API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-04 07:13:50.034893 | 2026-04-05 00:48:16.692473 | 23045075 | N/A | N/A | 60054 | Aetna | 1114042165 | 23045075 | Athletic Physical Therapy Inc | 1966-02-10 | 2026-04-07 | F | AE | PT | Kaur | 102258428900 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_23045075_efe064de-f348-4c46-bf6e-f1b97e1a5271.json | N/A | N/A | N/A | N/A | N/A | 102258428900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1966-02-10 | 000003-CA000027 | 000003-CA | N/A | QM | false | KAUR | N/A | SARANJIT | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893828 | N/A | N/A | 17736385 | 2222 | 4801 | 23246073 | N/A | 15497513 | 2026-04-05 00:48:16.692473 | 2026-03-06 21:33:02.751048 |
| 2026-04-04 07:13:49.323262 | 2026-04-05 00:48:50.481924 | 23045025 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23045025 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-04-07 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_23045025_186808a2-a34c-451e-ab5d-24d5d5c269dc.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893827 | N/A | N/A | 17650446 | 2222 | 4802 | 23246785 | N/A | 9635663 | 2026-04-05 00:48:50.481924 | 2025-10-22 19:43:50.510670 |
| 2026-04-04 07:13:49.062469 | 2026-04-05 00:48:40.712345 | 23045006 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23045006 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-04-07 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_23045006_376e5343-f659-4b6b-9ec5-ad11db56d9e8.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 84038 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893826 | N/A | N/A | 17600400 | 2222 | 4793 | 23246559 | N/A | 15647296 | 2026-04-05 00:48:40.712345 | 2026-03-04 22:22:31.397944 |
| 2026-04-04 07:13:48.773611 | 2026-04-05 00:51:21.651176 | 23044987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23044987 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-04-07 | F | AE | PT | SHEINBEIN | 5NQ8U19JG46 | Nancy | THURLO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_23044987_e5a047a6-81ad-49f6-8bad-52e8eade263d.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MB | false | SHEINBEIN | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 82152 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893825 | N/A | N/A | 17593459 | 2222 | 4802 | 23249330 | N/A | 15407829 | 2026-04-05 00:51:21.651176 | 2026-03-03 21:31:17.107791 |
| 2026-04-04 07:13:48.466426 | 2026-04-05 00:50:05.280708 | 23044971 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23044971 | Athletic Physical Therapy Inc | 1959-06-21 | 2026-04-07 | F | AE | PT | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_23044971_2cdd29d1-b3d8-4284-b2f5-b97ce10867ba.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893824 | N/A | N/A | 17585914 | 2222 | 4802 | 23248379 | 6237 | 15633309 | 2026-04-05 00:50:05.280708 | 2026-03-04 17:46:21.126462 |
| 2026-04-04 07:13:48.146858 | 2026-04-05 00:48:05.909462 | 23044951 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23044951 | override_provider | 1952-10-16 | 2026-04-06 | F | AE | PT | Foulkrod | 000016535395 | Patricia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17511137/check_23044951_f8374328-fca9-4a33-a7dd-99642e190655.json | N/A | N/A | N/A | N/A | N/A | 000016535395 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 1952-10-16 | 4385825 | 236396 | N/A | N/A | false | FOULKROD | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | MEDI-CAL SCR 19_MM SPD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893823 | N/A | N/A | 17511137 | 2222 | 4802 | 23245838 | N/A | 15525565 | 2026-04-05 00:48:05.909462 | 2026-03-03 00:49:06.936254 |
| 2026-04-04 07:13:47.721767 | 2026-04-05 00:48:14.942142 | 23044924 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23044924 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-04-06 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_23044924_39c13775-d4a5-4032-82b7-769bc393f328.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893822 | N/A | N/A | 17509843 | 2222 | 4802 | 23246034 | 4211 | 15524188 | 2026-04-05 00:48:14.942142 | 2026-03-03 00:12:08.668405 |
| 2026-04-04 07:13:47.420077 | 2026-04-05 00:48:01.908081 | 23044907 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 23044907 | Athletic Physical Therapy Inc | 1978-07-01 | 2026-04-07 | M | AE | PT | ABDELMESSIH | U9059513401 | MINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_23044907_485f2fec-bac0-4aa5-86eb-e0f870035cb2.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893821 | N/A | N/A | 17498631 | 2222 | 4801 | 23245737 | 4437 | 15513934 | 2026-04-05 00:48:01.908081 | 2026-03-11 16:41:57.340816 |
| 2026-04-04 07:13:47.117709 | 2026-04-05 00:48:04.166722 | 23044888 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 23044888 | Athletic Physical Therapy Inc | 1965-07-20 | 2026-04-07 | M | AE | PT | Williamson | 000023808951 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_23044888_d11dc4ed-8491-4e07-afab-aa4872567747.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893820 | N/A | N/A | 17494392 | 2222 | 4802 | 23245791 | N/A | 15115643 | 2026-04-05 00:48:04.166722 | 2026-02-19 17:55:17.333175 |
| 2026-04-04 07:13:46.881024 | 2026-04-05 00:48:53.920953 | 23044872 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 23044872 | Athletic Physical Therapy Inc | 1998-03-03 | 2026-04-07 | F | AE | PT | RODEN | 622540880 | BERNADETTE | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_23044872_837d5009-ebd2-4581-8bda-fdf9a3b27aed.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488893819 | N/A | N/A | 17493076 | 2222 | 4802 | 23246875 | N/A | 15508238 | 2026-04-05 00:48:53.920953 | 2026-03-02 19:30:52.935313 |
| 2026-04-04 07:13:46.569734 | 2026-04-05 00:48:26.084127 | 23044853 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23044853 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-04-07 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_23044853_daf89063-a1c4-404b-898e-22963c15ed3b.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | 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. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892656 | N/A | N/A | 17492780 | 2222 | 4802 | 23246256 | 4625 | 15085116 | 2026-04-05 00:48:26.084127 | 2026-02-18 20:26:50.354139 |
| 2026-04-04 07:13:46.102105 | 2026-04-05 00:48:44.437361 | 23044824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23044824 | Athletic Physical Therapy Inc | 1968-12-15 | 2026-04-07 | F | PT | N/A | Silkman | JXN347A59050 | Valerie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_23044824_3f87bf49-b72f-4498-a440-eaa070fa488e.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | 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 | 10488892655 | N/A | N/A | 17490472 | 2222 | 4801 | 23246644 | N/A | 15505614 | 2026-04-05 00:48:44.437361 | 2026-03-02 18:44:52.817150 |
| 2026-04-04 07:13:45.872588 | 2026-04-05 00:48:10.992000 | 23044806 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 23044806 | Athletic Physical Therapy Inc | 1978-01-20 | 2026-04-07 | M | AE | PT | GOTTLIEB | 95971728F | GUY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_23044806_70d9ae2b-ba85-4196-8b38-1f22f131de84.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | 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 | 10488892654 | N/A | N/A | 17437673 | 2222 | 4802 | 23245958 | 4211 | 15449397 | 2026-04-05 00:48:10.992000 | 2026-02-28 00:00:01.256842 |
| 2026-04-04 07:13:45.373712 | 2026-04-05 00:50:07.975711 | 23044771 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 23044771 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-04-07 | F | AD | 30 | MONTALVO | 40057101101 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_23044771_a079c4f9-ad99-4be9-bed1-7968216c5b44.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | 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 | 10488892653 | N/A | N/A | 17396005 | 2222 | 4801 | 23248430 | N/A | 15407473 | 2026-04-05 00:50:07.975711 | 2026-03-02 03:41:34.276739 |
| 2026-04-04 07:13:44.775223 | 2026-04-05 00:49:11.027293 | 23044729 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23044729 | Athletic Physical Therapy Inc | 2011-12-04 | 2026-04-07 | F | PT | N/A | Mason | NTF411A78634 | Abigail | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_23044729_be166b07-45ba-4213-a228-b03c1efe1901.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | 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 | 10488892652 | N/A | N/A | 17381759 | 2222 | 4793 | 23247214 | N/A | 15393771 | 2026-04-05 00:49:11.027293 | 2026-02-26 19:44:45.385491 |
| 2026-04-04 07:13:44.488500 | 2026-04-05 00:48:39.804859 | 23044709 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23044709 | Athletic Physical Therapy Inc | 1971-12-07 | 2026-04-07 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_23044709_247cf50d-41c3-4b65-8bca-c412ff5c013e.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 78986 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892651 | N/A | N/A | 17378232 | 2222 | 4801 | 23246540 | N/A | 6660003 | 2026-04-05 00:48:39.804859 | 2026-06-01 17:03:48.982724 |
| 2026-04-04 07:13:44.280751 | 2026-04-05 00:48:03.580637 | 23044696 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23044696 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-04-07 | F | AE | PT | Valenza | 000026028938 | Magali | Giselle | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_23044696_0391f878-f960-49b5-b156-93179061b701.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892650 | N/A | N/A | 17355763 | 2222 | 4802 | 23245778 | N/A | 15367776 | 2026-04-05 00:48:03.580637 | 2026-03-02 18:02:01.247721 |
| 2026-04-04 07:13:43.987890 | 2026-04-05 00:48:28.677434 | 23044683 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23044683 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-04-07 | M | AE | PT | GRAY | R15051156MM1 | DAVID | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_23044683_82023f55-58e9-4991-a726-6ad83a1c97d7.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892649 | N/A | N/A | 17309570 | 2222 | 4802 | 23246317 | 4625 | 15324565 | 2026-04-05 00:48:28.677434 | 2026-02-27 21:58:34.959613 |
| 2026-04-04 07:13:43.630330 | 2026-04-05 00:49:04.382147 | 23044667 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23044667 | Athletic Physical Therapy Inc | 1992-08-24 | 2026-04-07 | M | PT | N/A | Gaertner | XEA910044631 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_23044667_f6043e18-6097-49f3-98cb-a365f6de2836.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2024-03-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892647 | N/A | N/A | 17309222 | 2222 | 4802 | 23247074 | N/A | 15324299 | 2026-04-05 00:49:04.382147 | 2026-02-25 00:33:12.075173 |
| 2026-04-04 07:13:43.373539 | 2026-04-05 00:50:09.093434 | 23044655 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23044655 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-04-07 | F | AE | PT | ROGERS | 31093568401 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_23044655_fc7dc3cb-17f1-42e1-b11b-22b93c7dc544.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | 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 | 10488892646 | N/A | N/A | 17306773 | 2222 | 4801 | 23248448 | 6237 | 15321704 | 2026-04-05 00:50:09.093434 | 2026-02-26 19:15:43.216582 |
| 2026-04-04 07:13:43.115315 | 2026-04-05 00:48:41.146831 | 23044633 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23044633 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-04-07 | M | AE | PT | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_23044633_0d0c20a6-84a4-477a-a90c-3b223679d0c3.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | YOUHANAIE | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 61079 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892645 | N/A | N/A | 17247515 | 2222 | 4793 | 23246568 | N/A | 4211122 | 2026-04-05 00:48:41.146831 | 2025-05-13 04:29:37.225524 |
| 2026-04-04 07:13:42.729430 | 2026-04-05 00:48:17.176179 | 23044605 | N/A | N/A | 60054 | Aetna | 1114042165 | 23044605 | Athletic Physical Therapy Inc | 1975-05-17 | 2026-04-07 | M | AE | PT | Staples | W226686268 | Micheal | Todd | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17187938/check_23044605_b537dbd8-b2b7-4112-bf37-0f687c626184.json | N/A | N/A | N/A | N/A | N/A | W226686268 | Point of Service (POS) | BAYER CORPORATION | AETNA | N/A | 1975-05-17 | 0800103 | 080010304700109 | N/A | PS | false | STAPLES | N/A | MICHAEL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892644 | N/A | N/A | 17187938 | 2222 | 4793 | 23246082 | N/A | 15183658 | 2026-04-05 00:48:17.176179 | 2026-02-24 15:08:58.378016 |
| 2026-04-04 07:13:42.402613 | 2026-04-05 00:48:04.830848 | 23044580 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 23044580 | override_provider | 1979-02-02 | 2026-04-07 | F | PT | N/A | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_23044580_a876a83c-9962-447d-9766-a54f28300ce5.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892643 | N/A | N/A | 17094664 | 2222 | 4802 | 23245809 | N/A | 15086531 | 2026-04-05 00:48:04.830848 | 2026-02-18 21:22:56.146803 |
| 2026-04-04 07:13:41.954884 | 2026-04-05 00:48:07.676421 | 23044552 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 23044552 | override_provider | 1944-07-17 | 2026-04-07 | F | AE | PT | Yin | 000002896249 | Cherry | Y | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086413/check_23044552_dc5b6faa-2cd9-462a-96ee-485e417e7a15.json | N/A | N/A | N/A | N/A | N/A | 000002896249 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1944-07-17 | 3029308 | 115509 | N/A | N/A | false | YIN | N/A | CHERRY | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT EFF 1/1/11-USE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892642 | N/A | N/A | 17086413 | 2222 | 4802 | 23245880 | N/A | 15078236 | 2026-04-05 00:48:07.676421 | 2026-02-18 17:56:56.986469 |
| 2026-04-04 07:13:41.256760 | 2026-04-05 00:48:31.699926 | 23044512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23044512 | Athletic Physical Therapy Inc | 2012-08-21 | 2026-04-07 | F | PT | N/A | ESPINOZA | MPI30384960Q | amaya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16930512/check_23044512_b5a5a11a-93f5-4948-805c-a307390dbfc5.json | N/A | N/A | N/A | N/A | N/A | MPI30384960Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2012-08-21 | 040 | 277163M401 | N/A | PR | false | GONZALEZ | N/A | MIGUEL | N/A | 9999-12-31 | 2022-08-15 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892641 | N/A | N/A | 16930512 | 2222 | 4801 | 23246374 | N/A | 14930156 | 2026-04-05 00:48:31.699926 | 2026-02-27 17:25:20.970187 |
| 2026-04-04 07:13:40.549726 | 2026-04-05 00:48:10.529070 | 23044465 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 23044465 | Athletic Physical Therapy Inc | 1963-11-15 | 2026-04-07 | F | AE | PT | DIBAEI | 95643445F | ATEFEH | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_23044465_35fedb36-0cba-4db1-9520-bfb7b3ce18f7.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | 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 | 10488892640 | N/A | N/A | 16929305 | 2222 | 4802 | 23245947 | N/A | 14928874 | 2026-04-05 00:48:10.529070 | 2026-02-13 23:07:04.697142 |
| 2026-04-04 07:13:40.214693 | 2026-04-05 00:47:25.210460 | 23044440 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 23044440 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-04-07 | M | AE | PT | SUCHOMEL | ICA063850 | CURTIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16910806/check_23044440_94140a39-e8ae-47fb-a026-312ebad49d59.json | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | N/A | N/A | 2026-04-04 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892639 | N/A | N/A | 16910806 | 2222 | 4801 | 23245053 | N/A | 14910411 | 2026-04-05 00:47:25.210460 | 2026-02-17 22:13:49.772467 |
| 2026-04-04 07:13:39.733017 | 2026-04-05 00:48:46.529737 | 23044409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23044409 | Athletic Physical Therapy Inc | 1954-11-03 | 2026-04-07 | M | PT | N/A | WILSON | UAL838672820 | THOMAS | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887983/check_23044409_81ae5f2c-92a2-4eaa-a2c8-7554d1b56ed5.json | N/A | N/A | N/A | N/A | N/A | UAL838672820 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1954-11-03 | N/A | 168262 | N/A | PR | false | WILSON | N/A | THOMAS | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892638 | N/A | N/A | 16887983 | 2222 | 4802 | 23246690 | N/A | 14890899 | 2026-04-05 00:48:46.529737 | 2026-02-16 16:35:16.688576 |
| 2026-04-04 07:13:39.372816 | 2026-04-05 00:50:01.593496 | 23044387 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23044387 | Athletic Physical Therapy Inc | 1933-03-26 | 2026-04-07 | M | AE | PT | Canyon | 31071793901 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16865139/check_23044387_331f828d-079c-42fc-b201-5ba6a52c9ecc.json | N/A | N/A | N/A | N/A | N/A | 31071793901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-03-26 | 2026H5425001 | H5425M | N/A | N/A | false | CANYON | N/A | JAMES | 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 | 10488892636 | N/A | N/A | 16865139 | 2222 | 4801 | 23248305 | 6237 | 14871212 | 2026-04-05 00:50:01.593496 | 2026-03-26 18:22:57.411601 |
| 2026-04-04 07:13:39.084571 | 2026-04-05 00:48:01.837403 | 23044369 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23044369 | Athletic Physical Therapy Inc | 1980-01-23 | 2026-04-07 | F | AE | PT | Merola | 000023931178 | Katarzyna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16823991/check_23044369_67544cfd-62f0-4de0-8507-02b51c818641.json | N/A | N/A | N/A | N/A | N/A | 000023931178 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1980-01-23 | 4378733 | 1650095001 | N/A | N/A | false | MEROLA | N/A | KATARZYNA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892635 | N/A | N/A | 16823991 | 2222 | 4802 | 23245736 | N/A | 14831523 | 2026-04-05 00:48:01.837403 | 2026-02-11 17:34:03.471407 |
| 2026-04-04 07:13:38.774277 | 2026-04-05 00:48:23.425227 | 23044347 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 23044347 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-04-07 | F | PT | N/A | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_23044347_38013a20-0054-4116-afd0-f6f638224bb6.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892634 | N/A | N/A | 16765713 | 2222 | 4801 | 23246205 | 4185 | 14776656 | 2026-04-05 00:48:23.425227 | 2026-02-10 18:58:53.303852 |
| 2026-04-04 07:13:38.478646 | 2026-04-05 00:48:33.453947 | 23044322 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23044322 | Athletic Physical Therapy Inc | 1955-08-19 | 2026-04-06 | F | AE | PT | SHIRLEY | 00000473306 | CHERYLL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16719138/check_23044322_ba599bfb-4865-43d1-91d5-b3b43d844d77.json | N/A | N/A | N/A | N/A | N/A | 00000473306 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1955-08-19 | N/A | N/A | N/A | N/A | false | SHIRLEY | N/A | CHERYLL | N/A | N/A | 2026-04-04 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892633 | N/A | N/A | 16719138 | 2222 | 4801 | 23246409 | 2630 | 14730996 | 2026-04-05 00:48:33.453947 | 2026-02-10 01:02:18.142372 |
| 2026-04-04 07:13:38.205916 | 2026-04-05 00:47:58.433407 | 23044300 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 23044300 | Athletic Physical Therapy Inc | 1952-08-20 | 2026-04-07 | M | 96 | N/A | SHARAWY | 33939897 | HUSSEIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16718923/check_23044300_6ae4f38c-554a-4d73-aeed-1d56e48eb827.json | N/A | N/A | N/A | N/A | N/A | 33939897 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1952-08-20 | 406-034-002 | N/A | N/A | N/A | false | SHARAWY | N/A | HUSSEIN | N/A | N/A | 2026-04-04 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10488892632 | N/A | N/A | 16718923 | 2222 | 4801 | 23245650 | 6798 | 14730725 | 2026-04-05 00:47:58.433407 | 2026-02-09 23:27:38.570173 |
| 2026-04-04 07:13:37.922135 | 2026-04-05 00:48:35.244718 | 23044281 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23044281 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-04-07 | F | PT | N/A | MOLAYEM | XEM904126389 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_23044281_a3e6b365-03e3-4f54-932b-829039fd27f7.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | 2026-04-04 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892631 | N/A | N/A | 16453425 | 2222 | 4802 | 23246441 | N/A | 14498125 | 2026-04-05 00:48:35.244718 | 2026-03-11 14:35:29.812051 |
| 2026-04-04 07:13:37.636321 | 2026-04-05 00:49:10.398351 | 23044265 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23044265 | Athletic Physical Therapy Inc | 2001-12-10 | 2026-04-07 | M | PT | N/A | ANGHA | XXP966240802 | ZACHARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16448068/check_23044265_3ba42bc7-6922-4458-88bd-a35036762b08.json | N/A | N/A | N/A | N/A | N/A | XXP966240802 | Preferred Provider Organization (PPO) | PARTNER THERAPEUTICS INC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-12-10 | N/A | 002363611 | N/A | PR | false | JASHNIAN | N/A | FARIBA | N/A | 2026-12-31 | 2026-01-01 | PPO - BLUE CARE ELECT PREFERRED 80 WITH COPAY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892630 | N/A | N/A | 16448068 | 2222 | 4793 | 23247201 | N/A | 14493240 | 2026-04-05 00:49:10.398351 | 2026-02-25 21:26:55.970409 |
| 2026-04-04 07:13:37.292985 | 2026-04-05 00:48:01.423065 | 23044246 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23044246 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-04-07 | F | AE | PT | Kantor | 000002491752 | Judith | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_23044246_4e8eb8f0-b524-4ac0-bfde-4bad3370de50.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA'S VALUED TRUST CVT / 3 TIER / RETIREE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892629 | N/A | N/A | 16357604 | 2222 | 4802 | 23245726 | N/A | 14403242 | 2026-04-05 00:48:01.423065 | 2026-02-04 22:38:19.962874 |
| 2026-04-04 07:13:36.931566 | 2026-04-05 00:48:32.324907 | 23044220 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 23044220 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-07 | F | AE | PT | LAVORATO | 00000290307 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314847/check_23044220_00b99a60-d395-41df-b104-06373c7bc857.json | N/A | N/A | N/A | N/A | N/A | 00000290307 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | LAVORATO | N/A | MARY | N/A | N/A | 2026-04-04 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892628 | N/A | N/A | 16314847 | 2222 | 4793 | 23246387 | 2630 | 14364421 | 2026-04-05 00:48:32.324907 | 2026-03-10 17:29:39.446746 |
| 2026-04-04 07:13:36.625139 | 2026-04-05 00:50:03.897234 | 23044194 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23044194 | Athletic Physical Therapy Inc | 1955-10-13 | 2026-04-06 | F | AE | PT | HA | 40065178501 | LYNN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16264977/check_23044194_c773ddd1-fbf1-4f17-ab9f-d6d18eb2ab9e.json | N/A | N/A | N/A | N/A | N/A | 40065178501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-10-13 | 2026H5425001 | H5425M | N/A | N/A | false | HA | N/A | LYNN | 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 | 10488892627 | N/A | N/A | 16264977 | 2222 | 4793 | 23248353 | 6237 | 14314351 | 2026-04-05 00:50:03.897234 | 2026-03-09 22:16:11.719455 |
| 2026-04-04 07:13:35.816221 | 2026-04-05 00:48:02.323398 | 23044140 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 23044140 | Athletic Physical Therapy Inc | 1969-07-20 | 2026-04-07 | F | AE | PT | Miler | 000012260574 | Ann | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16209541/check_23044140_7f3834ae-934f-4f1b-b599-1f9a3d14c145.json | N/A | N/A | N/A | N/A | N/A | 000012260574 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1969-07-20 | 4299220 | 340406 | N/A | N/A | false | MILER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | BRISTLECONE VALUE PARTNERS, LLC. BRISTLECONE VALUE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892626 | N/A | N/A | 16209541 | 2222 | 4802 | 23245748 | N/A | 14262289 | 2026-04-05 00:48:02.323398 | 2026-02-02 16:47:52.326046 |
| 2026-04-04 07:13:35.333440 | 2026-04-05 00:49:06.065163 | 23044109 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 23044109 | Athletic Physical Therapy Inc | 1999-04-02 | 2026-04-07 | M | PT | N/A | LORRAINE | XEH911817270 | ELIJAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_23044109_e1ab6305-97cf-4d82-be54-349788f8b6a5.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892625 | N/A | N/A | 16132086 | 2222 | 4801 | 23247108 | 4191 | 14191252 | 2026-04-05 00:49:06.065163 | 2026-03-12 15:28:35.280372 |
| 2026-04-04 07:13:34.979919 | 2026-04-05 00:47:38.764453 | 23044089 | N/A | N/A | 61101 | HUMANA | 1114042165 | 23044089 | Athletic Physical Therapy Inc | 1957-05-28 | 2026-04-07 | M | AE | PT | URGERO | H9625296200 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16127120/check_23044089_d48ef8f7-13c5-47d7-9baa-10fc43845b41.json | N/A | N/A | N/A | N/A | N/A | H96252962 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1957-05-28 | N/A | 2B722001 | N/A | HN | false | URGERO | N/A | PAUL | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892624 | N/A | N/A | 16127120 | 2222 | 4793 | 23245252 | 5349 | 14187446 | 2026-04-05 00:47:38.764453 | 2026-01-30 22:41:52.330110 |
| 2026-04-04 07:13:34.661883 | 2026-04-05 00:50:12.067051 | 23044070 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 23044070 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-04-07 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_23044070_45e40ba9-8394-4a95-86c7-8d66831b51b1.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | 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 | 10488892623 | N/A | N/A | 16086772 | 2222 | 4801 | 23248493 | 6237 | 14151882 | 2026-04-05 00:50:12.067051 | 2026-01-30 16:12:37.739707 |
| 2026-04-04 07:13:34.284612 | 2026-04-05 00:48:27.875120 | 23044043 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23044043 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-04-07 | M | PT | N/A | DE LUNA | 025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_23044043_06e30431-5b1e-459d-b4c8-b988317d85eb.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892622 | N/A | N/A | 16086240 | 2222 | 4801 | 23246297 | N/A | 4343453 | 2026-04-05 00:48:27.875120 | 2025-05-13 04:29:37.230931 |
| 2026-04-04 07:13:33.976614 | 2026-04-05 00:50:13.442448 | 23044018 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 23044018 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-04-07 | F | AD | 30 | TOBOLSKI | 40031694701 | MARSHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16041163/check_23044018_41ec1b08-756a-4d6d-9771-cc7e56c133cf.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | 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 | 10488892621 | N/A | N/A | 16041163 | 2222 | 4801 | 23248522 | N/A | 14110956 | 2026-04-05 00:50:13.442448 | 2026-01-29 19:04:39.423629 |
| 2026-04-04 07:13:33.659690 | 2026-04-05 00:48:29.099381 | 23043994 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 23043994 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-04-06 | M | AE | PT | IRWIN | R07798606MM1 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16037337/check_23043994_135729e5-092a-47cf-8b57-1050213ca1bd.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-03-31 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892619 | N/A | N/A | 16037337 | 2222 | 4801 | 23246323 | 4625 | 14107775 | 2026-04-05 00:48:29.099381 | 2026-01-29 17:51:43.526882 |
| 2026-04-04 07:13:33.271435 | 2026-04-05 00:48:30.441025 | 23043967 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23043967 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-04-07 | F | PT | N/A | ZONANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_23043967_0f46b437-86b0-47f1-8341-a1879f59bae2.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892618 | N/A | N/A | 15960874 | 2222 | 4802 | 23246349 | N/A | 14041811 | 2026-04-05 00:48:30.441025 | 2026-03-06 22:13:33.515742 |
| 2026-04-04 07:13:32.902491 | 2026-04-05 00:51:16.742000 | 23043943 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23043943 | Athletic Physical Therapy Inc | 1955-07-13 | 2026-04-07 | M | AE | PT | GROSS | 5J34NT0FH08 | HUGH | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810927/check_23043943_1f8d6046-bd4e-450d-9c36-dfea703ccf68.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MA | false | GROSS | N/A | HUGH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91460 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892617 | N/A | N/A | 15810927 | 2222 | 4802 | 23249298 | N/A | 13900460 | 2026-04-05 00:51:16.742000 | 2026-01-27 16:41:56.120390 |
| 2026-04-04 07:13:32.473056 | 2026-04-05 00:51:20.203523 | 23043917 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 23043917 | Athletic Physical Therapy Inc | 1947-02-06 | 2026-04-07 | F | AE | PT | RIGGS | 2A62UC8QA95 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15761931/check_23043917_bedb5266-ca07-4475-a474-4ba35b5aa84e.json | N/A | N/A | N/A | N/A | N/A | 2A62UC8QA95 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-06 | S5601 | N/A | N/A | MB | false | RIGGS | N/A | JAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60489 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10488892616 | N/A | N/A | 15761931 | 2222 | 4802 | 23249323 | N/A | 13855018 | 2026-04-05 00:51:20.203523 | 2026-01-21 23:02:56.677752 |
| 2026-04-04 07:13:32.125930 | 2026-04-05 00:49:07.561826 | 23043891 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 23043891 | Athletic Physical Therapy Inc | 1975-06-19 | 2026-04-07 | M | PT | N/A | ZEITHAMMER | UCD914833466 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15745085/check_23043891_4ccb1541-6968-4f99-9b5e-44c0acde9339.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | 2026-04-04 | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892615 | N/A | N/A | 15745085 | 2222 | 4802 | 23247139 | N/A | 13842766 | 2026-04-05 00:49:07.561826 | 2026-01-26 16:51:25.727723 |
| 2026-04-04 07:13:31.743766 | 2026-04-05 00:48:34.496863 | 23043865 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 23043865 | Athletic Physical Therapy Inc | 1995-11-01 | 2026-04-07 | M | PT | N/A | Leonard | MV7745W01525 | Nathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260404.122418176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15743588/check_23043865_0d4dced3-3e7d-425a-91d2-6c5a433d05ce.json | N/A | N/A | N/A | N/A | N/A | MVT745W01525 | Preferred Provider Organization (PPO) | METROPOLIS EMPLOYEE SERVICES LLC | ANTHEM BLUE CROSS | N/A | 1995-11-01 | 040 | 174348M4A3 | N/A | PR | false | LEONARD | N/A | NATHAN | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10488892614 | N/A | N/A | 15743588 | 2222 | 4802 | 23246428 | N/A | 13841877 | 2026-04-05 00:48:34.496863 | 2026-01-21 18:23:55.000858 |