H5425001 | H5425M | N/A | N/A | false | DEMOULIN | N/A | MICHAEL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10514928226 | N/A | N/A | 5542180 | 2222 | 4801 | 23394441 | 6237 | 4214126 | 2026-04-08 01:05:56.314469 | 2026-03-31 17:10:38.239315 |
| 2026-04-07 07:13:22.334381 | 2026-04-08 01:07:34.262941 | 23163539 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23163539 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-04-09 | F | AE | GRINBERG | 6W60TM0KP36 | HANNA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_23163539_58d2a3d0-59f0-41b7-8e7d-0eef82466ab8.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 83620 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928225 | N/A | N/A | 5542161 | 2222 | 4802 | 23396184 | N/A | 4214112 | 2026-04-08 01:07:34.262941 | 2025-05-13 04:29:37.228426 |
| 2026-04-07 07:13:22.248388 | 2026-04-08 01:06:27.883706 | 23163519 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 23163519 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-04-09 | M | AE | VLAHOVICH | 34035035 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_23163519_da44eb4b-9427-4641-b1d2-cb231d7d5861.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-04-07 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10514928224 | N/A | N/A | 5542048 | 2222 | 4802 | 23394972 | N/A | 4214003 | 2026-04-08 01:06:27.883706 | 2025-05-13 04:29:37.228325 |
| 2026-04-07 07:13:22.167627 | 2026-04-08 01:06:46.754959 | 23163502 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23163502 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-04-08 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260407.121539810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_23163502_c86a59e6-c007-4101-bbee-378d20f0b29c.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 10514928223 | N/A | N/A | 5542014 | 2222 | 4793 | 23395363 | N/A | 4213977 | 2026-04-08 01:06:46.754959 | 2025-05-13 04:29:37.228294 |