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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-03 07:13:53.355990 | 2026-04-04 01:08:12.311138 | 22915999 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22915999 | Athletic Physical Therapy Inc | 1946-05-12 | 2026-04-06 | M | AE | PT | EGGLETON | XEM904112010 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121823068.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_22915999_78346a34-fa55-4579-804c-b324bf916054.json | N/A | N/A | N/A | N/A | N/A | XEM904112010 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-05-12 | 2004SF000029 | X0001002 | N/A | OT | false | EGGLETON | N/A | HELEN | N/A | N/A | 2026-04-03 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476878548 | N/A | N/A | 5536871 | 2222 | 4801 | 23190487 | N/A | 4209543 | 2026-04-04 01:08:12.311138 | 2025-06-18 17:33:51.700160 |
| 2026-04-03 07:13:53.280293 | 2026-04-04 01:05:59.403696 | 22915986 | N/A | N/A | 31053 | State Farm Insurance Companies | 1114042165 | 22915986 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-04-06 | F | AE | PT | SPIGELMAN | HC5192477575 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121823068.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536257/check_22915986_d0ab2f36-3324-454e-beea-4e6af809cfb1.json | N/A | N/A | N/A | N/A | N/A | HC5192477575 | Medigap Part A | N/A | STATE FARM INSURANCE COMPANIES | N/A | 1937-02-23 | N/A | N/A | N/A | MH | false | SPIGELMAN | N/A | JUDY | N/A | N/A | 2002-04-24 | MEDICARE SUPPLEMENT - FOLLOWS MEDICARE GUIDELINES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476878547 | N/A | N/A | 5536257 | 2222 | 4802 | 23188860 | N/A | 4209028 | 2026-04-04 01:05:59.403696 | 2026-03-12 23:35:58.198593 |
| 2026-04-03 07:13:45.109434 | 2026-04-04 00:58:22.495349 | 22914641 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 22914641 | Athletic Physical Therapy Inc | 1970-11-01 | 2026-04-06 | M | AE | PT | FRAIMAN | 95133939G | EDWARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19072866/check_22914641_a1c3204a-863a-456b-a35b-fb9160951b9b.json | N/A | N/A | N/A | N/A | N/A | 95133939G | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1970-11-01 | MCLA | MWLLNFAG21 | N/A | N/A | false | FRAIMAN | N/A | EDWARD | N/A | 2078-12-31 | 2025-05-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849177 | N/A | N/A | 19072866 | 2222 | 4802 | 23181717 | 5538 | 17056594 | 2026-04-04 00:58:22.495349 | 2026-04-06 05:27:38.592791 |
| 2026-04-03 07:13:45.045893 | 2026-04-04 00:58:43.993980 | 22914634 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22914634 | Athletic Physical Therapy Inc | 1967-05-09 | 2026-04-06 | M | PT | N/A | GARSHA | 904505247000 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19072215/check_22914634_c9edc502-20ab-47fa-a02b-7e4be5ef6daa.json | N/A | N/A | N/A | N/A | N/A | XEH904505247 | Health Maintenance Organization (HMO) | FOTOKEM INDUSTRIES INC | BLUE SHIELD CALIFORNIA | N/A | 1967-05-09 | 1000HMOX0001 | W0051513 | N/A | HM | false | GARSHA | N/A | DANIEL | N/A | 2026-04-30 | 2025-05-01 | FOTOKEM INDUSTRIES INC CUSTOM DENTAL 50 2000 LIFET | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476849176 | N/A | N/A | 19072215 | 2222 | 4801 | 23182133 | N/A | 17055925 | 2026-04-04 00:58:43.993980 | 2026-04-06 21:51:12.612789 |
| 2026-04-03 07:13:44.989647 | 2026-04-04 00:58:43.379230 | 22914622 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 22914622 | Athletic Physical Therapy Inc | 1964-07-14 | 2026-04-06 | M | AE | PT | MACONE | UZ163510801 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19060263/check_22914622_6651e5e8-d56c-4514-9ffd-efbe28ec6754.json | N/A | N/A | N/A | N/A | N/A | UZ163510801 | N/A | N/A | CENTENE CORPORATION | N/A | 1964-07-14 | N/A | N/A | N/A | N/A | false | MACONE | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849175 | N/A | N/A | 19060263 | 2222 | 4801 | 23182124 | N/A | 17042622 | 2026-04-04 00:58:43.379230 | 2026-04-10 15:16:29.151767 |
| 2026-04-03 07:13:44.935598 | 2026-04-04 00:58:47.592227 | 22914613 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914613 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-06 | F | PT | N/A | Velazquez | 2YV3K80NR70 | Victoria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18969574/check_22914613_0aaa2f74-36ca-42ce-8885-0b0f31c6b956.json | N/A | N/A | N/A | N/A | N/A | 2YV3K80NR70 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-06-01 | S4802 | N/A | N/A | MB | false | VELAZQUEZ | N/A | VICTORIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476849174 | N/A | N/A | 18969574 | 2222 | 4801 | 23182188 | N/A | 14926242 | 2026-04-04 00:58:47.592227 | 2026-03-06 18:16:10.395182 |
| 2026-04-03 07:13:44.882482 | 2026-04-04 01:00:37.256411 | 22914605 | N/A | N/A | 60054 | Aetna | 1114042165 | 22914605 | Athletic Physical Therapy Inc | 1967-04-07 | 2026-04-06 | M | AE | PT | Benson | W241108199 | Charles | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18897636/check_22914605_efd3bb5e-ef18-417c-944d-4eb4ce901101.json | N/A | N/A | N/A | N/A | N/A | W241108199 | Point of Service (POS) | DEVELOPERS MANAGEMENT SERVICES, INC | AETNA | N/A | 1967-04-07 | 0770474 | 077047401000001 | N/A | PS | false | BENSON | N/A | CAMERON | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849173 | N/A | N/A | 18897636 | 2222 | 4802 | 23184023 | N/A | 16883637 | 2026-04-04 01:00:37.256411 | 2026-04-06 22:06:37.386389 |
| 2026-04-03 07:13:44.809973 | 2026-04-04 01:00:46.496630 | 22914591 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 22914591 | Athletic Physical Therapy Inc | 1983-01-16 | 2026-04-06 | F | AE | PT | Tumas | W20889990701 | Marina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18777299/check_22914591_b90dbf34-ef90-476a-b89a-88d86d93f132.json | N/A | N/A | N/A | N/A | N/A | W208899907 | Health Maintenance Organization (HMO) | GENE FONG ASSOCIATES | AETNA | N/A | 1983-01-16 | EADPFC01 | 072219203500017 | N/A | HM | false | TUMAS | N/A | MARINA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO GOLD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849172 | N/A | N/A | 18777299 | 2222 | 4802 | 23184193 | 3948 | 16750601 | 2026-04-04 01:00:46.496630 | 2026-03-26 23:59:30.103152 |
| 2026-04-03 07:13:44.735283 | 2026-04-04 00:57:51.049154 | 22914582 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 22914582 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-04-06 | M | AE | PT | LIBERMAN | 000022717735 | ANDREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18775389/check_22914582_0922a8ad-3547-4896-9b21-3cae7b3d900b.json | N/A | N/A | N/A | N/A | N/A | 000022717735 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1950-04-13 | 4378810 | 1650095002 | N/A | N/A | false | LIBERMAN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | SPECIAL NEEDS PLAN SCR SPECIAL NEEDS PLAN SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849171 | N/A | N/A | 18775389 | 2222 | 4802 | 23181054 | N/A | 16749367 | 2026-04-04 00:57:51.049154 | 2026-03-26 23:17:06.136103 |
| 2026-04-03 07:13:44.642454 | 2026-04-04 00:57:56.491905 | 22914566 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22914566 | Athletic Physical Therapy Inc | 1968-09-02 | 2026-04-06 | F | PT | N/A | Cantwell | 959W1145320 | Jody | Leigh | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18773917/check_22914566_850c59a0-37a6-4f89-81ce-9c3a95185c9f.json | N/A | N/A | N/A | N/A | N/A | 959W1145320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1968-09-02 | N/A | N/A | N/A | N/A | false | CANTWELL | N/A | JODY | N/A | N/A | 2026-04-03 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476849170 | N/A | N/A | 18773917 | 2222 | 4793 | 23181156 | 4185 | 16747520 | 2026-04-04 00:57:56.491905 | 2026-04-01 16:54:36.862494 |
| 2026-04-03 07:13:44.545128 | 2026-04-04 00:57:54.664361 | 22914550 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 22914550 | override_provider | 1953-09-10 | 2026-04-06 | F | AE | PT | Siegel Bartelt | 000005545129 | Jacqueline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18689099/check_22914550_9ba4dc53-8d6b-4635-876c-8be8338fa92a.json | N/A | N/A | N/A | N/A | N/A | 000005545129 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-09-10 | N/A | N/A | N/A | N/A | false | SIEGEL BARTELT | N/A | JACQUELINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849169 | N/A | N/A | 18689099 | 2222 | 4802 | 23181123 | N/A | 16676059 | 2026-04-04 00:57:54.664361 | 2026-03-25 21:44:38.560283 |
| 2026-04-03 07:13:44.472773 | 2026-04-04 00:58:43.834049 | 22914538 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914538 | Athletic Physical Therapy Inc | 1952-04-08 | 2026-04-06 | M | AE | PT | Rogers | 1A97G47KT42 | Victor | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18647667/check_22914538_29767ce8-e8b3-4365-a5f5-901e1b6afd88.json | N/A | N/A | N/A | N/A | N/A | 1A97G47KT42 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-04-08 | S4802 | N/A | N/A | MA | false | ROGERS | N/A | VICTOR | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849168 | N/A | N/A | 18647667 | 2222 | 4801 | 23182130 | N/A | 16646727 | 2026-04-04 00:58:43.834049 | 2026-03-25 16:17:34.450358 |
| 2026-04-03 07:13:44.317931 | 2026-04-04 00:57:54.665642 | 22914519 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22914519 | Athletic Physical Therapy Inc | 1953-12-02 | 2026-04-06 | F | AE | PT | NAVARRO | 40054242701 | SYLVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18615862/check_22914519_9223899a-0916-4a8a-9a76-9942817e4e39.json | N/A | N/A | N/A | N/A | N/A | 40054242701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-12-02 | 2026H5425001 | H5425M | N/A | N/A | false | NAVARRO | N/A | SYLVIA | 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 | 10476849167 | N/A | N/A | 18615862 | 2222 | 4793 | 23181124 | 6237 | 5788735 | 2026-04-04 00:57:54.665642 | 2025-07-09 16:24:26.907790 |
| 2026-04-03 07:13:44.193296 | 2026-04-04 00:57:50.582617 | 22914496 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22914496 | Athletic Physical Therapy Inc | 1972-08-18 | 2026-04-06 | M | AE | PT | LeMond | 000019066146 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18557471/check_22914496_9c3179cd-57dd-41cc-a0de-8429c8644f68.json | N/A | N/A | N/A | N/A | N/A | 000019066146 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-08-18 | 3004198 | 101156 | N/A | N/A | false | LEMOND | N/A | JONATHAN | N/A | 2026-12-31 | 2026-01-01 | SANTA MONICA COMMUNITY COLLEGE SANTA MONICA COMMUN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849166 | N/A | N/A | 18557471 | 2222 | 4802 | 23181041 | N/A | 16559408 | 2026-04-04 00:57:50.582617 | 2026-03-23 21:56:32.934023 |
| 2026-04-03 07:13:44.135205 | 2026-04-04 00:58:22.067089 | 22914489 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22914489 | Athletic Physical Therapy Inc | 1966-08-06 | 2026-04-06 | F | AE | PT | Cameron | 96734867G | Heather | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18541737/check_22914489_de6070d1-b9fc-40f0-8a31-272bfcad2577.json | N/A | N/A | N/A | N/A | N/A | 96734867G | N/A | MCLA WELL ND DIS>=21 | LA CARE HEALTH PLAN | N/A | 1966-08-06 | MCLA | MWLLNDIG21 | N/A | N/A | false | CAMERON | N/A | HEATHER | N/A | 2078-12-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849165 | N/A | N/A | 18541737 | 2222 | 4802 | 23181708 | N/A | 16543612 | 2026-04-04 00:58:22.067089 | 2026-03-23 19:08:02.862564 |
| 2026-04-03 07:13:44.064705 | 2026-04-04 00:57:49.731547 | 22914477 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 22914477 | Athletic Physical Therapy Inc | 1953-06-23 | 2026-04-06 | M | AE | PT | Fields | 000008100545 | Renny | Arthur | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_22914477_4055add2-af61-49ae-91c1-c2fea154216a.json | N/A | N/A | N/A | N/A | N/A | 000008100545 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1953-06-23 | 4073761 | 100232 | N/A | N/A | false | FIELDS | N/A | RENNY | N/A | 2026-12-31 | 2026-01-01 | THE AEROSPACE CORPORATION AERO ACTIVES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849164 | N/A | N/A | 18473083 | 2222 | 4802 | 23181027 | N/A | 16473148 | 2026-04-04 00:57:49.731547 | 2026-03-29 14:38:33.964725 |
| 2026-04-03 07:13:43.999838 | 2026-04-04 00:57:53.355727 | 22914467 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 22914467 | Athletic Physical Therapy Inc | 1960-09-09 | 2026-04-06 | F | AE | PT | DAZA | 40070785601 | ELISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18467218/check_22914467_fce973e8-547d-496a-887c-6e1dfdfbde45.json | N/A | N/A | N/A | N/A | N/A | 40070785601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-09-09 | 2026H5425001 | H5425M | N/A | N/A | false | DAZA | N/A | ELISA | 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 | 10476849163 | N/A | N/A | 18467218 | 2222 | 4801 | 23181100 | N/A | 15398467 | 2026-04-04 00:57:53.355727 | 2026-03-10 15:41:18.641912 |
| 2026-04-03 07:13:43.932986 | 2026-04-04 00:58:24.523272 | 22914454 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 22914454 | Athletic Physical Therapy Inc | 1950-03-24 | 2026-04-06 | F | AE | PT | SRINIVASAN | JQC93980840H | MANGAIYERK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18420592/check_22914454_b3f39cf4-1fa7-4477-860a-a6cf84429378.json | N/A | N/A | N/A | N/A | N/A | JQC93980840H | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1950-03-24 | N/A | N/A | N/A | N/A | false | SRINIVASAN | N/A | MANGAIYERK | N/A | N/A | 2026-04-03 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849162 | N/A | N/A | 18420592 | 2222 | 4802 | 23181754 | 5538 | 16422151 | 2026-04-04 00:58:24.523272 | 2026-03-19 23:39:03.983588 |
| 2026-04-03 07:13:43.867394 | 2026-04-04 00:58:29.670448 | 22914443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914443 | Athletic Physical Therapy Inc | 1944-09-27 | 2026-04-06 | F | AE | PT | Benton | 1AJ9K18AK34 | Harriet | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18416720/check_22914443_d9ac1b1c-ecb2-4eea-85e4-fe3835f89992.json | N/A | N/A | N/A | N/A | N/A | 1AJ9K18AK34 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-27 | S5596 | N/A | N/A | MA | false | BENTON | N/A | HARRIET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849161 | N/A | N/A | 18416720 | 2222 | 4793 | 23181870 | N/A | 16419098 | 2026-04-04 00:58:29.670448 | 2026-03-19 23:28:36.268438 |
| 2026-04-03 07:13:43.795339 | 2026-04-04 00:57:15.599503 | 22914432 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22914432 | Athletic Physical Therapy Inc | 1943-08-14 | 2026-04-06 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_22914432_9340de98-444f-484d-a167-92e0a667415b.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-04-03 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849160 | N/A | N/A | 18413277 | 2222 | 4793 | 23180490 | N/A | 16416105 | 2026-04-04 00:57:15.599503 | 2026-03-19 22:25:59.413894 |
| 2026-04-03 07:13:43.735108 | 2026-04-04 01:00:44.514005 | 22914420 | N/A | N/A | 60054 | Aetna | 1114042165 | 22914420 | Athletic Physical Therapy Inc | 1956-06-18 | 2026-04-06 | F | AE | PT | THEODORE | 101217709600 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386671/check_22914420_f8381e43-7ea4-442a-8b1b-cce3aeb1b214.json | N/A | N/A | N/A | N/A | N/A | 101217709600 | Preferred Provider Organization (PPO) | UNITED AIRLINES - MA | AETNA | MEDICARE | 1956-06-18 | 100117-02EG0001 | 100117-02 | N/A | PR | false | THEODORE | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | MEDICARE ADV ESA PPO PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849159 | N/A | N/A | 18386671 | 2222 | 4793 | 23184166 | N/A | 16392709 | 2026-04-04 01:00:44.514005 | 2026-03-19 17:41:51.337704 |
| 2026-04-03 07:13:43.670434 | 2026-04-04 00:58:39.551998 | 22914410 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914410 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-06 | F | AE | PT | KIM | 2CK8PQ4QA27 | SARAH | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18379311/check_22914410_448924e8-2074-4bb9-a94e-ddc2baad6520.json | N/A | N/A | N/A | N/A | N/A | 2CK8PQ4QA27 | Medicare Part A | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-01-27 | H5425 | N/A | N/A | MA | false | KIM | N/A | SARAH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 18021 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849158 | N/A | N/A | 18379311 | 2222 | 4802 | 23182065 | N/A | 16386056 | 2026-04-04 00:58:39.551998 | 2026-03-19 16:01:57.090565 |
| 2026-04-03 07:13:43.597368 | 2026-04-04 00:58:28.313756 | 22914397 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22914397 | Athletic Physical Therapy Inc | 1953-05-30 | 2026-04-06 | F | AE | PT | LOESING | 941238323 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18321539/check_22914397_84760737-479f-43f5-a44b-93b0a5336a95.json | N/A | N/A | N/A | N/A | N/A | 941238323 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-05-30 | N/A | 02049 | N/A | HN | false | LOESING | N/A | KAREN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849157 | N/A | N/A | 18321539 | 2222 | 4793 | 23181842 | 6411 | 16332871 | 2026-04-04 00:58:28.313756 | 2026-04-13 15:00:32.362706 |
| 2026-04-03 07:13:43.532175 | 2026-04-04 00:58:14.232884 | 22914386 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22914386 | Athletic Physical Therapy Inc | 1969-07-22 | 2026-04-06 | F | PT | N/A | Noshi | KAE820275362 | Lisa | Jayne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18274089/check_22914386_d4cfa4ad-a6dd-4b2a-91cb-62cd321f3891.json | N/A | N/A | N/A | N/A | N/A | KAE820275362 | Preferred Provider Organization (PPO) | PPO DED PLAN 600 SMA | ANTHEM BLUE CROSS | N/A | 1969-07-22 | N/A | 016260 | N/A | PR | false | NOSHI | N/A | LISA | N/A | 9999-12-31 | 2014-07-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476849156 | N/A | N/A | 18274089 | 2222 | 4802 | 23181527 | N/A | 16288996 | 2026-04-04 00:58:14.232884 | 2026-03-17 22:30:09.889822 |
| 2026-04-03 07:13:43.475067 | 2026-04-04 00:58:42.865613 | 22914376 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22914376 | Athletic Physical Therapy Inc | 1964-09-19 | 2026-04-06 | F | PT | N/A | CHILAKOS | XAN913820374 | JANIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_22914376_d9e123d6-3c36-46f1-a59e-8ad0d6a8bf73.json | N/A | N/A | N/A | N/A | N/A | XAN913820374 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | 1000PPOX0003 | W0051411 | N/A | PR | false | CHILAKOS | N/A | JANIS | N/A | N/A | 2026-04-03 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476849155 | N/A | N/A | 18247267 | 2222 | 4793 | 23182114 | N/A | 16262937 | 2026-04-04 00:58:42.865613 | 2026-03-23 18:45:59.777696 |
| 2026-04-03 07:13:43.407686 | 2026-04-04 00:58:12.243470 | 22914367 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22914367 | Athletic Physical Therapy Inc | 1983-02-18 | 2026-04-06 | F | PT | N/A | MENDOZA | JMV327W24025 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18232470/check_22914367_4c7c6cfd-cf58-4ef6-9815-4a53dfdd2629.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476849154 | N/A | N/A | 18232470 | 2222 | 4801 | 23181486 | 4185 | 13900510 | 2026-04-04 00:58:12.243470 | 2026-01-27 00:13:26.286289 |
| 2026-04-03 07:13:43.347045 | 2026-04-04 00:57:53.427960 | 22914355 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22914355 | Athletic Physical Therapy Inc | 1981-12-25 | 2026-04-06 | M | AE | PT | Yu | 000024627010 | Tony | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18212270/check_22914355_b262005d-4c4c-47cf-b40d-1257e2753ff9.json | N/A | N/A | N/A | N/A | N/A | 000024627010 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-12-25 | 4301956 | 103000 | N/A | N/A | false | YU | N/A | TONY | N/A | 2026-12-31 | 2026-01-01 | INTER REG'L NO. CAL. MBRS RES SC A-INTERREG-NCR MB | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849153 | N/A | N/A | 18212270 | 2222 | 4802 | 23181103 | N/A | 16227346 | 2026-04-04 00:57:53.427960 | 2026-03-16 21:19:44.202073 |
| 2026-04-03 07:13:43.267639 | 2026-04-04 00:58:32.407690 | 22914343 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914343 | Athletic Physical Therapy Inc | 1959-11-17 | 2026-04-06 | F | AE | PT | CAMACHO | 4UD4UH0JJ60 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18199097/check_22914343_2eb48928-764d-4967-ae5b-dab7300053d9.json | N/A | N/A | N/A | N/A | N/A | 4UD4UH0JJ60 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-11-17 | S4802 | N/A | N/A | MB | false | CAMACHO | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 80689 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849151 | N/A | N/A | 18199097 | 2222 | 4801 | 23181942 | N/A | 16213336 | 2026-04-04 00:58:32.407690 | 2026-03-22 14:01:32.548786 |
| 2026-04-03 07:13:43.210415 | 2026-04-04 00:57:52.310794 | 22914331 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22914331 | Athletic Physical Therapy Inc | 2011-11-14 | 2026-04-06 | F | AE | PT | RIOS | 000019686798 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18081788/check_22914331_de8768e3-5fad-430d-8f02-7658fe7187a1.json | N/A | N/A | N/A | N/A | N/A | 000019686798 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2011-11-14 | 4274058 | 1650095001 | N/A | N/A | false | RIOS | N/A | SYDNEY | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476849150 | N/A | N/A | 18081788 | 2222 | 4801 | 23181079 | N/A | 16107768 | 2026-04-04 00:57:52.310794 | 2026-03-13 19:00:39.970087 |
| 2026-04-03 07:13:43.152158 | 2026-04-04 00:58:41.744420 | 22914320 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914320 | Athletic Physical Therapy Inc | 1958-04-11 | 2026-04-06 | F | AE | PT | MAJD | 8TC0P28KR43 | FLORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18036986/check_22914320_d8936dda-937b-4b02-91d8-aa8006010b05.json | N/A | N/A | N/A | N/A | N/A | 8TC0P28KR43 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-04-11 | S4802 | N/A | N/A | MA | false | MAJD | N/A | FLORA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 92541 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848587 | N/A | N/A | 18036986 | 2222 | 4802 | 23182096 | N/A | 4209898 | 2026-04-04 00:58:41.744420 | 2026-03-12 23:16:26.192781 |
| 2026-04-03 07:13:43.091097 | 2026-04-04 00:58:29.045444 | 22914307 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914307 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-06 | M | AE | PT | BARDIA | 9YD1K19FG26 | KANHAIYA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_22914307_63188e42-1fb3-4c6a-8305-dff50b0b4c17.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5884 | N/A | N/A | MA | false | BARDIA | N/A | KANHAIYA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 33914 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848586 | N/A | N/A | 18033660 | 2222 | 4802 | 23181858 | N/A | 16061630 | 2026-04-04 00:58:29.045444 | 2026-03-18 23:17:28.107701 |
| 2026-04-03 07:13:43.020490 | 2026-04-04 00:57:56.777259 | 22914298 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22914298 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-04-06 | F | AE | PT | SOLARES | 31168520701 | THELMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18032688/check_22914298_ea2d77a1-b828-4482-aaec-82364e46435c.json | N/A | N/A | N/A | N/A | N/A | 31168520701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-08-18 | 2026H5425001 | H5425M | N/A | N/A | false | SOLARES | N/A | THELMA | 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 | 10476848585 | N/A | N/A | 18032688 | 2222 | 4801 | 23181159 | 6237 | 16060652 | 2026-04-04 00:57:56.777259 | 2026-03-20 17:35:34.228514 |
| 2026-04-03 07:13:42.960004 | 2026-04-04 00:58:01.478996 | 22914285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22914285 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-04-06 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_22914285_8bb1ffca-806a-472d-8021-1b71611646da.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476848583 | N/A | N/A | 18029271 | 2222 | 4793 | 23181248 | N/A | 16057887 | 2026-04-04 00:58:01.478996 | 2026-03-23 17:30:23.761066 |
| 2026-04-03 07:13:42.901762 | 2026-04-04 00:58:36.753310 | 22914276 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914276 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-06 | M | AE | PT | HARY | 2YH6T54NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_22914276_a48b4895-6164-4811-88b6-bf32ac4521b3.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MA | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 49215 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848582 | N/A | N/A | 18020019 | 2222 | 4802 | 23182020 | N/A | 16048388 | 2026-04-04 00:58:36.753310 | 2026-03-12 19:28:18.393557 |
| 2026-04-03 07:13:42.837729 | 2026-04-04 00:58:15.689027 | 22914265 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 22914265 | override_provider | 1971-01-02 | 2026-04-06 | F | AE | PT | SIVAMALAR | 98940148E | THANGIAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018879/check_22914265_4f0a1b51-3458-4eb9-94da-ed6667c065b3.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848581 | N/A | N/A | 18018879 | 2222 | 4802 | 23181562 | N/A | 8251172 | 2026-04-04 00:58:15.689027 | 2025-10-03 18:17:22.871347 |
| 2026-04-03 07:13:42.775498 | 2026-04-04 00:58:48.349103 | 22914254 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914254 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-04-06 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_22914254_0fe68401-f07c-4edb-beb3-f2416a1bd3ef.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MB | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60416 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848580 | N/A | N/A | 17961735 | 2222 | 4801 | 23182205 | N/A | 15883502 | 2026-04-04 00:58:48.349103 | 2026-03-11 00:48:56.434845 |
| 2026-04-03 07:13:42.720385 | 2026-04-04 00:58:24.086186 | 22914247 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22914247 | Athletic Physical Therapy Inc | 2007-07-31 | 2026-04-06 | F | AE | PT | Policarpo | 94407476E | Andrea | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938794/check_22914247_8f3d09d8-bb34-4802-8304-8824301e58c3.json | N/A | N/A | N/A | N/A | N/A | 94407476E | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2007-07-31 | MCLA | MCLANFAL19 | N/A | N/A | false | POLICARPO | N/A | ANDREA | N/A | 2078-12-31 | 2017-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848579 | N/A | N/A | 17938794 | 2222 | 4802 | 23181750 | N/A | 15977182 | 2026-04-04 00:58:24.086186 | 2026-03-11 20:46:09.014259 |
| 2026-04-03 07:13:42.662749 | 2026-04-04 00:58:38.300091 | 22914236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914236 | Athletic Physical Therapy Inc | 1945-04-09 | 2026-04-06 | M | AE | PT | Kelly | 7N90G97RP30 | Eugene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929435/check_22914236_830b2756-3205-4586-9c30-1e67248378b8.json | N/A | N/A | N/A | N/A | N/A | 7N90G97RP30 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-09 | S4802 | N/A | N/A | MA | false | KELLY | N/A | EUGENE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 32456 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848578 | N/A | N/A | 17929435 | 2222 | 4793 | 23182048 | N/A | 15967689 | 2026-04-04 00:58:38.300091 | 2026-03-23 15:15:28.421254 |
| 2026-04-03 07:13:42.595983 | 2026-04-04 00:58:27.444920 | 22914224 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22914224 | Athletic Physical Therapy Inc | 1957-01-09 | 2026-04-06 | F | AE | PT | COLEY | 910143184 | GWENDOLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17918121/check_22914224_83d91f72-41b5-4f7a-8cb2-309d831b089b.json | N/A | N/A | N/A | N/A | N/A | 910143184 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-09 | N/A | 01991 | N/A | HN | false | COLEY | N/A | GWENDOLYN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848577 | N/A | N/A | 17918121 | 2222 | 4802 | 23181821 | 6411 | 4213018 | 2026-04-04 00:58:27.444920 | 2025-05-22 00:04:46.399580 |
| 2026-04-03 07:13:42.538977 | 2026-04-04 00:58:22.088131 | 22914214 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 22914214 | Athletic Physical Therapy Inc | 1969-06-12 | 2026-04-06 | F | AE | PT | Rowlands | H69992193 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17870887/check_22914214_21eee718-0f18-4878-9395-3b8f7e91c5a1.json | N/A | N/A | N/A | N/A | N/A | H69992193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1969-06-12 | N/A | 2B798001 | N/A | HN | false | ROWLANDS | N/A | KIMBERLY | 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 | 10476848576 | N/A | N/A | 17870887 | 2222 | 4801 | 23181709 | N/A | 15914963 | 2026-04-04 00:58:22.088131 | 2026-03-15 17:01:29.240163 |
| 2026-04-03 07:13:42.482106 | 2026-04-04 00:58:14.846387 | 22914206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22914206 | Athletic Physical Therapy Inc | 1993-05-04 | 2026-04-06 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_22914206_be53e545-39d7-47ec-9467-363ed77b6a1a.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476848575 | N/A | N/A | 17868567 | 2222 | 4802 | 23181541 | N/A | 15913011 | 2026-04-04 00:58:14.846387 | 2026-03-16 22:33:11.392245 |
| 2026-04-03 07:13:42.425846 | 2026-04-04 00:58:22.932511 | 22914198 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22914198 | Athletic Physical Therapy Inc | 1989-07-23 | 2026-04-06 | F | AE | PT | Latty | 93805163F | Maura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_22914198_59e2d17d-e2e3-41b9-af24-92abbee5f769.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848574 | N/A | N/A | 17826505 | 2222 | 4793 | 23181728 | N/A | 15870859 | 2026-04-04 00:58:22.932511 | 2026-03-16 15:31:01.741367 |
| 2026-04-03 07:13:42.367435 | 2026-04-04 00:58:24.945960 | 22914189 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22914189 | Athletic Physical Therapy Inc | 1961-12-26 | 2026-04-06 | F | AE | PT | Tadmor | 99113784F | Lisa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_22914189_99855dba-7d12-4223-92ca-239c25c5a50b.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848573 | N/A | N/A | 17749411 | 2222 | 4802 | 23181768 | N/A | 15798656 | 2026-04-04 00:58:24.945960 | 2026-03-07 00:12:23.548270 |
| 2026-04-03 07:13:42.291607 | 2026-04-04 00:58:38.109942 | 22914173 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22914173 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-04-06 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_22914173_72ac2502-4669-4054-8de0-111fa5765185.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848572 | N/A | N/A | 17744755 | 2222 | 4802 | 23182040 | 4211 | 4213934 | 2026-04-04 00:58:38.109942 | 2026-01-27 23:36:44.802366 |
| 2026-04-03 07:13:42.226814 | 2026-04-04 00:58:42.399869 | 22914166 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22914166 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-04-06 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_22914166_36cff546-4216-4255-af29-ae4168b24b07.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MB | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 107820 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848571 | N/A | N/A | 17663491 | 2222 | 4802 | 23182106 | N/A | 4213453 | 2026-04-04 00:58:42.399869 | 2025-05-13 04:29:37.227772 |
| 2026-04-03 07:13:42.159178 | 2026-04-04 00:58:20.488233 | 22914154 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 22914154 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-06 | F | AE | PT | HILL | H96403611 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_22914154_dc77dfee-3e5f-4792-aa11-da3bb7cfa489.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476848570 | N/A | N/A | 17641125 | 2222 | 4793 | 23181671 | N/A | 4213760 | 2026-04-04 00:58:20.488233 | 2026-03-23 22:17:45.263893 |
| 2026-04-03 07:13:42.055185 | 2026-04-04 00:58:22.692788 | 22914135 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22914135 | Athletic Physical Therapy Inc | 1954-02-10 | 2026-04-06 | F | AE | PT | SHARMA | H74807838 | MONIKA | Sarin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_22914135_9c3bcdae-503c-4e6d-ac5e-ec947263e6c9.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | 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 | 10476848569 | N/A | N/A | 17636010 | 2222 | 4801 | 23181724 | 5349 | 10330803 | 2026-04-04 00:58:22.692788 | 2025-11-03 22:25:23.404066 |
| 2026-04-03 07:13:41.881133 | 2026-04-04 00:57:54.031952 | 22914108 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22914108 | Athletic Physical Therapy Inc | 1959-06-21 | 2026-04-06 | F | AE | PT | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_22914108_e2bea8a7-2a17-4bca-a319-dbf3eace4796.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 | 10476848568 | N/A | N/A | 17585914 | 2222 | 4802 | 23181111 | 6237 | 15633309 | 2026-04-04 00:57:54.031952 | 2026-03-04 17:46:21.126462 |
| 2026-04-03 07:13:41.795796 | 2026-04-04 00:58:03.756634 | 22914093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22914093 | Athletic Physical Therapy Inc | 1954-04-01 | 2026-04-06 | F | PT | N/A | Hoffmon | FJB24530065M | Desiree | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_22914093_e376ac13-c632-4821-9c32-b933253162d8.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476848567 | N/A | N/A | 17585043 | 2222 | 4802 | 23181292 | N/A | 15632407 | 2026-04-04 00:58:03.756634 | 2026-03-04 17:26:22.963141 |
| 2026-04-03 07:13:41.726897 | 2026-04-04 00:58:15.542284 | 22914080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22914080 | Athletic Physical Therapy Inc | 1986-02-14 | 2026-04-06 | F | PT | N/A | CARAZO | N8E117919898001 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260403.121619327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17553325/check_22914080_49dd5ea2-d254-4589-b42b-1dba1aaf8e1a.json | N/A | N/A | N/A | N/A | N/A | N8E117919898001 | Preferred Provider Organization (PPO) | NEP GROUP ACTIVE | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1986-02-14 | 363 | 10696646 | N/A | PR | false | PYATTE | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476848566 | N/A | N/A | 17553325 | 2222 | 4793 | 23181558 | N/A | 4214484 | 2026-04-04 00:58:15.542284 | 2025-05-13 04:29:37.228799 |