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 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-29 09:10:10.440146 | 2025-06-30 05:21:40.859447 | 9351504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351504 | Athletic Physical Therapy Inc | 1947-03-15 | 2025-07-02 | M | AE | PT | RASHMAN | 9FN0XY7RR02 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550657/check_9351504_1611fe58-d238-49fa-8c7d-e0b6720318c8.json | N/A | N/A | N/A | N/A | N/A | 9FN0XY7RR02 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-03-15 | S4802 | N/A | N/A | MB | false | RASHMAN | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552402 | N/A | N/A | 5550657 | 2222 | 4802 | 9085736 | N/A | 4219593 | 2025-06-30 05:21:40.859447 | 2025-05-13 04:29:37.230634 |
| 2025-06-29 09:10:10.343221 | 2025-06-30 05:11:20.168820 | 9351503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351503 | Athletic Physical Therapy Inc | 1981-04-10 | 2025-07-02 | M | PT | N/A | WOODS | WZA586W18551 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550654/check_9351503_5e0eecba-95a9-432b-86ca-f05018ecebf9.json | N/A | N/A | N/A | N/A | N/A | WZA586W18551 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1981-04-10 | 130 | 270240M12A | N/A | PR | false | WOODS | N/A | NICOLE | N/A | 9999-12-31 | 2024-01-01 | BLUE ACCESS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552401 | N/A | N/A | 5550654 | 2222 | 4801 | 9082076 | N/A | 4219590 | 2025-06-30 05:11:20.168820 | 2025-05-13 04:29:37.230631 |
| 2025-06-29 09:10:10.250228 | 2025-06-30 05:03:27.919322 | 9351501 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9351501 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-07-02 | M | AE | PT | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_9351501_1772ff3e-2d01-46d7-9bdf-e0290218092a.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552400 | N/A | N/A | 5549707 | 2222 | 4801 | 9077767 | N/A | 4219317 | 2025-06-30 05:03:27.919322 | 2025-05-13 04:29:37.230340 |
| 2025-06-29 09:10:10.163940 | 2025-06-30 05:21:40.104393 | 9351498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351498 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-07-02 | F | AE | PT | KUDLATOVA | 9Q04X31JA99 | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549471/check_9351498_e29da286-8959-4a78-ac2c-9e3c1e841b90.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-24 | N/A | N/A | N/A | MB | false | KUDLATOVA | N/A | MARIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552399 | N/A | N/A | 5549471 | 2222 | 4801 | 9085729 | N/A | 4219128 | 2025-06-30 05:21:40.104393 | 2025-05-13 04:29:37.230146 |
| 2025-06-29 09:10:10.065028 | 2025-06-30 05:21:39.379287 | 9351496 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351496 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-07-02 | F | AE | PT | JALLAD | 7AY7QW7EK46 | IKRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9351496_e84ed697-a65a-4395-9460-679c39e4ba1c.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552398 | N/A | N/A | 5549454 | 2222 | 4801 | 9085725 | N/A | 4219116 | 2025-06-30 05:21:39.379287 | 2025-05-16 16:43:35.854220 |
| 2025-06-29 09:10:08.301437 | 2025-06-30 05:21:41.345125 | 9351466 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351466 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-07-02 | M | AE | PT | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9351466_0b080fc8-da4d-4ddf-b213-68ec6e6e81d3.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552381 | N/A | N/A | 5543377 | 2222 | 4802 | 9085740 | N/A | 4215177 | 2025-06-30 05:21:41.345125 | 2025-05-13 04:29:37.229493 |
| 2025-06-29 09:10:08.204077 | 2025-06-30 05:12:11.817882 | 9351464 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351464 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-07-02 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_9351464_a88a3d6f-9eca-4a85-a397-4c34807660e7.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552380 | N/A | N/A | 5543327 | 2222 | 4802 | 9082556 | N/A | 4215137 | 2025-06-30 05:12:11.817882 | 2025-10-13 23:09:53.444170 |
| 2025-06-29 09:10:08.112702 | 2025-06-30 05:03:26.607723 | 9351461 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9351461 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-07-02 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9351461_68cbbc3e-7d98-42e2-b916-bf2a882d261b.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552379 | N/A | N/A | 5543270 | 2222 | 4793 | 9077754 | N/A | 4215086 | 2025-06-30 05:03:26.607723 | 2025-05-13 04:29:37.229401 |
| 2025-06-29 09:10:07.860359 | 2025-06-30 05:03:25.493275 | 9351458 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9351458 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-07-02 | F | AE | PT | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_9351458_0783b1ee-250a-4b1c-932a-ba540ae6c55d.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097552378 | N/A | N/A | 5543265 | 2222 | 4802 | 9077741 | N/A | 4215082 | 2025-06-30 05:03:25.493275 | 2025-05-13 04:29:37.229397 |
| 2025-06-29 09:10:07.590711 | 2025-06-30 05:04:48.985425 | 9351454 | N/A | N/A | 39026 | UMR | 1114042165 | 9351454 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-07-02 | M | PT | AE | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_9351454_ba0188a5-5b18-44a4-abfd-2e89835ef751.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8097552377 | N/A | N/A | 5543233 | 2222 | 4802 | 9078393 | N/A | 4215051 | 2025-06-30 05:04:48.985425 | 2025-05-13 04:29:37.229373 |
| 2025-06-29 09:10:07.226906 | 2025-06-30 05:11:18.691877 | 9351449 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9351449 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-07-02 | M | PT | N/A | LEO | NCF949A57364 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9351449_f6e3c054-378f-4980-a689-1b426c11205c.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097552376 | N/A | N/A | 5543220 | 2222 | 4793 | 9082054 | 4184 | 4215036 | 2025-06-30 05:11:18.691877 | 2025-05-13 04:29:37.229353 |
| 2025-06-29 09:10:07.134778 | 2025-06-30 05:12:14.640864 | 9351446 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351446 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-07-02 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_9351446_d0f2e298-cd08-41c8-84c7-ee7e7f23f659.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551495 | N/A | N/A | 5543211 | 2222 | 4801 | 9082580 | N/A | 4215028 | 2025-06-30 05:12:14.640864 | 2025-05-13 04:29:37.229346 |
| 2025-06-29 09:10:07.041663 | 2025-06-30 05:11:19.459796 | 9351445 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351445 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-07-02 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9351445_1fbf6977-4b67-4cc8-9fc2-89f59dfd94c9.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551494 | N/A | N/A | 5543178 | 2222 | 4802 | 9082064 | N/A | 4215006 | 2025-06-30 05:11:19.459796 | 2025-05-13 04:29:37.229325 |
| 2025-06-29 09:10:06.944933 | 2025-06-30 05:05:56.357841 | 9351442 | N/A | N/A | 60054 | AETNA | 1114042165 | 9351442 | Athletic Physical Therapy Inc | 1954-11-18 | 2025-07-02 | M | AE | PT | CUNNINGHAM | 101899291800 | RAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543176/check_9351442_ba20b2cc-96f7-489a-a3c9-a74e0b5656a2.json | N/A | N/A | N/A | N/A | N/A | 101899291800 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1954-11-18 | 000003-CA000083 | 000003-CA | N/A | QM | false | CUNNINGHAM | N/A | RAY | N/A | N/A | N/A | AETNA MEDICARE VALUE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551493 | N/A | N/A | 5543176 | 2222 | 4802 | 9078921 | 3939 | 4215002 | 2025-06-30 05:05:56.357841 | 2025-05-28 20:18:01.917044 |
| 2025-06-29 09:10:06.852906 | 2025-06-30 05:08:34.730125 | 9351441 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9351441 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-07-02 | F | AE | PT | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_9351441_1e3e5912-e35a-4a71-befa-d1cd70cbc779.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551492 | N/A | N/A | 5543171 | 2222 | 4793 | 9080431 | N/A | 4214998 | 2025-06-30 05:08:34.730125 | 2025-05-13 04:29:37.229318 |
| 2025-06-29 09:10:06.763915 | 2025-06-30 05:12:17.153932 | 9351438 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351438 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-07-02 | F | PT | N/A | STOLTZ | XED912573254 | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9351438_aea14238-6dec-4a71-b248-2d8458456156.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2023-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551491 | N/A | N/A | 5543121 | 2222 | 4802 | 9082595 | N/A | 4214948 | 2025-06-30 05:12:17.153932 | 2025-06-26 01:28:07.741882 |
| 2025-06-29 09:10:06.678240 | 2025-06-30 05:12:09.170219 | 9351437 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351437 | Athletic Physical Therapy Inc | 1986-09-15 | 2025-07-02 | M | PT | N/A | ELLSWORTH | XEK911198887 | ADAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543012/check_9351437_4b6444ce-9fcf-4039-8ac2-ffdcba89f9ab.json | N/A | N/A | N/A | N/A | N/A | XEK911198887 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-09-15 | 2001ZD002666 | X0001000 | N/A | PR | false | ELLSWORTH | N/A | ADAM | N/A | 9999-12-31 | 2022-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551490 | N/A | N/A | 5543012 | 2222 | 4802 | 9082533 | N/A | 4214859 | 2025-06-30 05:12:09.170219 | 2025-12-03 23:27:09.735417 |
| 2025-06-29 09:10:06.586415 | 2025-06-30 05:11:17.328738 | 9351435 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351435 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-07-02 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_9351435_120062c1-b856-461d-b373-b134946a5ee3.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551489 | N/A | N/A | 5542900 | 2222 | 4801 | 9082033 | N/A | 4214759 | 2025-06-30 05:11:17.328738 | 2025-05-13 04:29:37.229079 |
| 2025-06-29 09:10:06.479606 | 2025-06-30 05:12:16.229434 | 9351432 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351432 | Athletic Physical Therapy Inc | 1963-08-16 | 2025-07-02 | M | PT | N/A | SILBER | XED909580436 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542831/check_9351432_5648073e-7464-475a-8d78-d87275045d4f.json | N/A | N/A | N/A | N/A | N/A | XED909580436 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-08-16 | 2001ZK002184 | X0001004 | N/A | PR | false | SILBER | N/A | MICHAEL | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551488 | N/A | N/A | 5542831 | 2222 | 4793 | 9082590 | N/A | 4214698 | 2025-06-30 05:12:16.229434 | 2025-05-13 04:29:37.229015 |
| 2025-06-29 09:10:06.387063 | 2025-06-30 05:12:09.871239 | 9351430 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351430 | Athletic Physical Therapy Inc | 1968-02-13 | 2025-07-02 | M | PT | N/A | CUNNINGHAM | XEK904867660 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542829/check_9351430_daec1069-0fe5-458d-9441-9fda01f3c7c9.json | N/A | N/A | N/A | N/A | N/A | XEK904867660 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1968-02-13 | 2001ZJ002648 | X0001000 | N/A | PR | false | GREEN | N/A | DEBRA | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551487 | N/A | N/A | 5542829 | 2222 | 4802 | 9082538 | N/A | 4214694 | 2025-06-30 05:12:09.871239 | 2025-05-13 04:29:37.229011 |
| 2025-06-29 09:10:06.292811 | 2025-06-30 05:03:31.063964 | 9351429 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9351429 | Athletic Physical Therapy Inc | 2004-06-11 | 2025-07-02 | F | AE | PT | ORTEGA | 319441605 | TAYLOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542310/check_9351429_94efc582-1b51-4d22-bb98-598b5291b96f.json | N/A | N/A | N/A | N/A | N/A | 319441605 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2004-06-11 | N/A | N/A | N/A | N/A | false | ORTEGA | N/A | TAYLOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551486 | N/A | N/A | 5542310 | 2222 | 4801 | 9077799 | N/A | 4214237 | 2025-06-30 05:03:31.063964 | 2025-05-23 18:06:57.303604 |
| 2025-06-29 09:10:06.206326 | 2025-06-30 05:12:11.225292 | 9351426 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351426 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-07-02 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_9351426_600f9ee7-aedb-4d63-a581-29f9b6decf7b.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551485 | N/A | N/A | 5542222 | 2222 | 4793 | 9082551 | N/A | 4214148 | 2025-06-30 05:12:11.225292 | 2025-05-13 04:29:37.228475 |
| 2025-06-29 09:10:06.109309 | 2025-06-30 05:03:31.787506 | 9351425 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9351425 | Athletic Physical Therapy Inc | 1981-08-30 | 2025-07-02 | F | PT | N/A | SUMBY | XEH905944609 | ANNIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_9351425_26e2f10d-961b-4dae-8dd6-b5cac6b2c3aa.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551484 | N/A | N/A | 5542158 | 2222 | 4801 | 9077805 | N/A | 4214108 | 2025-06-30 05:03:31.787506 | 2025-05-13 04:29:37.228423 |
| 2025-06-29 09:10:06.009636 | 2025-06-30 05:11:15.851219 | 9351422 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9351422 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-07-02 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9351422_1a879702-1c26-4a63-a496-045e3bb58d9a.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551483 | N/A | N/A | 5541944 | 2222 | 4801 | 9082010 | 4184 | 4213907 | 2025-06-30 05:11:15.851219 | 2025-05-13 04:29:37.228228 |
| 2025-06-29 09:10:05.927300 | 2025-06-30 05:11:19.792559 | 9351421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351421 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-07-02 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9351421_2100766f-6916-4933-867e-673d7d6cc19e.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551482 | N/A | N/A | 5541917 | 2222 | 4793 | 9082070 | N/A | 4213891 | 2025-06-30 05:11:19.792559 | 2025-05-13 04:29:37.228207 |
| 2025-06-29 09:10:05.810013 | 2025-06-30 05:11:19.095999 | 9351420 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9351420 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-07-02 | F | PT | N/A | LORD | JQK822A53740 | ALYSSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_9351420_6d0b8298-4e2f-4c4d-941a-900360c20635.json | N/A | N/A | N/A | N/A | N/A | JQK822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | Q84816 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 2025-08-01 | 2024-08-01 | CA SG ANTHEM HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551481 | N/A | N/A | 5541409 | 2222 | 4793 | 9082059 | 4184 | 4213435 | 2025-06-30 05:11:19.095999 | 2025-05-13 04:29:37.227756 |
| 2025-06-29 09:10:05.712618 | 2025-06-30 05:12:12.393281 | 9351419 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351419 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-07-02 | F | PT | N/A | KURTZ | XED906231353 | NINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_9351419_d20bb265-11e5-46dd-9331-45416ffdc3b8.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551480 | N/A | N/A | 5541378 | 2222 | 4793 | 9082561 | N/A | 4213405 | 2025-06-30 05:12:12.393281 | 2025-05-13 04:29:37.227726 |
| 2025-06-29 09:10:05.614980 | 2025-06-30 05:12:10.628190 | 9351417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351417 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-07-02 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9351417_3941a21a-5112-488e-8076-d51e8bd578f8.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551479 | N/A | N/A | 5541314 | 2222 | 4793 | 9082546 | N/A | 4213343 | 2025-06-30 05:12:10.628190 | 2025-06-06 02:21:37.603701 |
| 2025-06-29 09:10:05.507594 | 2025-06-30 05:10:19.618727 | 9351414 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9351414 | Athletic Physical Therapy Inc | 1970-07-02 | 2025-07-02 | M | AE | PT | FRIEDMAN | 23569452GEHA | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9351414_cb7ca7e7-fc70-4aee-89fa-e88a10c28c66.json | N/A | N/A | N/A | N/A | N/A | 23569452GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-07-02 | N/A | N/A | N/A | N/A | false | N/A | 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 | 8097551478 | N/A | N/A | 5540931 | 2222 | 4793 | 9081470 | N/A | 4213013 | 2025-06-30 05:10:19.618727 | 2025-05-13 04:29:37.227340 |
| 2025-06-29 09:10:05.406968 | 2025-06-30 05:03:26.013261 | 9351412 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9351412 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-07-02 | F | AE | PT | BENDAVID | 95318118F | TALIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9351412_1165c98d-47f6-47a2-a6b1-558ba55410da.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551477 | N/A | N/A | 5540893 | 2222 | 4793 | 9077747 | N/A | 4212979 | 2025-06-30 05:03:26.013261 | 2025-06-04 21:11:15.590634 |
| 2025-06-29 09:10:05.296152 | 2025-06-30 05:21:29.454259 | 9351410 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351410 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-07-02 | M | AE | PT | DASILVA | 4KY4HX3NJ05 | BOB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9351410_2cd233dd-800a-488f-837c-61d62c79bfe0.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MB | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551476 | N/A | N/A | 5540840 | 2222 | 4793 | 9085697 | N/A | 4212930 | 2025-06-30 05:21:29.454259 | 2025-05-13 04:29:37.227258 |
| 2025-06-29 09:10:05.205928 | 2025-06-30 05:05:55.414224 | 9351409 | N/A | N/A | 60054 | Aetna | 1114042165 | 9351409 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-07-02 | M | PT | AE | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_9351409_bd780e0e-ea6a-40f8-8e93-723a06ffdf2e.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8097551475 | N/A | N/A | 5540723 | 2222 | 4793 | 9078911 | N/A | 4212833 | 2025-06-30 05:05:55.414224 | 2025-05-28 20:46:35.079848 |
| 2025-06-29 09:10:05.118181 | 2025-06-30 05:21:38.102230 | 9351407 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351407 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-02 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_9351407_71ba507b-c6f5-4173-875a-13a2361d6f4d.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551474 | N/A | N/A | 5540676 | 2222 | 4801 | 9085716 | N/A | 4212792 | 2025-06-30 05:21:38.102230 | 2025-10-07 20:33:25.637997 |
| 2025-06-29 09:10:05.021960 | 2025-06-30 05:11:52.413781 | 9351406 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351406 | Athletic Physical Therapy Inc | 1968-12-03 | 2025-07-02 | U | PT | N/A | YANG | FJB27468841M | JINING | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9351406_6ae3104b-386f-474b-ac34-8cb88373f4a5.json | N/A | N/A | N/A | N/A | N/A | FJB27468841M | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1968-12-03 | N/A | N/A | N/A | N/A | false | YANG | N/A | JINING | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551473 | N/A | N/A | 5539727 | 2222 | 4793 | 9082369 | N/A | 4211988 | 2025-06-30 05:11:52.413781 | 2025-07-02 16:33:22.389736 |
| 2025-06-29 09:10:04.934296 | 2025-06-30 05:05:57.313948 | 9351404 | N/A | N/A | 60054 | Aetna | 1114042165 | 9351404 | Athletic Physical Therapy Inc | 1956-12-03 | 2025-07-02 | F | AE | PT | HARTMANN DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9351404_b73edead-ebe3-4221-aadf-2277a5c65296.json | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | AETNA INC | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | HARTMANN DEBIASE | N/A | MARIANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551472 | N/A | N/A | 5539573 | 2222 | 4793 | 9078932 | N/A | 4211857 | 2025-06-30 05:05:57.313948 | 2025-07-01 23:52:53.869019 |
| 2025-06-29 09:10:04.742292 | 2025-06-30 05:11:17.653628 | 9351402 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351402 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-07-02 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_9351402_d802bc40-0f60-4243-b58e-e64db70db844.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551470 | N/A | N/A | 5538693 | 2222 | 4793 | 9082039 | N/A | 4211081 | 2025-06-30 05:11:17.653628 | 2025-05-13 04:29:37.225492 |
| 2025-06-29 09:10:04.378334 | 2025-06-30 05:12:15.453388 | 9351396 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9351396 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-07-02 | M | PT | N/A | RITENOUR | NCF553A20679 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9351396_e6946281-b8e2-4b68-8214-73a1c0e35165.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1979-06-20 | N/A | N/A | N/A | N/A | false | RITENOUR | N/A | TIM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551469 | N/A | N/A | 5537911 | 2222 | 4793 | 9082583 | N/A | 4210415 | 2025-06-30 05:12:15.453388 | 2025-06-11 20:40:26.862752 |
| 2025-06-29 09:10:04.046829 | 2025-06-30 05:21:38.799776 | 9351393 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351393 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-07-02 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536816/check_9351393_4c9faf7f-6330-4dfb-9372-328b6a3b5f3c.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MB | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551468 | N/A | N/A | 5536816 | 2222 | 4802 | 9085720 | N/A | 4209498 | 2025-06-30 05:21:38.799776 | 2025-09-22 06:46:20.286658 |
| 2025-06-29 09:10:03.851811 | 2025-06-30 05:11:18.352673 | 9351388 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351388 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-07-02 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_9351388_f3bb1e3a-67a6-49a3-809f-a604b145d205.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551467 | N/A | N/A | 5536722 | 2222 | 4802 | 9082049 | N/A | 4209420 | 2025-06-30 05:11:18.352673 | 2025-05-13 04:29:37.223843 |
| 2025-06-29 09:10:03.755933 | 2025-06-30 05:11:20.695000 | 9351387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9351387 | Athletic Physical Therapy Inc | 1977-02-28 | 2025-07-02 | F | PT | N/A | YOUNG | LDU021A75601 | AMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536372/check_9351387_8f837a11-3e26-4dcb-9c87-36dfc213d1ae.json | N/A | N/A | N/A | N/A | N/A | LDU021A75601 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-02-28 | 040 | 1838NC | N/A | EP | false | YOUNG | N/A | AMY | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551466 | N/A | N/A | 5536372 | 2222 | 4801 | 9082082 | N/A | 4209123 | 2025-06-30 05:11:20.695000 | 2025-05-13 04:29:37.223548 |
| 2025-06-29 09:10:03.666791 | 2025-06-30 05:21:37.316623 | 9351385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351385 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-07-02 | F | AE | PT | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9351385_f0befbd8-6695-45fb-8610-3abe014b5f56.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MB | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551465 | N/A | N/A | 5536109 | 2222 | 4793 | 9085701 | N/A | 4208915 | 2025-06-30 05:21:37.316623 | 2025-07-25 17:30:46.084330 |
| 2025-06-29 09:10:03.516519 | 2025-06-30 05:11:16.198341 | 9351381 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9351381 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-07-02 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_9351381_856bac6e-4c58-4512-a99f-36556ebdd594.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097551464 | N/A | N/A | 5536041 | 2222 | 4802 | 9082018 | 4184 | 4208856 | 2025-06-30 05:11:16.198341 | 2025-05-13 04:29:37.223284 |
| 2025-06-29 09:10:03.431230 | 2025-06-30 05:10:47.700682 | 9351380 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9351380 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-07-02 | M | AE | PT | CHISARI | 00000386684 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_9351380_6b3cc2a7-16ef-457e-bdd4-6f326e3ec9c5.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097551463 | N/A | N/A | 5536007 | 2222 | 4793 | 9081772 | N/A | 4208829 | 2025-06-30 05:10:47.700682 | 2025-06-03 01:05:45.663969 |
| 2025-06-29 09:10:03.331746 | 2025-06-30 05:21:41.844793 | 9351379 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9351379 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-07-02 | M | PT | AE | ULLMAN | 3A76X26KQ40 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.141223985.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_9351379_3f845aa6-6d80-4698-871d-03d97d8f3f46.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8097551462 | N/A | N/A | 5535838 | 2222 | 4801 | 9085744 | N/A | 4208696 | 2025-06-30 05:21:41.844793 | 2025-06-07 16:16:45.844566 |
| 2025-06-29 09:09:30.305827 | 2025-06-30 05:20:07.825333 | 9350808 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9350808 | Athletic Physical Therapy Inc | 1952-08-27 | 2025-07-02 | M | AE | PT | STEINBERG | 7P65WE5DJ62 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473154/check_9350808_db17a636-e6d8-45da-8724-8b7e359b788e.json | N/A | N/A | N/A | N/A | N/A | 7P65WE5DJ62 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-27 | S5601 | N/A | N/A | MA | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097561005 | N/A | N/A | 6473154 | 2222 | 4802 | 9085302 | N/A | 5106188 | 2025-06-30 05:20:07.825333 | 2025-06-18 23:17:37.195231 |
| 2025-06-29 09:08:30.335843 | 2025-06-30 05:10:50.616487 | 9349949 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9349949 | Athletic Physical Therapy Inc | 1999-06-07 | 2025-07-02 | F | PT | N/A | WATSON | NSA00625557H | SIERRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.124333645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6465694/check_9349949_f3ab2470-ccdd-4c44-a601-2c7c4c7bbf52.json | N/A | N/A | N/A | N/A | N/A | NSA00625557H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1999-06-07 | 040 | L05927A001 | N/A | PR | false | CARTER | N/A | CARMEN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8097561419 | N/A | N/A | 6465694 | 2222 | 4793 | 9081796 | N/A | 5101795 | 2025-06-30 05:10:50.616487 | 2025-06-19 21:16:37.661994 |
| 2025-06-29 09:07:55.581487 | 2025-06-30 05:12:07.278410 | 9349448 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9349448 | Athletic Physical Therapy Inc | 1947-03-15 | 2025-07-02 | M | AE | PT | RASHMAN | XEM909129373 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550658/check_9349448_01b174cf-694a-4591-bd65-36161f2350c1.json | N/A | N/A | N/A | N/A | N/A | XEM909129373 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-03-15 | 2002SE000029 | X0001002 | N/A | OT | false | RASHMAN | N/A | RICHARD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571844 | N/A | N/A | 5550658 | 2222 | 4802 | 9082514 | N/A | 4219593 | 2025-06-30 05:12:07.278410 | 2025-05-13 04:29:37.230634 |
| 2025-06-29 09:07:54.983359 | 2025-06-30 05:10:57.449059 | 9349436 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9349436 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-07-02 | F | AE | PT | KUDLATOVA | JQE069W14577 | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_9349436_44ee3209-d618-4458-8c46-99f749d35bd3.json | N/A | N/A | N/A | N/A | N/A | JQE069W14577 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-02-24 | 040 | CASUPWP0 | N/A | N/A | false | KUDLATOVA | N/A | MARIE | N/A | 9999-12-31 | 2023-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571843 | N/A | N/A | 5549472 | 2222 | 4801 | 9081859 | N/A | 4219128 | 2025-06-30 05:10:57.449059 | 2025-05-13 04:29:37.230146 |
| 2025-06-29 09:07:52.936506 | 2025-06-30 05:12:06.678822 | 9349395 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9349395 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-07-02 | M | AE | PT | DASILVA | XEM911406068 | BOB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_9349395_8448cc8b-2f38-4316-a2d0-62fbeaf0b93a.json | N/A | N/A | N/A | N/A | N/A | XEM911406068 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-08-09 | 2002SE000028 | X0001002 | N/A | OT | false | DASILVA | N/A | BOB | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571839 | N/A | N/A | 5540845 | 2222 | 4793 | 9082505 | N/A | 4212930 | 2025-06-30 05:12:06.678822 | 2025-05-13 04:29:37.227258 |
| 2025-06-29 09:07:52.590474 | 2025-06-30 05:03:19.363633 | 9349388 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9349388 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-02 | F | AE | PT | GNAD | 03840002311 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250629.142117379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9349388_30965945-b9f4-467e-8392-d5b70a174d6f.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8097571838 | N/A | N/A | 5540682 | 2222 | 4801 | 9077695 | N/A | 4212792 | 2025-06-30 05:03:19.363633 | 2025-10-07 20:33:25.637997 |