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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-31 07:19:37.595942 | 2026-03-31 07:19:39.458538 | 22480079 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-31 | F | AE | PT | 5538 | RODEN | 622540880 | BERNADETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17493076/check_22480079_07a065ea-c545-4418-bf1f-5c95f631f15e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_22480079_f22d816c-0322-4f0d-80ab-5c8c96de34dd.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 | 10435057088 | N/A | N/A | 17493076 | 2222 | N/A | 22598499 | N/A | 15508238 | 2026-03-31 07:19:39.458538 | 2026-03-02 19:30:52.935313 |
| 2026-03-31 07:19:37.492481 | 2026-04-01 01:35:37.065891 | 22480067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22480067 | Athletic Physical Therapy Inc | 2002-12-19 | 2026-04-02 | F | PT | N/A | N/A | Becerra | CZCAN2537305 | Daniella | 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/2222/17433624/check_22480067_7e3113a8-ff43-4ad4-83e4-0c6944966487.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | ANTHEM BLUE CROSS | N/A | 2002-12-19 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074729 | N/A | N/A | 17433624 | 2222 | 4793 | 22716599 | N/A | 15445066 | 2026-04-01 01:35:37.065891 | 2026-02-27 21:30:30.313264 |
| 2026-03-31 07:19:37.476800 | 2026-03-31 07:19:40.536032 | 22480062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-18 | 2026-03-31 | F | PT | N/A | 4185 | Gutierrez | JQK595A63188 | Donna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17747293/check_22480062_6b51b49e-87a5-45e5-85ff-fb395678820e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_22480062_f9c851b5-f232-4383-a908-68be1d753b4e.json | N/A | N/A | N/A | N/A | N/A | JQK595A63188 | Health Maintenance Organization (HMO) | CIRCULAR CONNECTORS INC | ANTHEM BLUE CROSS | N/A | 1963-11-18 | 040 | 216721 | N/A | HM | false | GUTIERREZ | N/A | DONNA | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057077 | N/A | N/A | 17747293 | 2222 | N/A | 22598510 | N/A | 15796426 | 2026-03-31 07:19:40.536032 | 2026-03-25 16:15:17.757715 |
| 2026-03-31 07:19:37.396054 | 2026-04-01 01:11:11.869629 | 22480051 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 22480051 | Athletic Physical Therapy Inc | 1962-11-06 | 2026-04-02 | F | AE | PT | N/A | Mosaddegh | 95255632H | Zahra | 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/2222/17424788/check_22480051_ec27a2e7-7db7-464e-b4a0-42b9d7d6adf4.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | 2026-03-31 | 2024-11-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074726 | N/A | N/A | 17424788 | 2222 | 4802 | 22709614 | N/A | 15435665 | 2026-04-01 01:11:11.869629 | 2026-02-27 18:02:10.906286 |
| 2026-03-31 07:19:37.359724 | 2026-03-31 07:19:41.169186 | 22480047 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-31 | F | AE | PT | 3948 | Kaur | 102258428900 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736385/check_22480047_429a6744-e7a5-4efe-a2a3-e75a47dce9d5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_22480047_771802fc-60d6-4811-9b78-f7d6609fb182.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 | 10435057045 | N/A | N/A | 17736385 | 2222 | N/A | 22598520 | N/A | 15497513 | 2026-03-31 07:19:41.169186 | 2026-03-06 21:33:02.751048 |
| 2026-03-31 07:19:37.353125 | 2026-03-31 07:19:40.232992 | 22480046 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-02-23 | 2026-03-31 | F | AE | PT | 5538 | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17650446/check_22480046_cd7d42b3-3038-491b-b013-f3141c570e9d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_22480046_cf901fcb-5f6e-4ee7-b382-621da90d2b9b.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057050 | N/A | N/A | 17650446 | 2222 | N/A | 22598509 | N/A | 9635663 | 2026-03-31 07:19:40.232992 | 2025-10-22 19:43:50.510670 |
| 2026-03-31 07:19:37.337809 | 2026-03-31 07:19:41.445244 | 22480041 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-31 | F | PT | N/A | 4184 | RUEMMELE | XOX815196499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17557872/check_22480041_6ee4843a-b335-4a47-a7f4-099fc3d3d7e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_22480041_5c7d8281-5c11-4f7d-8b44-1c1adfb22d7d.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435057047 | N/A | N/A | 17557872 | 2222 | N/A | 22598525 | N/A | 4534546 | 2026-03-31 07:19:41.445244 | 2025-12-03 00:06:29.870228 |
| 2026-03-31 07:19:37.327607 | 2026-03-31 07:19:39.176740 | 22480039 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-31 | F | AE | PT | 4497 | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600400/check_22480039_b7df375e-4255-4043-b96f-10c67f05bd29.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_22480039_54de62f3-e030-47b5-a7cc-423aef970a7c.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 62855 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057044 | N/A | N/A | 17600400 | 2222 | N/A | 22598495 | N/A | 15647296 | 2026-03-31 07:19:39.176740 | 2026-03-04 22:22:31.397944 |
| 2026-03-31 07:19:37.245898 | 2026-04-01 01:12:19.365569 | 22480031 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 22480031 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-04-01 | F | AD | 30 | N/A | MONTALVO | 40057101101 | PAMELA | 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/2222/17396005/check_22480031_2d4f540e-59e9-4a57-a021-99458e9e7c5e.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | 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 | 10435074724 | N/A | N/A | 17396005 | 2222 | 4801 | 22710049 | N/A | 15407473 | 2026-04-01 01:12:19.365569 | 2026-03-02 03:41:34.276739 |
| 2026-03-31 07:19:37.189799 | 2026-03-31 07:19:38.952459 | 22480023 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2026-03-31 | M | 30 | AD | 6237 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17533302/check_22480023_dff3794f-a0ed-4a83-ab06-23b5a9d2a364.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_22480023_745573db-a60a-4ca6-b448-585fd861e3f4.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 | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10435057024 | N/A | N/A | 17533302 | 2222 | N/A | 22598490 | N/A | 15565486 | 2026-03-31 07:19:38.952459 | 2026-03-17 20:55:49.152309 |
| 2026-03-31 07:19:37.139158 | 2026-03-31 07:19:41.136866 | 22480016 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-06 | 2026-03-31 | M | AE | PT | 4211 | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17509843/check_22480016_12ef93a8-5383-401e-81b2-b48abd1232ab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_22480016_3691c4f2-a309-4b79-88e8-fc847b793183.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 | 10435057028 | N/A | N/A | 17509843 | 2222 | N/A | 22598518 | N/A | 15524188 | 2026-03-31 07:19:41.136866 | 2026-03-03 00:12:08.668405 |
| 2026-03-31 07:19:37.136820 | 2026-03-31 07:19:39.919683 | 22480015 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-20 | 2026-03-31 | M | AE | PT | 5503 | Williamson | 000023808951 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17494392/check_22480015_04452565-969c-4f7d-8c87-804263b8654f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_22480015_e0d1288e-0fd2-4fac-aaaa-a6f52215bda9.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 | 10435057015 | N/A | N/A | 17494392 | 2222 | N/A | 22598506 | N/A | 15115643 | 2026-03-31 07:19:39.919683 | 2026-02-19 17:55:17.333175 |
| 2026-03-31 07:19:37.112209 | 2026-04-01 01:44:44.562656 | 22480012 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22480012 | Athletic Physical Therapy Inc | 2011-12-04 | 2026-04-02 | F | PT | N/A | N/A | Mason | NTF411A78634 | Abigail | 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/2222/17381759/check_22480012_036da232-76bb-4156-b0ec-e21e3a58765c.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074723 | N/A | N/A | 17381759 | 2222 | 4793 | 22717838 | N/A | 15393771 | 2026-04-01 01:44:44.562656 | 2026-02-26 19:44:45.385491 |
| 2026-03-31 07:19:36.999867 | 2026-04-01 01:38:47.466994 | 22479997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22479997 | Athletic Physical Therapy Inc | 1996-08-15 | 2026-04-03 | M | PT | N/A | N/A | Maudlin | GGS117W09763 | Holden | C | 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/2222/17376426/check_22479997_09455a3f-6367-4f82-8f14-337488367c36.json | N/A | N/A | N/A | N/A | N/A | GGS117W09763 | Preferred Provider Organization (PPO) | GOOGLE GHIP CHDP HSA W/NON-INT BANKING | ANTHEM BLUE CROSS | N/A | 1996-08-15 | 040 | 174134M7A1 | N/A | PR | false | MAUDLIN | N/A | HOLDEN | N/A | 9999-12-31 | 2023-01-01 | 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 | 10435074722 | N/A | N/A | 17376426 | 2222 | 4802 | 22717110 | N/A | 15388700 | 2026-04-01 01:38:47.466994 | 2026-02-26 17:31:02.471884 |
| 2026-03-31 07:19:36.913306 | 2026-03-31 07:19:39.746023 | 22479986 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-31 | F | AE | PT | 4625 | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492780/check_22479986_8a62f334-c5c8-4438-bf5a-209b7ec1e603.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_22479986_fc0c5bfe-1df1-48c7-9d11-6b02a43aa72a.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 | 10435057005 | N/A | N/A | 17492780 | 2222 | N/A | 22598504 | N/A | 15085116 | 2026-03-31 07:19:39.746023 | 2026-02-18 20:26:50.354139 |
| 2026-03-31 07:19:36.885459 | 2026-04-01 01:35:25.643599 | 22479982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22479982 | Athletic Physical Therapy Inc | 1963-04-12 | 2026-04-03 | F | PT | N/A | N/A | BANKI | JQU128A72700 | AFSANEH | 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/2222/17369730/check_22479982_37600e5f-8117-440b-ac91-ee5e30ef3c2b.json | N/A | N/A | N/A | N/A | N/A | JQU128A72700 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1963-04-12 | 040 | 225912 | N/A | PR | false | BANKI | N/A | AFSANEH | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074721 | N/A | N/A | 17369730 | 2222 | 4802 | 22716559 | N/A | 14333576 | 2026-04-01 01:35:25.643599 | 2026-02-10 01:00:55.560606 |
| 2026-03-31 07:19:36.829704 | 2026-03-31 07:19:45.048250 | 22479978 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-31 | F | AE | PT | 1030 | Mosaddegh | 95255632H | Zahra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17424788/check_22479978_9f3e6f3d-dbc5-469b-8743-513a5b964dbe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17424788/check_22479978_226c78f4-f82c-4910-a770-f8536c995fb9.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | 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 | 10435056997 | N/A | N/A | 17424788 | 2222 | N/A | 22598557 | N/A | 15435665 | 2026-03-31 07:19:45.048250 | 2026-02-27 18:02:10.906286 |
| 2026-03-31 07:19:36.796410 | 2026-04-01 01:24:03.073632 | 22479973 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22479973 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-04-02 | F | AE | PT | N/A | Valenza | 000026028938 | Magali | Giselle | 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/2222/17355763/check_22479973_a5fd7bec-73bd-428e-9eb0-ade595c10ce6.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074720 | N/A | N/A | 17355763 | 2222 | 4802 | 22713787 | N/A | 15367776 | 2026-04-01 01:24:03.073632 | 2026-03-02 18:02:01.247721 |
| 2026-03-31 07:19:36.736216 | 2026-03-31 07:19:38.697026 | 22479964 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-24 | 2026-03-31 | M | PT | N/A | 4191 | Gaertner | XEA910044631 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17309222/check_22479964_7a1149af-2094-4320-b4a2-a96a6b541f56.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_22479964_653b2475-2620-4d5a-a118-2e3c2a141fde.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2020-09-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056995 | N/A | N/A | 17309222 | 2222 | N/A | 22598486 | N/A | 15324299 | 2026-03-31 07:19:38.697026 | 2026-02-25 00:33:12.075173 |
| 2026-03-31 07:19:36.734108 | 2026-03-31 07:19:40.631146 | 22479962 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-31 | F | AE | PT | 5505 | Valenza | 000026028938 | Magali | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17355763/check_22479962_97794d30-eb5e-4721-b053-ef69e6978fee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_22479962_df31a028-f0ad-4fa4-a67c-ac81eea766e5.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056993 | N/A | N/A | 17355763 | 2222 | N/A | 22598511 | N/A | 15367776 | 2026-03-31 07:19:40.631146 | 2026-03-02 18:02:01.247721 |
| 2026-03-31 07:19:36.716839 | 2026-03-31 07:19:39.837673 | 22479960 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-03 | 2026-03-31 | M | AE | PT | 6411 | MARTINEZ | 905139994 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17305784/check_22479960_2d1bef26-4419-439c-9f81-a1443f9a15c9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17305784/check_22479960_6a0c49d5-402c-4589-9667-0a59ea0fd10f.json | N/A | N/A | N/A | N/A | N/A | 905139994 | 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 | 1959-05-03 | N/A | 01951 | N/A | HN | false | MARTINEZ | N/A | JOSE | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435057003 | N/A | N/A | 17305784 | 2222 | N/A | 22598505 | N/A | 15320780 | 2026-03-31 07:19:39.837673 | 2026-02-24 22:46:51.255698 |
| 2026-03-31 07:19:36.671174 | 2026-03-31 07:19:41.217449 | 22479954 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1944-07-17 | 2026-03-31 | F | AE | PT | 5504 | Yin | 000002896249 | Cherry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17086413/check_22479954_eab4bb4a-9a4f-4e23-903f-353b4fbbf560.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086413/check_22479954_870dabd5-1c84-497d-81d7-11fb953f4c0f.json | N/A | N/A | N/A | N/A | N/A | 000002896249 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1944-07-17 | 3029308 | 115509 | N/A | N/A | false | YIN | N/A | CHERRY | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT RETIREES LAUSD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056994 | N/A | N/A | 17086413 | 2222 | N/A | 22598517 | N/A | 15078236 | 2026-03-31 07:19:41.217449 | 2026-02-18 17:56:56.986469 |
| 2026-03-31 07:19:36.642735 | 2026-04-01 01:33:24.756324 | 22479950 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 22479950 | Athletic Physical Therapy Inc | 1997-12-31 | 2026-04-03 | F | AE | PT | N/A | TABATABAI | 94947179G | NIKKI | 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/2222/17353836/check_22479950_334909fb-dd03-4b81-b02c-9ebfe2611485.json | N/A | N/A | N/A | N/A | N/A | 94947179G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1997-12-31 | MCLA | MWLLNMEG21 | N/A | N/A | false | TABATABAI | N/A | NIKKI | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074719 | N/A | N/A | 17353836 | 2222 | 4802 | 22716108 | 5538 | 15365501 | 2026-04-01 01:33:24.756324 | 2026-02-25 23:23:03.660443 |
| 2026-03-31 07:19:36.508931 | 2026-04-01 01:38:02.582380 | 22479933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22479933 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-04-02 | M | PT | N/A | N/A | Hymel | XYQM66935041 | Dustin | 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/2222/17346208/check_22479933_16c736ce-36da-48ac-9fde-aeb5d6159050.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074718 | N/A | N/A | 17346208 | 2222 | 4802 | 22716988 | N/A | 15356693 | 2026-04-01 01:38:02.582380 | 2026-02-25 22:30:35.848496 |
| 2026-03-31 07:19:36.413300 | 2026-03-31 07:19:39.189307 | 22479920 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-17 | 2026-03-31 | F | AE | PT | 6237 | ROGERS | 31093568401 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17306773/check_22479920_9e9e0144-169c-42b8-ad23-95cb566208a8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_22479920_b130a804-b20d-47a1-980b-ce59c0259a44.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056980 | N/A | N/A | 17306773 | 2222 | N/A | 22598496 | N/A | 15321704 | 2026-03-31 07:19:39.189307 | 2026-02-26 19:15:43.216582 |
| 2026-03-31 07:19:36.360175 | 2026-04-01 01:43:26.820363 | 22479913 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22479913 | Athletic Physical Therapy Inc | 1992-08-24 | 2026-04-02 | M | PT | N/A | N/A | Gaertner | XEA910044631 | Michael | 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/2222/17309222/check_22479913_5bd51497-06cf-4bb5-beec-6f5c6cbfc663.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2026-03-01 | GOLD FULL PPO 750 35 OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074717 | N/A | N/A | 17309222 | 2222 | 4802 | 22717694 | N/A | 15324299 | 2026-04-01 01:43:26.820363 | 2026-02-25 00:33:12.075173 |
| 2026-03-31 07:19:36.214244 | 2026-03-31 07:19:37.945130 | 22479897 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-31 | M | PT | N/A | 4191 | LOPEZ | 914314600-000 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17262479/check_22479897_0267b005-656d-4d30-bb90-4cdd2fe89a03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_22479897_b7f89a66-328a-4fac-900e-a8fed20019b2.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056970 | N/A | N/A | 17262479 | 2222 | N/A | 22598479 | N/A | 15279850 | 2026-03-31 07:19:37.945130 | 2026-03-03 00:15:33.322173 |
| 2026-03-31 07:19:36.179043 | 2026-03-31 07:19:38.095220 | 22479892 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-31 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_22479892_528f4e78-5854-4307-8489-c9773570b70e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_22479892_4b010b0c-79a2-4e17-bbf9-ae73f902c2f1.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056969 | N/A | N/A | 17099336 | 2222 | N/A | 22598480 | N/A | 6725117 | 2026-03-31 07:19:38.095220 | 2026-02-18 22:27:04.950292 |
| 2026-03-31 07:19:36.132313 | 2026-04-01 01:17:09.808271 | 22479883 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22479883 | Athletic Physical Therapy Inc | 1959-05-03 | 2026-04-02 | M | AE | PT | N/A | MARTINEZ | 905139994 | JOSE | 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/2222/17305784/check_22479883_22884541-dde3-4af5-9266-8cb035b3c9a4.json | N/A | N/A | N/A | N/A | N/A | 905139994 | 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 | 1959-05-03 | N/A | 01951 | N/A | HN | false | MARTINEZ | N/A | JOSE | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074716 | N/A | N/A | 17305784 | 2222 | 4802 | 22711934 | 6411 | 15320780 | 2026-04-01 01:17:09.808271 | 2026-02-24 22:46:51.255698 |
| 2026-03-31 07:19:36.128433 | 2026-03-31 07:19:40.085105 | 22479882 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1979-02-02 | 2026-03-31 | F | PT | N/A | 4197 | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094664/check_22479882_0eaef1d1-047b-4a60-8a9c-98b1f60aeb94.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_22479882_9de33847-736e-436a-a6a1-966b523b66bf.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056967 | N/A | N/A | 17094664 | 2222 | N/A | 22598507 | N/A | 15086531 | 2026-03-31 07:19:40.085105 | 2026-02-18 21:22:56.146803 |
| 2026-03-31 07:19:36.001343 | 2026-04-01 00:48:54.352739 | 22479867 | N/A | N/A | 60054 | Aetna | 1114042165 | 22479867 | Athletic Physical Therapy Inc | 1996-08-22 | 2026-04-01 | F | AE | PT | N/A | Clarke | W295118204 | Rebecca | 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/2222/17287671/check_22479867_47c107ab-f66f-4dba-8bfe-81ed57f1dffc.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074715 | N/A | N/A | 17287671 | 2222 | 4802 | 22701151 | N/A | 15305664 | 2026-04-01 00:48:54.352739 | 2026-02-24 17:22:14.995942 |
| 2026-03-31 07:19:35.956353 | 2026-03-31 07:19:38.906841 | 22479862 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-31 | F | PT | N/A | 4185 | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_22479862_122591b6-fc93-4d17-8edc-0d0ee36e9f8b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_22479862_46d86c26-d54d-4699-abf1-069cb6a0b07f.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 9999-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056956 | N/A | N/A | 16765713 | 2222 | N/A | 22598488 | N/A | 14776656 | 2026-03-31 07:19:38.906841 | 2026-02-10 18:58:53.303852 |
| 2026-03-31 07:19:35.894224 | 2026-03-31 07:19:38.982786 | 22479854 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-08-21 | 2026-03-31 | F | PT | N/A | 4184 | ESPINOZA | MPI30384960Q | amaya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16930512/check_22479854_0cb4366d-1fa5-4488-a886-d2be2ed42036.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16930512/check_22479854_a1084221-1585-4f01-a84b-9d1b670dcb8c.json | N/A | N/A | N/A | N/A | N/A | MPI30384960Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2012-08-21 | 040 | 277163M401 | N/A | PR | false | GONZALEZ | N/A | MIGUEL | N/A | 9999-12-31 | 2022-08-15 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056955 | N/A | N/A | 16930512 | 2222 | N/A | 22598489 | N/A | 14930156 | 2026-03-31 07:19:38.982786 | 2026-02-27 17:25:20.970187 |
| 2026-03-31 07:19:35.809612 | 2026-04-01 00:58:29.502935 | 22479840 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22479840 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-04-01 | M | AE | PT | N/A | FARRUGIA | H6573816900 | JEFF | 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/2222/17264465/check_22479840_d14fde37-9122-4ad2-80b5-02ac77770128.json | N/A | N/A | N/A | N/A | N/A | H65738169 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | 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 | 10435074714 | N/A | N/A | 17264465 | 2222 | 4801 | 22705131 | 5349 | 15281758 | 2026-04-01 00:58:29.502935 | 2026-04-16 18:41:33.012590 |
| 2026-03-31 07:19:35.789762 | 2026-03-31 07:19:38.619173 | 22479837 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-15 | 2026-03-31 | F | AE | PT | 4211 | DIBAEI | 95643445F | ATEFEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16929305/check_22479837_67ab6620-c7e2-4bf0-b17f-43977d32f6d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_22479837_5377d531-f400-412e-89dd-36fefff55683.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056945 | N/A | N/A | 16929305 | 2222 | N/A | 22598484 | N/A | 14928874 | 2026-03-31 07:19:38.619173 | 2026-02-13 23:07:04.697142 |
| 2026-03-31 07:19:35.722286 | 2026-03-31 07:19:39.576360 | 22479829 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-31 | M | AE | PT | 3948 | Pederson | W245231300-03 | Camden | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16713614/check_22479829_d2bcaef7-01a2-4354-b42e-a2ae14b70b43.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16713614/check_22479829_eb35b1b8-3cd3-4160-bddd-c335e95bcf5f.json | N/A | N/A | N/A | N/A | N/A | W245231300 | Point of Service (POS) | ALIGN TECHNOLOGY, INC. | AETNA | N/A | 2015-08-07 | 0883552 | 088355201400001 | N/A | PS | false | PEDERSON | N/A | RYAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056942 | N/A | N/A | 16713614 | 2222 | N/A | 22598501 | N/A | 14725710 | 2026-03-31 07:19:39.576360 | 2026-02-10 21:08:46.744563 |
| 2026-03-31 07:19:35.635860 | 2026-04-01 01:43:37.727348 | 22479816 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22479816 | Athletic Physical Therapy Inc | 1971-11-18 | 2026-04-02 | M | PT | N/A | N/A | LOPEZ | 914314600000 | RAFAEL | 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/2222/17262479/check_22479816_fe40f731-496b-4476-9959-f13a7eb92cbe.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074713 | N/A | N/A | 17262479 | 2222 | 4802 | 22717710 | 4191 | 15279850 | 2026-04-01 01:43:37.727348 | 2026-03-03 00:15:33.322173 |
| 2026-03-31 07:19:35.587051 | 2026-03-31 07:19:41.836034 | 22479810 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-12-10 | 2026-03-31 | M | PT | N/A | 4191 | ANGHA | XXP966240802 | ZACHARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16448068/check_22479810_ae525994-3a04-45d2-ae6a-b8926a868b4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16448068/check_22479810_c7a2897e-dce4-49c9-8113-715f6505267a.json | N/A | N/A | N/A | N/A | N/A | XXP966240802 | Preferred Provider Organization (PPO) | PARTNER THERAPEUTICS INC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-12-10 | N/A | 002363611 | N/A | PR | false | JASHNIAN | N/A | FARIBA | N/A | 9999-12-31 | 2025-12-01 | PPO - BLUE CARE ELECT PREFERRED 80 WITH COPAY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056938 | N/A | N/A | 16448068 | 2222 | N/A | 22598531 | N/A | 14493240 | 2026-03-31 07:19:41.836034 | 2026-02-25 21:26:55.970409 |
| 2026-03-31 07:19:35.487415 | 2026-03-31 07:19:39.427666 | 22479797 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-28 | 2026-03-31 | M | AE | PT | 5349 | URGERO | H9625296200 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16127120/check_22479797_5bd65128-dca4-4e99-9cec-235a0c326b17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16127120/check_22479797_5a8000d9-e66e-41f1-a4f0-e55865a471c0.json | N/A | N/A | N/A | N/A | N/A | H96252962 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1957-05-28 | N/A | 2B722001 | N/A | HN | false | URGERO | N/A | PAUL | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056932 | N/A | N/A | 16127120 | 2222 | N/A | 22598498 | N/A | 14187446 | 2026-03-31 07:19:39.427666 | 2026-01-30 22:41:52.330110 |
| 2026-03-31 07:19:35.454780 | 2026-04-01 01:37:50.774153 | 22479794 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22479794 | Athletic Physical Therapy Inc | 1999-03-13 | 2026-04-01 | F | PT | N/A | N/A | HOLLAND | YVA250263382 | KELSEY | 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/2222/17257631/check_22479794_defaeae8-00b4-4789-8073-39a942f6f7cf.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074712 | N/A | N/A | 17257631 | 2222 | 4802 | 22716960 | N/A | 15275187 | 2026-04-01 01:37:50.774153 | 2026-02-23 23:05:07.406692 |
| 2026-03-31 07:19:35.330833 | 2026-03-31 07:19:37.213033 | 22479779 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-02 | 2026-03-31 | M | PT | N/A | 4185 | TALAMANTE | MMA979W26491 | TONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16213353/check_22479779_46ae1659-fdcf-4f1d-843e-4bc9abfd31f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16213353/check_22479779_e8d4b9bc-596d-40dc-8213-702290627fc5.json | N/A | N/A | N/A | N/A | N/A | MMA979W26491 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-10-02 | 040 | CAMCRWP0 | N/A | MP | false | TALAMANTE | N/A | TONY | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056923 | N/A | N/A | 16213353 | 2222 | N/A | 22598472 | N/A | 13411314 | 2026-03-31 07:19:37.213033 | 2026-01-13 20:31:59.541152 |
| 2026-03-31 07:19:35.308700 | 2026-04-01 00:58:53.531076 | 22479774 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 22479774 | Athletic Physical Therapy Inc | 1958-07-12 | 2026-04-01 | M | AE | PT | N/A | LY | H65390314 | CHAU | 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/2222/17257404/check_22479774_43f047df-a03c-4c86-9771-740c9354b9fd.json | N/A | N/A | N/A | N/A | N/A | H65390314 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | 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 | 10435074711 | N/A | N/A | 17257404 | 2222 | 4801 | 22705296 | N/A | 15274585 | 2026-04-01 00:58:53.531076 | 2026-02-23 22:57:14.756651 |
| 2026-03-31 07:19:35.261017 | 2026-03-31 07:19:40.164616 | 22479767 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-04-21 | 2026-03-31 | F | AE | PT | 3948 | FINK | 824993928 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16125647/check_22479767_ce8f5b32-3b6d-4f95-9e6f-41112a668744.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16125647/check_22479767_5be4e1e2-62c3-477a-90bb-8e3fee7dc03f.json | N/A | N/A | N/A | N/A | N/A | 824993928 | Point of Service (POS) | BANK OF AMERICA CORPORATION | AETNA | N/A | 1955-04-21 | 0326475 | 032647501000106 | N/A | PS | false | FINK | N/A | DEBORAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056918 | N/A | N/A | 16125647 | 2222 | N/A | 22598508 | N/A | 14185911 | 2026-03-31 07:19:40.164616 | 2026-01-31 00:16:18.156182 |
| 2026-03-31 07:19:35.187556 | 2026-03-31 07:19:36.954859 | 22479757 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-04-02 | 2026-03-31 | M | PT | N/A | 4191 | LORRAINE | XEH911817270 | ELIJAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16132086/check_22479757_7aea62d2-1caa-4e4d-8a63-eba2739b81b7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_22479757_8b489719-c082-424a-af1d-09eff1a579cf.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056911 | N/A | N/A | 16132086 | 2222 | N/A | 22598467 | N/A | 14191252 | 2026-03-31 07:19:36.954859 | 2026-03-12 15:28:35.280372 |
| 2026-03-31 07:19:35.128037 | 2026-04-01 00:49:00.292072 | 22479749 | N/A | N/A | 60054 | Aetna | 1114042165 | 22479749 | Athletic Physical Therapy Inc | 1999-07-02 | 2026-04-01 | M | AE | PT | N/A | Clemen | IDN268756197 | Tate | W | 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/2222/17257296/check_22479749_83582ac0-293e-4b35-99c2-6e2a84fc49e4.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074710 | N/A | N/A | 17257296 | 2222 | 4802 | 22701195 | N/A | 15274431 | 2026-04-01 00:49:00.292072 | 2026-02-26 01:15:47.249061 |
| 2026-03-31 07:19:35.073916 | 2026-03-31 07:19:39.056752 | 22479741 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-05 | 2026-03-31 | F | AE | PT | 3939 | SCHWARTZ | W29928822803 | KATYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15940921/check_22479741_6899e1a7-472b-4d44-97cb-0d12176a2fcb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15940921/check_22479741_401185be-b1e3-4531-89c4-6644a6fd4a58.json | N/A | N/A | N/A | N/A | N/A | W299288228 | Health Maintenance Organization (HMO) | LIFETECH RESOURCES LLC | AETNA | N/A | 2012-11-05 | EADOKN01 | 026948001000001 | N/A | HM | false | SCHWARTZ | N/A | JOSHUA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056916 | N/A | N/A | 15940921 | 2222 | N/A | 22598492 | N/A | 14023699 | 2026-03-31 07:19:39.056752 | 2026-02-04 01:25:53.978492 |
| 2026-03-31 07:19:35.005159 | 2026-04-01 01:43:09.418222 | 22479731 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22479731 | Athletic Physical Therapy Inc | 1983-05-02 | 2026-04-02 | F | PT | N/A | N/A | Eshelman | TGX910443258 | Breanne | 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/2222/17192333/check_22479731_9f88bcdd-1b90-407e-99bb-4fbb914b8159.json | N/A | N/A | N/A | N/A | N/A | TGX910443258 | Preferred Provider Organization (PPO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1983-05-02 | 1001PPOX0033 | W0051486 | N/A | PR | false | ESHELMAN | N/A | BREANNE | N/A | N/A | N/A | TRINET HR III INC CUSTOM PPO 1000 FF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074709 | N/A | N/A | 17192333 | 2222 | 4802 | 22717663 | N/A | 15188748 | 2026-04-01 01:43:09.418222 | 2026-02-21 00:09:03.991509 |
| 2026-03-31 07:19:34.918852 | 2026-03-31 07:19:37.767620 | 22479717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-31 | M | PT | N/A | 4185 | DE LUNA | 025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086240/check_22479717_a326f113-bc77-48f6-ba6e-70d4124c965e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_22479717_b91be004-09c8-4947-a57c-725f34d6c850.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056902 | N/A | N/A | 16086240 | 2222 | N/A | 22598476 | N/A | 4343453 | 2026-03-31 07:19:37.767620 | 2025-05-13 04:29:37.230931 |
| 2026-03-31 07:19:34.913387 | 2026-03-31 07:19:39.116159 | 22479716 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-07 | 2026-03-31 | M | AE | PT | 3939 | KOSOYAN | W291029917-01 | ARMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15534636/check_22479716_89309af9-68cc-4db0-b5be-940c4ca33097.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534636/check_22479716_059ac894-a524-4be3-93a0-cb6c13329fa1.json | N/A | N/A | N/A | N/A | N/A | W291029917 | Health Maintenance Organization (HMO) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2000-11-07 | EAC58V03 | 023248701000001 | N/A | HM | false | KOSOYAN | N/A | ARMAN | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056905 | N/A | N/A | 15534636 | 2222 | N/A | 22598491 | N/A | 13622455 | 2026-03-31 07:19:39.116159 | 2026-01-22 21:16:51.489492 |
| 2026-03-31 07:19:34.902534 | 2026-03-31 07:19:36.716100 | 22479714 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-13 | 2026-03-31 | F | 30 | AD | 6237 | SHAPIRO | 40065985101 | ONNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086772/check_22479714_3d8641f0-197b-4764-94c3-8d481202927e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_22479714_95fcb736-8f98-4ce2-b7db-a29f999f6ab0.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | 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 | 10435056887 | N/A | N/A | 16086772 | 2222 | N/A | 22598464 | N/A | 14151882 | 2026-03-31 07:19:36.716100 | 2026-01-30 16:12:37.739707 |