API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-03 07:13:38.240838 | 2026-04-04 00:58:47.804364 | 22913498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22913498 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-04-06 | F | PT | STYLES | XYL990311433 | SUSAN | N/A | 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/2222/14110178/check_22913498_5ba5d6a5-a6d7-4148-ab4a-9aa4c5ed601d.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847611 | N/A | N/A | 14110178 | 2222 | 4801 | 23182191 | N/A | 10999467 | 2026-04-04 00:58:47.804364 | 2025-11-14 21:36:13.911423 |
| 2026-04-03 07:13:38.160750 | 2026-04-04 00:58:41.124329 | 22913484 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913484 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-04-06 | M | AE | Maher | 6FT2G33TN93 | Timothy | A | PT | 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/2222/13655342/check_22913484_3273fbd6-ba79-40e0-a93c-623c5a26f29f.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part A | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MA | false | MAHER | N/A | TIMOTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 234256 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847610 | N/A | N/A | 13655342 | 2222 | 4802 | 23182086 | N/A | 11803316 | 2026-04-04 00:58:41.124329 | 2025-12-16 19:29:59.872631 |
| 2026-04-03 07:13:38.095991 | 2026-04-04 00:58:18.931092 | 22913477 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 22913477 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-04-06 | F | AE | watson | 00000380103 | stella | G | PT | 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/2222/13644272/check_22913477_dd9c3e31-66ef-4832-b7c6-2a16f0c44aff.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1956-07-18 | N/A | N/A | N/A | N/A | false | WATSON | N/A | STELLA | 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 | 10476847609 | N/A | N/A | 13644272 | 2222 | 4801 | 23181637 | 2630 | 11792017 | 2026-04-04 00:58:18.931092 | 2025-12-04 01:49:08.682293 |
| 2026-04-03 07:13:38.033077 | 2026-04-04 00:58:16.343031 | 22913463 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22913463 | Athletic Physical Therapy Inc | 1994-07-03 | 2026-04-06 | M | PT | STEALEY | JQU013W15922 | JACOB | REDMOND | 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/2222/12010678/check_22913463_fbc5aa0a-c5ef-46fb-8ed4-9137de9968e3.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 2026-12-31 | 2026-02-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847608 | N/A | N/A | 12010678 | 2222 | 4801 | 23181576 | N/A | 10232475 | 2026-04-04 00:58:16.343031 | 2025-11-01 00:03:21.076437 |
| 2026-04-03 07:13:37.976016 | 2026-04-04 01:00:48.560282 | 22913452 | N/A | N/A | 60054 | Aetna | 1114042165 | 22913452 | Athletic Physical Therapy Inc | 1998-11-14 | 2026-04-06 | M | AE | Shirian | W742094344 | Jonathan | N/A | PT | 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/2222/11519732/check_22913452_7887db23-262a-43ff-85be-8e5e548dc17f.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847607 | N/A | N/A | 11519732 | 2222 | 4802 | 23184224 | N/A | 9760542 | 2026-04-04 01:00:48.560282 | 2025-10-27 21:44:20.466934 |
| 2026-04-03 07:13:37.905527 | 2026-04-04 00:58:30.232036 | 22913442 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913442 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-04-06 | M | AE | Bogen | 9P98YU0FH34 | Andrew | E | PT | 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/2222/11174640/check_22913442_83e7a534-02f3-4374-b2af-196002c32115.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MB | false | BOGEN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 245853 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847606 | N/A | N/A | 11174640 | 2222 | 4802 | 23181885 | N/A | 9519718 | 2026-04-04 00:58:30.232036 | 2026-02-02 19:30:57.219688 |
| 2026-04-03 07:13:37.802272 | 2026-04-04 00:57:57.707294 | 22913423 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22913423 | Athletic Physical Therapy Inc | 1977-11-16 | 2026-04-06 | M | PT | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | 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/2222/10355543/check_22913423_f6d11f08-5202-4fa6-82f9-f3f71d649a44.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847605 | N/A | N/A | 10355543 | 2222 | 4801 | 23181176 | N/A | 8619978 | 2026-04-04 00:57:57.707294 | 2025-10-13 20:53:09.422541 |
| 2026-04-03 07:13:37.601061 | 2026-04-04 00:58:48.983728 | 22913393 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913393 | Athletic Physical Therapy Inc | 1956-12-19 | 2026-04-06 | F | AE | YEN | 7QK3HE4XQ19 | JENNY | P | PT | 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/2222/10033466/check_22913393_6a1c6211-abf6-4375-9953-baa14e09d6c1.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MB | false | YEN | N/A | JENNY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 13227 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847604 | N/A | N/A | 10033466 | 2222 | 4793 | 23182215 | N/A | 8398587 | 2026-04-04 00:58:48.983728 | 2025-10-07 14:21:54.880940 |
| 2026-04-03 07:13:37.431134 | 2026-04-04 00:58:12.723009 | 22913363 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22913363 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-04-06 | M | PT | Moreno jr | VDHE01043007 | Hector | N/A | 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/2222/9691081/check_22913363_85cb090e-147a-49d9-aabb-c5ed9e54d806.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 2026-12-31 | 2026-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847603 | N/A | N/A | 9691081 | 2222 | 4801 | 23181494 | N/A | 8110015 | 2026-04-04 00:58:12.723009 | 2025-10-05 15:24:30.421551 |
| 2026-04-03 07:13:37.367276 | 2026-04-04 00:58:44.366773 | 22913353 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22913353 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-04-06 | F | PT | LARSON | XAN913804058 | DEBRA | N/A | 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/2222/9562148/check_22913353_c29dcea1-1cd4-4e83-96eb-9cd4cf5da189.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | 2026-04-03 | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847602 | N/A | N/A | 9562148 | 2222 | 4793 | 23182138 | N/A | 7997320 | 2026-04-04 00:58:44.366773 | 2025-10-02 21:07:14.563938 |
| 2026-04-03 07:13:37.244956 | 2026-04-04 00:58:34.655900 | 22913334 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913334 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-04-06 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | N/A | PT | 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/2222/9556751/check_22913334_e765e554-f394-4bd4-bf20-6a7eec50ce17.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 123330 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847601 | N/A | N/A | 9556751 | 2222 | 4793 | 23181987 | N/A | 4210998 | 2026-04-04 00:58:34.655900 | 2026-02-23 18:49:01.874308 |
| 2026-04-03 07:13:37.091280 | 2026-04-04 00:58:18.100762 | 22913309 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 22913309 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-04-06 | F | AE | MATHESON | 00000433752 | JANET | N/A | PT | 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/2222/9511696/check_22913309_c4b69850-55d7-4899-b338-39f50f622955.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | 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 | 10476847600 | N/A | N/A | 9511696 | 2222 | 4801 | 23181616 | 2630 | 7954244 | 2026-04-04 00:58:18.100762 | 2025-09-29 18:15:39.145358 |
| 2026-04-03 07:13:36.955544 | 2026-04-04 00:58:36.170122 | 22913289 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913289 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-04-06 | F | AE | GREER | 7H09HW9QG44 | ROBIN | N/A | PT | 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/2222/9411083/check_22913289_6e60db7f-3d5a-4d99-9b52-00c3877fd4a2.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 132020 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847599 | N/A | N/A | 9411083 | 2222 | 4802 | 23182008 | N/A | 7879863 | 2026-04-04 00:58:36.170122 | 2026-02-04 18:21:13.840230 |
| 2026-04-03 07:13:36.839213 | 2026-04-04 00:58:12.514194 | 22913267 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 22913267 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-04-06 | M | 96 | HAUSMAN | 34751866 | GARY | N/A | 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/2222/9280203/check_22913267_4e569d12-aa5b-4c57-8688-756027bc343a.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | 2026-04-03 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10476847598 | N/A | N/A | 9280203 | 2222 | 4793 | 23181492 | 6798 | 7788651 | 2026-04-04 00:58:12.514194 | 2025-09-10 18:50:22.494063 |
| 2026-04-03 07:13:36.622127 | 2026-04-04 00:58:28.189760 | 22913236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913236 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-04-06 | F | AE | Ahadian | 3PT2AT4QU70 | Vida | N/A | PT | 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/2222/8477425/check_22913236_093da932-39d2-4561-b467-720ade2ac6bb.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 167311 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847597 | N/A | N/A | 8477425 | 2222 | 4802 | 23181838 | N/A | 7146980 | 2026-04-04 00:58:28.189760 | 2025-08-25 22:34:13.951153 |
| 2026-04-03 07:13:36.431252 | 2026-04-04 00:58:47.364057 | 22913204 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22913204 | Athletic Physical Therapy Inc | 1993-12-24 | 2026-04-06 | F | PT | Garcia | NCF409W01940 | Jessica | N/A | 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/2222/7965049/check_22913204_9585f21d-6eda-4c82-a4d3-8b14c7a2ae14.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847596 | N/A | N/A | 7965049 | 2222 | 4802 | 23182184 | N/A | 6604326 | 2026-04-04 00:58:47.364057 | 2025-08-06 18:06:11.137864 |
| 2026-04-03 07:13:36.322205 | 2026-04-04 00:57:57.242715 | 22913181 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22913181 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-04-06 | F | PT | CLOONAN | XDM481M99931 | LINDA | N/A | 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/2222/7246170/check_22913181_675e8f61-cbe5-4d2a-b1db-e3f9eb2d2efd.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847595 | N/A | N/A | 7246170 | 2222 | 4801 | 23181166 | 4185 | 4837995 | 2026-04-04 00:57:57.242715 | 2025-06-13 00:15:18.726975 |
| 2026-04-03 07:13:36.252397 | 2026-04-04 00:58:45.010817 | 22913170 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22913170 | Athletic Physical Therapy Inc | 1963-05-22 | 2026-04-06 | M | AE | SMITH | 99688004H | MATTHEW | N/A | PT | 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/2222/7022680/check_22913170_be804b0a-8c99-4b3a-8969-169e0f0d6129.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847594 | N/A | N/A | 7022680 | 2222 | 4793 | 23182147 | 4211 | 6037802 | 2026-04-04 00:58:45.010817 | 2025-07-22 17:48:16.997014 |
| 2026-04-03 07:13:36.192215 | 2026-04-04 00:58:33.564375 | 22913159 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913159 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-04-06 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | 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/2222/6752936/check_22913159_cf89af42-47e7-47a3-9a8a-5e62a59e3f90.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 225753 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847593 | N/A | N/A | 6752936 | 2222 | 4801 | 23181962 | N/A | 5065602 | 2026-04-04 00:58:33.564375 | 2025-07-01 17:25:13.681724 |
| 2026-04-03 07:13:36.122923 | 2026-04-04 00:58:13.203319 | 22913147 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 22913147 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-04-06 | F | 96 | SALGUERO | 35955370 | DINA | N/A | 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/2222/6711965/check_22913147_6cc0e165-a8d7-42c1-95ce-aa1319fc19ec.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | 2026-04-03 | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10476847592 | N/A | N/A | 6711965 | 2222 | 4793 | 23181507 | 6798 | 4210430 | 2026-04-04 00:58:13.203319 | 2025-05-13 04:29:37.224841 |
| 2026-04-03 07:13:36.057242 | 2026-04-04 00:57:56.312028 | 22913136 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22913136 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-04-06 | M | AE | SIMMONS | 40055722801 | J | C | PT | 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/2222/6685251/check_22913136_4134497c-9c92-47c4-b526-8df01fa3f623.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | 2025-12-31 | 2025-01-01 | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847591 | N/A | N/A | 6685251 | 2222 | 4793 | 23181153 | 6237 | 4209868 | 2026-04-04 00:57:56.312028 | 2025-08-15 22:13:56.514261 |
| 2026-04-03 07:13:35.981380 | 2026-04-04 00:57:55.069826 | 22913121 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22913121 | Athletic Physical Therapy Inc | 1949-03-22 | 2026-04-06 | M | AE | NOWAK | 31172069101 | DAVID | N/A | PT | 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/2222/6492025/check_22913121_0c757d5c-b365-4753-b993-7dd17e78ccb3.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847590 | N/A | N/A | 6492025 | 2222 | 4793 | 23181132 | 6237 | 5121181 | 2026-04-04 00:57:55.069826 | 2025-06-19 16:42:31.208252 |
| 2026-04-03 07:13:35.921541 | 2026-04-04 00:58:37.351135 | 22913113 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913113 | Athletic Physical Therapy Inc | 1939-06-25 | 2026-04-06 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | PT | 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/2222/6068049/check_22913113_b6d6f01f-f049-4e8b-a85a-6ddd7291a39f.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847589 | N/A | N/A | 6068049 | 2222 | 4793 | 23182030 | N/A | 4642852 | 2026-04-04 00:58:37.351135 | 2025-11-21 18:38:17.056437 |
| 2026-04-03 07:13:35.855635 | 2026-04-04 00:58:13.118134 | 22913103 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22913103 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-04-06 | F | AE | ALROMAIH | 91237812E | SARAH | N/A | PT | 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/2222/5993940/check_22913103_c23c39cb-d9f7-4b49-bb18-06c20fece48c.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | 2026-02-11 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847588 | N/A | N/A | 5993940 | 2222 | 4802 | 23181506 | 4625 | 4642877 | 2026-04-04 00:58:13.118134 | 2025-12-23 23:49:16.627667 |
| 2026-04-03 07:13:35.796848 | 2026-04-04 00:57:52.449274 | 22913094 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 22913094 | Athletic Physical Therapy Inc | 1944-11-30 | 2026-04-06 | F | AD | AMOROSA | 40037132201 | RITA | N/A | 30 | 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/2222/5874458/check_22913094_89818222-d164-4558-860a-840e5c645f05.json | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | 2026H5425001 | H5425M | N/A | N/A | false | AMOROSA | N/A | RITA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10476847587 | N/A | N/A | 5874458 | 2222 | 4801 | 23181084 | N/A | 4534582 | 2026-04-04 00:57:52.449274 | 2026-03-02 22:06:30.224734 |
| 2026-04-03 07:13:35.732077 | 2026-04-04 00:58:17.735866 | 22913084 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 22913084 | Athletic Physical Therapy Inc | 1953-03-27 | 2026-04-06 | F | AE | FINE | 00000272194 | MICHELLE | N/A | PT | 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/2222/5858742/check_22913084_1dc4a71b-c679-462d-8fb1-5b3f9457d30b.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | 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 | 10476847586 | N/A | N/A | 5858742 | 2222 | 4801 | 23181608 | 2630 | 4219630 | 2026-04-04 00:58:17.735866 | 2025-05-13 04:29:37.230672 |
| 2026-04-03 07:13:35.674451 | 2026-04-04 00:58:31.167228 | 22913073 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913073 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-04-06 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | PT | 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/2222/5550534/check_22913073_ce4334f5-090f-4622-becb-a461f7e498df.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 131738 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847585 | N/A | N/A | 5550534 | 2222 | 4801 | 23181906 | N/A | 4219556 | 2026-04-04 00:58:31.167228 | 2025-05-13 04:29:37.230592 |
| 2026-04-03 07:13:35.612521 | 2026-04-04 00:57:58.689960 | 22913066 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22913066 | Athletic Physical Therapy Inc | 1949-06-06 | 2026-04-06 | M | AD | WILSON | 31187497801 | MARVIN | N/A | 30 | 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/2222/5549707/check_22913066_488872ee-08f4-489d-9541-615a5cff96fd.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-06-06 | 2026H5425001 | H5425M | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10476847584 | N/A | N/A | 5549707 | 2222 | 4801 | 23181198 | 6237 | 4219317 | 2026-04-04 00:57:58.689960 | 2025-05-13 04:29:37.230340 |
| 2026-04-03 07:13:35.538110 | 2026-04-04 00:58:09.541425 | 22913053 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22913053 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-04-06 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | 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/2222/5549317/check_22913053_bcc5d43d-aeec-40c3-8696-f707511b38ce.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847583 | N/A | N/A | 5549317 | 2222 | 4801 | 23181421 | N/A | 4219010 | 2026-04-04 00:58:09.541425 | 2026-01-09 18:32:07.618867 |
| 2026-04-03 07:13:35.436469 | 2026-04-04 00:58:34.112829 | 22913040 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22913040 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-04-06 | F | AE | DOUGLAS | 6RW0R23KU11 | HEATHER | N/A | PT | 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/2222/5548965/check_22913040_08fc9807-64c4-4071-9fa0-fa6bb3d768b6.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847582 | N/A | N/A | 5548965 | 2222 | 4802 | 23181974 | N/A | 4218725 | 2026-04-04 00:58:34.112829 | 2025-05-13 04:29:37.229715 |
| 2026-04-03 07:13:35.360243 | 2026-04-04 00:57:51.966766 | 22913027 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22913027 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-04-06 | M | AE | AKHTARI | 40045421301 | SHAHROKH | N/A | PT | 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/2222/5543493/check_22913027_a9e454a8-a300-4196-8e62-f13f3bd0d25a.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847581 | N/A | N/A | 5543493 | 2222 | 4793 | 23181071 | 6237 | 4215273 | 2026-04-04 00:57:51.966766 | 2025-05-13 04:29:37.229594 |
| 2026-04-03 07:13:35.260335 | 2026-04-04 00:57:57.345701 | 22913013 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22913013 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-04-06 | F | AD | TORRES | 40067303001 | OLGA | N/A | 30 | 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/2222/5543371/check_22913013_f97d9f69-34ed-487c-b008-2c54b204a80b.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10476847580 | N/A | N/A | 5543371 | 2222 | 4793 | 23181169 | 6237 | 4215172 | 2026-04-04 00:57:57.345701 | 2025-05-13 04:29:37.229489 |
| 2026-04-03 07:13:35.166763 | 2026-04-04 00:58:13.425708 | 22912999 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22912999 | Athletic Physical Therapy Inc | 1989-05-25 | 2026-04-06 | F | AE | BALAGHI ASEFI | 91331342H | SAMIRA | N/A | PT | 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/2222/5543363/check_22912999_43a4db77-dc00-463d-aa25-32a3eefb8c5d.json | N/A | N/A | N/A | N/A | N/A | 91331342H | N/A | N/A | HEALTH NET, LLC | N/A | 1989-05-25 | N/A | N/A | N/A | N/A | false | BALAGHI ASEFI | N/A | SAMIRA | N/A | 2026-03-31 | 2024-08-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847579 | N/A | N/A | 5543363 | 2222 | 4793 | 23181510 | 4625 | 4215163 | 2026-04-04 00:58:13.425708 | 2026-03-24 20:35:50.273384 |
| 2026-04-03 07:13:35.096086 | 2026-04-04 00:58:43.022407 | 22912984 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22912984 | Athletic Physical Therapy Inc | 2001-01-23 | 2026-04-06 | F | AE | SILVERS | 1866968 | JOIEMAY | N/A | PT | 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/2222/5543335/check_22912984_c1bc39ea-107d-4f64-a36a-44c2fbdc7139.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847578 | N/A | N/A | 5543335 | 2222 | 4802 | 23182116 | 4211 | 4215139 | 2026-04-04 00:58:43.022407 | 2025-05-13 21:20:11.455022 |
| 2026-04-03 07:13:35.039473 | 2026-04-04 00:58:05.347532 | 22912976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22912976 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-04-06 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | N/A | 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/2222/5543043/check_22912976_ba5a83f8-dafd-4a90-92a0-d92f5a719be2.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847577 | N/A | N/A | 5543043 | 2222 | 4801 | 23181324 | N/A | 4214884 | 2026-04-04 00:58:05.347532 | 2025-11-12 00:46:10.301659 |
| 2026-04-03 07:13:34.971661 | 2026-04-04 00:58:07.847412 | 22912964 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22912964 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-04-06 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | N/A | 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/2222/5542812/check_22912964_6034c99f-bcb2-45a0-9453-084407be1467.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 2026-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847576 | N/A | N/A | 5542812 | 2222 | 4801 | 23181381 | 4185 | 4214677 | 2026-04-04 00:58:07.847412 | 2026-03-18 22:35:37.752534 |
| 2026-04-03 07:13:34.904008 | 2026-04-04 00:58:15.171536 | 22912950 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22912950 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-04-06 | F | AE | WOODS | 96781627F | JESSICA | N/A | PT | 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/2222/5542752/check_22912950_4965898e-93ec-4816-a300-dfac359ce1b5.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847575 | N/A | N/A | 5542752 | 2222 | 4793 | 23181551 | 4625 | 4214627 | 2026-04-04 00:58:15.171536 | 2025-06-23 18:58:46.304598 |
| 2026-04-03 07:13:34.842075 | 2026-04-04 00:58:11.208946 | 22912943 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 22912943 | override_provider | 1972-07-22 | 2026-04-06 | M | AE | KOZMA | U9714475101 | JASON | N/A | PT | 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/2222/5542709/check_22912943_bc3040d6-3e73-4463-94b6-d494cc5fbe47.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847574 | N/A | N/A | 5542709 | 2222 | 4802 | 23181464 | N/A | 4214582 | 2026-04-04 00:58:11.208946 | 2025-12-02 00:00:04.433236 |
| 2026-04-03 07:13:34.774098 | 2026-04-04 00:58:13.774949 | 22912929 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22912929 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-04-06 | F | AE | CHERE | 98953535F | DIANA | N/A | PT | 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/2222/5542660/check_22912929_c519d41a-1211-4a51-81ca-2bcfba57e86d.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847573 | N/A | N/A | 5542660 | 2222 | 4802 | 23181516 | 4625 | 4214542 | 2026-04-04 00:58:13.774949 | 2025-05-13 04:29:37.228868 |
| 2026-04-03 07:13:34.712518 | 2026-04-04 00:58:00.751763 | 22912917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22912917 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-04-06 | F | PT | GOLDMAN | MBL801W11756 | ROBERTA | N/A | 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/2222/5542655/check_22912917_877d8450-d8a5-41c3-a5e7-41db9d21e7ea.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847572 | N/A | N/A | 5542655 | 2222 | 4802 | 23181231 | N/A | 4214541 | 2026-04-04 00:58:00.751763 | 2025-05-13 04:29:37.228867 |
| 2026-04-03 07:13:34.656292 | 2026-04-04 00:58:14.730406 | 22912908 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 22912908 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-04-06 | M | AE | MOSLEY | R02649763MM1 | MICHAEL | N/A | PT | 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/2222/5542606/check_22912908_48094e01-d24b-4fe7-b462-ece68f216e06.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2026-03-31 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847571 | N/A | N/A | 5542606 | 2222 | 4801 | 23181539 | N/A | 4214496 | 2026-04-04 00:58:14.730406 | 2025-05-13 04:29:37.228812 |
| 2026-04-03 07:13:34.593925 | 2026-04-04 00:58:43.207758 | 22912895 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22912895 | Athletic Physical Therapy Inc | 1954-09-01 | 2026-04-06 | F | AE | POURMOMEN | 1FJ2V05EW92 | MEHRI | N/A | PT | 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/2222/5542428/check_22912895_ddad3e28-3782-4711-863d-2986d6c8ce49.json | N/A | N/A | N/A | N/A | N/A | 1FJ2V05EW92 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-09-01 | H5521 | N/A | N/A | MA | false | POURMOMEN | N/A | MEHRI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847222 | N/A | N/A | 5542428 | 2222 | 4802 | 23182120 | N/A | 4214341 | 2026-04-04 00:58:43.207758 | 2026-04-01 02:58:37.438629 |
| 2026-04-03 07:13:34.438941 | 2026-04-04 00:58:35.628519 | 22912871 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22912871 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-04-06 | F | AE | HEYES | 95596436F | DARCIE | N/A | PT | 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/2222/5542233/check_22912871_d223909d-7ff3-46ab-a5ed-da5035bd62f6.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847220 | N/A | N/A | 5542233 | 2222 | 4793 | 23182003 | 4211 | 4214178 | 2026-04-04 00:58:35.628519 | 2025-05-13 04:29:37.228506 |
| 2026-04-03 07:13:34.335293 | 2026-04-04 00:58:14.071020 | 22912852 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 22912852 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-04-06 | M | AE | VLAHOVICH | 34035035 | STEVEN | N/A | PT | 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/2222/5542048/check_22912852_393ef21f-f6d5-491b-97ac-50716ef9800e.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-04-03 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847217 | N/A | N/A | 5542048 | 2222 | 4802 | 23181525 | N/A | 4214003 | 2026-04-04 00:58:14.071020 | 2025-05-13 04:29:37.228325 |
| 2026-04-03 07:13:34.272090 | 2026-04-04 00:58:17.295794 | 22912845 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22912845 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-04-06 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_22912845_f0a67724-b761-4aeb-98f1-2f63d828bfa3.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847215 | N/A | N/A | 5542014 | 2222 | 4793 | 23181599 | N/A | 4213977 | 2026-04-04 00:58:17.295794 | 2025-05-13 04:29:37.228294 |
| 2026-04-03 07:13:34.205271 | 2026-04-04 00:58:29.911784 | 22912830 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22912830 | Athletic Physical Therapy Inc | 1997-10-17 | 2026-04-06 | M | AE | ESTRADA | 181763901 | BRIAN | N/A | PT | 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/2222/5541919/check_22912830_15a0589a-fd3c-42df-ac80-6072928453d0.json | N/A | N/A | N/A | N/A | N/A | 181763901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1997-10-17 | N/A | 147378 | N/A | C1 | false | VITE ESTRADA | N/A | BRIAN | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847213 | N/A | N/A | 5541919 | 2222 | 4793 | 23181878 | 6411 | 4213898 | 2026-04-04 00:58:29.911784 | 2025-05-13 04:29:37.228212 |
| 2026-04-03 07:13:34.139117 | 2026-04-04 00:58:16.801059 | 22912818 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22912818 | Athletic Physical Therapy Inc | 1940-08-31 | 2026-04-06 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | 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/2222/5541917/check_22912818_d414aa89-fc19-4f75-9507-9015ef8c5471.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 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847212 | N/A | N/A | 5541917 | 2222 | 4793 | 23181589 | N/A | 4213891 | 2026-04-04 00:58:16.801059 | 2025-05-13 04:29:37.228207 |
| 2026-04-03 07:13:34.080315 | 2026-04-04 00:58:48.158477 | 22912809 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22912809 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-04-06 | M | PT | TESAR | V6D954A52172 | SCOTT | N/A | 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/2222/5541690/check_22912809_bac129c8-a04b-4c37-96b1-97fe4d84b337.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847211 | N/A | N/A | 5541690 | 2222 | 4801 | 23182204 | N/A | 4213669 | 2026-04-04 00:58:48.158477 | 2026-02-11 01:39:53.284479 |
| 2026-04-03 07:13:34.004792 | 2026-04-04 00:58:29.453523 | 22912794 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22912794 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-04-06 | M | AE | RUIZ | 594887901 | EDUARDO | N/A | PT | 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/2222/5539853/check_22912794_46b0f3d2-84c0-4974-949e-17c0020bd6da.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10476847210 | N/A | N/A | 5539853 | 2222 | 4801 | 23181865 | 6411 | 4212098 | 2026-04-04 00:58:29.453523 | 2025-05-13 04:29:37.226429 |
| 2026-04-03 07:13:33.934552 | 2026-04-04 00:58:06.731235 | 22912782 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22912782 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-04-06 | F | PT | JOHNSON | JQS766M90611 | JANET | N/A | 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/2222/5539188/check_22912782_8aba88cf-8802-4feb-bf38-a878fc93f248.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10476847209 | N/A | N/A | 5539188 | 2222 | 4801 | 23181356 | 4185 | 4211521 | 2026-04-04 00:58:06.731235 | 2025-10-19 23:43:25.603984 |