API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | 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 07:19:31.317479 | 2026-04-01 01:40:17.448401 | 22479215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22479215 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-04-01 | F | PT | Velazquez | JQE124A75580 | Victoria | N/A | 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/2222/16927466/check_22479215_d397cb75-8908-4964-ae00-cd84e3bc5303.json | N/A | N/A | N/A | N/A | N/A | JQE124A75580 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-06-01 | 040 | CASUPWP0 | N/A | N/A | false | VELAZQUEZ | N/A | VICTORIA | 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 | 10435074693 | N/A | N/A | 16927466 | 2222 | 4801 | 22717315 | N/A | 14926242 | 2026-04-01 01:40:17.448401 | 2026-03-06 18:16:10.395182 |
| 2026-03-31 07:19:31.279439 | 2026-03-31 07:19:33.072361 | 22479210 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-26 | 2026-03-31 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549981/check_22479210_8af72dd6-cab5-4a77-bf93-ec75a09d860f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_22479210_96772bfb-9051-4c5d-9d72-c55e9048c6f9.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 92274 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056634 | N/A | N/A | 5549981 | 2222 | N/A | 22598420 | N/A | 4219436 | 2026-03-31 07:19:33.072361 | 2025-05-13 04:29:37.230471 |
| 2026-03-31 07:19:31.267889 | 2026-03-31 07:19:33.580856 | 22479207 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-09-25 | 2026-03-31 | F | PT | VERSTEEG | 903359946-001 | CYNTHIA | N/A | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549702/check_22479207_7ed70f07-289a-439e-9440-6d5a8f80fc14.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549702/check_22479207_ccb4e741-dab5-47a0-808b-b107fd5760f8.json | N/A | N/A | N/A | N/A | N/A | XEH903359946 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1981-09-25 | 1477HMOX0001 | W0051411 | N/A | HM | false | VERSTEEG | N/A | CASEY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056638 | N/A | N/A | 5549702 | 2222 | N/A | 22598427 | N/A | 4219312 | 2026-03-31 07:19:33.580856 | 2026-02-23 23:08:40.715435 |
| 2026-03-31 07:19:31.200684 | 2026-03-31 07:19:37.122504 | 22479196 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2026-03-31 | M | 30 | WILSON | 31187497801 | MARVIN | N/A | AD | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_22479196_70ca5aa2-6878-4a32-ac8f-40f26d61a3b7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_22479196_f59efb7a-1dc8-4f9b-b44d-0122acb7e0d4.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-06-06 | 2026H5425001 | H5425M | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10435056627 | N/A | N/A | 5549707 | 2222 | N/A | 22598469 | N/A | 4219317 | 2026-03-31 07:19:37.122504 | 2025-05-13 04:29:37.230340 |
| 2026-03-31 07:19:31.025689 | 2026-04-01 00:35:47.347118 | 22479176 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22479176 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-04-02 | M | AE | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | 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/2222/16910806/check_22479176_383cc372-5ae5-46d8-9956-9361764eacb4.json | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074692 | N/A | N/A | 16910806 | 2222 | 4801 | 22696469 | N/A | 14910411 | 2026-04-01 00:35:47.347118 | 2026-02-17 22:13:49.772467 |
| 2026-03-31 07:19:31.000891 | 2026-03-31 07:19:33.542990 | 22479171 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-09-22 | 2026-03-31 | M | AE | ELLIS | 5ME7TU7UA42 | JEFFREY | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540471/check_22479171_a7008b6e-ad85-4c38-9542-c1bfcf0f73e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540471/check_22479171_da926f52-2540-41d4-9fda-e6e7497695d3.json | N/A | N/A | N/A | N/A | N/A | 5ME7TU7UA42 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-09-22 | S4802 | N/A | N/A | MA | false | ELLIS | N/A | JEFFREY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101967 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056624 | N/A | N/A | 5540471 | 2222 | N/A | 22598422 | N/A | 4212625 | 2026-03-31 07:19:33.542990 | 2025-05-13 04:29:37.226968 |
| 2026-03-31 07:19:30.984905 | 2026-03-31 07:19:33.136195 | 22479168 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2026-03-31 | F | AE | UYGUR | 1VV2MA6GE80 | NUKHET | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543311/check_22479168_db8044db-1a17-4c85-a4db-8ba0fab03ed2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_22479168_195f451a-11be-4381-8a4a-e241b4938008.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MB | false | UYGUR | N/A | NUKHET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 39530 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056619 | N/A | N/A | 5543311 | 2222 | N/A | 22598418 | N/A | 4215116 | 2026-03-31 07:19:33.136195 | 2025-05-29 22:32:19.748297 |
| 2026-03-31 07:19:30.967977 | 2026-03-31 07:19:34.035717 | 22479165 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-06 | 2026-03-31 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | N/A | PT | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543425/check_22479165_1af74d23-f99c-4874-afe9-cfcb6a7fdfed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_22479165_9a6c0904-3735-4324-b125-b0f32995f8f0.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056620 | N/A | N/A | 5543425 | 2222 | N/A | 22598435 | N/A | 4215211 | 2026-03-31 07:19:34.035717 | 2026-04-02 22:30:20.020246 |
| 2026-03-31 07:19:30.830652 | 2026-04-01 01:12:04.533390 | 22479147 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22479147 | Athletic Physical Therapy Inc | 1933-03-26 | 2026-04-02 | M | AE | Canyon | 31071793901 | James | N/A | PT | 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/2222/16865139/check_22479147_9daf602c-a714-41b1-beb5-012456250e96.json | N/A | N/A | N/A | N/A | N/A | 31071793901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-03-26 | 2026H5425001 | H5425M | N/A | N/A | false | CANYON | N/A | JAMES | 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 | 10435074691 | N/A | N/A | 16865139 | 2222 | 4801 | 22709934 | 6237 | 14871212 | 2026-04-01 01:12:04.533390 | 2026-03-26 18:22:57.411601 |
| 2026-03-31 07:19:30.829560 | 2026-03-31 07:19:35.032359 | 22479146 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-09-10 | 2026-03-31 | M | AE | STRONG | 292014001 | JOHN | N/A | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542808/check_22479146_5a5df4ff-496c-4094-a2d2-e6d6c334983f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542808/check_22479146_81f5b1e5-d96f-4c86-8dc1-084bc74f187d.json | N/A | N/A | N/A | N/A | N/A | 292014001 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-09-10 | N/A | 234485 | N/A | C1 | false | STRONG | N/A | JOHN | N/A | N/A | N/A | SIGNATUREVALUE HMO PLATINUM | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056602 | N/A | N/A | 5542808 | 2222 | N/A | 22598444 | N/A | 4214674 | 2026-03-31 07:19:35.032359 | 2025-05-13 04:29:37.228994 |
| 2026-03-31 07:19:30.801337 | 2026-03-31 07:19:32.536320 | 22479141 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-05-24 | 2026-03-31 | F | 96 | REGGIANI | 41813758 | SUSANA | N/A | N/A | 6798 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549015/check_22479141_a4c6f8c3-2692-44fd-9298-f9ca0fcea7a1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_22479141_bc958fae-43bd-476d-97a7-3e25a9d133f1.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10435056595 | N/A | N/A | 5549015 | 2222 | N/A | 22598411 | N/A | 4208849 | 2026-03-31 07:19:32.536320 | 2025-05-13 04:29:37.223279 |
| 2026-03-31 07:19:30.765747 | 2026-03-31 07:19:33.721612 | 22479135 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-23 | 2026-03-31 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | N/A | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542812/check_22479135_c2823aa3-dee7-4854-ba4c-7b0a865bedb4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542812/check_22479135_ff15960c-c828-49ef-bf4d-77b3e356e0b4.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 9999-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056598 | N/A | N/A | 5542812 | 2222 | N/A | 22598431 | N/A | 4214677 | 2026-03-31 07:19:33.721612 | 2026-03-18 22:35:37.752534 |
| 2026-03-31 07:19:30.635397 | 2026-03-31 07:19:32.563146 | 22479120 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-05-13 | 2026-03-31 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540531/check_22479120_48fb3cad-ed67-4886-bebe-8c42cba26251.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_22479120_b1e2b300-b7b6-424b-9cb8-75377185fd1b.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 58817 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056592 | N/A | N/A | 5540531 | 2222 | N/A | 22598410 | N/A | 4212676 | 2026-03-31 07:19:32.563146 | 2025-07-03 21:09:02.193065 |
| 2026-03-31 07:19:30.602296 | 2026-04-01 00:58:45.634864 | 22479115 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22479115 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-04-01 | F | AE | Kennedy | H70494658 | Alicia | N/A | PT | 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/2222/16844787/check_22479115_99e4c09d-e173-49a7-8303-659259a6a601.json | N/A | N/A | N/A | N/A | N/A | H70494658 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP 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 | 1952-11-07 | N/A | 2B506001 | N/A | HN | false | KENNEDY | N/A | ALICIA | 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 | 10435074690 | N/A | N/A | 16844787 | 2222 | 4801 | 22705243 | 5349 | 14851553 | 2026-04-01 00:58:45.634864 | 2026-02-12 22:24:19.285657 |
| 2026-03-31 07:19:30.483211 | 2026-04-01 01:38:33.136913 | 22479099 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22479099 | Athletic Physical Therapy Inc | 1971-08-23 | 2026-04-01 | M | PT | MACLEAN | JQU120W20392 | JAMES | N/A | 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/2222/16838110/check_22479099_5a24d958-1a18-4dbe-869c-7c70f583a71a.json | N/A | N/A | N/A | N/A | N/A | JQU120W20392 | Preferred Provider Organization (PPO) | CEDAR VALLEY PLUMBING SUPPLY | ANTHEM BLUE CROSS | N/A | 1971-08-23 | 040 | Q75469 | N/A | PR | false | MACLEAN | N/A | JAMES | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074689 | N/A | N/A | 16838110 | 2222 | 4793 | 22717070 | N/A | 14845258 | 2026-04-01 01:38:33.136913 | 2026-02-18 01:53:33.223443 |
| 2026-03-31 07:19:30.161198 | 2026-04-01 01:35:21.965121 | 22479062 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22479062 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-04-02 | F | PT | Amstutz | KXJ396W12867 | Lauren | N/A | 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/2222/16765713/check_22479062_bb38a799-df1b-40d0-9ae7-7a2fb7fb5e06.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 | 10435074688 | N/A | N/A | 16765713 | 2222 | 4801 | 22716545 | 4185 | 14776656 | 2026-04-01 01:35:21.965121 | 2026-02-10 18:58:53.303852 |
| 2026-03-31 07:19:30.114397 | 2026-03-31 07:19:33.126949 | 22479054 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-11 | 2026-03-31 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540282/check_22479054_8964a142-cdc5-4d0a-8dae-ed69f4860f25.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_22479054_6997b0d2-cba8-4a0b-85f6-cd77bd455321.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | 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 | 10435056550 | N/A | N/A | 5540282 | 2222 | N/A | 22598421 | N/A | 4212465 | 2026-03-31 07:19:33.126949 | 2025-05-13 04:29:37.226801 |
| 2026-03-31 07:19:30.021926 | 2026-03-31 07:19:31.830280 | 22479043 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2026-03-31 | M | AE | STEIN | 8MY3V79UN60 | DONALD | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538576/check_22479043_537e2c2b-4cf9-46dc-8fbf-d7ffb63e1be1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_22479043_a752c4b6-118e-41f2-a9cc-2293927f66b1.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MB | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 233980 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056546 | N/A | N/A | 5538576 | 2222 | N/A | 22598399 | N/A | 4210984 | 2026-03-31 07:19:31.830280 | 2025-08-15 17:42:50.500189 |
| 2026-03-31 07:19:29.979904 | 2026-04-01 00:49:31.999225 | 22479033 | N/A | N/A | 60054 | Aetna | 1114042165 | 22479033 | Athletic Physical Therapy Inc | 2015-08-07 | 2026-04-03 | M | AE | Pederson | W24523130003 | Camden | N/A | PT | 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/2222/16713614/check_22479033_4c607b68-0880-4094-b9aa-686ced1f0f08.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 | 10435074687 | N/A | N/A | 16713614 | 2222 | 4793 | 22701426 | N/A | 14725710 | 2026-04-01 00:49:31.999225 | 2026-02-10 21:08:46.744563 |
| 2026-03-31 07:19:29.937317 | 2026-03-31 07:19:33.119022 | 22479030 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-10 | 2026-03-31 | M | AE | BRUNSKILL | 9853463 | NATHAN | N/A | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538359/check_22479030_e034ec1e-4c74-4bb6-951b-cb35d22fae5b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538359/check_22479030_55f85e80-8658-4f56-91ef-2dad71a9e564.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056549 | N/A | N/A | 5538359 | 2222 | N/A | 22598419 | N/A | 4210784 | 2026-03-31 07:19:33.119022 | 2025-05-13 04:29:37.225193 |
| 2026-03-31 07:19:29.829810 | 2026-04-01 01:11:15.360113 | 22479016 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 22479016 | Athletic Physical Therapy Inc | 1967-07-24 | 2026-04-03 | M | AE | Shaw | 94490515F | Michael | N/A | PT | 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/2222/16686472/check_22479016_deb0f971-9f7e-401d-a1fc-c0b99ff13b43.json | N/A | N/A | N/A | N/A | N/A | 94490515F | N/A | N/A | HEALTH NET, LLC | N/A | 1967-07-24 | N/A | N/A | N/A | N/A | false | SHAW | N/A | MICHAEL | 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 | 10435074686 | N/A | N/A | 16686472 | 2222 | 4802 | 22709645 | N/A | 14700178 | 2026-04-01 01:11:15.360113 | 2026-02-09 18:13:32.617059 |
| 2026-03-31 07:19:29.774031 | 2026-03-31 07:19:32.561355 | 22479011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-18 | 2026-03-31 | M | PT | PERLMUTTER | JQH460A69253 | DREW | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538573/check_22479011_25e5ea4a-993c-4ee9-a577-e25bc7ca5ded.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_22479011_99340803-bbbf-41fe-93e2-df2a1e25745f.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 9999-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056533 | N/A | N/A | 5538573 | 2222 | N/A | 22598412 | N/A | 4210980 | 2026-03-31 07:19:32.561355 | 2025-05-13 04:29:37.225377 |
| 2026-03-31 07:19:29.646055 | 2026-04-01 00:49:18.819640 | 22478996 | N/A | N/A | 60054 | Aetna | 1114042165 | 22478996 | Athletic Physical Therapy Inc | 1995-07-01 | 2026-04-02 | F | AE | Hope | W267739977 | Amanda | N/A | PT | 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/2222/16682795/check_22478996_8478b5c1-4907-4869-854c-3db82642dab3.json | N/A | N/A | N/A | N/A | N/A | W267739977 | Point of Service (POS) | KERING AMERICAS, INC. | AETNA | N/A | 1995-07-01 | 0837253 | 083725301600014 | N/A | PS | false | HOPE | N/A | AMANDA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074685 | N/A | N/A | 16682795 | 2222 | 4802 | 22701335 | N/A | 14697020 | 2026-04-01 00:49:18.819640 | 2026-02-09 18:13:43.754543 |
| 2026-03-31 07:19:29.521961 | 2026-04-01 01:31:05.040507 | 22478981 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22478981 | Athletic Physical Therapy Inc | 1964-09-03 | 2026-04-02 | F | AE | REZAYANI | 97093372E | SOHAYLA | M | PT | 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/2222/16679973/check_22478981_96929528-e88e-45be-8547-3e2fc9893a42.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074684 | N/A | N/A | 16679973 | 2222 | 4802 | 22715489 | 4625 | 4213366 | 2026-04-01 01:31:05.040507 | 2025-07-14 15:29:50.728003 |
| 2026-03-31 07:19:29.515039 | 2026-03-31 07:19:33.478202 | 22478978 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-08-26 | 2026-03-31 | F | AE | PALTENGHE | H7957237000 | BEVERLY | N/A | PT | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538116/check_22478978_97868fd1-a463-49e4-96f5-d4af4ffb9528.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538116/check_22478978_45d64e49-d4a6-4a2c-8c73-98478447b823.json | N/A | N/A | N/A | N/A | N/A | H79572370 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 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 | 1939-08-26 | N/A | Y9623001 | N/A | HN | false | PALTENGHE | N/A | BEVERLY | 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 | 10435056523 | N/A | N/A | 5538116 | 2222 | N/A | 22598429 | N/A | 4210586 | 2026-03-31 07:19:33.478202 | 2025-05-13 04:29:37.225000 |
| 2026-03-31 07:19:29.391918 | 2026-04-01 01:43:59.090075 | 22478964 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22478964 | Athletic Physical Therapy Inc | 2012-09-05 | 2026-04-02 | F | PT | PEREZ | XEH906211928 | KAILANA | N/A | 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/2222/16678903/check_22478964_9cb711f7-c3a6-417b-b364-b9a0b667be3c.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | 1000HMOX0002 | W0065470 | N/A | HM | false | PEREZ | N/A | JESUS | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074683 | N/A | N/A | 16678903 | 2222 | 4801 | 22717745 | 4191 | 4213067 | 2026-04-01 01:43:59.090075 | 2026-02-17 17:23:43.418582 |
| 2026-03-31 07:19:29.368250 | 2026-03-31 07:19:32.121782 | 22478960 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-22 | 2026-03-31 | F | PT | KINSLEY | 913281434-000 | MICHELLE | N/A | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537996/check_22478960_24a3fbfd-d9d4-49cc-b454-62813de274cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_22478960_759c7118-d035-4151-be08-0c9782a9ce38.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2025-07-01 | 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 | 10435056511 | N/A | N/A | 5537996 | 2222 | N/A | 22598403 | N/A | 4210486 | 2026-03-31 07:19:32.121782 | 2025-05-13 04:29:37.224904 |
| 2026-03-31 07:19:29.270231 | 2026-03-31 07:19:32.452338 | 22478952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-11 | 2026-03-31 | F | PT | OATES | JQS723M87472 | STACY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537951/check_22478952_2db11ecc-4e5d-4855-bf21-5733fc88742d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537951/check_22478952_6f03e066-e3ac-4ddd-bca1-1f9d88af95d2.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | 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 | 10435056508 | N/A | N/A | 5537951 | 2222 | N/A | 22598405 | N/A | 4210449 | 2026-03-31 07:19:32.452338 | 2026-02-25 15:35:31.486496 |
| 2026-03-31 07:19:29.233444 | 2026-04-01 01:30:59.486428 | 22478945 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22478945 | Athletic Physical Therapy Inc | 1983-04-17 | 2026-04-01 | F | AE | MULLEN | 96337043G | MELANIE | K | PT | 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/2222/16579498/check_22478945_2c6247e4-b12c-4ba4-99d5-91e4fe0e5d2a.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET, LLC | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074682 | N/A | N/A | 16579498 | 2222 | 4793 | 22715457 | 4625 | 14597625 | 2026-04-01 01:30:59.486428 | 2026-02-09 19:54:47.612972 |
| 2026-03-31 07:19:29.149266 | 2026-03-31 07:19:32.500984 | 22478938 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-09-12 | 2026-03-31 | M | PT | YOUNG | XEH910885070 | PAUL | N/A | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537663/check_22478938_53f0bc11-ad8b-4986-981b-a4d5bb296123.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537663/check_22478938_4f05855a-8863-4e62-bd70-2ecc254718b9.json | N/A | N/A | N/A | N/A | N/A | XEH910885070 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-09-12 | 1010VX000001 | W0069783 | N/A | HM | false | YOUNG | N/A | PAUL | N/A | 9999-12-31 | 2024-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056504 | N/A | N/A | 5537663 | 2222 | N/A | 22598404 | N/A | 4210189 | 2026-03-31 07:19:32.500984 | 2026-02-23 16:32:53.562405 |
| 2026-03-31 07:19:29.106883 | 2026-04-01 00:35:30.451571 | 22478931 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22478931 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-04-02 | F | AE | CHUN | ICA068643 | LINDA | E | PT | 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/2222/16579154/check_22478931_e2f287dd-1c8f-4af9-abc0-51b4424483c7.json | N/A | N/A | N/A | N/A | N/A | ICA068643 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-01-13 | N/A | N/A | N/A | N/A | false | CHUN | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074681 | N/A | N/A | 16579154 | 2222 | 4793 | 22696431 | N/A | 14597301 | 2026-04-01 00:35:30.451571 | 2026-02-06 23:30:42.528802 |
| 2026-03-31 07:19:28.970433 | 2026-03-31 07:19:31.761844 | 22478913 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-31 | 2026-03-31 | M | PT | MILES | MBL835W05431 | KEITH | N/A | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536896/check_22478913_262845bf-873d-4163-92a2-9edcca1285f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_22478913_7003a935-f88e-4249-a971-1623848beb24.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 10435056482 | N/A | N/A | 5536896 | 2222 | N/A | 22598397 | N/A | 4209567 | 2026-03-31 07:19:31.761844 | 2025-05-13 04:29:37.223990 |
| 2026-03-31 07:19:28.919681 | 2026-04-01 01:38:55.714533 | 22478907 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22478907 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-04-01 | F | PT | MOLAYEM | XEM904126389 | JILLA | N/A | 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/2222/16453425/check_22478907_8cc3c7e0-7231-4ec2-aafe-d3d1555ee669.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435074680 | N/A | N/A | 16453425 | 2222 | 4802 | 22717127 | N/A | 14498125 | 2026-04-01 01:38:55.714533 | 2026-03-11 14:35:29.812051 |
| 2026-03-31 07:19:28.850601 | 2026-03-31 07:19:31.832673 | 22478900 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-04-10 | 2026-03-31 | M | PT | REPOSAR | ncf900m81170 | ALEXANDER | N/A | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536777/check_22478900_8eedf004-0276-42a5-9047-ce788ccf6ea9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536777/check_22478900_4446ae78-5774-4cd9-a1f5-4f992e63bd93.json | N/A | N/A | N/A | N/A | N/A | JMV900M81170 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1972-04-10 | 040 | 56677NR000 | N/A | HM | false | REPOSAR | N/A | ALEXANDER | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056463 | N/A | N/A | 5536777 | 2222 | N/A | 22598398 | N/A | 4209460 | 2026-03-31 07:19:31.832673 | 2025-05-13 04:29:37.223893 |
| 2026-03-31 07:19:28.849193 | 2026-03-31 07:19:31.610207 | 22478899 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-02 | 2026-03-31 | M | PT | GOTLER | NCF018M77628 | RONALD | N/A | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536875/check_22478899_5da467ac-d4ee-4f29-9c19-505a6f798c5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536875/check_22478899_9147fe4f-7bf1-4254-82a6-091d5fcb60fd.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056459 | N/A | N/A | 5536875 | 2222 | N/A | 22598395 | N/A | 4209547 | 2026-03-31 07:19:31.610207 | 2025-05-13 04:29:37.223974 |
| 2026-03-31 07:19:28.837400 | 2026-03-31 07:19:32.045297 | 22478896 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2026-03-31 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_22478896_e760951c-cba1-412b-8b25-9a90642286ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_22478896_1496daf2-7cad-460f-a754-0bec7729ac2b.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056464 | N/A | N/A | 5536041 | 2222 | N/A | 22598401 | N/A | 4208856 | 2026-03-31 07:19:32.045297 | 2025-05-13 04:29:37.223284 |
| 2026-03-31 07:19:28.734941 | 2026-03-31 07:19:30.707616 | 22478881 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-22 | 2026-03-31 | F | AE | ODONNELL | 8XF6N21DN43 | AUDREY | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536184/check_22478881_f1635306-5a9c-4bc7-9b45-9ebdd2fa0297.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536184/check_22478881_d76d3a38-895d-48ff-bdd1-88c6b942470f.json | N/A | N/A | N/A | N/A | N/A | 8XF6N21DN43 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-22 | N/A | N/A | N/A | MB | false | ODONNELL | N/A | AUDREY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 71100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435056456 | N/A | N/A | 5536184 | 2222 | N/A | 22598381 | N/A | 4208979 | 2026-03-31 07:19:30.707616 | 2025-05-13 04:29:37.223405 |
| 2026-03-31 07:19:28.732522 | 2026-04-01 01:23:46.591948 | 22478879 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22478879 | Athletic Physical Therapy Inc | 1967-11-06 | 2026-04-01 | F | AE | Schmelzer | 000020816612 | Grace | N/A | PT | 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/2222/16449273/check_22478879_c06210c6-310f-4d67-a8d6-3d094e1d244e.json | N/A | N/A | N/A | N/A | N/A | 000020816612 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1967-11-06 | 4362456 | 1650095001 | N/A | N/A | false | SCHMELZER | N/A | GRACE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435074679 | N/A | N/A | 16449273 | 2222 | 4802 | 22713724 | N/A | 14494491 | 2026-04-01 01:23:46.591948 | 2026-02-06 00:03:22.888776 |
| 2026-03-31 07:19:28.710501 | 2026-03-31 07:19:31.682267 | 22478876 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-20 | 2026-03-31 | F | AE | WHEELER | 941711796 | LYNN | N/A | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536326/check_22478876_93e8e3ce-7711-41f1-af97-1164a57e76ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536326/check_22478876_77b9f3d4-1e52-4bb7-8ca4-932b3ae218ea.json | N/A | N/A | N/A | N/A | N/A | 941711796 | 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 | 1951-12-20 | N/A | 01963 | N/A | HN | false | WHEELER | N/A | LYNN | 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 | 10435056452 | N/A | N/A | 5536326 | 2222 | N/A | 22598394 | N/A | 4209091 | 2026-03-31 07:19:31.682267 | 2025-05-13 04:29:37.223512 |
| 2026-03-31 07:19:28.706894 | 2026-03-31 07:19:30.777460 | 22478873 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-03-31 | M | AE | UNDERHILL | 31135655801 | DIRK | N/A | PT | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_22478873_e2f19cf1-501c-438e-a52b-39bba18a8dcb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535951/check_22478873_9a9e4c36-3e7f-4213-ae8e-940dd380b6e1.json | N/A | N/A | N/A | N/A | N/A | 31135655801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-25 | 2026H5425001 | H5425M | N/A | N/A | false | UNDERHILL | N/A | DIRK | 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 | 10435056457 | N/A | N/A | 5535951 | 2222 | N/A | 22598383 | N/A | 4208785 | 2026-03-31 07:19:30.777460 | 2026-02-25 19:42:29.414844 |
| 2026-03-31 07:19:28.559388 | 2026-04-01 01:44:33.910818 | 22478857 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22478857 | Athletic Physical Therapy Inc | 2001-12-10 | 2026-04-02 | M | PT | ANGHA | XXP966240802 | ZACHARIA | N/A | 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/2222/16448068/check_22478857_deea4a9d-e6dd-40bb-b0cd-ee3e162288d2.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 | 10435073981 | N/A | N/A | 16448068 | 2222 | 4793 | 22717818 | N/A | 14493240 | 2026-04-01 01:44:33.910818 | 2026-02-25 21:26:55.970409 |
| 2026-03-31 07:19:28.413876 | 2026-04-01 01:36:58.739700 | 22478839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22478839 | Athletic Physical Therapy Inc | 2015-03-22 | 2026-04-01 | F | PT | FEEMSTER | DGA12853815J | Madeline | N/A | 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/2222/16418575/check_22478839_6bc6b9c5-5b31-468b-a486-a0d3b5f5c819.json | N/A | N/A | N/A | N/A | N/A | DGA12853815J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 2015-03-22 | 040 | 276945M001 | N/A | PR | false | FEEMSTER | N/A | JOSHUA | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435073980 | N/A | N/A | 16418575 | 2222 | 4793 | 22716814 | N/A | 14466131 | 2026-04-01 01:36:58.739700 | 2026-02-05 19:30:21.838019 |
| 2026-03-31 07:19:28.336131 | 2026-03-31 07:19:35.133451 | 22478831 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-19 | 2026-03-31 | F | PT | CARLON | R15684508 | JACQUELINE | N/A | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535724/check_22478831_14bde49f-8a04-4859-8796-24e82fed72b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535724/check_22478831_ce37c902-7922-4f92-aeb6-a063bc441cb1.json | N/A | N/A | N/A | N/A | N/A | R15684508 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1953-09-19 | N/A | 106 | N/A | PR | false | CARLON | N/A | STEVEN | N/A | 9999-12-31 | 2016-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435056416 | N/A | N/A | 5535724 | 2222 | N/A | 22598448 | N/A | 4208597 | 2026-03-31 07:19:35.133451 | 2025-05-13 04:29:37.223030 |
| 2026-03-31 07:19:28.289344 | 2026-03-31 07:19:32.103140 | 22478822 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2026-03-31 | F | AE | PORTER | 40028215401 | SHERIL | N/A | PT | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_22478822_4bbb552d-3dda-4aa2-956a-5d8215b77b69.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_22478822_8108abe3-1e1f-4c50-b41b-a617e2fcec79.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 10435056414 | N/A | N/A | 5535434 | 2222 | N/A | 22598402 | N/A | 4208356 | 2026-03-31 07:19:32.103140 | 2025-08-25 14:49:27.724897 |
| 2026-03-31 07:19:28.166090 | 2026-04-01 01:43:53.470563 | 22478805 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22478805 | Athletic Physical Therapy Inc | 1997-11-01 | 2026-04-01 | M | PT | PANCER | STS914365541 | JORDAN | N/A | 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/2222/16366027/check_22478805_0992cc75-5d4e-4e7d-93d7-98d364f45357.json | N/A | N/A | N/A | N/A | N/A | STS914365541 | Preferred Provider Organization (PPO) | CAREISMATIC BRANDS INC | BLUE SHIELD CALIFORNIA | N/A | 1997-11-01 | 1000PPOX0004 | W0054275 | N/A | PR | false | PANCER | N/A | JORDAN | N/A | N/A | N/A | CAREISMATIC BRANDS INC ASO PPO COMBINED DEDUCTIB | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10435073979 | N/A | N/A | 16366027 | 2222 | 4802 | 22717736 | N/A | 4213469 | 2026-04-01 01:43:53.470563 | 2025-05-13 04:29:37.227786 |
| 2026-03-31 07:19:27.896180 | 2026-04-01 01:22:52.476646 | 22478774 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22478774 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-04-01 | F | AE | Kantor | 000002491752 | Judith | E | PT | 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/2222/16357604/check_22478774_3b7d3b36-2adb-444d-840c-15c86c5757e7.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA'S VALUED TRUST CVT / 3 TIER / RETIREE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435073978 | N/A | N/A | 16357604 | 2222 | 4802 | 22713521 | N/A | 14403242 | 2026-04-01 01:22:52.476646 | 2026-02-04 22:38:19.962874 |
| 2026-03-31 07:19:27.684196 | 2026-04-01 01:32:15.854827 | 22478746 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22478746 | Athletic Physical Therapy Inc | 1968-09-09 | 2026-04-03 | F | AE | Edwards | 98326476F | Alethea | N/A | PT | 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/2222/16285370/check_22478746_6c7dbf22-a0eb-45a4-9968-cb72b4246a21.json | N/A | N/A | N/A | N/A | N/A | 98326476F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1968-09-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | EDWARDS | N/A | ALETHEA | N/A | 2078-12-31 | 2025-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10435073977 | N/A | N/A | 16285370 | 2222 | 4802 | 22715795 | N/A | 14334011 | 2026-04-01 01:32:15.854827 | 2026-02-04 00:05:43.902310 |
| 2026-03-31 07:19:27.531836 | 2026-04-01 01:12:15.697853 | 22478724 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22478724 | Athletic Physical Therapy Inc | 1955-10-13 | 2026-04-03 | F | AE | HA | 40065178501 | LYNN | B | PT | 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/2222/16264977/check_22478724_a35be9d4-1a56-4640-b7a0-e3b00f7a9565.json | N/A | N/A | N/A | N/A | N/A | 40065178501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-10-13 | 2026H5425001 | H5425M | N/A | N/A | false | HA | N/A | LYNN | 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 | 10435073976 | N/A | N/A | 16264977 | 2222 | 4793 | 22710016 | 6237 | 14314351 | 2026-04-01 01:12:15.697853 | 2026-03-09 22:16:11.719455 |
| 2026-03-31 07:19:27.287067 | 2026-04-01 00:59:12.452691 | 22478691 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 22478691 | Athletic Physical Therapy Inc | 1953-09-18 | 2026-04-01 | F | AE | ROZZANO | H9643373200 | GINA | Elizabeth | PT | 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/2222/16263884/check_22478691_c727e278-abfd-4861-9aa7-19c8de41609a.json | N/A | N/A | N/A | N/A | N/A | H96433732 | 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 | 1953-09-18 | N/A | 2B722001 | N/A | HN | false | ROZZANO | N/A | GINA | 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 | 10435073975 | N/A | N/A | 16263884 | 2222 | 4801 | 22705425 | N/A | 4214855 | 2026-04-01 00:59:12.452691 | 2026-02-04 07:01:53.240587 |
| 2026-03-31 07:19:27.066945 | 2026-04-01 00:48:48.589015 | 22478658 | N/A | N/A | 60054 | Aetna | 1114042165 | 22478658 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-04-02 | F | AE | Chow | W227140792 | Yook Ying | N/A | PT | 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/2222/16237575/check_22478658_b827923d-54cf-4e45-ac74-5c3d391b13df.json | N/A | N/A | N/A | N/A | N/A | W227140792 | Point of Service (POS) | NATIONAL ASSOCIATION OF REALTORS | AETNA | N/A | 1990-11-12 | 0697728 | 069772802100001 | N/A | PS | false | CHOW | N/A | YOOK-YING | 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 | 10435073974 | N/A | N/A | 16237575 | 2222 | 4802 | 22701107 | N/A | 14289458 | 2026-04-01 00:48:48.589015 | 2026-02-11 16:26:04.020916 |