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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-29 09:41:43.075829 | 2025-06-29 09:41:47.715760 | 9358903 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-07-02 | F | 30 | 6411 | URBACH | 986803155-00 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_9358903_b4c248b7-1b19-4823-b083-18625c14446a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_9358903_7e7351b9-123d-4e56-a73f-64b393a63255.json | N/A | N/A | N/A | N/A | N/A | 209654791 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1941-04-30 | N/A | 74134 | N/A | PR | false | N/A | N/A | N/A | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8097607696 | N/A | N/A | 6068052 | 2222 | N/A | 9070359 | N/A | 4712993 | 2025-06-29 09:41:47.715760 | 2025-06-12 23:03:47.433557 |
| 2025-06-29 09:41:42.927249 | 2025-06-29 09:41:46.601967 | 9358901 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-06-27 | 2025-07-02 | M | 30 | 6411 | BROOK | 2022325-01 | NATASHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068053/check_9358901_2acaebd7-3985-4906-a8aa-6fcc872236b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068053/check_9358901_7dce3bb0-973c-41ec-9677-e316d01fcabf.json | N/A | N/A | N/A | N/A | N/A | 002022325 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1945-06-27 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8097607690 | N/A | N/A | 6068053 | 2222 | N/A | 9070355 | N/A | 4712995 | 2025-06-29 09:41:46.601967 | 2025-05-28 21:04:24.752114 |
| 2025-06-29 09:39:51.294667 | 2025-06-29 09:39:55.491733 | 9358719 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-09-11 | 2025-07-02 | M | 30 | 6411 | PETERSON | 987565290 | CONNOR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543238/check_9358719_0e66dd71-45f6-4787-9076-a8bb6866f5e3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_9358719_c69be829-cf35-4bcf-a4f2-416dd0f50a73.json | N/A | N/A | N/A | N/A | N/A | 987565290 | Commercial | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1999-09-11 | 0181 0181 | 228485 | N/A | C1 | false | PETERSON | N/A | CONNOR | N/A | N/A | N/A | SELECT PLUS | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8097603354 | N/A | N/A | 5543238 | 2222 | N/A | 9070184 | N/A | 4215055 | 2025-06-29 09:39:55.491733 | 2025-05-13 04:29:37.229376 |
| 2025-06-29 09:39:33.135860 | 2025-06-29 09:39:39.075407 | 9358687 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-27 | 2025-07-02 | M | 30 | 6411 | SINGLETON | 984413410 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9358687_86cb3a6c-45e8-4795-9c95-94a919facecf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541716/check_9358687_b4ba3ca5-c703-4e0f-923d-6d51763242de.json | N/A | N/A | N/A | N/A | N/A | 984413410 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-11-27 | N/A | N/A | N/A | N/A | false | SINGLETON | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541716 | 2222 | N/A | 9070150 | N/A | 4213709 | 2025-06-29 09:39:39.075407 | 2026-01-23 21:41:52.262628 |
| 2025-06-29 09:39:30.346776 | 2025-06-29 09:39:33.124410 | 9358680 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-27 | 2025-07-02 | M | 30 | 6411 | SINGLETON | 984413410 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9358680_51ed4682-fabe-488e-891c-900ba553125b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 984413410 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-11-27 | N/A | N/A | N/A | N/A | false | SINGLETON | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541716 | 2222 | N/A | N/A | N/A | 4213709 | 2025-06-29 09:39:33.124410 | 2026-01-23 21:41:52.262628 |
| 2025-06-29 09:39:26.244177 | 2025-06-29 09:39:29.939552 | 9358671 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-21 | 2025-07-02 | F | 30 | 6411 | ENGBER | 951452113-00 | KERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540085/check_9358671_06ce8b18-097a-4307-8409-4f55cc7800d7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540085/check_9358671_e5427f75-07df-44a9-a183-7ad74382d71e.json | N/A | N/A | N/A | N/A | N/A | 951452113 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1945-04-21 | N/A | 15896 | N/A | PR | false | ENGBER | N/A | KERRY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8097602219 | N/A | N/A | 5540085 | 2222 | N/A | 9070132 | N/A | 4212291 | 2025-06-29 09:39:29.939552 | 2025-05-13 04:29:37.226630 |
| 2025-06-29 09:39:25.874133 | 2025-06-29 09:39:29.571101 | 9358670 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-24 | 2025-07-02 | M | 30 | 6411 | SAUER | 995746438 | MARCOS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539785/check_9358670_90b00c8a-bed4-42ef-8cb7-0b342ce75380.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_9358670_e0ad8c1f-db79-49db-b492-cd6cd4497371.json | N/A | N/A | N/A | N/A | N/A | 995746438 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-01-24 | N/A | 74126 | N/A | PR | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8097602198 | N/A | N/A | 5539785 | 2222 | N/A | 9070131 | N/A | 4212024 | 2025-06-29 09:39:29.571101 | 2025-05-28 20:17:35.019662 |
| 2025-06-29 09:19:43.233424 | 2025-06-30 05:18:52.194014 | 9357427 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9357427 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-02 | F | AE | N/A | GNAD | 9EM9VP4XX36 | MELANIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_9357427_c8fcf4a0-90b2-4682-bce7-e4a88cfaadff.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572429 | N/A | N/A | 5676353 | 2222 | 4801 | 9084937 | N/A | 4212792 | 2025-06-30 05:18:52.194014 | 2025-10-07 20:33:25.637997 |
| 2025-06-29 09:19:42.883783 | 2025-06-30 05:10:57.808861 | 9357425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9357425 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-07-02 | F | AE | N/A | KUDLATOVA | JQE069W14577 | MARIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_9357425_e4557f0b-531a-4412-8c65-53a2add6bf71.json | N/A | N/A | N/A | N/A | N/A | JQE069W14577 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-02-24 | 040 | CASUPWP0 | N/A | N/A | false | KUDLATOVA | N/A | MARIE | N/A | 9999-12-31 | 2023-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572428 | N/A | N/A | 5549472 | 2222 | 4801 | 9081864 | N/A | 4219128 | 2025-06-30 05:10:57.808861 | 2025-05-13 04:29:37.230146 |
| 2025-06-29 09:19:42.524046 | 2025-06-30 05:10:57.105039 | 9357424 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9357424 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-07-02 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539753/check_9357424_78cf9dbb-9206-4365-985f-c0242ce737fb.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | N/A | N/A | N/A | N/A | false | GILLETTE | N/A | GRADY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097572427 | N/A | N/A | 5539753 | 2222 | 4801 | 9081855 | N/A | 4212009 | 2025-06-30 05:10:57.105039 | 2025-05-13 04:29:37.226332 |
| 2025-06-29 09:19:42.146130 | 2025-06-30 05:10:56.472036 | 9357423 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9357423 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-02 | F | AE | N/A | ELDRIDGE | JQE441W06428 | MARGARET | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9357423_967231a2-501b-4203-8b21-a7cbdefa19e9.json | N/A | N/A | N/A | N/A | N/A | JQE441W06428 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-09-13 | 040 | CASUPWP0 | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572426 | N/A | N/A | 5536115 | 2222 | 4793 | 9081847 | N/A | 4208915 | 2025-06-30 05:10:56.472036 | 2025-07-25 17:30:46.084330 |
| 2025-06-29 09:18:57.666231 | 2025-06-30 05:10:58.493442 | 9357170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9357170 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-07-02 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9357170_0cd91d23-fd60-4022-bbb6-b126e7a89d2f.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097572738 | N/A | N/A | 6605808 | 2222 | 4802 | 9081873 | N/A | 4214948 | 2025-06-30 05:10:58.493442 | 2025-06-26 01:28:07.741882 |
| 2025-06-29 09:18:26.223933 | 2025-06-30 09:14:59.049079 | 9356981 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9356981 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-07-02 | F | AE | N/A | HOWE | U9192068101 | LOCHRYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_9356981_cd21e80c-fa4b-4b13-a3ad-b6d060a797ac.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097567065 | N/A | N/A | 6079410 | 2222 | 4802 | 9088147 | N/A | 4723300 | 2025-06-30 09:14:59.049079 | 2025-06-04 00:42:43.684276 |
| 2025-06-29 09:18:18.219977 | 2025-06-30 09:43:24.327609 | 9356915 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9356915 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-07-02 | F | AE | N/A | BERNSTEIN NOAH | 6HK3VD1GN77 | PAULA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_9356915_c6e9d3ef-ec05-4c2c-bcb2-73a99c2d73fc.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-08 | S5617 | N/A | N/A | MA | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097567046 | N/A | N/A | 6078301 | 2222 | 4802 | 9089238 | N/A | 4722556 | 2025-06-30 09:43:24.327609 | 2025-06-04 18:06:16.300392 |
| 2025-06-29 09:18:16.536332 | 2025-06-30 09:09:23.445544 | 9356899 | N/A | N/A | 60054 | Aetna | 1114042165 | 9356899 | Athletic Physical Therapy Inc | 1999-04-14 | 2025-07-02 | M | AE | N/A | FAGAN | W275345811 | ARIEH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9356899_a0dcc096-015d-495b-93b7-51cbee7208c9.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097567043 | N/A | N/A | 6078250 | 2222 | 4802 | 9087906 | N/A | 4722504 | 2025-06-30 09:09:23.445544 | 2025-06-19 03:19:24.165458 |
| 2025-06-29 09:18:15.232002 | 2025-06-30 09:16:33.697135 | 9356892 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9356892 | Athletic Physical Therapy Inc | 1989-12-06 | 2025-07-02 | F | AE | N/A | Laraki | 10995665900 | Zineb | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9356892_6fd7c1af-8ec8-495e-9f55-7409fc8d77a9.json | N/A | N/A | N/A | N/A | N/A | 10995665900 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1989-12-06 | N/A | N/A | N/A | N/A | false | LARAKI | N/A | ZINEB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097567041 | N/A | N/A | 6078110 | 2222 | 4802 | 9088214 | N/A | 4722393 | 2025-06-30 09:16:33.697135 | 2025-05-29 22:37:40.791959 |
| 2025-06-29 09:18:07.538642 | 2025-06-30 09:21:18.443544 | 9356830 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9356830 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-07-02 | M | AE | N/A | BECKLEY | 00000375188 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_9356830_e62514a4-2e28-4232-b32b-e409aec95ea3.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097566521 | N/A | N/A | 6077164 | 2222 | 4801 | 9088415 | 2630 | 4720748 | 2025-06-30 09:21:18.443544 | 2025-06-11 15:34:07.942696 |
| 2025-06-29 09:17:49.376602 | 2025-06-30 05:12:08.233424 | 9356696 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9356696 | Athletic Physical Therapy Inc | 1957-12-13 | 2025-07-02 | F | AE | N/A | WALLEN | XEM911802583 | ELLYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492841/check_9356696_1573dd99-76e5-4aa6-95fa-de8a497f3e08.json | N/A | N/A | N/A | N/A | N/A | XEM911802583 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-12-13 | 2002SE000028 | X0001002 | N/A | OT | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571071 | N/A | N/A | 6492841 | 2222 | 4793 | 9082523 | N/A | 5121955 | 2025-06-30 05:12:08.233424 | 2025-06-19 17:23:34.410819 |
| 2025-06-29 09:17:33.356635 | 2025-06-30 05:10:56.152903 | 9356549 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9356549 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-07-02 | M | AE | N/A | BOLTON | XDO770A69054 | ALAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473159/check_9356549_2d665944-a1f9-4db9-8a23-6871b70043c7.json | N/A | N/A | N/A | N/A | N/A | XDO770A69054 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1932-10-05 | 040 | CASUPWP0 | N/A | N/A | false | BOLTON | N/A | ALAN | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. SMARTCHOICE HIGH DEDUCT. PLAN F (NO RX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572876 | N/A | N/A | 6473159 | 2222 | 4793 | 9081841 | N/A | 4815871 | 2025-06-30 05:10:56.152903 | 2025-08-01 15:33:39.468574 |
| 2025-06-29 09:17:33.119308 | 2025-06-30 05:12:07.583109 | 9356545 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9356545 | Athletic Physical Therapy Inc | 1952-08-27 | 2025-07-02 | M | AE | N/A | STEINBERG | XEM905858221 | PETER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473155/check_9356545_3a272573-0bbf-4ccd-8950-eb89ca0e52c4.json | N/A | N/A | N/A | N/A | N/A | XEM905858221 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-08-27 | 2002SD000004 | X0001002 | N/A | OT | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572875 | N/A | N/A | 6473155 | 2222 | 4802 | 9082518 | N/A | 5106188 | 2025-06-30 05:12:07.583109 | 2025-06-18 23:17:37.195231 |
| 2025-06-29 09:17:09.679332 | 2025-06-30 09:22:50.454570 | 9356333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9356333 | Athletic Physical Therapy Inc | 1958-07-25 | 2025-07-02 | M | PT | N/A | HULUGALLE | MMA608W21048 | HARIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068050/check_9356333_b63c5dd7-b13c-49f0-9001-1fef89fcefca.json | N/A | N/A | N/A | N/A | N/A | MMA608W21048 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-25 | 040 | CAMCRWP0 | N/A | MP | false | HULUGALLE | N/A | HARIN | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097565965 | N/A | N/A | 6068050 | 2222 | 4793 | 9088464 | N/A | 4712992 | 2025-06-30 09:22:50.454570 | 2025-06-25 14:36:13.303736 |
| 2025-06-29 09:15:58.384121 | 2025-06-30 05:10:58.944766 | 9355600 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9355600 | Athletic Physical Therapy Inc | 1946-03-20 | 2025-07-02 | M | AE | N/A | ZAVAD | JQE410A75283 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400573/check_9355600_4ed28101-dd61-4562-ae9e-19bc957b3671.json | N/A | N/A | N/A | N/A | N/A | JQE410A75283 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-20 | 040 | CASUPWP0 | N/A | N/A | false | ZAVAD | N/A | MARK | N/A | 9999-12-31 | 2019-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572554 | N/A | N/A | 6400573 | 2222 | 4801 | 9081878 | N/A | 5046284 | 2025-06-30 05:10:58.944766 | 2025-06-15 19:17:13.943381 |
| 2025-06-29 09:15:44.500135 | 2025-06-30 05:18:51.241610 | 9355437 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9355437 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-02 | F | PT | N/A | AZUCENA | 1YT9RR4MX51 | ESPERANZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_9355437_70f7bcb4-fb3a-4a28-b0ca-11bbdc7419a5.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097571969 | N/A | N/A | 6235090 | 2222 | 4801 | 9084932 | N/A | 4213743 | 2025-06-30 05:18:51.241610 | 2025-05-13 04:29:37.228064 |
| 2025-06-29 09:15:26.392130 | 2025-06-30 05:12:32.281574 | 9355213 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9355213 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-07-02 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_9355213_7da083e5-25f9-4176-b28d-178de1190215.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097561790 | N/A | N/A | 6577909 | 2222 | 4802 | 9082738 | N/A | 4766701 | 2025-06-30 05:12:32.281574 | 2025-06-03 21:11:46.573919 |
| 2025-06-29 09:15:26.011760 | 2025-06-30 05:12:06.944286 | 9355209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9355209 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-02 | M | AE | N/A | GRANT | xem914408420 | ROBERT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9355209_91262604-712a-4fa6-92a2-54c26478e5bc.json | N/A | N/A | N/A | N/A | N/A | XEM914408420 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-04-20 | 2002SEW00028 | X0001002 | N/A | OT | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571466 | N/A | N/A | 6211380 | 2222 | 4793 | 9082509 | N/A | 4214087 | 2025-06-30 05:12:06.944286 | 2025-05-13 04:29:37.228402 |
| 2025-06-29 09:15:19.779533 | 2025-06-30 05:02:29.947953 | 9355132 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9355132 | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | N/A | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9355132_30e468f4-540a-4217-bed8-570366a1f53c.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097561150 | N/A | N/A | 6574729 | 2222 | 4793 | 9077458 | N/A | 5195072 | 2025-06-30 05:02:29.947953 | 2025-07-02 23:59:09.756169 |
| 2025-06-29 09:15:16.437133 | 2025-06-30 05:10:58.173128 | 9355093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9355093 | Athletic Physical Therapy Inc | 2009-07-01 | 2025-07-02 | M | PT | N/A | PAQUETTE | JQU899A69081 | NICOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6207031/check_9355093_d8831de3-4130-4a88-b64e-6247209e3fd4.json | N/A | N/A | N/A | N/A | N/A | JQU899A69081 | Preferred Provider Organization (PPO) | EN ROUTE TRAVEL | ANTHEM BLUE CROSS | N/A | 2009-07-01 | 040 | 371007 | N/A | PR | false | PAQUETTE | N/A | BIANCA | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 35/500/25% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097571443 | N/A | N/A | 6207031 | 2222 | 4793 | 9081868 | N/A | 4766758 | 2025-06-30 05:10:58.173128 | 2025-06-03 21:40:10.090592 |
| 2025-06-29 09:15:14.842261 | 2025-06-30 05:12:06.377037 | 9355073 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9355073 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-07-02 | F | AE | N/A | CAVELLA | XEA913628752 | EMIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_9355073_8072171a-a568-4011-87f4-ceccb7df1300.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571438 | N/A | N/A | 6203312 | 2222 | 4801 | 9082500 | N/A | 4846213 | 2025-06-30 05:12:06.377037 | 2025-06-10 21:58:09.734801 |
| 2025-06-29 09:13:07.408107 | 2025-06-30 05:10:55.665088 | 9353615 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9353615 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-07-02 | F | AE | N/A | BERNSTEIN NOAH | XEM905917416 | PAULA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085126/check_9353615_6a67115e-57a2-48b0-83ba-6721f47078ff.json | N/A | N/A | N/A | N/A | N/A | XEM905917416 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-05-08 | N/A | N/A | N/A | N/A | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097572304 | N/A | N/A | 6085126 | 2222 | 4802 | 9081837 | N/A | 4722556 | 2025-06-30 05:10:55.665088 | 2025-06-04 18:06:16.300392 |
| 2025-06-29 09:12:52.823028 | 2025-06-30 09:15:00.231196 | 9353457 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9353457 | Athletic Physical Therapy Inc | 1967-02-21 | 2025-07-01 | F | AD | N/A | LEVINE | 110561060 | ROCIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_9353457_fcae3845-bacd-4c13-b1c8-d980bb680765.json | N/A | N/A | N/A | N/A | N/A | 11056106000 | N/A | CYDCOR, LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1967-02-21 | N/A | 00654768 | N/A | N/A | false | LEVINE | N/A | ROCIO | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8097566809 | N/A | N/A | 5994830 | 2222 | 4793 | 9088148 | N/A | 4210945 | 2025-06-30 09:15:00.231196 | 2025-06-24 15:38:48.246227 |
| 2025-06-29 09:12:45.257435 | 2025-06-30 09:03:15.604028 | 9353374 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9353374 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-07-02 | F | AE | N/A | ALROMAIH | 91237812E | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_9353374_0a8b3d42-dd19-4597-94d5-696cb72fa980.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097566176 | N/A | N/A | 5993940 | 2222 | 4802 | 9087646 | N/A | 4642877 | 2025-06-30 09:03:15.604028 | 2025-12-23 23:49:16.627667 |
| 2025-06-29 09:12:44.304729 | 2025-06-30 09:25:04.237075 | 9353364 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9353364 | Athletic Physical Therapy Inc | 1990-12-10 | 2025-07-02 | M | PT | N/A | DA SILVA | XEA913717284 | ALEXANDER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_9353364_a20afaf5-e9f6-446a-a57b-a50a9ed3b012.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097566175 | N/A | N/A | 5993933 | 2222 | 4793 | 9088567 | N/A | 4642870 | 2025-06-30 09:25:04.237075 | 2025-06-06 02:32:24.489244 |
| 2025-06-29 09:12:43.806862 | 2025-06-30 09:20:43.008006 | 9353359 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9353359 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-07-02 | M | AE | N/A | JOHNSON | R04617470MM1 | ROTH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_9353359_6a93a99b-e7df-4a76-9641-6a03bba0c954.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | K7Z PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097566174 | N/A | N/A | 5993907 | 2222 | 4793 | 9088387 | N/A | 4534544 | 2025-06-30 09:20:43.008006 | 2025-05-28 20:51:40.104091 |
| 2025-06-29 09:12:43.401777 | 2025-06-30 09:25:05.767420 | 9353354 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9353354 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-07-02 | M | PT | N/A | GILLETTE | M9Y896662066 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993452/check_9353354_8cbeb318-93d7-456b-bf0d-e493ba5c51d9.json | N/A | N/A | N/A | N/A | N/A | M9Y896662066 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-03-09 | N/A | N/A | N/A | N/A | false | GILLETTE | N/A | GRADY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097566173 | N/A | N/A | 5993452 | 2222 | 4801 | 9088568 | N/A | 4212009 | 2025-06-30 09:25:05.767420 | 2025-05-13 04:29:37.226332 |
| 2025-06-29 09:12:42.936193 | 2025-06-30 09:09:21.854777 | 9353348 | N/A | N/A | 60054 | Aetna | 1114042165 | 9353348 | Athletic Physical Therapy Inc | 2009-02-09 | 2025-07-02 | F | AD | N/A | SANABRIA CORA | W29037029102 | ISABELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141928793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993269/check_9353348_dd3a0466-7267-4ac9-b471-aac405936d84.json | N/A | N/A | N/A | N/A | N/A | W290370291 | Point of Service (POS) | PTC THERAPEUTICS, INC. | AETNA | N/A | 2009-02-09 | 0472568 | 047256801200001 | N/A | PS | false | CORA PLANADEBALL | N/A | KAREL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8097566172 | N/A | N/A | 5993269 | 2222 | 4801 | 9087905 | N/A | 4210321 | 2025-06-30 09:09:21.854777 | 2025-06-11 21:24:33.499500 |
| 2025-06-29 09:12:19.745049 | 2025-06-30 05:10:52.220618 | 9353107 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9353107 | Athletic Physical Therapy Inc | 2008-01-30 | 2025-07-02 | F | PT | N/A | NICCOL | WRXA12977807 | AVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528022/check_9353107_79b0e3f2-2181-4702-831a-f2c69f652ab9.json | N/A | N/A | N/A | N/A | N/A | A12977807 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 2008-01-30 | 040 | 277242M002 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097560466 | N/A | N/A | 6528022 | 2222 | 4793 | 9081806 | N/A | 5148860 | 2025-06-30 05:10:52.220618 | 2025-06-30 14:56:45.395723 |
| 2025-06-29 09:10:55.016422 | 2025-06-30 05:20:08.948872 | 9352286 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9352286 | Athletic Physical Therapy Inc | 1957-12-13 | 2025-07-02 | F | AE | N/A | WALLEN | 8Q55EE9RC74 | ELLYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9352286_a122b6df-207b-4049-a1fe-73d84c043cd6.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097560709 | N/A | N/A | 6492809 | 2222 | 4793 | 9085305 | N/A | 5121955 | 2025-06-30 05:20:08.948872 | 2025-06-19 17:23:34.410819 |
| 2025-06-29 09:10:35.949006 | 2025-06-30 05:10:52.743976 | 9351966 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351966 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-07-02 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_9351966_b2977cd2-33fb-464a-b44b-b6a545c8a63e.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097559992 | N/A | N/A | 6491817 | 2222 | 4801 | 9081812 | N/A | 5120889 | 2025-06-30 05:10:52.743976 | 2025-06-23 18:24:54.219050 |
| 2025-06-29 09:10:12.409064 | 2025-06-30 05:11:16.987203 | 9351542 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351542 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-07-02 | M | PT | N/A | DATO | NGO555A50496 | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9351542_dcbba6f6-9d11-4455-8659-c1d0db524176.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552414 | N/A | N/A | 5551045 | 2222 | 4793 | 9082029 | N/A | 4219851 | 2025-06-30 05:11:16.987203 | 2025-05-13 04:29:37.230897 |
| 2025-06-29 09:10:12.311513 | 2025-06-30 05:10:47.021843 | 9351538 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9351538 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-07-02 | F | PT | N/A | BOWMAN | 00000386100 | GLORIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_9351538_c0b52e99-0303-459f-a274-80d822343675.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1953-04-10 | H3815028 | N/A | N/A | HM | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8097552413 | N/A | N/A | 5551030 | 2222 | 4801 | 9081766 | 2630 | 4219852 | 2025-06-30 05:10:47.021843 | 2025-05-13 04:29:37.230898 |
| 2025-06-29 09:10:12.169440 | 2025-06-30 05:11:16.678236 | 9351537 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9351537 | Athletic Physical Therapy Inc | 1962-10-31 | 2025-07-02 | M | PT | N/A | COOK | NCF175A24389 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551027/check_9351537_66a24cca-bb96-4b1d-8276-91fb96251026.json | N/A | N/A | N/A | N/A | N/A | NCF175A24389 | Health Maintenance Organization (HMO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1962-10-31 | 040 | 275928H001 | N/A | HM | false | COOK | N/A | JAMES | N/A | 9999-12-31 | 2022-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552412 | N/A | N/A | 5551027 | 2222 | 4801 | 9082023 | 4184 | 4219848 | 2025-06-30 05:11:16.678236 | 2025-05-28 20:18:04.730900 |
| 2025-06-29 09:10:12.061566 | 2025-06-30 05:03:27.270308 | 9351535 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9351535 | Athletic Physical Therapy Inc | 1968-04-09 | 2025-07-02 | F | PT | N/A | SHAUGHNESSY | U9219243801 | MARGARET | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550965/check_9351535_ab94841c-e45e-4508-8fc4-b0315c274f47.json | N/A | N/A | N/A | N/A | N/A | U9219243801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-09 | N/A | N/A | N/A | N/A | false | SHAUGHNESSY | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8097552411 | N/A | N/A | 5550965 | 2222 | 4793 | 9077760 | N/A | 4219798 | 2025-06-30 05:03:27.270308 | 2025-05-13 04:29:37.230838 |
| 2025-06-29 09:10:11.957822 | 2025-06-30 05:11:18.020685 | 9351533 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351533 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-07-02 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_9351533_cd2b5d65-2e6e-4060-aa80-bb3bd30d7045.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552410 | N/A | N/A | 5550953 | 2222 | 4801 | 9082044 | N/A | 4219788 | 2025-06-30 05:11:18.020685 | 2025-06-06 22:01:46.271450 |
| 2025-06-29 09:10:11.849110 | 2025-06-30 05:12:13.241785 | 9351530 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351530 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-07-02 | F | PT | N/A | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_9351530_03c14673-9aad-412f-96e0-929eb395b80d.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1990-03-04 | N/A | N/A | N/A | N/A | false | MERKER | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552409 | N/A | N/A | 5550917 | 2222 | 4802 | 9082567 | N/A | 4219762 | 2025-06-30 05:12:13.241785 | 2025-05-13 04:29:37.230803 |
| 2025-06-29 09:10:11.753168 | 2025-06-30 05:12:08.578550 | 9351528 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351528 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-07-02 | M | PT | N/A | AMENT | XED913057951 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_9351528_d0876367-b4eb-4a38-a08d-7da05b147693.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2024-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552408 | N/A | N/A | 5550865 | 2222 | 4802 | 9082527 | N/A | 4215196 | 2025-06-30 05:12:08.578550 | 2025-05-13 04:29:37.229513 |
| 2025-06-29 09:10:11.612517 | 2025-06-30 05:05:55.913263 | 9351524 | N/A | N/A | 60054 | Aetna | 1114042165 | 9351524 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-07-02 | F | AE | N/A | CARDINALI | W286606913 | NICOLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9351524_c1ca328e-4b18-443b-bc8a-dd728a980876.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552407 | N/A | N/A | 5550850 | 2222 | 4802 | 9078916 | N/A | 4215195 | 2025-06-30 05:05:55.913263 | 2025-05-14 09:08:40.751930 |
| 2025-06-29 09:10:11.272002 | 2025-06-30 05:12:13.881773 | 9351519 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351519 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-07-02 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9351519_db80a2e2-ce9d-47ee-9b3a-c956ceb547d0.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552406 | N/A | N/A | 5550845 | 2222 | 4801 | 9082574 | N/A | 4219713 | 2025-06-30 05:12:13.881773 | 2025-08-13 22:46:55.732965 |
| 2025-06-29 09:10:10.926101 | 2025-06-30 05:21:42.356738 | 9351512 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351512 | Athletic Physical Therapy Inc | 1970-03-04 | 2025-07-02 | F | AE | N/A | VITATOE | 4YM5KY1DG73 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_9351512_65bd12d9-8f7e-4ed8-b585-2bbbde3b3ea9.json | N/A | N/A | N/A | N/A | N/A | 4YM5KY1DG73 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-04 | S4802 | N/A | N/A | MB | false | VITATOE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552405 | N/A | N/A | 5550839 | 2222 | 4801 | 9085748 | N/A | 4219707 | 2025-06-30 05:21:42.356738 | 2025-05-13 04:29:37.230750 |
| 2025-06-29 09:10:10.629416 | 2025-06-30 05:05:56.763851 | 9351507 | N/A | N/A | 60054 | Aetna | 1114042165 | 9351507 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-07-02 | F | AE | N/A | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_9351507_3e4cec45-661c-4cbe-9373-c053375e94b3.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552404 | N/A | N/A | 5550743 | 2222 | 4801 | 9078926 | N/A | 4219643 | 2025-06-30 05:05:56.763851 | 2025-05-13 04:29:37.230685 |
| 2025-06-29 09:10:10.535627 | 2025-06-30 05:03:30.304687 | 9351505 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9351505 | Athletic Physical Therapy Inc | 1951-06-06 | 2025-07-02 | F | AE | N/A | HEMS | 40064724701 | MARILYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550702/check_9351505_d976efba-7634-4579-bec2-675a097e075d.json | N/A | N/A | N/A | N/A | N/A | 40064724701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-06-06 | N/A | N/A | N/A | N/A | false | HEMS | N/A | MARILYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552403 | N/A | N/A | 5550702 | 2222 | 4801 | 9077792 | N/A | 4219615 | 2025-06-30 05:03:30.304687 | 2025-05-13 04:29:37.230657 |