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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-25 07:26:40.627109 | 2026-03-26 17:30:20.603110 | 22172311 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22172311 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-26 | M | PT | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_22172311_bc687756-e88e-4666-a5f6-fcd1a304840f.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173936 | N/A | N/A | 17346208 | 2222 | 4802 | 21996116 | N/A | 15356693 | 2026-03-26 17:30:20.603110 | 2026-02-25 22:30:35.848496 |
| 2026-03-25 07:26:39.957149 | 2026-03-26 17:29:52.531905 | 22172305 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22172305 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-03-27 | M | AE | GRAY | R15051156MM1 | DAVID | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_22172305_2e0a0df7-3f57-40a0-9f4c-8490e0ff6423.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173935 | N/A | N/A | 17309570 | 2222 | 4802 | 21993607 | 4625 | 15324565 | 2026-03-26 17:29:52.531905 | 2026-02-27 21:58:34.959613 |
| 2026-03-25 07:26:39.075161 | 2026-03-26 17:29:15.847695 | 22172296 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22172296 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-03-26 | F | AE | ROGERS | 31093568401 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_22172296_28281343-6ed5-4f8a-9b69-421cadce8988.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173934 | N/A | N/A | 17306773 | 2222 | 4801 | 21988944 | 6237 | 15321704 | 2026-03-26 17:29:15.847695 | 2026-02-26 19:15:43.216582 |
| 2026-03-25 07:26:38.384172 | 2026-03-26 17:29:57.889313 | 22172282 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22172282 | Athletic Physical Therapy Inc | 1978-07-26 | 2026-03-26 | M | AE | Michael | 93519276F | Thomas | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17302887/check_22172282_1c0903ff-cfd8-4057-82bc-7feea117bd42.json | N/A | N/A | N/A | N/A | N/A | 93519276F | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1978-07-26 | MCLA | MWLLNFAG21 | N/A | N/A | false | MICHAEL | N/A | THOMAS | N/A | 2078-12-31 | 2019-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173933 | N/A | N/A | 17302887 | 2222 | 4793 | 21994155 | N/A | 15318734 | 2026-03-26 17:29:57.889313 | 2026-02-27 16:33:40.478105 |
| 2026-03-25 07:26:37.623751 | 2026-03-26 17:27:10.822999 | 22172272 | N/A | N/A | 60054 | Aetna | 1114042165 | 22172272 | Athletic Physical Therapy Inc | 1996-08-22 | 2026-03-27 | F | AE | Clarke | W295118204 | Rebecca | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_22172272_3f65f7de-fa72-4bb7-aaf9-c396a848d4ab.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173932 | N/A | N/A | 17287671 | 2222 | 4802 | 21977631 | N/A | 15305664 | 2026-03-26 17:27:10.822999 | 2026-02-24 17:22:14.995942 |
| 2026-03-25 07:26:36.902334 | 2026-03-26 17:31:03.516260 | 22172257 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22172257 | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-26 | M | PT | LOPEZ | 914314600000 | RAFAEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_22172257_fbba602c-f0f7-423a-b4bf-69e185264d06.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173931 | N/A | N/A | 17262479 | 2222 | 4802 | 21998732 | 4191 | 15279850 | 2026-03-26 17:31:03.516260 | 2026-03-03 00:15:33.322173 |
| 2026-03-25 07:26:36.402136 | 2026-03-26 17:27:57.781410 | 22172250 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 22172250 | Athletic Physical Therapy Inc | 1958-07-12 | 2026-03-27 | M | AE | LY | H65390314 | CHAU | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257404/check_22172250_3a9b2583-b4d3-4623-9b0b-78d89d77d121.json | N/A | N/A | N/A | N/A | N/A | H65390314 | 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 LAKESIDE MEDICAL GROUP | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173930 | N/A | N/A | 17257404 | 2222 | 4801 | 21982442 | N/A | 15274585 | 2026-03-26 17:27:57.781410 | 2026-02-23 22:57:14.756651 |
| 2026-03-25 07:26:35.540538 | 2026-03-26 17:29:27.598212 | 22172234 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22172234 | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-26 | M | AE | Seth | 40042142001 | Sushil | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_22172234_470d6723-5abc-422c-b49c-e5051c31e90c.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173929 | N/A | N/A | 17252132 | 2222 | 4802 | 21991044 | 6237 | 15269089 | 2026-03-26 17:29:27.598212 | 2026-03-03 16:25:21.496329 |
| 2026-03-25 07:26:34.706574 | 2026-03-26 17:31:02.456833 | 22172221 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22172221 | Athletic Physical Therapy Inc | 1983-05-02 | 2026-03-26 | F | PT | Eshelman | TGX910443258 | Breanne | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17192333/check_22172221_432ad629-6a7b-4b57-9abc-eba303579b93.json | N/A | N/A | N/A | N/A | N/A | TGX910443258 | Preferred Provider Organization (PPO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1983-05-02 | 1001PPOX0033 | W0051486 | N/A | PR | false | ESHELMAN | N/A | BREANNE | N/A | N/A | N/A | TRINET HR III INC CUSTOM PPO 1000 FF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173928 | N/A | N/A | 17192333 | 2222 | 4802 | 21998674 | N/A | 15188748 | 2026-03-26 17:31:02.456833 | 2026-02-21 00:09:03.991509 |
| 2026-03-25 07:26:34.096292 | 2026-03-26 17:27:12.877170 | 22172210 | N/A | N/A | 60054 | Aetna | 1114042165 | 22172210 | Athletic Physical Therapy Inc | 1975-05-17 | 2026-03-26 | M | AE | Staples | W226686268 | Micheal | Todd | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17187938/check_22172210_6eb50fc1-7ec2-462c-96f7-fd0eb0477e0e.json | N/A | N/A | N/A | N/A | N/A | W226686268 | Point of Service (POS) | BAYER CORPORATION | AETNA | N/A | 1975-05-17 | 0800103 | 080010304700109 | N/A | PS | false | STAPLES | N/A | MICHAEL | 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 | 10383173927 | N/A | N/A | 17187938 | 2222 | 4793 | 21977789 | N/A | 15183658 | 2026-03-26 17:27:12.877170 | 2026-02-24 15:08:58.378016 |
| 2026-03-25 07:26:33.565435 | 2026-03-26 17:29:35.487410 | 22172201 | N/A | N/A | 87726 | UMR | 1114042165 | 22172201 | Athletic Physical Therapy Inc | 1992-02-26 | 2026-03-26 | F | AE | BEASLEY | G45096418 | AMBER | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145684/check_22172201_2f193bed-afeb-438e-8f0b-1590ef33e379.json | N/A | N/A | N/A | N/A | N/A | G45096418 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1992-02-26 | 767000416933002 | 76416933 | N/A | N/A | false | BEASLEY | N/A | AMBER | 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 | 10383173926 | N/A | N/A | 17145684 | 2222 | 4801 | 21991808 | N/A | 15134758 | 2026-03-26 17:29:35.487410 | 2026-02-20 20:44:43.451428 |
| 2026-03-25 07:26:32.750904 | 2026-03-26 17:30:23.878231 | 22172186 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22172186 | Athletic Physical Therapy Inc | 1969-05-12 | 2026-03-27 | M | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17122946/check_22172186_6bd04b02-ca52-43ff-9f67-fcb983377dda.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1969-05-12 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173925 | N/A | N/A | 17122946 | 2222 | 4793 | 21996362 | N/A | 15113667 | 2026-03-26 17:30:23.878231 | 2026-02-24 15:18:30.819287 |
| 2026-03-25 07:26:31.980810 | 2026-03-26 17:29:58.197252 | 22172173 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 22172173 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-26 | F | AE | Moore | MNL788W15745 | Jean | Carla | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_22172173_0d6e263f-a45e-40ce-a14e-4daa9feeacca.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173924 | N/A | N/A | 17099336 | 2222 | 4802 | 21994184 | 5538 | 6725117 | 2026-03-26 17:29:58.197252 | 2026-02-18 22:27:04.950292 |
| 2026-03-25 07:26:31.237445 | 2026-03-26 17:27:04.847675 | 22172160 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 22172160 | override_provider | 1979-02-02 | 2026-03-26 | F | PT | Roozrokh | R60967659 | Peyman | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_22172160_3320d768-a98e-45c6-91fb-29326e5c72bf.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173923 | N/A | N/A | 17094664 | 2222 | 4802 | 21977186 | N/A | 15086531 | 2026-03-26 17:27:04.847675 | 2026-02-18 21:22:56.146803 |
| 2026-03-25 07:26:30.382042 | 2026-03-26 17:30:12.097382 | 22172146 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22172146 | Athletic Physical Therapy Inc | 1967-09-14 | 2026-03-26 | M | PT | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_22172146_d9091c35-0702-4b77-8f3d-381be8b9fdb9.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173922 | N/A | N/A | 17088157 | 2222 | 4801 | 21995399 | 4185 | 15079739 | 2026-03-26 17:30:12.097382 | 2026-02-18 19:01:28.651126 |
| 2026-03-25 07:26:29.586995 | 2026-03-26 17:30:17.240866 | 22172134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22172134 | Athletic Physical Therapy Inc | 1984-10-11 | 2026-03-26 | M | PT | Gibson | B6M8530851 | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_22172134_f4c4bbb5-0ffa-4497-a402-b9b1000cbef9.json | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173921 | N/A | N/A | 17087478 | 2222 | 4802 | 21995843 | N/A | 15079139 | 2026-03-26 17:30:17.240866 | 2026-03-03 01:53:25.910380 |
| 2026-03-25 07:26:28.907885 | 2026-03-26 17:27:58.508145 | 22172121 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22172121 | Athletic Physical Therapy Inc | 1939-08-26 | 2026-03-27 | F | AE | Paltenghe | H7957237000 | Beverley | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086727/check_22172121_2a0e4f42-9fa1-4945-b2fc-b0900eabbae6.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 | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173920 | N/A | N/A | 17086727 | 2222 | 4793 | 21982527 | 5349 | 15078543 | 2026-03-26 17:27:58.508145 | 2026-02-25 17:47:59.680372 |
| 2026-03-25 07:26:28.287899 | 2026-03-26 17:29:50.783537 | 22172111 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 22172111 | override_provider | 1944-07-17 | 2026-03-26 | F | AE | Yin | 000002896249 | Cherry | Y | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086413/check_22172111_03c1d7b0-ec9a-44c7-9e78-c44da4f02763.json | N/A | N/A | N/A | N/A | N/A | 000002896249 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1944-07-17 | 3029308 | 115509 | N/A | N/A | false | YIN | N/A | CHERRY | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT EFF 1/1/11-USE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173919 | N/A | N/A | 17086413 | 2222 | 4802 | 21993431 | N/A | 15078236 | 2026-03-26 17:29:50.783537 | 2026-02-18 17:56:56.986469 |
| 2026-03-25 07:26:27.818226 | 2026-03-26 17:29:44.089788 | 22172102 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22172102 | Athletic Physical Therapy Inc | 1992-08-31 | 2026-03-26 | M | AE | August Schmidt | 000010564062 | Alex | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17055953/check_22172102_5ebaca5f-5a81-4039-bd11-ed4b26d79341.json | N/A | N/A | N/A | N/A | N/A | 000010564062 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1992-08-31 | N/A | N/A | N/A | N/A | false | AUGUST SCHMIDT | N/A | ALEX | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173918 | N/A | N/A | 17055953 | 2222 | 4802 | 21992694 | N/A | 15047404 | 2026-03-26 17:29:44.089788 | 2026-03-19 15:45:14.156442 |
| 2026-03-25 07:26:27.279459 | 2026-03-26 17:29:39.934697 | 22172094 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22172094 | Athletic Physical Therapy Inc | 1966-06-02 | 2026-03-26 | F | AE | ISRAEL | 925576042 | JJ | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17004851/check_22172094_d829d15e-934c-41dd-8428-2f4c78490ea9.json | N/A | N/A | N/A | N/A | N/A | 925576042 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 10383173917 | N/A | N/A | 17004851 | 2222 | 4802 | 21992257 | 6411 | 4214617 | 2026-03-26 17:29:39.934697 | 2025-07-28 17:06:19.583415 |
| 2026-03-25 07:26:26.429753 | 2026-03-26 17:30:18.132090 | 22172078 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22172078 | Athletic Physical Therapy Inc | 2012-08-21 | 2026-03-27 | F | PT | ESPINOZA | MPI30384960Q | amaya | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16930512/check_22172078_eb82eef1-17a2-42e6-a599-e3587f6aebc7.json | N/A | N/A | N/A | N/A | N/A | MPI30384960Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2012-08-21 | 040 | 277163M401 | N/A | PR | false | GONZALEZ | N/A | MIGUEL | N/A | 9999-12-31 | 2022-08-15 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173916 | N/A | N/A | 16930512 | 2222 | 4801 | 21995921 | N/A | 14930156 | 2026-03-26 17:30:18.132090 | 2026-02-27 17:25:20.970187 |
| 2026-03-25 07:26:25.647690 | 2026-03-26 17:26:49.502271 | 22172064 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 22172064 | Athletic Physical Therapy Inc | 1963-11-15 | 2026-03-27 | F | AE | DIBAEI | 95643445F | ATEFEH | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_22172064_aaaa783d-a695-4373-ada5-53a5b5b321a0.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173915 | N/A | N/A | 16929305 | 2222 | 4802 | 21975898 | N/A | 14928874 | 2026-03-26 17:26:49.502271 | 2026-02-13 23:07:04.697142 |
| 2026-03-25 07:26:24.830724 | 2026-03-26 17:30:57.092557 | 22172050 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22172050 | Athletic Physical Therapy Inc | 1945-06-01 | 2026-03-26 | F | PT | Velazquez | JQE124A75580 | Victoria | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16927466/check_22172050_a259df23-a99b-47d6-b376-d3bc80543a2a.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 | 10383173914 | N/A | N/A | 16927466 | 2222 | 4801 | 21998325 | N/A | 14926242 | 2026-03-26 17:30:57.092557 | 2026-03-06 18:16:10.395182 |
| 2026-03-25 07:26:23.973488 | 2026-03-26 17:25:45.537607 | 22172038 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22172038 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-03-26 | M | AE | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16910806/check_22172038_95a60da0-14dc-4aee-ab9d-74e7c17bb940.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 | 10383173913 | N/A | N/A | 16910806 | 2222 | 4801 | 21969396 | N/A | 14910411 | 2026-03-26 17:25:45.537607 | 2026-02-17 22:13:49.772467 |
| 2026-03-25 07:26:23.122675 | 2026-03-26 17:30:57.349549 | 22172023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22172023 | Athletic Physical Therapy Inc | 1954-11-03 | 2026-03-26 | M | PT | WILSON | UAL838672820 | THOMAS | J | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887983/check_22172023_26c4ff1d-26f7-41e3-b7c6-8babf3dc0c32.json | N/A | N/A | N/A | N/A | N/A | UAL838672820 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1954-11-03 | N/A | 168262 | N/A | PR | false | WILSON | N/A | THOMAS | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173912 | N/A | N/A | 16887983 | 2222 | 4802 | 21998344 | N/A | 14890899 | 2026-03-26 17:30:57.349549 | 2026-02-16 16:35:16.688576 |
| 2026-03-25 07:26:22.325561 | 2026-03-26 17:31:01.889182 | 22172008 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22172008 | Athletic Physical Therapy Inc | 1960-03-09 | 2026-03-27 | M | PT | BALLINGER | XEH909317629 | JIM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16870368/check_22172008_eb40d548-eae1-4fda-bdea-43574e8d5416.json | N/A | N/A | N/A | N/A | N/A | XEH909317629 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1960-03-09 | 1000VX000001 | W0069783 | N/A | HM | false | BALLINGER | N/A | JIM | N/A | 9999-12-31 | 2020-07-01 | 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 | 10383173911 | N/A | N/A | 16870368 | 2222 | 4793 | 21998639 | 4191 | 14875811 | 2026-03-26 17:31:01.889182 | 2026-02-12 18:13:52.548548 |
| 2026-03-25 07:26:21.785483 | 2026-03-26 17:28:53.943601 | 22172001 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22172001 | Athletic Physical Therapy Inc | 1933-03-26 | 2026-03-26 | U | AE | Canyon | 31071793901 | James | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16865139/check_22172001_439b211f-520f-4087-9cde-ed518d94fb36.json | N/A | N/A | N/A | N/A | N/A | 31071793901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1933-03-26 | N/A | N/A | N/A | N/A | false | CANYON | N/A | JAMES | 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 | 10383173910 | N/A | N/A | 16865139 | 2222 | 4801 | 21987937 | 6237 | 14871212 | 2026-03-26 17:28:53.943601 | 2026-03-26 18:22:57.411601 |
| 2026-03-25 07:26:21.057989 | 2026-03-26 17:27:57.192630 | 22171988 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22171988 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-03-27 | F | AE | Kennedy | H70494658 | Alicia | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16844787/check_22171988_83470f49-26fd-4215-aaff-d953b49ad1b3.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 MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 10383173909 | N/A | N/A | 16844787 | 2222 | 4801 | 21982388 | 5349 | 14851553 | 2026-03-26 17:27:57.192630 | 2026-02-12 22:24:19.285657 |
| 2026-03-25 07:26:20.524620 | 2026-03-26 17:31:05.630306 | 22171977 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22171977 | Athletic Physical Therapy Inc | 2011-01-13 | 2026-03-27 | F | PT | TOLLE | 914274710 | RIKA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16840223/check_22171977_16dc2b11-e530-4b4d-a882-66fb3a8f5981.json | N/A | N/A | N/A | N/A | N/A | XEH914274710 | Health Maintenance Organization (HMO) | INSPERITY HOLDINGS INC | BLUE SHIELD CALIFORNIA | N/A | 2011-01-13 | 1001HMOX0001 | W0002398 | N/A | HM | false | TOLLE | N/A | JOSHUA | N/A | N/A | N/A | INSPERITY HOLDINGS INC CUSTOM ACCESS HMO PER AD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173908 | N/A | N/A | 16840223 | 2222 | 4801 | 21998853 | 4191 | 14847417 | 2026-03-26 17:31:05.630306 | 2026-04-23 18:03:11.231550 |
| 2026-03-25 07:26:19.868099 | 2026-03-26 17:30:10.738499 | 22171965 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22171965 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-26 | F | PT | Amstutz | KXJ396W12867 | Lauren | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_22171965_47c48f74-6de9-49c0-95fa-b3103e98fb6d.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 | 10383173907 | N/A | N/A | 16765713 | 2222 | 4801 | 21995275 | 4185 | 14776656 | 2026-03-26 17:30:10.738499 | 2026-02-10 18:58:53.303852 |
| 2026-03-25 07:26:19.337521 | 2026-03-26 17:27:12.225600 | 22171955 | N/A | N/A | 60054 | Aetna | 1114042165 | 22171955 | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-26 | M | AE | Pederson | W24523130003 | Camden | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16713614/check_22171955_13e69380-120f-4665-a3e3-934fe7736961.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 | 10383173906 | N/A | N/A | 16713614 | 2222 | 4793 | 21977746 | N/A | 14725710 | 2026-03-26 17:27:12.225600 | 2026-02-10 21:08:46.744563 |
| 2026-03-25 07:26:18.783459 | 2026-03-26 17:29:44.358772 | 22171946 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171946 | Athletic Physical Therapy Inc | 1990-09-07 | 2026-03-26 | F | AE | BATES | 000020963640 | DAISHA | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16698600/check_22171946_28aefb06-203c-4161-a821-9a9d6b5c0eae.json | N/A | N/A | N/A | N/A | N/A | 000020963640 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1990-09-07 | 4320968 | 1650095001 | N/A | N/A | false | BATES | N/A | DAISHA | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173905 | N/A | N/A | 16698600 | 2222 | 4802 | 21992724 | N/A | 14711287 | 2026-03-26 17:29:44.358772 | 2026-02-20 02:01:03.455950 |
| 2026-03-25 07:26:18.111403 | 2026-03-26 17:28:53.167031 | 22171938 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 22171938 | Athletic Physical Therapy Inc | 1967-07-24 | 2026-03-27 | M | AE | Shaw | 94490515F | Michael | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16686472/check_22171938_426031ac-5a51-4b01-80c4-124cde495626.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 | 10383173904 | N/A | N/A | 16686472 | 2222 | 4802 | 21987875 | N/A | 14700178 | 2026-03-26 17:28:53.167031 | 2026-02-09 18:13:32.617059 |
| 2026-03-25 07:26:17.544923 | 2026-03-26 17:30:19.219644 | 22171932 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171932 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-03-27 | M | PT | Higa | NCF843A55961 | Parrish | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16685165/check_22171932_573637b6-4b5c-4e6e-a605-5d9c173020ba.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173903 | N/A | N/A | 16685165 | 2222 | 4801 | 21996017 | N/A | 14698980 | 2026-03-26 17:30:19.219644 | 2026-02-09 18:51:36.820546 |
| 2026-03-25 07:26:16.902591 | 2026-03-26 17:29:53.335152 | 22171922 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22171922 | Athletic Physical Therapy Inc | 1964-09-03 | 2026-03-26 | F | AE | REZAYANI | 97093372E | SOHAYLA | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_22171922_c726b36f-5377-40ff-bc8a-6b97de58e3c2.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 | 2026-03-12 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173902 | N/A | N/A | 16679973 | 2222 | 4802 | 21993680 | 4625 | 4213366 | 2026-03-26 17:29:53.335152 | 2025-07-14 15:29:50.728003 |
| 2026-03-25 07:26:16.180647 | 2026-03-26 17:31:05.397843 | 22171910 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22171910 | Athletic Physical Therapy Inc | 2012-09-05 | 2026-03-27 | F | PT | PEREZ | XEH906211928 | KAILANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_22171910_9f2ed586-af4f-48c7-8ac0-0a0ef9d74505.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 | 10383173901 | N/A | N/A | 16678903 | 2222 | 4801 | 21998834 | 4191 | 4213067 | 2026-03-26 17:31:05.397843 | 2026-02-17 17:23:43.418582 |
| 2026-03-25 07:26:15.354698 | 2026-03-26 17:25:44.640988 | 22171893 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22171893 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-03-26 | F | AE | CHUN | ICA068643 | LINDA | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579154/check_22171893_94ad1bbc-39ac-4ad4-91a1-fcf47847f7ef.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 | 10383173900 | N/A | N/A | 16579154 | 2222 | 4793 | 21969318 | N/A | 14597301 | 2026-03-26 17:25:44.640988 | 2026-02-06 23:30:42.528802 |
| 2026-03-25 07:26:14.447200 | 2026-03-26 17:30:26.647804 | 22171878 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171878 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-26 | F | PT | MOLAYEM | XEM904126389 | JILLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_22171878_9c74c48f-499c-421b-8277-1ab0c618acdb.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 | 10383173899 | N/A | N/A | 16453425 | 2222 | 4802 | 21996531 | N/A | 14498125 | 2026-03-26 17:30:26.647804 | 2026-03-11 14:35:29.812051 |
| 2026-03-25 07:26:13.585392 | 2026-03-26 17:31:07.526456 | 22171863 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22171863 | Athletic Physical Therapy Inc | 2001-12-10 | 2026-03-27 | M | PT | ANGHA | XXP966240802 | ZACHARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16448068/check_22171863_ce7576e9-f236-477d-8060-309f650cece6.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 | 10383172808 | N/A | N/A | 16448068 | 2222 | 4793 | 21998977 | N/A | 14493240 | 2026-03-26 17:31:07.526456 | 2026-02-25 21:26:55.970409 |
| 2026-03-25 07:26:12.579541 | 2026-03-26 17:30:22.711002 | 22171848 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171848 | Athletic Physical Therapy Inc | 1997-10-30 | 2026-03-26 | F | PT | Levenson | WZA683W26561 | Kyra | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16403229/check_22171848_98126945-09d1-4f40-bbd0-2a4e5f24d548.json | N/A | N/A | N/A | N/A | N/A | WZA683W26561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1997-10-30 | 130 | 270240M11A | N/A | PR | false | LEVENSON | N/A | KYRA | N/A | 9999-12-31 | 2026-01-26 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172807 | N/A | N/A | 16403229 | 2222 | 4802 | 21996266 | N/A | 11005795 | 2026-03-26 17:30:22.711002 | 2025-11-15 00:37:20.611855 |
| 2026-03-25 07:26:11.598981 | 2026-03-26 17:31:05.119462 | 22171833 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22171833 | Athletic Physical Therapy Inc | 1997-11-01 | 2026-03-27 | M | PT | PANCER | STS914365541 | JORDAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16366027/check_22171833_12a2be4e-3dda-46a9-b9e4-e5b9568b767c.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 | 10383172806 | N/A | N/A | 16366027 | 2222 | 4802 | 21998813 | N/A | 4213469 | 2026-03-26 17:31:05.119462 | 2025-05-13 04:29:37.227786 |
| 2026-03-25 07:26:10.964821 | 2026-03-26 17:29:47.511865 | 22171825 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171825 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-26 | F | AE | Kantor | 000002491752 | Judith | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_22171825_ae23daa5-cdd9-4bd1-865b-bd2147ad1ae0.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | SISC-SELF INSURED SCHOOLS OF CALIFORNIA - SCR SISC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172805 | N/A | N/A | 16357604 | 2222 | 4802 | 21993069 | N/A | 14403242 | 2026-03-26 17:29:47.511865 | 2026-02-04 22:38:19.962874 |
| 2026-03-25 07:26:10.421573 | 2026-03-26 17:29:55.102413 | 22171815 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 22171815 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-03-27 | F | AE | LAVORATO | 00000290307 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314847/check_22171815_e815f357-a86f-4c68-9e06-c24e2adec5dc.json | N/A | N/A | N/A | N/A | N/A | 00000290307 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | LAVORATO | N/A | MARY | 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 | 10383172804 | N/A | N/A | 16314847 | 2222 | 4793 | 21993875 | 2630 | 14364421 | 2026-03-26 17:29:55.102413 | 2026-03-10 17:29:39.446746 |
| 2026-03-25 07:26:10.030248 | 2026-03-26 17:29:56.175378 | 22171810 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22171810 | Athletic Physical Therapy Inc | 1968-09-09 | 2026-03-27 | F | AE | Edwards | 98326476F | Alethea | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16285370/check_22171810_0a64c5a0-5db2-4b05-8295-00876098ece2.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 | 10383172803 | N/A | N/A | 16285370 | 2222 | 4802 | 21993982 | N/A | 14334011 | 2026-03-26 17:29:56.175378 | 2026-02-04 00:05:43.902310 |
| 2026-03-25 07:26:09.460257 | 2026-03-26 17:25:43.928318 | 22171803 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22171803 | Athletic Physical Therapy Inc | 1955-10-03 | 2026-03-26 | F | AE | AUSTIN | ICA080957 | ANDREA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_22171803_c8ebaf69-956f-44a1-bd99-7b7f92a0d28c.json | N/A | N/A | N/A | N/A | N/A | ICA080957 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | 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 | 10383172802 | N/A | N/A | 16284060 | 2222 | 4793 | 21969226 | N/A | 14332703 | 2026-03-26 17:25:43.928318 | 2026-02-04 01:37:30.114754 |
| 2026-03-25 07:26:08.810469 | 2026-03-26 17:29:57.569106 | 22171794 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22171794 | Athletic Physical Therapy Inc | 1978-06-30 | 2026-03-26 | F | AE | MANZO | 97551002H | TRACY | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282386/check_22171794_2d975fa8-05e7-4788-9d0f-514fd30a867f.json | N/A | N/A | N/A | N/A | N/A | 97551002H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-30 | MCLA | MWLLNMEG21 | N/A | N/A | false | MANZO | N/A | TRACY | N/A | 2078-12-31 | 2025-08-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172801 | N/A | N/A | 16282386 | 2222 | 4802 | 21994127 | N/A | 14331366 | 2026-03-26 17:29:57.569106 | 2026-02-03 23:08:47.204504 |
| 2026-03-25 07:26:08.391697 | 2026-03-26 17:27:10.438759 | 22171784 | N/A | N/A | 60054 | Aetna | 1114042165 | 22171784 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-03-26 | F | AE | Chow | W227140792 | Yook Ying | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237575/check_22171784_46b905a9-267a-4012-b05a-6f48113d23cd.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 | 10383172800 | N/A | N/A | 16237575 | 2222 | 4802 | 21977608 | N/A | 14289458 | 2026-03-26 17:27:10.438759 | 2026-02-11 16:26:04.020916 |
| 2026-03-25 07:26:07.722888 | 2026-03-26 17:30:56.469733 | 22171776 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22171776 | Athletic Physical Therapy Inc | 1950-10-02 | 2026-03-26 | M | PT | TALAMANTE | MMA979W26491 | TONY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16213353/check_22171776_a0c8f0f9-65a8-4628-bd22-18a96f03f63e.json | N/A | N/A | N/A | N/A | N/A | MMA979W26491 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-10-02 | 040 | CAMCRWP0 | N/A | MP | false | TALAMANTE | N/A | TONY | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172799 | N/A | N/A | 16213353 | 2222 | 4793 | 21998281 | 4185 | 13411314 | 2026-03-26 17:30:56.469733 | 2026-01-13 20:31:59.541152 |
| 2026-03-25 07:26:07.199449 | 2026-03-26 17:31:04.233923 | 22171767 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 22171767 | Athletic Physical Therapy Inc | 1999-04-02 | 2026-03-27 | M | PT | LORRAINE | XEH911817270 | ELIJAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_22171767_b7669457-2755-4c37-a3fc-13a6c6afd13b.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172798 | N/A | N/A | 16132086 | 2222 | 4801 | 21998746 | 4191 | 14191252 | 2026-03-26 17:31:04.233923 | 2026-03-12 15:28:35.280372 |
| 2026-03-25 07:26:06.328772 | 2026-03-26 17:27:59.078403 | 22171755 | N/A | N/A | 61101 | HUMANA | 1114042165 | 22171755 | Athletic Physical Therapy Inc | 1957-05-28 | 2026-03-26 | M | AE | URGERO | H9625296200 | PAUL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.122918650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16127120/check_22171755_71656b2a-364d-4e5b-a514-8f7e8d2fd371.json | N/A | N/A | N/A | N/A | N/A | H96252962 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1957-05-28 | N/A | 2B722001 | N/A | HN | false | URGERO | N/A | PAUL | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172796 | N/A | N/A | 16127120 | 2222 | 4793 | 21982583 | 5349 | 14187446 | 2026-03-26 17:27:59.078403 | 2026-01-30 22:41:52.330110 |