API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-31 07:19:40.156957 | 2026-04-01 00:42:39.524049 | 22480421 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22480421 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-04-01 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_22480421_13e95848-860a-4b51-b6de-0df77e523569.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071995 | N/A | N/A | 17744755 | 2222 | 4802 | 22698462 | 4211 | 4213934 | 2026-04-01 00:42:39.524049 | 2026-01-27 23:36:44.802366 |
| 2026-03-31 07:19:40.146347 | 2026-03-31 07:19:45.990583 | 22480420 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-03-12 | 2026-03-31 | F | AE | PT | Mathews | W291493622 | Suzanne | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18651871/check_22480420_051a330c-0cd6-4168-8b05-b946d99f53de.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18651871/check_22480420_c1c8c33b-b4ab-4d1d-9a23-dad52286148f.json | N/A | N/A | N/A | N/A | N/A | W291493622 | Point of Service (POS) | CONTRACEPTIVE SERVICES PAYMENT PROG | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | 1965-03-12 | 0865224 | 086522405000004 | N/A | PS | false | MATHEWS | N/A | SUE | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057243 | N/A | N/A | 18651871 | 2222 | N/A | 22598572 | N/A | 16651099 | 2026-03-31 07:19:45.990583 | 2026-03-25 17:36:49.098084 |
| 2026-03-31 07:19:40.074728 | 2026-03-31 07:19:42.145879 | 22480410 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-04-08 | 2026-03-31 | M | AE | PT | Rogers | 1A97G47KT42 | Victor | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18647667/check_22480410_92ef28d5-b18d-460b-828b-d8d78e3b66b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18647667/check_22480410_5c378d1a-da68-4a07-8b44-26c3f32492fe.json | N/A | N/A | N/A | N/A | N/A | 1A97G47KT42 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-04-08 | S4802 | N/A | N/A | MA | false | ROGERS | N/A | VICTOR | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057235 | N/A | N/A | 18647667 | 2222 | N/A | 22598535 | N/A | 16646727 | 2026-03-31 07:19:42.145879 | 2026-03-25 16:17:34.450358 |
| 2026-03-31 07:19:40.015414 | 2026-03-31 07:19:41.938413 | 22480405 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-04-30 | 2026-03-31 | F | AE | PT | Anderson | 0016196311 | Janice | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18599106/check_22480405_1c9805e2-627e-4b28-8022-1266829a6f35.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | N/A | N/A | N/A | N/A | N/A | N/A | 0016196311 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-04-30 | N/A | N/A | N/A | N/A | false | ANDERSON | N/A | JANICE | 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 | N/A | N/A | N/A | 18599106 | 2222 | N/A | N/A | N/A | 16601576 | 2026-03-31 07:19:41.938413 | 2026-03-24 19:40:50.353536 |
| 2026-03-31 07:19:39.983905 | 2026-04-01 00:49:25.718506 | 22480396 | N/A | N/A | 60054 | Aetna | 1114042165 | 22480396 | Athletic Physical Therapy Inc | 1966-02-10 | 2026-04-02 | F | AE | PT | Kaur | 102258428900 | SARANJIT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_22480396_a74ba27b-bd91-4079-8cc3-6d1daba7fc70.json | N/A | N/A | N/A | N/A | N/A | 102258428900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1966-02-10 | 000003-CA000027 | 000003-CA | N/A | QM | false | KAUR | N/A | SARANJIT | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071994 | N/A | N/A | 17736385 | 2222 | 4801 | 22701382 | N/A | 15497513 | 2026-04-01 00:49:25.718506 | 2026-03-06 21:33:02.751048 |
| 2026-03-31 07:19:39.888074 | 2026-03-31 07:19:43.763557 | 22480389 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-12 | 2026-03-31 | M | PT | N/A | NEWELL | ZYF732W01310 | MICHAEL | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18463761/check_22480389_355977eb-7ce5-4118-b7f0-5eb811b4ae88.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18463761/check_22480389_f094e5f5-bccf-48ef-ac07-7dbd58f4d1fb.json | N/A | N/A | N/A | N/A | N/A | ZYF732W01310 | Preferred Provider Organization (PPO) | EXCHANGE | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 174262M2A1 | N/A | PR | false | NEWELL | N/A | MICHAEL | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057230 | N/A | N/A | 18463761 | 2222 | N/A | 22598537 | N/A | 16464098 | 2026-03-31 07:19:43.763557 | 2026-03-26 20:02:27.019059 |
| 2026-03-31 07:19:39.877735 | 2026-03-31 07:19:46.904955 | 22480387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-05-07 | 2026-03-31 | F | PT | N/A | BELLI | BLI912524527 | ZULAY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18538986/check_22480387_aac50796-fc58-427e-bf76-ed5b6f4d957e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538986/check_22480387_bc68f624-80aa-44e6-b6e7-5a206e60316a.json | N/A | N/A | N/A | N/A | N/A | BLI912524527 | Preferred Provider Organization (PPO) | BLACKLINE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1982-05-07 | 1000PPOX0002 | W8002402 | N/A | PR | false | BELLI | N/A | ZULAY | N/A | N/A | N/A | BLACKLINE SYSTEMS INC PPO SAVINGS TWO TIER EMBED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057227 | N/A | N/A | 18538986 | 2222 | N/A | 22598579 | N/A | 16541051 | 2026-03-31 07:19:46.904955 | 2026-03-25 15:36:01.212139 |
| 2026-03-31 07:19:39.840196 | 2026-03-31 07:19:41.648223 | 22480381 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-31 | 2026-03-31 | F | AE | PT | LARA | 629957136 | LYZBETH | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18561509/check_22480381_4ba249af-0a7e-4e1e-9d09-5f691d7fc2c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18561509/check_22480381_d3f77d16-9574-47b4-a9c8-59fa6860b364.json | N/A | N/A | N/A | N/A | N/A | 629957136 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1990-12-13 | LACC | 92815CA001000701 | N/A | N/A | false | LARA | N/A | LYZBETH | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057222 | N/A | N/A | 18561509 | 2222 | N/A | 22598530 | N/A | 16563738 | 2026-03-31 07:19:41.648223 | 2026-03-31 15:29:05.371944 |
| 2026-03-31 07:19:39.800140 | 2026-04-01 01:39:22.413382 | 22480375 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22480375 | Athletic Physical Therapy Inc | 1941-08-29 | 2026-04-02 | M | PT | N/A | Parker | JQE625A51570 | james | Alan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17729464/check_22480375_2f56e20c-79bc-4f36-9bb9-b72b90fc4433.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435071993 | N/A | N/A | 17729464 | 2222 | 4801 | 22717191 | N/A | 15775532 | 2026-04-01 01:39:22.413382 | 2026-03-06 21:09:06.720810 |
| 2026-03-31 07:19:39.757403 | 2026-03-31 07:19:42.274954 | 22480370 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-26 | 2026-03-31 | M | AE | PT | O NEILL | 3VD0U34GW90 | THOMAS | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18472576/check_22480370_db6f25e4-d29a-41ed-8741-6e6ccbbaa34e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_22480370_9b4abc42-afee-4e14-a67a-b57b63ef3ab9.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MB | false | O'NEILL | N/A | THOMAS | 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 | 10435057224 | N/A | N/A | 18472576 | 2222 | N/A | 22598532 | N/A | 16472791 | 2026-03-31 07:19:42.274954 | 2026-03-20 22:44:48.876499 |
| 2026-03-31 07:19:39.710793 | 2026-04-01 01:39:32.976461 | 22480363 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22480363 | Athletic Physical Therapy Inc | 1996-07-03 | 2026-04-01 | F | PT | N/A | QUEVEDO LOPEZ | NCF527W21105 | HELEN | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17661870/check_22480363_dccbba0d-4778-4330-9e8a-e4b1d2092c0b.json | N/A | N/A | N/A | N/A | N/A | NCF527W21105 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1996-07-03 | 040 | 57AJCA | N/A | HM | false | QUEVEDO LOPEZ | N/A | HELEN | N/A | 9999-12-31 | 2024-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435071992 | N/A | N/A | 17661870 | 2222 | 4801 | 22717219 | 4185 | 15706393 | 2026-04-01 01:39:32.976461 | 2026-03-16 23:28:54.267659 |
| 2026-03-31 07:19:39.574713 | 2026-04-01 01:36:10.873882 | 22480352 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22480352 | Athletic Physical Therapy Inc | 1958-04-28 | 2026-04-01 | F | PT | N/A | Chalquest | JQW812W16348 | Christine | E | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_22480352_38e68a91-e112-4c0e-b1c5-81092e0b18cd.json | N/A | N/A | N/A | N/A | N/A | JQW812W16348 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-04-28 | 040 | CAMCRWP0 | N/A | MP | false | CHALQUEST | N/A | CHRISTINE | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435071991 | N/A | N/A | 17660872 | 2222 | 4801 | 22716699 | N/A | 15705146 | 2026-04-01 01:36:10.873882 | 2026-03-05 22:44:33.989062 |
| 2026-03-31 07:19:39.522478 | 2026-03-31 07:19:42.490880 | 22480342 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-02-05 | 2026-03-31 | F | AE | PT | Hipp | 000021264656 | Zoe | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386550/check_22480342_b8ab70dc-2aed-431c-908e-38b4e2dc1ad4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_22480342_99a761a0-33ef-4c07-a00c-52b6e26d2b5c.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057209 | N/A | N/A | 18386550 | 2222 | N/A | 22598536 | N/A | 16392592 | 2026-03-31 07:19:42.490880 | 2026-03-19 17:35:27.889788 |
| 2026-03-31 07:19:39.517913 | 2026-03-31 07:19:41.277648 | 22480341 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-01-03 | 2026-03-31 | M | AE | PT | JACOBS | 909763451 | JESSE | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18407669/check_22480341_492751aa-cd72-45cb-a6a6-bfb4b77c7649.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_22480341_69c3903a-a892-4bd5-ad78-c84e3c6274a8.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057198 | N/A | N/A | 18407669 | 2222 | N/A | 22598524 | N/A | 16411150 | 2026-03-31 07:19:41.277648 | 2026-03-20 21:53:00.475363 |
| 2026-03-31 07:19:39.498302 | 2026-04-01 00:58:37.816216 | 22480339 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 22480339 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-01 | F | AE | PT | HILL | H96403611 | KAREN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_22480339_f4a431b4-6c82-4c7e-aacb-f13da605002c.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071990 | N/A | N/A | 17641125 | 2222 | 4793 | 22705187 | N/A | 4213760 | 2026-04-01 00:58:37.816216 | 2026-03-23 22:17:45.263893 |
| 2026-03-31 07:19:39.400584 | 2026-04-01 00:59:16.016030 | 22480326 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22480326 | Athletic Physical Therapy Inc | 1954-02-10 | 2026-04-02 | F | AE | PT | SHARMA | H74807838 | MONIKA | Sarin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_22480326_206c6331-3ea1-4f7e-8e48-50ede5a69110.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071989 | N/A | N/A | 17636010 | 2222 | 4801 | 22705448 | 5349 | 10330803 | 2026-04-01 00:59:16.016030 | 2025-11-03 22:25:23.404066 |
| 2026-03-31 07:19:39.292815 | 2026-04-01 01:23:31.059335 | 22480315 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22480315 | Athletic Physical Therapy Inc | 1981-07-18 | 2026-04-01 | F | AE | PT | Peterson | 000022138564 | Kimberly | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_22480315_923a05bd-bf89-4053-a86e-6f68da954d64.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071988 | N/A | N/A | 17598240 | 2222 | 4802 | 22713662 | N/A | 15645175 | 2026-04-01 01:23:31.059335 | 2026-03-04 21:28:46.922129 |
| 2026-03-31 07:19:39.195994 | 2026-04-01 01:23:25.411850 | 22480303 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22480303 | Athletic Physical Therapy Inc | 1987-08-15 | 2026-04-02 | F | AE | PT | Patel | 000017203177 | Rutvi | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17597372/check_22480303_c4c65436-83d2-44bb-a1b2-8e61cf8171e8.json | N/A | N/A | N/A | N/A | N/A | 000017203177 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-15 | 4391123 | 101869 | N/A | N/A | false | PATEL | N/A | RUTVI | N/A | 2026-06-30 | 2025-07-01 | CHILDRENS HOSPITAL LOS ANGELES CHILDRENS HOSPITAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071986 | N/A | N/A | 17597372 | 2222 | 4802 | 22713635 | N/A | 15644152 | 2026-04-01 01:23:25.411850 | 2026-03-04 21:09:35.971399 |
| 2026-03-31 07:19:39.190464 | 2026-03-31 07:19:43.025068 | 22480302 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-20 | 2026-03-31 | F | PT | N/A | FELT | JXN853M92476 | KATHRYN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18326912/check_22480302_802ba802-ab00-4f7b-893a-fc0cafcb4d2d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_22480302_28c93c93-9f3f-4cf9-b421-d17dc75b5f1b.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057179 | N/A | N/A | 18326912 | 2222 | N/A | 22598538 | N/A | 16337774 | 2026-03-31 07:19:43.025068 | 2026-03-18 18:21:21.968505 |
| 2026-03-31 07:19:39.111088 | 2026-03-31 07:19:42.003672 | 22480291 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-08-12 | 2026-03-31 | M | AE | PT | Lopez Garcia | 95890433F | Eduardo | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18216914/check_22480291_3cb18c4d-1119-4fb9-952f-9cc2b114cad6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_22480291_6e924144-3932-4121-bb97-4eefe3078fc7.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057170 | N/A | N/A | 18216914 | 2222 | N/A | 22598534 | N/A | 16232218 | 2026-03-31 07:19:42.003672 | 2026-03-16 23:33:21.904145 |
| 2026-03-31 07:19:39.076159 | 2026-04-01 01:43:46.816100 | 22480285 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22480285 | Athletic Physical Therapy Inc | 1984-08-09 | 2026-04-03 | M | PT | N/A | MELENDEZ | 906557764000 | GEOVANY | S | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17558479/check_22480285_67da2326-b91e-4859-96f3-2acf3a74b617.json | N/A | N/A | N/A | N/A | N/A | XEH906557764 | Health Maintenance Organization (HMO) | LOS ANGELES TOURISM AND CONVENTION BOARD | BLUE SHIELD CALIFORNIA | N/A | 1984-08-09 | 1000LSXX0001 | W0002870 | N/A | HM | false | MELENDEZ | N/A | GEOVANY | N/A | 9999-12-31 | 2025-08-01 | ACCESS HMO R PER ADMIT 20 250 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435071974 | N/A | N/A | 17558479 | 2222 | 4802 | 22717725 | 4191 | 15606345 | 2026-04-01 01:43:46.816100 | 2026-03-04 00:09:36.953684 |
| 2026-03-31 07:19:38.963899 | 2026-04-01 01:16:15.885326 | 22480272 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22480272 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-04-01 | F | AE | PT | Barrientos | 958247698 | Antoniette | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_22480272_1df7fbc4-1dcc-4bd6-891a-8b299e32949b.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071973 | N/A | N/A | 17540931 | 2222 | 4801 | 22711642 | 6411 | 15585907 | 2026-04-01 01:16:15.885326 | 2026-03-09 18:22:22.279915 |
| 2026-03-31 07:19:38.876071 | 2026-04-01 01:36:00.739020 | 22480260 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22480260 | Athletic Physical Therapy Inc | 1995-04-03 | 2026-04-03 | M | PT | N/A | Brant | XDM186M90966 | Nicholas | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17537799/check_22480260_a1301678-106e-4b5e-87dc-471e7a515ef8.json | N/A | N/A | N/A | N/A | N/A | XDM186M90966 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 1995-04-03 | 040 | 1855RA | N/A | PR | false | BRANDT | N/A | NICHOLAS | N/A | 9999-12-31 | 2024-04-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435071972 | N/A | N/A | 17537799 | 2222 | 4801 | 22716665 | N/A | 15582598 | 2026-04-01 01:36:00.739020 | 2026-03-03 18:12:24.590490 |
| 2026-03-31 07:19:38.814564 | 2026-03-31 07:19:41.018098 | 22480248 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-08 | 2026-03-31 | F | 30 | AD | Capka | 40059905001 | Trina | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18203946/check_22480248_1f3be983-1d8d-4a76-84f9-040e21452c7c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18203946/check_22480248_d97e0c57-b66e-4eb9-b2b6-1b1f2136d4e9.json | N/A | N/A | N/A | N/A | N/A | 40059905001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-05-08 | 2026H5425001 | H5425M | N/A | N/A | false | CAPKA | N/A | TRINA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10435057159 | N/A | N/A | 18203946 | 2222 | N/A | 22598514 | N/A | 16218479 | 2026-03-31 07:19:41.018098 | 2026-03-21 17:16:07.215296 |
| 2026-03-31 07:19:38.789403 | 2026-04-01 01:12:40.550275 | 22480245 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22480245 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-04-02 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_22480245_5ef9712c-4cb8-4124-afcd-f34ab262465c.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | 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 | 10435071971 | N/A | N/A | 17533302 | 2222 | 4793 | 22710185 | 6237 | 15565486 | 2026-04-01 01:12:40.550275 | 2026-03-17 20:55:49.152309 |
| 2026-03-31 07:19:38.723572 | 2026-03-31 07:19:41.517594 | 22480234 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-25 | 2026-03-31 | M | AE | PT | Yu | 000024627010 | Tony | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18212270/check_22480234_9d3fd92a-bd01-4def-86d5-31b7a260d2b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18212270/check_22480234_fc5e82ef-59b4-47f0-a848-d4e10a2de997.json | N/A | N/A | N/A | N/A | N/A | 000024627010 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-12-25 | 4301956 | 103000 | N/A | N/A | false | YU | N/A | TONY | N/A | 2026-12-31 | 2026-01-01 | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057151 | N/A | N/A | 18212270 | 2222 | N/A | 22598528 | N/A | 16227346 | 2026-03-31 07:19:41.517594 | 2026-03-16 21:19:44.202073 |
| 2026-03-31 07:19:38.692129 | 2026-04-01 00:43:02.452757 | 22480230 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22480230 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-04-03 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_22480230_14aa7ec7-509c-4843-83e4-fdfb4e95c168.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071970 | N/A | N/A | 17509843 | 2222 | 4802 | 22698601 | 4211 | 15524188 | 2026-04-01 00:43:02.452757 | 2026-03-03 00:12:08.668405 |
| 2026-03-31 07:19:38.663077 | 2026-03-31 07:19:41.622233 | 22480225 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-07-25 | 2026-03-31 | M | PT | N/A | DOBBIE | JQU942M93268 | DRAKE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18097686/check_22480225_76faa056-6801-4c53-8a59-cd0e4fb1e86e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_22480225_1d2bde36-90b5-448d-9323-bcca19202ae5.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057149 | N/A | N/A | 18097686 | 2222 | N/A | 22598529 | N/A | 16122002 | 2026-03-31 07:19:41.622233 | 2026-03-19 18:31:16.913461 |
| 2026-03-31 07:19:38.603389 | 2026-04-01 01:33:13.424711 | 22480219 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 22480219 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-02 | F | AE | PT | RODRIGUEZ | M013647 | MARIA | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_22480219_9034a7b5-dc6f-4a52-bcdb-2908d12cdd16.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | 2078-12-31 | 2023-02-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435071969 | N/A | N/A | 17501934 | 2222 | 4802 | 22716061 | 5538 | 15517334 | 2026-04-01 01:33:13.424711 | 2026-03-02 22:33:54.498929 |
| 2026-03-31 07:19:38.526177 | 2026-04-01 01:44:37.489723 | 22480205 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22480205 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-04-01 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_22480205_9d45245e-45d3-47ac-975f-a78f250cfe84.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074737 | N/A | N/A | 17497004 | 2222 | 4802 | 22717825 | N/A | 15511990 | 2026-04-01 01:44:37.489723 | 2026-03-02 20:39:57.609466 |
| 2026-03-31 07:19:38.432336 | 2026-04-01 01:24:08.429642 | 22480192 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 22480192 | Athletic Physical Therapy Inc | 1965-07-20 | 2026-04-03 | M | AE | PT | Williamson | 000023808951 | James | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_22480192_eb6a4eeb-6634-4606-8ef2-8bf1f2cc2d96.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074736 | N/A | N/A | 17494392 | 2222 | 4802 | 22713805 | N/A | 15115643 | 2026-04-01 01:24:08.429642 | 2026-02-19 17:55:17.333175 |
| 2026-03-31 07:19:38.396483 | 2026-03-31 07:19:41.506910 | 22480189 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1971-01-02 | 2026-03-31 | F | AE | PT | SIVAMALAR | 98940148E | THANGIAH | N/A | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018879/check_22480189_4bef6d24-da3a-4827-b7ff-0284116bd88e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018879/check_22480189_3ccc30fc-f63d-480d-95f3-7677cf78ce20.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057139 | N/A | N/A | 18018879 | 2222 | N/A | 22598527 | N/A | 8251172 | 2026-03-31 07:19:41.506910 | 2025-10-03 18:17:22.871347 |
| 2026-03-31 07:19:38.381789 | 2026-03-31 07:19:40.922310 | 22480187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-06 | 2026-03-31 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17961735/check_22480187_bd495745-4216-448e-b455-6a42ac17d0e1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_22480187_44d4d542-3bf6-4b9c-b8a8-f074ac3dbbf5.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057144 | N/A | N/A | 17961735 | 2222 | N/A | 22598512 | N/A | 15883502 | 2026-03-31 07:19:40.922310 | 2026-03-11 00:48:56.434845 |
| 2026-03-31 07:19:38.375929 | 2026-03-31 07:19:41.267611 | 22480186 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-01-01 | 2026-03-31 | M | AE | PT | Talasazan | 90246457E | Adam | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18095833/check_22480186_4c8556dd-a594-42f9-868d-94f2ba26cae6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_22480186_d24013e5-4d22-4cd6-80f9-83b08bb2d862.json | N/A | N/A | N/A | N/A | N/A | 90246457E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057137 | N/A | N/A | 18095833 | 2222 | N/A | 22598521 | N/A | 16119978 | 2026-03-31 07:19:41.267611 | 2026-04-03 21:05:07.393901 |
| 2026-03-31 07:19:38.344208 | 2026-04-01 01:40:10.458707 | 22480182 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22480182 | Athletic Physical Therapy Inc | 1977-12-01 | 2026-04-02 | F | PT | N/A | TANGER | NCF189A56429 | Ashley | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494208/check_22480182_cc7e0ffb-f593-4cfe-847e-85caad4c5014.json | N/A | N/A | N/A | N/A | N/A | NCF189A56429 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-12-01 | 040 | 57AJCA | N/A | HM | false | TANGER | N/A | ASHLEY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074735 | N/A | N/A | 17494208 | 2222 | 4801 | 22717297 | 4185 | 15509440 | 2026-04-01 01:40:10.458707 | 2026-03-02 19:55:05.664511 |
| 2026-03-31 07:19:38.324628 | 2026-03-31 07:19:41.460532 | 22480180 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-25 | 2026-03-31 | F | AE | PT | URIBE | 40085522401 | ROSA | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18084855/check_22480180_e140afae-ed38-4259-bbcf-8e0b1223328f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18084855/check_22480180_a6b2df20-137a-4bbc-b883-02519df45a77.json | N/A | N/A | N/A | N/A | N/A | 40085522401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-25 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057135 | N/A | N/A | 18084855 | 2222 | N/A | 22598526 | N/A | 13816533 | 2026-03-31 07:19:41.460532 | 2026-03-06 21:23:14.977254 |
| 2026-03-31 07:19:38.303058 | 2026-03-31 07:19:41.464610 | 22480172 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-27 | 2026-03-31 | F | AE | PT | NOURI | 612170695 | MARYAM | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18029673/check_22480172_82723ac1-1efe-4874-86b7-78e5e83b6887.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029673/check_22480172_897415f9-f1ef-4a70-a640-5095d5980edd.json | N/A | N/A | N/A | N/A | N/A | 612170695 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1970-07-27 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | NOURI | N/A | MARYAM | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057133 | N/A | N/A | 18029673 | 2222 | N/A | 22598523 | N/A | 16058383 | 2026-03-31 07:19:41.464610 | 2026-03-12 21:38:28.159137 |
| 2026-03-31 07:19:38.269609 | 2026-04-01 01:33:07.974035 | 22480165 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22480165 | Athletic Physical Therapy Inc | 1998-03-03 | 2026-04-02 | F | AE | PT | RODEN | 622540880 | BERNADETTE | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_22480165_a51735fc-f522-4de2-8f15-2e71c8e20821.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074734 | N/A | N/A | 17493076 | 2222 | 4802 | 22716038 | N/A | 15508238 | 2026-04-01 01:33:07.974035 | 2026-03-02 19:30:52.935313 |
| 2026-03-31 07:19:38.180303 | 2026-04-01 01:16:23.265272 | 22480157 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22480157 | Athletic Physical Therapy Inc | 1960-03-17 | 2026-04-02 | M | AE | PT | Bischoff | 890196801 | Marc | D | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_22480157_84da873b-b113-43aa-864c-f47546018ecd.json | N/A | N/A | N/A | N/A | N/A | 890196801 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1960-03-17 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | MARC | 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 | 10435074733 | N/A | N/A | 17493013 | 2222 | 4801 | 22711681 | 6411 | 15508155 | 2026-04-01 01:16:23.265272 | 2026-03-09 16:11:53.480346 |
| 2026-03-31 07:19:38.090643 | 2026-04-01 01:29:42.729229 | 22480141 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22480141 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-04-02 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_22480141_3c60fd18-4e4a-43f5-a1ba-821c541e0aa3.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074732 | N/A | N/A | 17492780 | 2222 | 4802 | 22715062 | 4625 | 15085116 | 2026-04-01 01:29:42.729229 | 2026-02-18 20:26:50.354139 |
| 2026-03-31 07:19:38.041117 | 2026-03-31 07:19:41.205926 | 22480134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-04 | 2026-03-31 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17868567/check_22480134_3f38fc1b-a3f8-4251-b383-17251b02a50d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_22480134_eb1d0aa7-38e8-40b3-9b17-8472c3055b4f.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057126 | N/A | N/A | 17868567 | 2222 | N/A | 22598519 | N/A | 15913011 | 2026-03-31 07:19:41.205926 | 2026-03-16 22:33:11.392245 |
| 2026-03-31 07:19:37.963512 | 2026-03-31 07:19:41.416685 | 22480124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-31 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17378232/check_22480124_f74b5712-9a5b-49a9-baa2-ef44e46b19bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_22480124_d0767e93-eca9-4d77-af2d-e48a972cf47f.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 78986 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057118 | N/A | N/A | 17378232 | 2222 | N/A | 22598522 | N/A | 6660003 | 2026-03-31 07:19:41.416685 | 2026-06-01 17:03:48.982724 |
| 2026-03-31 07:19:37.955478 | 2026-03-31 07:19:41.052004 | 22480123 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-02 | 2026-03-31 | F | AE | PT | TRYLEVYCH | 92576419G | GANNA | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17935959/check_22480123_35ed14e7-671e-4ff9-ab11-91cba445b7a9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17935959/check_22480123_6a7ad190-16d9-4fdd-85e0-cc10d1ce51c7.json | N/A | N/A | N/A | N/A | N/A | 92576419G | N/A | N/A | HEALTH NET, LLC | N/A | 1957-03-02 | N/A | N/A | N/A | N/A | false | TRYLEVYCH | N/A | GANNA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057110 | N/A | N/A | 17935959 | 2222 | N/A | 22598513 | N/A | 15974311 | 2026-03-31 07:19:41.052004 | 2026-03-11 22:08:10.449103 |
| 2026-03-31 07:19:37.933196 | 2026-04-01 01:39:50.815029 | 22480120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22480120 | Athletic Physical Therapy Inc | 1968-12-15 | 2026-04-01 | F | PT | N/A | Silkman | JXN347A59050 | Valerie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_22480120_8ec84b00-7cc1-4a48-9c74-f3925c1026ca.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074731 | N/A | N/A | 17490472 | 2222 | 4801 | 22717256 | N/A | 15505614 | 2026-04-01 01:39:50.815029 | 2026-03-02 18:44:52.817150 |
| 2026-03-31 07:19:37.901035 | 2026-03-31 07:19:39.760984 | 22480110 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-02 | 2026-03-31 | M | PT | N/A | Christopher | MBL100W22891 | William | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17882026/check_22480110_1fa3879c-42c1-4182-a17a-379387b90245.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17882026/check_22480110_e1ce3ef8-d0a2-4ba5-a0f6-381dd89567d2.json | N/A | N/A | N/A | N/A | N/A | MBL100W22891 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1960-03-02 | 040 | CAEGR005 | N/A | N/A | false | CHRISTOPHER | N/A | WILLIAM | 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 | 10435057101 | N/A | N/A | 17882026 | 2222 | N/A | 22598503 | N/A | 15926656 | 2026-03-31 07:19:39.760984 | 2026-03-20 18:37:05.778506 |
| 2026-03-31 07:19:37.838026 | 2026-03-31 07:19:41.176417 | 22480105 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-09 | 2026-03-31 | M | AE | PT | Kelly | 7N90G97RP30 | Eugene | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17929435/check_22480105_15fd7697-6117-410b-ba67-c2f711f723fd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929435/check_22480105_ae256f30-bca4-4cff-ac2f-c6984a34fee9.json | N/A | N/A | N/A | N/A | N/A | 7N90G97RP30 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-09 | S4802 | N/A | N/A | MA | false | KELLY | N/A | EUGENE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 21050 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057116 | N/A | N/A | 17929435 | 2222 | N/A | 22598516 | N/A | 15967689 | 2026-03-31 07:19:41.176417 | 2026-03-23 15:15:28.421254 |
| 2026-03-31 07:19:37.785820 | 2026-03-31 07:19:43.753370 | 22480098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-31 | 2026-03-31 | M | PT | N/A | GODIN | MPI01391129Q | RODERICK | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17826471/check_22480098_0b55cdf6-d999-4463-9c8b-050f982a555e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826471/check_22480098_478060a0-fc12-4778-8709-42642a15635a.json | N/A | N/A | N/A | N/A | N/A | MPI01391129Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1970-03-31 | 040 | 277163M401 | N/A | PR | false | GODIN | N/A | RODERICK | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057094 | N/A | N/A | 17826471 | 2222 | N/A | 22598515 | N/A | 15870803 | 2026-03-31 07:19:43.753370 | 2026-03-09 19:03:45.705231 |
| 2026-03-31 07:19:37.694163 | 2026-03-31 07:19:39.719694 | 22480089 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-07-23 | 2026-03-31 | F | AE | PT | Latty | 93805163F | Maura | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17826505/check_22480089_7c46a7a4-708a-4655-8f4d-0f748fbf70d2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_22480089_5ae91bff-c6f1-4e66-8481-239c8e5b7330.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057092 | N/A | N/A | 17826505 | 2222 | N/A | 22598502 | N/A | 15870859 | 2026-03-31 07:19:39.719694 | 2026-03-16 15:31:01.741367 |
| 2026-03-31 07:19:37.646386 | 2026-04-01 01:23:13.915459 | 22480084 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22480084 | Athletic Physical Therapy Inc | 1997-04-29 | 2026-04-01 | M | AE | PT | Nguyen | 000025947427 | Taylor | D | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260331.122305844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_22480084_9dadcebf-56b2-4d2d-8533-e209cde6fa9b.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | 2026-12-31 | 2026-01-01 | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074730 | N/A | N/A | 17435550 | 2222 | 4802 | 22713594 | N/A | 15447177 | 2026-04-01 01:23:13.915459 | 2026-02-27 22:36:21.536137 |
| 2026-03-31 07:19:37.627167 | 2026-03-31 07:19:45.064375 | 22480082 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-04 | 2026-03-31 | F | PT | N/A | CLAY | JQS227M89259 | JOANNE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17879748/check_22480082_7190374d-935e-45c1-9755-4e71fd8d1e4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17879748/check_22480082_3edcd532-1d26-400b-be93-0632571c2cbc.json | N/A | N/A | N/A | N/A | N/A | JQS227M89259 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-06-04 | 040 | CAMCRWP0 | N/A | MP | false | CLAY | N/A | JOANNE | 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 | 10435057086 | N/A | N/A | 17879748 | 2222 | N/A | 22598559 | N/A | 14313657 | 2026-03-31 07:19:45.064375 | 2026-02-03 16:37:45.002620 |