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 | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-28 09:05:03.692452 | 2025-06-29 02:10:04.073993 | 9321501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9321501 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-07-01 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.120513031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_9321501_5f24ea39-fe34-4034-8f77-b2f4b803b9eb.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090528263 | N/A | N/A | 5539665 | 2222 | 4793 | 9052386 | N/A | 4211935 | 2025-06-29 02:10:04.073993 | 2025-05-13 04:29:37.226259 |
| 2025-06-28 09:05:02.942846 | 2025-06-29 02:11:03.071085 | 9321489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9321489 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-07-01 | F | AE | MIYATA | XEM904724382 | LARAINE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.120513031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_9321489_ecf732e9-1ef3-48b6-9e69-c639d33d79a5.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090528262 | N/A | N/A | 5537630 | 2222 | 4802 | 9053530 | N/A | 4210159 | 2025-06-29 02:11:03.071085 | 2025-05-13 04:29:37.224576 |
| 2025-06-28 09:05:02.381514 | 2025-06-29 02:11:02.057908 | 9321482 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9321482 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-01 | M | AE | EGGLETON | XEM090112120 | PAUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.120513031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9321482_69bd5b77-693d-4fdc-ae64-de77c16c23e7.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090528261 | N/A | N/A | 5536871 | 2222 | 4801 | 9053510 | N/A | 4209543 | 2025-06-29 02:11:02.057908 | 2025-06-18 17:33:51.700160 |
| 2025-06-28 09:04:51.108595 | 2025-06-29 02:06:40.676329 | 9321207 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9321207 | Athletic Physical Therapy Inc | 1952-08-05 | 2025-07-01 | F | AE | WOOTEN | 40041245701 | GAYLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_9321207_8a7ed8fc-c31b-465b-985b-8f5dd51f23d0.json | N/A | N/A | N/A | N/A | N/A | 40041245701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-08-05 | N/A | N/A | N/A | N/A | false | WOOTEN | N/A | GAYLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447731 | N/A | N/A | 5551018 | 2222 | 4801 | 9049258 | N/A | 4219841 | 2025-06-29 02:06:40.676329 | 2025-05-13 04:29:37.230890 |
| 2025-06-28 09:04:50.893761 | 2025-06-29 02:06:46.346883 | 9321198 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9321198 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-07-01 | F | PT | PALACIOS | JMV542W2270020 | JASMIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_9321198_c0e7fd61-a4c5-47a2-8262-172dcde6f3cd.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447730 | N/A | N/A | 5551010 | 2222 | 4802 | 9049333 | N/A | 4219831 | 2025-06-29 02:06:46.346883 | 2025-05-13 04:29:37.230876 |
| 2025-06-28 09:04:50.743281 | 2025-06-29 02:13:47.809601 | 9321195 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9321195 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-07-01 | F | PT | GILBERT | JPU461A71640 | SHERRI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_9321195_a7bc96a1-9dc8-4047-942d-47e26fee19d2.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447729 | N/A | N/A | 5550973 | 2222 | 4793 | 9055755 | N/A | 4219803 | 2025-06-29 02:13:47.809601 | 2025-05-13 04:29:37.230842 |
| 2025-06-28 09:04:50.535965 | 2025-06-29 02:20:00.073579 | 9321190 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9321190 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-07-01 | F | AE | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_9321190_632df07c-740c-434c-9941-490667556cbf.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MA | false | SCHLEIKORN | N/A | MARIETTE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447728 | N/A | N/A | 5550958 | 2222 | 4793 | 9060716 | N/A | 4219792 | 2025-06-29 02:20:00.073579 | 2025-05-13 04:29:37.230832 |
| 2025-06-28 09:04:50.404778 | 2025-06-29 02:19:57.790206 | 9321185 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9321185 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-07-01 | F | AE | LINDSEY | 5NM0ND0FT32 | CHRISTIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550951/check_9321185_1e0b6d94-d21f-4ddc-b69d-d1f7b0321e2a.json | N/A | N/A | N/A | N/A | N/A | 5NM0ND0FT32 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-24 | S4802 | N/A | N/A | MA | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447727 | N/A | N/A | 5550951 | 2222 | 4801 | 9060692 | N/A | 4219787 | 2025-06-29 02:19:57.790206 | 2025-05-13 04:29:37.230828 |
| 2025-06-28 09:04:50.279262 | 2025-06-29 02:13:49.417747 | 9321181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9321181 | Athletic Physical Therapy Inc | 1966-03-05 | 2025-07-01 | M | PT | MICHIELSEN | XDP726A24389 | PIETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550926/check_9321181_8ef6ed4e-b29a-4cf7-a39e-aa0114929492.json | N/A | N/A | N/A | N/A | N/A | XDP726A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1966-03-05 | 040 | 275928M001 | N/A | PR | false | MICHIELSEN | N/A | PIETER | N/A | 9999-12-31 | 2022-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447726 | N/A | N/A | 5550926 | 2222 | 4801 | 9055774 | N/A | 4219768 | 2025-06-29 02:13:49.417747 | 2025-05-13 04:29:37.230809 |
| 2025-06-28 09:04:50.110741 | 2025-06-29 02:13:52.986161 | 9321173 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9321173 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-07-01 | F | PT | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_9321173_3cbedda1-d51d-42bd-8c07-9327564be1f2.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447725 | N/A | N/A | 5550923 | 2222 | 4801 | 9055836 | N/A | 4219763 | 2025-06-29 02:13:52.986161 | 2025-05-13 04:29:37.230804 |
| 2025-06-28 09:04:49.924219 | 2025-06-29 02:19:53.354635 | 9321169 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9321169 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-07-01 | F | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_9321169_c7d89587-b45f-4cdd-bc8f-8193668d6817.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447724 | N/A | N/A | 5550896 | 2222 | 4793 | 9060626 | N/A | 4219750 | 2025-06-29 02:19:53.354635 | 2025-06-06 02:15:39.377685 |
| 2025-06-28 09:04:49.831740 | 2025-06-29 02:08:22.307369 | 9321166 | N/A | N/A | 60054 | Aetna | 1114042165 | 9321166 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-07-01 | M | AE | OCHOA | W263373040 | JACK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_9321166_d1a8ee69-e4aa-4cf8-979b-5fa70c5cf43e.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447723 | N/A | N/A | 5550823 | 2222 | 4801 | 9050851 | N/A | 4219698 | 2025-06-29 02:08:22.307369 | 2025-05-13 04:29:37.230743 |
| 2025-06-28 09:04:49.696166 | 2025-06-29 02:06:45.810664 | 9321162 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9321162 | Athletic Physical Therapy Inc | 1982-11-09 | 2025-07-01 | M | PT | JOHNSON | XEH907100980 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550815/check_9321162_c2022d07-0740-4f43-959f-459d02e91022.json | N/A | N/A | N/A | N/A | N/A | XEH907100980 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-11-09 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447722 | N/A | N/A | 5550815 | 2222 | 4801 | 9049323 | N/A | 4219693 | 2025-06-29 02:06:45.810664 | 2025-05-13 04:29:37.230738 |
| 2025-06-28 09:04:49.574982 | 2025-06-29 02:19:58.409327 | 9321156 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9321156 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-07-01 | F | AE | MARTIN | 5YV3RT3TA75 | DOLLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_9321156_24d8f002-98e7-492e-b520-d2c38bcd4d60.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447721 | N/A | N/A | 5550797 | 2222 | 4793 | 9060699 | N/A | 4219681 | 2025-06-29 02:19:58.409327 | 2026-01-14 20:54:02.193776 |
| 2025-06-28 09:04:49.447351 | 2025-06-29 02:13:13.756716 | 9321152 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9321152 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-07-01 | M | AE | ARUJO | 00000223568 | RAMON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_9321152_787fa1bd-1b50-4306-a91f-15dd18e7b302.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | 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 | 8090447720 | N/A | N/A | 5550751 | 2222 | 4801 | 9055340 | 2630 | 4219640 | 2025-06-29 02:13:13.756716 | 2025-05-13 04:29:37.230682 |
| 2025-06-28 09:04:49.291935 | 2025-06-29 02:19:52.618992 | 9321144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9321144 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-07-01 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_9321144_a78dbb54-2816-4cd6-8f3b-cc2973f28b64.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 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447719 | N/A | N/A | 5550534 | 2222 | 4801 | 9060618 | N/A | 4219556 | 2025-06-29 02:19:52.618992 | 2025-05-13 04:29:37.230592 |
| 2025-06-28 09:04:49.107196 | 2025-06-29 02:13:46.495667 | 9321139 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9321139 | Athletic Physical Therapy Inc | 1983-08-30 | 2025-07-01 | F | PT | COOPER | NCF583A24290 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550450/check_9321139_9306834a-2ee0-439a-8a34-43a2bddbae61.json | N/A | N/A | N/A | N/A | N/A | NCF583A24290 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1983-08-30 | 040 | 57ADZG | N/A | HM | false | COOPER | N/A | JENNIFER | N/A | 9999-12-31 | 2014-08-01 | HMO CEDARS SINAI ONLY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447718 | N/A | N/A | 5550450 | 2222 | 4793 | 9055737 | N/A | 4219541 | 2025-06-29 02:13:46.495667 | 2025-05-13 04:29:37.230577 |
| 2025-06-28 09:04:48.797247 | 2025-06-29 02:19:56.049811 | 9321127 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9321127 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-07-01 | F | AE | JOEL | 9TY9VF4DK26 | CANDACE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_9321127_63fbd672-03bf-407a-8795-b365b7463e0a.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447717 | N/A | N/A | 5550243 | 2222 | 4801 | 9060662 | N/A | 4212766 | 2025-06-29 02:19:56.049811 | 2025-05-13 04:29:37.227101 |
| 2025-06-28 09:04:48.203771 | 2025-06-29 02:13:52.584212 | 9321108 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9321108 | Athletic Physical Therapy Inc | 2009-10-30 | 2025-07-01 | M | PT | BARKWILL | CPR200A54741 | LIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549480/check_9321108_0afff592-702e-43e5-bd61-4b12751ee4d6.json | N/A | N/A | N/A | N/A | N/A | CPR200A54741 | N/A | CALPERS PERS PLATINUM STATE ACTIVES CA | ANTHEM BLUE CROSS | N/A | 2009-10-30 | 040 | BB010A | N/A | N/A | false | VALDEZ-BARKWILL | N/A | MARY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447716 | N/A | N/A | 5549480 | 2222 | 4801 | 9055827 | N/A | 4219135 | 2025-06-29 02:13:52.584212 | 2025-05-13 04:29:37.230152 |
| 2025-06-28 09:04:47.837979 | 2025-06-29 02:06:37.001324 | 9321101 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9321101 | Athletic Physical Therapy Inc | 1948-01-29 | 2025-07-01 | F | PT | BOWLDS | 31193263001 | BARBARA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549002/check_9321101_61d74655-d8ed-45f1-ad1f-ccd7568a4629.json | N/A | N/A | N/A | N/A | N/A | 31193263001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-29 | N/A | N/A | N/A | N/A | false | BOWLDS | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8090447715 | N/A | N/A | 5549002 | 2222 | 4801 | 9049216 | N/A | 4218753 | 2025-06-29 02:06:37.001324 | 2025-05-13 04:29:37.229745 |
| 2025-06-28 09:04:41.978145 | 2025-06-29 02:13:51.630962 | 9320910 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320910 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-07-01 | F | PT | SCHULMAN | XDP423M94945 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_9320910_3ee75423-28f6-42fb-be6b-20217f6b8a2b.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MK16 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447518 | N/A | N/A | 5543362 | 2222 | 4793 | 9055812 | N/A | 4215155 | 2025-06-29 02:13:51.630962 | 2025-05-13 04:29:37.229472 |
| 2025-06-28 09:04:41.825850 | 2025-06-29 02:19:57.296944 | 9320903 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9320903 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-07-01 | F | AE | LANGINGER | 8T45CA9CE85 | BARBARA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_9320903_9acacf39-93fd-42a0-92b1-b3c1705a6dd1.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MA | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447517 | N/A | N/A | 5543302 | 2222 | 4793 | 9060685 | N/A | 4215107 | 2025-06-29 02:19:57.296944 | 2025-05-13 04:29:37.229419 |
| 2025-06-28 09:04:41.671144 | 2025-06-29 02:14:53.252446 | 9320898 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9320898 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-07-01 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9320898_5ca69106-baad-414d-8de1-79094045f81d.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 9999-12-31 | 2021-07-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447516 | N/A | N/A | 5543237 | 2222 | 4802 | 9056716 | N/A | 4215054 | 2025-06-29 02:14:53.252446 | 2025-05-13 04:29:37.229375 |
| 2025-06-28 09:04:41.504874 | 2025-06-29 02:19:56.469942 | 9320892 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9320892 | Athletic Physical Therapy Inc | 1948-07-16 | 2025-07-01 | M | AE | KANDELA | 6J42U95NP24 | IMAD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543177/check_9320892_2df57150-9e8e-4604-9630-239ce5953fce.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447515 | N/A | N/A | 5543177 | 2222 | 4793 | 9060670 | N/A | 4215003 | 2025-06-29 02:19:56.469942 | 2025-05-13 04:29:37.229322 |
| 2025-06-28 09:04:41.327370 | 2025-06-29 02:10:31.482963 | 9320885 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9320885 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-06-30 | F | AE | FERRERAS | U6570615702 | PATRICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_9320885_c8a5f5f3-b3f3-4be1-91c0-89e4e75e649c.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 | 8090447514 | N/A | N/A | 5543171 | 2222 | 4793 | 9052912 | N/A | 4214998 | 2025-06-29 02:10:31.482963 | 2025-05-13 04:29:37.229318 |
| 2025-06-28 09:04:41.122638 | 2025-06-29 02:13:44.081684 | 9320876 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320876 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-07-01 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_9320876_51b7f260-a9c0-4cd6-9022-52bd37611834.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 2025-08-01 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447513 | N/A | N/A | 5543161 | 2222 | 4793 | 9055709 | N/A | 4214989 | 2025-06-29 02:13:44.081684 | 2025-05-13 04:29:37.229310 |
| 2025-06-28 09:04:40.842413 | 2025-06-29 02:13:48.655441 | 9320867 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320867 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-07-01 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_9320867_f21ff442-1d2b-4f95-9572-b75011116506.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 | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447512 | N/A | N/A | 5543043 | 2222 | 4801 | 9055763 | N/A | 4214884 | 2025-06-29 02:13:48.655441 | 2025-11-12 00:46:10.301659 |
| 2025-06-28 09:04:40.698550 | 2025-06-29 02:14:51.655822 | 9320860 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9320860 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-07-01 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_9320860_5c4fb952-8204-4d65-a05c-c5c08aaaa90b.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447511 | N/A | N/A | 5542952 | 2222 | 4802 | 9056694 | N/A | 4214804 | 2025-06-29 02:14:51.655822 | 2025-05-13 20:09:53.786482 |
| 2025-06-28 09:04:40.568639 | 2025-06-29 02:14:52.311249 | 9320855 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9320855 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-07-01 | M | PT | MATTHEWS | KTP903824736 | LARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_9320855_ce7fd01a-680b-4a36-be19-d75dc234adb2.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447510 | N/A | N/A | 5542899 | 2222 | 4793 | 9056703 | N/A | 4214758 | 2025-06-29 02:14:52.311249 | 2025-05-13 04:29:37.229078 |
| 2025-06-28 09:04:40.398541 | 2025-06-29 02:08:21.945301 | 9320848 | N/A | N/A | 60054 | Aetna | 1114042165 | 9320848 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-07-01 | M | AE | KORY | 102161581800 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_9320848_67162d19-2f3d-4cf3-a577-4fadcec2f0c8.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447509 | N/A | N/A | 5542870 | 2222 | 4793 | 9050845 | N/A | 4214732 | 2025-06-29 02:08:21.945301 | 2025-06-24 20:13:53.579048 |
| 2025-06-28 09:04:40.195562 | 2025-06-29 02:13:51.002890 | 9320837 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320837 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-07-01 | M | PT | GARCIA | FJB21294792M | STARR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9320837_4880bfb2-d167-467c-b842-272e2373e390.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447508 | N/A | N/A | 5542769 | 2222 | 4801 | 9055801 | N/A | 4214641 | 2025-06-29 02:13:51.002890 | 2025-12-09 08:50:02.875071 |
| 2025-06-28 09:04:40.099644 | 2025-06-29 02:06:37.759241 | 9320834 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9320834 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-07-01 | F | AE | CHERE | 98953535F | DIANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9320834_bf876e3f-bf99-4d6f-a203-fb2819d7f666.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447507 | N/A | N/A | 5542660 | 2222 | 4802 | 9049225 | N/A | 4214542 | 2025-06-29 02:06:37.759241 | 2025-05-13 04:29:37.228868 |
| 2025-06-28 09:04:39.981181 | 2025-06-29 02:13:20.867951 | 9320831 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 9320831 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-07-01 | F | AE | CAPISTANO | 98696372G | FERDELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9320831_6ac1f7c6-d6d3-400f-a136-e7ab0bc42874.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447506 | N/A | N/A | 5542513 | 2222 | 4793 | 9055424 | N/A | 4214418 | 2025-06-29 02:13:20.867951 | 2025-07-03 18:12:11.075357 |
| 2025-06-28 09:04:39.833674 | 2025-06-29 02:14:51.085514 | 9320825 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9320825 | Athletic Physical Therapy Inc | 1989-12-04 | 2025-07-01 | M | PT | HUYNH | XEA911095759 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542472/check_9320825_8f3c92ad-f3c9-4686-942e-ca0d77322d55.json | N/A | N/A | N/A | N/A | N/A | XEA911095759 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1989-12-04 | 1000PPOX0001 | W0067449 | N/A | PR | false | HUYNH | N/A | CHRISTOPHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447505 | N/A | N/A | 5542472 | 2222 | 4801 | 9056686 | N/A | 4214383 | 2025-06-29 02:14:51.085514 | 2025-05-13 04:29:37.228709 |
| 2025-06-28 09:04:39.649526 | 2025-06-29 02:08:22.729944 | 9320818 | N/A | N/A | 60054 | Aetna | 1114042165 | 9320818 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-07-01 | M | AE | SAMUELS | W289332071 | ZACHARY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_9320818_2599ac88-dee6-4a10-a8e9-bc6921359813.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447504 | N/A | N/A | 5542467 | 2222 | 4802 | 9050857 | N/A | 4214379 | 2025-06-29 02:08:22.729944 | 2025-05-13 04:29:37.228706 |
| 2025-06-28 09:04:39.502213 | 2025-06-29 02:06:43.141990 | 9320812 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9320812 | Athletic Physical Therapy Inc | 1940-12-23 | 2025-07-01 | M | PT | BUI | JQ556M78105 | KHIET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9320812_60d26fdf-e00a-4ab9-83b3-384795249c26.json | N/A | N/A | N/A | N/A | N/A | JQ556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447503 | N/A | N/A | 5542429 | 2222 | 4793 | 9049290 | N/A | 4214340 | 2025-06-29 02:06:43.141990 | 2025-06-16 23:14:10.518236 |
| 2025-06-28 09:04:39.304587 | 2025-06-29 02:13:52.138026 | 9320804 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320804 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-07-01 | F | PT | UTLEY | MBL209M95251 | SHERIDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_9320804_6752c94d-7a99-4382-9c0d-4138facc098f.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447502 | N/A | N/A | 5542387 | 2222 | 4801 | 9055819 | N/A | 4214300 | 2025-06-29 02:13:52.138026 | 2025-06-17 13:03:57.252701 |
| 2025-06-28 09:04:39.065769 | 2025-06-29 02:19:54.364656 | 9320796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9320796 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-07-01 | F | AE | FRANK | 6C06N65FN89 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542263/check_9320796_0d4bb556-7a57-4ad1-a78f-9e59fdf2f760.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MA | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447501 | N/A | N/A | 5542263 | 2222 | 4802 | 9060639 | N/A | 4214201 | 2025-06-29 02:19:54.364656 | 2025-05-13 04:29:37.228535 |
| 2025-06-28 09:04:38.970979 | 2025-06-29 02:06:44.736502 | 9320792 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9320792 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | PT | GARCIA | 666A55608320 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9320792_dc460241-450f-4c8c-ba10-5c80391f8cfd.json | N/A | N/A | N/A | N/A | N/A | 666A55608320 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447500 | N/A | N/A | 5541664 | 2222 | 4793 | 9049305 | N/A | 4213662 | 2025-06-29 02:06:44.736502 | 2025-05-13 04:29:37.227982 |
| 2025-06-28 09:04:38.869611 | 2025-06-29 02:10:31.857042 | 9320788 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9320788 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-07-01 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_9320788_ff2db4f2-c8e6-4e22-bf29-b2ee5f0975e2.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8090447499 | N/A | N/A | 5541552 | 2222 | 4802 | 9052918 | N/A | 4213562 | 2025-06-29 02:10:31.857042 | 2025-05-13 04:29:37.227895 |
| 2025-06-28 09:04:38.714912 | 2025-06-29 02:06:38.396590 | 9320784 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9320784 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-07-01 | M | PT | FARAHMAND | 91957675E | ALEX | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_9320784_6449b897-c460-42de-a682-ed5d1ce86238.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8090447498 | N/A | N/A | 5541163 | 2222 | 4802 | 9049234 | N/A | 4213207 | 2025-06-29 02:06:38.396590 | 2025-05-13 04:29:37.227536 |
| 2025-06-28 09:04:38.595118 | 2025-06-29 02:19:56.863116 | 9320778 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9320778 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-07-01 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_9320778_720293ed-4c1d-4b22-b406-b1c3e1abb062.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447497 | N/A | N/A | 5540768 | 2222 | 4802 | 9060678 | N/A | 4212856 | 2025-06-29 02:19:56.863116 | 2025-08-04 18:33:35.319989 |
| 2025-06-28 09:04:38.529518 | 2025-06-29 02:15:06.638774 | 9320774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9320774 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-07-01 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125553092.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_9320774_cfc377f3-b765-44b3-9376-c1880534d80b.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090450521 | N/A | N/A | 5928752 | 2222 | 4802 | 9056906 | N/A | 4583701 | 2025-06-29 02:15:06.638774 | 2025-07-24 17:50:11.805587 |
| 2025-06-28 09:04:38.365217 | 2025-06-29 02:06:43.929292 | 9320768 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9320768 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-07-01 | M | AE | DEANS | U5981746801 | PHIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_9320768_1d5c4ba0-5da9-436e-9be5-29d1db088b69.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447496 | N/A | N/A | 5540446 | 2222 | 4793 | 9049297 | N/A | 4212605 | 2025-06-29 02:06:43.929292 | 2025-05-13 04:29:37.226953 |
| 2025-06-28 09:04:38.200675 | 2025-06-29 02:06:38.986685 | 9320765 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9320765 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-07-01 | M | AE | HERMAN | 95836743G | BRETT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9320765_2a89a0ec-eb2b-40a7-9205-be6428e2277c.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447495 | N/A | N/A | 5540113 | 2222 | 4801 | 9049241 | N/A | 4212315 | 2025-06-29 02:06:38.986685 | 2025-12-29 21:20:15.158611 |
| 2025-06-28 09:04:37.861770 | 2025-06-29 02:13:45.726304 | 9320755 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320755 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-07-01 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_9320755_d1e8a30d-7c58-4c68-a50f-374dff77023f.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 8090447494 | N/A | N/A | 5540074 | 2222 | 4802 | 9055728 | N/A | 4212282 | 2025-06-29 02:13:45.726304 | 2025-05-13 04:29:37.226623 |
| 2025-06-28 09:04:37.660712 | 2025-06-29 02:06:45.335309 | 9320748 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9320748 | Athletic Physical Therapy Inc | 1957-04-05 | 2025-07-01 | M | PT | GHAFFARI | XEE980566737 | HAMID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540041/check_9320748_4d551847-8c72-45c4-a171-3ba934668ebf.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8090447492 | N/A | N/A | 5540041 | 2222 | 4802 | 9049316 | N/A | 4212255 | 2025-06-29 02:06:45.335309 | 2025-05-13 04:29:37.226591 |
| 2025-06-28 09:04:37.512487 | 2025-06-29 02:06:40.007390 | 9320744 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9320744 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-07-01 | F | AE | WENSEL | 40065419401 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9320744_0082b77f-d143-48ac-8a14-912e9569ae3c.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8090447491 | N/A | N/A | 5539718 | 2222 | 4793 | 9049250 | N/A | 4211977 | 2025-06-29 02:06:40.007390 | 2025-05-13 04:29:37.226299 |
| 2025-06-28 09:04:37.397411 | 2025-06-29 02:13:47.152432 | 9320740 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9320740 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-07-01 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_9320740_83382157-4899-4fb5-9148-87bbefa72754.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8090447490 | N/A | N/A | 5539664 | 2222 | 4793 | 9055747 | N/A | 4211935 | 2025-06-29 02:13:47.152432 | 2025-05-13 04:29:37.226259 |
| 2025-06-28 09:04:37.291410 | 2025-06-29 02:13:15.649732 | 9320737 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9320737 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-07-01 | M | AE | SULLIVAN | 00000375700 | STEVEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250628.125530658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9320737_0a196d20-90be-4e8c-8d2e-3accf70e5d45.json | N/A | N/A | N/A | N/A | N/A | 00000375700 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1956-11-11 | H3815028 | N/A | N/A | HM | false | SULLIVAN | N/A | STEVEN | 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 | 8090447489 | N/A | N/A | 5539569 | 2222 | 4801 | 9055365 | 2630 | 4211851 | 2025-06-29 02:13:15.649732 | 2025-06-25 18:38:39.189571 |