API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-27 09:03:52.104622 | 2025-06-28 05:02:36.514198 | 9284039 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9284039 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-06-30 | M | PT | BRUNO | NCF254A54902 | PHILLIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_9284039_cdd6b557-7bad-48a1-a004-21256f6e4a3e.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-09-09 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | PHILLIP | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079069506 | N/A | N/A | 5993958 | 2222 | 4801 | 9036159 | N/A | 4642892 | 2025-06-28 05:02:36.514198 | 2025-05-29 23:29:01.820749 |
| 2025-06-27 09:03:51.921350 | 2025-06-28 05:11:51.075857 | 9284020 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9284020 | Athletic Physical Therapy Inc | 2002-09-02 | 2025-06-30 | M | AE | TCHORBAJIAN | 000015560662 | AREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993954/check_9284020_33014505-cff7-46a8-8331-a19f579f65cd.json | N/A | N/A | N/A | N/A | N/A | 000015560662 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2002-09-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | AREN | N/A | N/A | N/A | GF JANUARY - KPIF DHMO DEDUCTIBLE HMO $1500 W/CHIR | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079069505 | N/A | N/A | 5993954 | 2222 | 4801 | 9037780 | N/A | 4642889 | 2025-06-28 05:11:51.075857 | 2025-06-13 05:53:58.450942 |
| 2025-06-27 09:03:51.706404 | 2025-06-28 05:02:32.551721 | 9284005 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9284005 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-06-30 | F | AE | ALROMAIH | 91237812E | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_9284005_4a1e8fc1-df17-4983-931b-0ff4abbfadcb.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079069504 | N/A | N/A | 5993940 | 2222 | 4802 | 9036151 | N/A | 4642877 | 2025-06-28 05:02:32.551721 | 2025-12-23 23:49:16.627667 |
| 2025-06-27 09:03:51.479534 | 2025-06-28 05:13:57.523158 | 9283987 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9283987 | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-30 | M | PT | DA SILVA | XEA913717284 | ALEXANDER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_9283987_e4f27e7c-c21d-4b5d-8a73-0b3e0a67243b.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079069503 | N/A | N/A | 5993933 | 2222 | 4793 | 9038160 | N/A | 4642870 | 2025-06-28 05:13:57.523158 | 2025-06-06 02:32:24.489244 |
| 2025-06-27 09:03:51.383745 | 2025-06-28 05:03:32.208733 | 9283979 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9283979 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-30 | F | AE | GNAD | 9EM9VP4XX36 | MELANIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.052004348.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_9283979_2e8eab17-f4fa-4402-8f8d-c020ece57402.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079044677 | N/A | N/A | 5676353 | 2222 | 4801 | 9036418 | N/A | 4212792 | 2025-06-28 05:03:32.208733 | 2025-10-07 20:33:25.637997 |
| 2025-06-27 09:03:51.298573 | 2025-06-28 05:13:56.792680 | 9283971 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9283971 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-06-30 | M | PT | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_9283971_9bb486d8-2e74-4513-9c00-2a0e5b1cf897.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079069502 | N/A | N/A | 5993926 | 2222 | 4802 | 9038158 | N/A | 4642862 | 2025-06-28 05:13:56.792680 | 2025-05-28 20:59:09.029689 |
| 2025-06-27 09:03:51.186273 | 2025-06-28 05:12:44.881069 | 9283963 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9283963 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-06-30 | F | PT | CONTI | CAI143A79624 | MARIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_9283963_95734c9b-3afd-4be8-aff2-d0a2aa2fe475.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079069501 | N/A | N/A | 5993920 | 2222 | 4793 | 9037936 | 4184 | 4642859 | 2025-06-28 05:12:44.881069 | 2026-04-10 21:27:25.225083 |
| 2025-06-27 09:03:51.037442 | 2025-06-28 05:02:30.615382 | 9283952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9283952 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-30 | F | AE | ELDRIDGE | JQE441W06428 | MARGARET | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.052004348.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9283952_be835f65-4224-4086-8168-5e8509483177.json | N/A | N/A | N/A | N/A | N/A | JQE441W06428 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-09-13 | 040 | CASUPWP0 | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079044676 | N/A | N/A | 5536115 | 2222 | 4793 | 9036146 | N/A | 4208915 | 2025-06-28 05:02:30.615382 | 2025-07-25 17:30:46.084330 |
| 2025-06-27 09:03:50.969881 | 2025-06-28 05:11:51.504894 | 9283945 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9283945 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-06-30 | M | AE | JOHNSON | R04617470MM1 | ROTH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_9283945_f8642edb-bfd5-40c6-bcbc-afb0a0eda2a0.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | K7Z PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079069500 | N/A | N/A | 5993907 | 2222 | 4793 | 9037782 | N/A | 4534544 | 2025-06-28 05:11:51.504894 | 2025-05-28 20:51:40.104091 |
| 2025-06-27 09:03:46.594214 | 2025-06-28 05:09:14.786181 | 9283627 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9283627 | Athletic Physical Therapy Inc | 1995-07-14 | 2025-06-30 | F | AE | Yee | U7171601401 | Amanda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174184/check_9283627_d3d3b934-bb4e-4370-9c9a-3fc2ebac8852.json | N/A | N/A | N/A | N/A | N/A | U7171601401 | N/A | ROKU, INC. | CHLIC | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-07-14 | N/A | 3340367 | N/A | N/A | false | YEE | N/A | AMANDA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079102217 | N/A | N/A | 6174184 | 2222 | 4802 | 9037317 | N/A | 4815542 | 2025-06-28 05:09:14.786181 | 2025-06-06 19:25:46.160820 |
| 2025-06-27 09:03:35.119441 | 2025-06-28 02:14:12.795500 | 9282716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9282716 | Athletic Physical Therapy Inc | 1999-06-07 | 2025-06-30 | F | PT | WATSON | NSA00625557H | SIERRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6465694/check_9282716_3092b896-ac14-45bd-a421-93cbfca280cc.json | N/A | N/A | N/A | N/A | N/A | NSA00625557H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1999-06-07 | 040 | L05927A001 | N/A | PR | false | CARTER | N/A | CARMEN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079120023 | N/A | N/A | 6465694 | 2222 | 4793 | 9027664 | N/A | 5101795 | 2025-06-28 02:14:12.795500 | 2025-06-19 21:16:37.661994 |
| 2025-06-27 09:03:23.383595 | 2025-06-28 02:07:57.221022 | 9281903 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281903 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-30 | M | PT | DATO | NGO555A50496 | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9281903_e45be0ee-7aa8-4fb8-9ff1-af0fb69809eb.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048853 | N/A | N/A | 5551045 | 2222 | 4793 | 9022401 | N/A | 4219851 | 2025-06-28 02:07:57.221022 | 2025-05-13 04:29:37.230897 |
| 2025-06-27 09:03:23.304588 | 2025-06-28 02:07:39.249560 | 9281898 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9281898 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-06-30 | F | PT | BOWMAN | 00000386100 | GLORIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_9281898_3ec0a622-5541-4c9c-b2ca-3a500f0033c4.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1953-04-10 | H3815028 | N/A | N/A | HM | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079048852 | N/A | N/A | 5551030 | 2222 | 4801 | 9022123 | 2630 | 4219852 | 2025-06-28 02:07:39.249560 | 2025-05-13 04:29:37.230898 |
| 2025-06-27 09:03:23.220463 | 2025-06-28 02:08:02.648504 | 9281893 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281893 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-06-30 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_9281893_f1d18975-8cf3-4bf9-8f7b-e5042bfd574c.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048851 | N/A | N/A | 5550993 | 2222 | 4793 | 9022486 | N/A | 4219817 | 2025-06-28 02:08:02.648504 | 2025-05-13 04:29:37.230864 |
| 2025-06-27 09:03:23.145572 | 2025-06-28 02:07:58.009806 | 9281888 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281888 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-06-30 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_9281888_f6adbaf7-584f-4a1d-b334-f463aa623009.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048850 | N/A | N/A | 5550953 | 2222 | 4801 | 9022415 | N/A | 4219788 | 2025-06-28 02:07:58.009806 | 2025-06-06 22:01:46.271450 |
| 2025-06-27 09:03:23.061594 | 2025-06-28 02:07:21.994169 | 9281880 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9281880 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-06-30 | F | PT | GUEVARA | G45053839 | DIANE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_9281880_29f0f52c-a645-42e7-a24a-08d6c1692ac8.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079048849 | N/A | N/A | 5550940 | 2222 | 4793 | 9021835 | N/A | 4219779 | 2025-06-28 02:07:21.994169 | 2025-05-13 04:29:37.230820 |
| 2025-06-27 09:03:22.987605 | 2025-06-28 02:08:47.787868 | 9281877 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281877 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-30 | F | PT | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_9281877_ce238be5-1533-4e9f-a2fa-f1469ed6d9f3.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | Preferred Provider Organization (PPO) | 48FORTY INTERMEDIATE HOLDINGS | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | 396562 | N/A | PR | false | MERKER | N/A | AMANDA | N/A | N/A | N/A | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048848 | N/A | N/A | 5550917 | 2222 | 4802 | 9023221 | N/A | 4219762 | 2025-06-28 02:08:47.787868 | 2025-05-13 04:29:37.230803 |
| 2025-06-27 09:03:22.893034 | 2025-06-28 02:08:36.088410 | 9281872 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281872 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-06-30 | M | PT | AMENT | XED913057951 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_9281872_c20a1331-cc58-4d1f-8e8e-eab5c99d2619.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2024-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048847 | N/A | N/A | 5550865 | 2222 | 4802 | 9023034 | N/A | 4215196 | 2025-06-28 02:08:36.088410 | 2025-05-13 04:29:37.229513 |
| 2025-06-27 09:03:22.808098 | 2025-06-28 02:03:53.283895 | 9281861 | N/A | N/A | 60054 | Aetna | 1114042165 | 9281861 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-06-30 | F | AE | CARDINALI | W286606913 | NICOLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9281861_cf77cfc0-3fd4-4ea6-8b21-87dccb54fdf2.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079048846 | N/A | N/A | 5550850 | 2222 | 4802 | 9018471 | N/A | 4215195 | 2025-06-28 02:03:53.283895 | 2025-05-14 09:08:40.751930 |
| 2025-06-27 09:03:22.716101 | 2025-06-28 02:12:59.260664 | 9281856 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281856 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-06-30 | F | PT | STELLINI | 9PU3FY2MU09 | DONNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_9281856_54d65e18-972e-4346-a787-e5ec104cbab1.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MB | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079048845 | N/A | N/A | 5550849 | 2222 | 4802 | 9026768 | N/A | 4215221 | 2025-06-28 02:12:59.260664 | 2025-05-13 04:29:37.229536 |
| 2025-06-27 09:03:22.636261 | 2025-06-28 02:08:40.309107 | 9281849 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281849 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-06-30 | M | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9281849_31d90210-2b06-476d-a327-64281af48dcd.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048844 | N/A | N/A | 5550845 | 2222 | 4801 | 9023099 | N/A | 4219713 | 2025-06-28 02:08:40.309107 | 2025-08-13 22:46:55.732965 |
| 2025-06-27 09:03:22.549453 | 2025-06-28 02:13:00.700361 | 9281844 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281844 | Athletic Physical Therapy Inc | 1970-03-04 | 2025-06-30 | F | AE | VITATOE | 4YM5KY1DG73 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_9281844_ee8e69b3-d88b-4dfb-8850-55ae00da428a.json | N/A | N/A | N/A | N/A | N/A | 4YM5KY1DG73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-04 | S4802 | N/A | N/A | MA | false | VITATOE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079048843 | N/A | N/A | 5550839 | 2222 | 4801 | 9026788 | N/A | 4219707 | 2025-06-28 02:13:00.700361 | 2025-05-13 04:29:37.230750 |
| 2025-06-27 09:03:22.474692 | 2025-06-28 02:08:36.664894 | 9281837 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281837 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-06-30 | F | PT | JEBBARI DELSHAD | XED913120799 | NEDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_9281837_14ca1a46-9e93-440d-83a9-abd6e1bbbc29.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079048842 | N/A | N/A | 5550827 | 2222 | 4802 | 9023040 | N/A | 4219700 | 2025-06-28 02:08:36.664894 | 2025-05-13 04:29:37.230745 |
| 2025-06-27 09:03:22.397741 | 2025-06-28 02:03:54.611095 | 9281830 | N/A | N/A | 60054 | Aetna | 1114042165 | 9281830 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-06-30 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_9281830_44ae4e47-98f2-488f-bda2-00a380caa52a.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079048841 | N/A | N/A | 5550743 | 2222 | 4801 | 9018500 | N/A | 4219643 | 2025-06-28 02:03:54.611095 | 2025-05-13 04:29:37.230685 |
| 2025-06-27 09:03:22.258728 | 2025-06-28 02:12:55.953207 | 9281823 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281823 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-06-30 | F | AE | JALLAD | 7AY7QW7EK46 | IKRAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9281823_37ab7ad3-14ff-40f8-95a6-5af9bd885845.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079048839 | N/A | N/A | 5549454 | 2222 | 4801 | 9026719 | N/A | 4219116 | 2025-06-28 02:12:55.953207 | 2025-05-16 16:43:35.854220 |
| 2025-06-27 09:03:22.183016 | 2025-06-28 02:02:55.190021 | 9281815 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 9281815 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-06-30 | F | AE | REGGIANI | 41813758 | SUSANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_9281815_3277a1dc-164d-45e7-9acd-8adb3324b590.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079048838 | N/A | N/A | 5549015 | 2222 | 4801 | 9017514 | 6798 | 4208849 | 2025-06-28 02:02:55.190021 | 2025-05-13 04:29:37.223279 |
| 2025-06-27 09:03:20.298459 | 2025-06-28 02:03:14.365837 | 9281685 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 9281685 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-06-30 | F | AE | PENATE | 100200006880 | VIANCA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_9281685_2ce137f0-14e9-4a9b-84e8-effba9024408.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079048814 | N/A | N/A | 5543301 | 2222 | 4802 | 9017833 | N/A | 4215112 | 2025-06-28 02:03:14.365837 | 2026-02-20 19:52:51.272757 |
| 2025-06-27 09:03:20.219907 | 2025-06-28 02:12:59.910036 | 9281682 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281682 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-30 | M | AE | TEAGUE | 1T39QJ8JV30 | LEWIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_9281682_c4c3c2e4-691b-4e87-811f-6145c06e290a.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MA | false | TEAGUE | N/A | LEWIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049975 | N/A | N/A | 5543292 | 2222 | 4802 | 9026779 | N/A | 4215104 | 2025-06-28 02:12:59.910036 | 2025-05-13 04:29:37.229416 |
| 2025-06-27 09:03:20.140760 | 2025-06-28 02:02:33.563191 | 9281674 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9281674 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-30 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9281674_c191eb22-fd08-46a6-ac42-92d8eae032c2.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049974 | N/A | N/A | 5543270 | 2222 | 4793 | 9017170 | N/A | 4215086 | 2025-06-28 02:02:33.563191 | 2025-05-13 04:29:37.229401 |
| 2025-06-27 09:03:20.008653 | 2025-06-28 02:12:58.389233 | 9281665 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281665 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-30 | F | AE | SINGER | 8XN3QF1XM78 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_9281665_02d03d94-e290-440e-9344-538a0a81a8a4.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MB | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049973 | N/A | N/A | 5543247 | 2222 | 4793 | 9026760 | N/A | 4215066 | 2025-06-28 02:12:58.389233 | 2025-05-13 04:29:37.229384 |
| 2025-06-27 09:03:19.929705 | 2025-06-28 02:03:16.966488 | 9281661 | N/A | N/A | 39026 | UMR | 1114042165 | 9281661 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-06-30 | M | PT | MESSINGER | 43687468 | BEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_9281661_bc493843-9262-4a9b-8f77-49b8b4ac4c09.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049972 | N/A | N/A | 5543233 | 2222 | 4802 | 9017870 | N/A | 4215051 | 2025-06-28 02:03:16.966488 | 2025-05-13 04:29:37.229373 |
| 2025-06-27 09:03:19.857215 | 2025-06-28 02:07:58.907248 | 9281657 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281657 | Athletic Physical Therapy Inc | 1980-10-15 | 2025-06-30 | M | PT | JONOVIC | JQU042A71575 | ANDREJ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543198/check_9281657_c6dc2a14-38ee-47b8-a8ca-b023f7e5890b.json | N/A | N/A | N/A | N/A | N/A | JQU042A71575 | Preferred Provider Organization (PPO) | HANDSON VENTURES LLC | ANTHEM BLUE CROSS | N/A | 1980-10-15 | 040 | 327252 | N/A | PR | false | JONOVIC | N/A | SARAH | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049971 | N/A | N/A | 5543198 | 2222 | 4802 | 9022430 | N/A | 4215023 | 2025-06-28 02:07:58.907248 | 2025-05-13 04:29:37.229341 |
| 2025-06-27 09:03:19.785662 | 2025-06-28 02:07:59.880489 | 9281653 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281653 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-06-30 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9281653_297f882d-4515-4677-804d-671a714efab6.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049970 | N/A | N/A | 5543178 | 2222 | 4802 | 9022443 | N/A | 4215006 | 2025-06-28 02:07:59.880489 | 2025-05-13 04:29:37.229325 |
| 2025-06-27 09:03:19.710828 | 2025-06-28 02:08:37.126501 | 9281649 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281649 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-30 | M | PT | FEY | XED912890874 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_9281649_1de96a19-665c-4d3e-a009-63a830ea6def.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049969 | N/A | N/A | 5543173 | 2222 | 4793 | 9023050 | N/A | 4215000 | 2025-06-28 02:08:37.126501 | 2025-05-13 04:29:37.229320 |
| 2025-06-27 09:03:19.645842 | 2025-06-28 02:07:59.344571 | 9281643 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281643 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-30 | M | PT | LIEBLEIN | MSJ60221038001 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_9281643_834e9060-06dd-4062-8750-7d48f51cc081.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049968 | N/A | N/A | 5543099 | 2222 | 4802 | 9022435 | N/A | 4214934 | 2025-06-28 02:07:59.344571 | 2025-05-13 04:29:37.229256 |
| 2025-06-27 09:03:19.559599 | 2025-06-28 02:07:58.421931 | 9281638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281638 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-06-30 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_9281638_2e8a27d8-22eb-4ec3-955e-dc677b2f4257.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049967 | N/A | N/A | 5543043 | 2222 | 4801 | 9022422 | N/A | 4214884 | 2025-06-28 02:07:58.421931 | 2025-11-12 00:46:10.301659 |
| 2025-06-27 09:03:19.475684 | 2025-06-28 02:12:54.495410 | 9281634 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281634 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-06-30 | F | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_9281634_7e4941da-df68-4430-8684-1b5e4969bcc4.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049966 | N/A | N/A | 5542935 | 2222 | 4802 | 9026705 | N/A | 4214789 | 2025-06-28 02:12:54.495410 | 2025-12-11 23:30:31.319246 |
| 2025-06-27 09:03:19.401531 | 2025-06-28 02:07:57.583925 | 9281629 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281629 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-06-30 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_9281629_55494fb0-b10f-4632-b3e0-db866d38f8f4.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049965 | N/A | N/A | 5542900 | 2222 | 4801 | 9022409 | N/A | 4214759 | 2025-06-28 02:07:57.583925 | 2025-05-13 04:29:37.229079 |
| 2025-06-27 09:03:19.326424 | 2025-06-28 02:03:55.005831 | 9281625 | N/A | N/A | 60054 | Aetna | 1114042165 | 9281625 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-06-30 | M | PT | VELASQUEZ | W290801184 | EVAN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_9281625_23186158-7975-452f-ae76-180f7cf57706.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049964 | N/A | N/A | 5542874 | 2222 | 4802 | 9018507 | N/A | 4214737 | 2025-06-28 02:03:55.005831 | 2025-05-13 04:29:37.229056 |
| 2025-06-27 09:03:19.240479 | 2025-06-28 02:03:54.297656 | 9281619 | N/A | N/A | 60054 | Aetna | 1114042165 | 9281619 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-30 | M | PT | KORY | 10216158100 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_9281619_fdcdc481-6551-4dfe-855c-32d497ec90af.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049963 | N/A | N/A | 5542868 | 2222 | 4793 | 9018494 | N/A | 4214732 | 2025-06-28 02:03:54.297656 | 2025-06-24 20:13:53.579048 |
| 2025-06-27 09:03:19.139414 | 2025-06-28 02:03:53.600207 | 9281614 | N/A | N/A | 60054 | Aetna | 1114042165 | 9281614 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-06-30 | M | PT | DIAZ | W290801952 | SHAWN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542855/check_9281614_22fe4721-f47b-4520-9c34-1af7ea0a2611.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049962 | N/A | N/A | 5542855 | 2222 | 4802 | 9018479 | N/A | 4214719 | 2025-06-28 02:03:53.600207 | 2025-05-13 04:29:37.229037 |
| 2025-06-27 09:03:19.051489 | 2025-06-28 02:08:37.628173 | 9281609 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281609 | Athletic Physical Therapy Inc | 1968-02-13 | 2025-06-30 | M | PT | CUNNINGHAM | XEK904867660 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542829/check_9281609_8fb6989b-ff5a-4e18-b797-8fc8d8c0dcc1.json | N/A | N/A | N/A | N/A | N/A | XEK904867660 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1968-02-13 | 2001ZJ002648 | X0001000 | N/A | PR | false | GREEN | N/A | DEBRA | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049961 | N/A | N/A | 5542829 | 2222 | 4802 | 9023056 | N/A | 4214694 | 2025-06-28 02:08:37.628173 | 2025-05-13 04:29:37.229011 |
| 2025-06-27 09:03:18.970675 | 2025-06-28 02:08:39.430324 | 9281605 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281605 | Athletic Physical Therapy Inc | 1964-12-21 | 2025-06-30 | F | PT | BERMAN | XEK909562521 | AMY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542576/check_9281605_30deb645-b554-4562-a8cd-a432ceea5871.json | N/A | N/A | N/A | N/A | N/A | XEK909562521 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-12-21 | 2001ZK002189 | X0001000 | N/A | PR | false | NEAL | N/A | RON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049960 | N/A | N/A | 5542576 | 2222 | 4793 | 9023086 | N/A | 4214467 | 2025-06-28 02:08:39.430324 | 2025-05-13 04:29:37.228779 |
| 2025-06-27 09:03:18.892012 | 2025-06-28 02:08:38.965148 | 9281598 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281598 | Athletic Physical Therapy Inc | 1959-03-16 | 2025-06-30 | F | PT | KATZ | XEA913769083 | LYNNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542358/check_9281598_941116ca-c952-479b-91a0-b7cbe0362596.json | N/A | N/A | N/A | N/A | N/A | XAN913769083 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1959-03-16 | 1000PPOX0002 | W0051411 | N/A | PR | false | KATZ | N/A | GARY | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049959 | N/A | N/A | 5542358 | 2222 | 4801 | 9023079 | N/A | 4214270 | 2025-06-28 02:08:38.965148 | 2025-05-13 04:29:37.228601 |
| 2025-06-27 09:03:18.807526 | 2025-06-28 02:12:56.589815 | 9281592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281592 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_9281592_b5168720-eee6-4206-b587-ba154cd03f85.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049958 | N/A | N/A | 5542251 | 2222 | 4802 | 9026735 | N/A | 4214191 | 2025-06-28 02:12:56.589815 | 2025-05-13 04:29:37.228525 |
| 2025-06-27 09:03:18.731155 | 2025-06-28 02:08:01.598893 | 9281587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281587 | Athletic Physical Therapy Inc | 2008-04-12 | 2025-06-30 | M | PT | PULS | XTS068A69201 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542214/check_9281587_805e732d-a264-4298-a8be-dae1c4ac284b.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049957 | N/A | N/A | 5542214 | 2222 | 4793 | 9022469 | N/A | 4214158 | 2025-06-28 02:08:01.598893 | 2025-05-13 04:29:37.228486 |
| 2025-06-27 09:03:18.654737 | 2025-06-28 02:08:41.212287 | 9281581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281581 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-30 | M | PT | SIMON | 913762408 | DUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_9281581_6872c1e3-0ece-4c0b-91a2-916735edd39e.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049956 | N/A | N/A | 5542213 | 2222 | 4793 | 9023111 | N/A | 4214155 | 2025-06-28 02:08:41.212287 | 2025-05-13 04:29:37.228482 |
| 2025-06-27 09:03:18.568944 | 2025-06-28 02:08:00.314413 | 9281574 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9281574 | Athletic Physical Therapy Inc | 2000-02-29 | 2025-06-30 | M | PT | MILLER | XDM622A62041 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542028/check_9281574_0d45502e-2162-41af-90c0-2a6c257c4324.json | N/A | N/A | N/A | N/A | N/A | XDM622A62041 | Health Maintenance Organization (HMO) | MOUNTAINS RECREATION AND CONSERVATION AUTHORITY | ANTHEM BLUE CROSS | N/A | 2000-02-29 | 040 | 166337H004 | N/A | HM | false | MILLER | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049955 | N/A | N/A | 5542028 | 2222 | 4801 | 9022449 | 4184 | 4213985 | 2025-06-28 02:08:00.314413 | 2025-05-13 04:29:37.228303 |
| 2025-06-27 09:03:18.472637 | 2025-06-28 02:12:57.719793 | 9281569 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281569 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-06-30 | F | AE | MAYER | 5J41QM7YN93 | MARY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_9281569_d419dd58-86bb-4d00-bf2d-1ffd422449af.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049954 | N/A | N/A | 5541938 | 2222 | 4801 | 9026752 | N/A | 4213917 | 2025-06-28 02:12:57.719793 | 2025-06-25 01:53:37.609327 |
| 2025-06-27 09:03:18.376943 | 2025-06-28 02:08:03.090812 | 9281560 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281560 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-06-30 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9281560_017e7ad5-e256-4b38-8e89-274831ee1fe1.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049953 | N/A | N/A | 5541917 | 2222 | 4793 | 9022494 | N/A | 4213891 | 2025-06-28 02:08:03.090812 | 2025-05-13 04:29:37.228207 |