API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | 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 07:26:05.395261 | 2026-03-26 17:27:11.174428 | 22171740 | N/A | N/A | 60054 | Aetna | 1114042165 | 22171740 | Athletic Physical Therapy Inc | 1955-04-21 | 2026-03-26 | F | AE | PT | FINK | 824993928 | DEBORAH | 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/2222/16125647/check_22171740_ab20ecd1-58b8-44fa-a8d0-ed5a59be2dca.json | N/A | N/A | N/A | N/A | N/A | 824993928 | Point of Service (POS) | BANK OF AMERICA CORPORATION | AETNA | N/A | 1955-04-21 | 0326475 | 032647501000106 | N/A | PS | false | FINK | N/A | DEBORAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172795 | N/A | N/A | 16125647 | 2222 | 4801 | 21977662 | N/A | 14185911 | 2026-03-26 17:27:11.174428 | 2026-01-31 00:16:18.156182 |
| 2026-03-25 07:26:04.649858 | 2026-03-26 17:35:05.744201 | 22171730 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22171730 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-03-27 | M | AE | PT | brosh | 1AC1KJ0CT14 | RAMI | 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/2222/16113776/check_22171730_72a294a2-98c6-4cc4-883d-21e7135d73a9.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MB | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 97064 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172794 | N/A | N/A | 16113776 | 2222 | 4793 | 22012083 | N/A | 14174363 | 2026-03-26 17:35:05.744201 | 2026-05-29 18:00:53.778221 |
| 2026-03-25 07:26:04.018067 | 2026-03-26 17:29:38.807745 | 22171720 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22171720 | Athletic Physical Therapy Inc | 1972-02-14 | 2026-03-27 | F | AE | PT | CORDOVA | 213237402 | SHANNON | 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/2222/16088358/check_22171720_842a4597-8606-4bdb-938f-d91b94c487eb.json | N/A | N/A | N/A | N/A | N/A | 213237402 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1972-02-14 | N/A | 682302 | N/A | C1 | false | CORDOVA | N/A | SHANNON | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172793 | N/A | N/A | 16088358 | 2222 | 4801 | 21992136 | 6411 | 14153337 | 2026-03-26 17:29:38.807745 | 2026-02-12 21:31:18.058438 |
| 2026-03-25 07:26:03.257536 | 2026-03-26 17:29:27.899203 | 22171710 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22171710 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-03-26 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | 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/2222/16086772/check_22171710_e9b82c53-ae46-45bb-a2b8-6d6c1e36d665.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10383172792 | N/A | N/A | 16086772 | 2222 | 4801 | 21991070 | 6237 | 14151882 | 2026-03-26 17:29:27.899203 | 2026-01-30 16:12:37.739707 |
| 2026-03-25 07:26:02.286496 | 2026-03-26 17:30:14.897144 | 22171696 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171696 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-26 | M | PT | N/A | DE LUNA | 025A51982 | NOEL | 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/2222/16086240/check_22171696_b464b3f8-daaa-4cb8-a434-6704dcec4364.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172791 | N/A | N/A | 16086240 | 2222 | 4801 | 21995637 | N/A | 4343453 | 2026-03-26 17:30:14.897144 | 2025-05-13 04:29:37.230931 |
| 2026-03-25 07:26:01.426251 | 2026-03-26 17:35:09.406418 | 22171688 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22171688 | Athletic Physical Therapy Inc | 1959-06-27 | 2026-03-27 | M | AE | PT | KHOSHNOOD | 8NX2FP5XM96 | JAMAL | 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/2222/16085491/check_22171688_6517c28f-3f70-43e2-8955-9a8e7045cfe7.json | N/A | N/A | N/A | N/A | N/A | 8NX2FP5XM96 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-27 | S4802 | N/A | N/A | MB | false | KHOSHNOOD | N/A | JAMAL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50470 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172790 | N/A | N/A | 16085491 | 2222 | 4801 | 22012278 | N/A | 4215046 | 2026-03-26 17:35:09.406418 | 2025-05-13 04:29:37.229368 |
| 2026-03-25 07:26:00.376068 | 2026-03-26 17:25:45.113604 | 22171672 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22171672 | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-26 | M | AE | PT | HASTINGS | ICA082816 | JAMES | S | 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/2222/16060541/check_22171672_a08f54e2-1aab-4e5f-add8-1fa009727ff4.json | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | 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 | 10383172789 | N/A | N/A | 16060541 | 2222 | 4801 | 21969350 | N/A | 6841390 | 2026-03-26 17:25:45.113604 | 2026-02-24 00:29:14.751930 |
| 2026-03-25 07:25:59.552447 | 2026-03-26 17:25:44.304274 | 22171664 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 22171664 | Athletic Physical Therapy Inc | 1952-02-26 | 2026-03-27 | F | AE | PT | BROOKS | ICA059307 | DEBBIE | 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/2222/16041294/check_22171664_888c9397-57c6-4d30-943a-d2bf95ad8b99.json | N/A | N/A | N/A | N/A | N/A | ICA059307 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-02-26 | N/A | N/A | N/A | N/A | false | BROOKS | N/A | DEBBIE | 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 | 10383172788 | N/A | N/A | 16041294 | 2222 | 4801 | 21969288 | N/A | 4219602 | 2026-03-26 17:25:44.304274 | 2026-03-09 20:06:47.654386 |
| 2026-03-25 07:25:58.877041 | 2026-03-26 17:29:28.987449 | 22171652 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 22171652 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-03-27 | F | AD | 30 | TOBOLSKI | 40031694701 | MARSHA | 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/2222/16041163/check_22171652_a57b716e-0fed-451e-a5cd-4f5e00d16e76.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10383172787 | N/A | N/A | 16041163 | 2222 | 4801 | 21991185 | N/A | 14110956 | 2026-03-26 17:29:28.987449 | 2026-01-29 19:04:39.423629 |
| 2026-03-25 07:25:58.307201 | 2026-03-26 17:35:04.420004 | 22171643 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22171643 | Athletic Physical Therapy Inc | 1981-12-31 | 2026-03-26 | F | AE | PT | BERRY | 7YM1UE5WC09 | ERIKA | 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/2222/16040602/check_22171643_c44a727a-024d-4622-83c3-fd4ec516e196.json | N/A | N/A | N/A | N/A | N/A | 7YM1UE5WC09 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1981-12-31 | S5617 | N/A | N/A | MA | false | BERRY | N/A | ERIKA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 100793 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172786 | N/A | N/A | 16040602 | 2222 | 4801 | 22012015 | N/A | 4209869 | 2026-03-26 17:35:04.420004 | 2025-05-13 04:29:37.224290 |
| 2026-03-25 07:25:57.437367 | 2026-03-26 17:29:53.043553 | 22171634 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22171634 | Athletic Physical Therapy Inc | 1960-07-05 | 2026-03-27 | M | AE | PT | IRWIN | R07798606MM1 | ROBERT | 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/2222/16037337/check_22171634_6dbdb567-d3a4-4c4b-87eb-401ce0e9786c.json | N/A | N/A | N/A | N/A | N/A | R07798606MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1960-07-05 | N/A | N/A | N/A | N/A | false | IRWIN | N/A | ROBERT | N/A | 2026-02-20 | 2026-01-01 | MUH SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172785 | N/A | N/A | 16037337 | 2222 | 4801 | 21993656 | 4625 | 14107775 | 2026-03-26 17:29:53.043553 | 2026-01-29 17:51:43.526882 |
| 2026-03-25 07:25:56.333417 | 2026-03-26 17:30:24.492097 | 22171615 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171615 | Athletic Physical Therapy Inc | 2000-09-19 | 2026-03-26 | M | PT | N/A | Malouf | NP2044528 | Jarett | E | 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/2222/16013458/check_22171615_0dc70fba-41bc-4c95-bd11-70312397046a.json | N/A | N/A | N/A | N/A | N/A | TRJNP2044528 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 2000-09-19 | 040 | 276727M001 | N/A | PR | false | MALOUF | N/A | BRIAN | N/A | 9999-12-31 | 2018-09-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172784 | N/A | N/A | 16013458 | 2222 | 4802 | 21996394 | N/A | 14085065 | 2026-03-26 17:30:24.492097 | 2026-01-29 00:27:52.581972 |
| 2026-03-25 07:25:55.281904 | 2026-03-26 17:29:50.279518 | 22171607 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 22171607 | override_provider | 1989-10-15 | 2026-03-26 | M | AE | PT | McGimpsey | 000025861666 | Gavin | 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/2222/15997538/check_22171607_6e5a66dc-5945-4ccf-a111-c2576b5e7436.json | N/A | N/A | N/A | N/A | N/A | 000025861666 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-10-15 | 4361630 | 1650095001 | N/A | N/A | false | MCGIMPSEY | N/A | GAVIN | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE PLATINUM 90 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172783 | N/A | N/A | 15997538 | 2222 | 4802 | 21993370 | N/A | 14070204 | 2026-03-26 17:29:50.279518 | 2026-01-28 18:14:29.010151 |
| 2026-03-25 07:25:54.629312 | 2026-03-26 17:30:16.615886 | 22171599 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171599 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-03-27 | F | PT | N/A | ZONANA | PLY185A78990 | LINDA | 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/2222/15960874/check_22171599_24a7accd-5b2b-47de-9bbb-a734c3238291.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172782 | N/A | N/A | 15960874 | 2222 | 4802 | 21995792 | N/A | 14041811 | 2026-03-26 17:30:16.615886 | 2026-03-06 22:13:33.515742 |
| 2026-03-25 07:25:53.719196 | 2026-03-26 17:27:12.459375 | 22171591 | N/A | N/A | 60054 | AETNA | 1114042165 | 22171591 | Athletic Physical Therapy Inc | 2012-11-05 | 2026-03-27 | F | AE | PT | SCHWARTZ | W29928822803 | KATYA | 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/2222/15940921/check_22171591_d02fe3f0-d961-42cd-b90f-4686a5685821.json | N/A | N/A | N/A | N/A | N/A | W299288228 | Health Maintenance Organization (HMO) | LIFETECH RESOURCES LLC | AETNA | N/A | 2012-11-05 | EADOKN01 | 026948001000001 | N/A | HM | false | SCHWARTZ | N/A | JOSHUA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172781 | N/A | N/A | 15940921 | 2222 | 4793 | 21977767 | 3939 | 14023699 | 2026-03-26 17:27:12.459375 | 2026-02-04 01:25:53.978492 |
| 2026-03-25 07:25:53.178122 | 2026-03-26 17:29:58.750858 | 22171585 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 22171585 | Athletic Physical Therapy Inc | 1961-07-20 | 2026-03-26 | F | AE | PT | NUNEZ | 577532631 | MARGARITA | 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/2222/15847278/check_22171585_015a0b2f-99f3-4888-9a6d-fdfbe524ca24.json | N/A | N/A | N/A | N/A | N/A | 577532631 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1961-07-20 | LACC | 92815CA001000805 | N/A | N/A | false | NUNEZ | N/A | MARGARITA | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172780 | N/A | N/A | 15847278 | 2222 | 4802 | 21994240 | N/A | 13936054 | 2026-03-26 17:29:58.750858 | 2026-01-26 05:01:10.189230 |
| 2026-03-25 07:25:52.423543 | 2026-03-26 17:30:12.631745 | 22171577 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22171577 | Athletic Physical Therapy Inc | 1999-01-12 | 2026-03-26 | F | PT | N/A | BOSSART | JQZ016W14082 | LINDSAY | ANN | 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/2222/15838469/check_22171577_93109d10-2261-4788-a35e-5ff73d92f80d.json | N/A | N/A | N/A | N/A | N/A | JQV016W14082 | Health Maintenance Organization (HMO) | BFTV INC | ANTHEM BLUE CROSS | N/A | 1999-01-12 | 040 | U76970 | N/A | HM | false | BOSSART | N/A | LINDSAY | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172779 | N/A | N/A | 15838469 | 2222 | 4793 | 21995451 | 4185 | 13837869 | 2026-03-26 17:30:12.631745 | 2026-01-23 18:37:51.711849 |
| 2026-03-25 07:25:51.850670 | 2026-03-26 17:29:48.954964 | 22171569 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171569 | Athletic Physical Therapy Inc | 1969-08-02 | 2026-03-27 | F | AE | PT | Tchorbajian | 000011878915 | Tamar | 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/2222/15811539/check_22171569_2481f780-1261-4972-b14f-c1507efebe6d.json | N/A | N/A | N/A | N/A | N/A | 000011878915 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1969-08-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF DHMO TRANSFERS GF DHMO $1500 W/C | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172778 | N/A | N/A | 15811539 | 2222 | 4801 | 21993225 | N/A | 13901033 | 2026-03-26 17:29:48.954964 | 2026-02-23 00:55:06.143481 |
| 2026-03-25 07:25:51.124367 | 2026-03-26 17:30:22.188081 | 22171556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171556 | Athletic Physical Therapy Inc | 1995-11-01 | 2026-03-26 | M | PT | N/A | Leonard | MV7745W01525 | Nathan | 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/2222/15743588/check_22171556_2049b97c-99d9-442e-9ebe-a959d99512f6.json | N/A | N/A | N/A | N/A | N/A | MVT745W01525 | Preferred Provider Organization (PPO) | METROPOLIS EMPLOYEE SERVICES LLC | ANTHEM BLUE CROSS | N/A | 1995-11-01 | 040 | 174348M4A3 | N/A | PR | false | LEONARD | N/A | NATHAN | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172777 | N/A | N/A | 15743588 | 2222 | 4802 | 21996245 | N/A | 13841877 | 2026-03-26 17:30:22.188081 | 2026-01-21 18:23:55.000858 |
| 2026-03-25 07:25:50.286681 | 2026-03-26 17:29:28.185347 | 22171551 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 22171551 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-03-27 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | 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/2222/15737586/check_22171551_2183c9e4-0c2b-403d-aade-3050fc2f58b0.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10383172776 | N/A | N/A | 15737586 | 2222 | 4793 | 21991097 | N/A | 13837022 | 2026-03-26 17:29:28.185347 | 2026-01-27 20:49:36.385334 |
| 2026-03-25 07:25:49.706036 | 2026-03-26 17:26:50.215445 | 22171541 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22171541 | Athletic Physical Therapy Inc | 1942-09-09 | 2026-03-27 | F | AE | PT | Jackson | 100001280396 | Joann | 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/2222/15596622/check_22171541_731b7600-754b-4849-abfd-2cf548a4199e.json | N/A | N/A | N/A | N/A | N/A | 100001280396 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1942-09-09 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | JACKSON | N/A | JOANN | N/A | 2078-12-31 | 2026-01-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172775 | N/A | N/A | 15596622 | 2222 | 4802 | 21975958 | 4211 | 13503048 | 2026-03-26 17:26:50.215445 | 2026-01-28 17:23:17.911334 |
| 2026-03-25 07:25:49.137455 | 2026-03-26 17:29:30.086357 | 22171532 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22171532 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-03-27 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | 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/2222/15534853/check_22171532_d113775e-331a-4f86-8349-e207966a771f.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10383172774 | N/A | N/A | 15534853 | 2222 | 4801 | 21991288 | 6237 | 4219334 | 2026-03-26 17:29:30.086357 | 2025-05-13 04:29:37.230357 |
| 2026-03-25 07:25:48.545367 | 2026-03-26 17:29:49.998054 | 22171525 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 22171525 | override_provider | 1936-04-17 | 2026-03-26 | F | AE | PT | Frank | 000010875705 | Lya | 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/2222/15509616/check_22171525_51edeb03-ff2b-4781-bab2-e85a797097a8.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION-SOUTH KPSA B SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172773 | N/A | N/A | 15509616 | 2222 | 4802 | 21993345 | N/A | 13596403 | 2026-03-26 17:29:49.998054 | 2026-01-16 22:31:54.907256 |
| 2026-03-25 07:25:47.822458 | 2026-03-26 17:30:50.525279 | 22171516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171516 | Athletic Physical Therapy Inc | 1937-05-16 | 2026-03-27 | M | PT | N/A | MUIRHEAD | MBL983M98448 | GARY | 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/2222/15483494/check_22171516_ef88c260-9241-4afa-8af2-bf4388a1b2df.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172772 | N/A | N/A | 15483494 | 2222 | 4801 | 21997880 | N/A | 13569666 | 2026-03-26 17:30:50.525279 | 2026-01-19 23:27:00.524405 |
| 2026-03-25 07:25:47.163282 | 2026-03-26 17:30:21.658437 | 22171509 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171509 | Athletic Physical Therapy Inc | 1986-01-07 | 2026-03-27 | F | PT | N/A | Sabino Lasmarias | NCF513A21338 | Jovelyn | 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/2222/15481529/check_22171509_0b856480-4d26-44d3-8a0c-67a864932fbd.json | N/A | N/A | N/A | N/A | N/A | NCF513A21338 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1986-01-07 | 040 | 57AJCA | N/A | HM | false | LASMARIAS | N/A | ANTHONY | N/A | 9999-12-31 | 2024-11-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172771 | N/A | N/A | 15481529 | 2222 | 4801 | 21996202 | N/A | 13567673 | 2026-03-26 17:30:21.658437 | 2026-01-28 15:52:55.238058 |
| 2026-03-25 07:25:46.261207 | 2026-03-26 17:31:01.578357 | 22171500 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22171500 | Athletic Physical Therapy Inc | 1975-03-12 | 2026-03-27 | F | PT | N/A | Auer | XAN913816512 | Jennifer | 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/2222/15397821/check_22171500_7c8775bc-b1e9-4909-a193-e66cfe12fb6d.json | N/A | N/A | N/A | N/A | N/A | XAN913816512 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-03-12 | 1000PPOX0003 | W0051411 | N/A | PR | false | AUER | N/A | JENNIFER | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172770 | N/A | N/A | 15397821 | 2222 | 4802 | 21998626 | N/A | 13490922 | 2026-03-26 17:31:01.578357 | 2026-01-14 18:47:30.582547 |
| 2026-03-25 07:25:45.378777 | 2026-03-26 17:31:08.604530 | 22171490 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22171490 | Athletic Physical Therapy Inc | 2001-10-26 | 2026-03-26 | F | PT | N/A | MORTENSEN | YZD737W24774 | KIRA | 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/2222/15312803/check_22171490_d5ba4e91-21bd-4243-9cdb-1c4443b14a14.json | N/A | N/A | N/A | N/A | N/A | YZD737W24774 | Preferred Provider Organization (PPO) | MEDICAL INFORMATICS ENGINEERING LLC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-10-26 | 130 | W11821M001 | N/A | PR | false | MORTENSEN | N/A | KIRA | N/A | 9999-12-31 | 2025-09-09 | ANTHEM BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172769 | N/A | N/A | 15312803 | 2222 | 4793 | 21999049 | N/A | 13411691 | 2026-03-26 17:31:08.604530 | 2026-01-13 00:02:35.174807 |
| 2026-03-25 07:25:44.567943 | 2026-03-26 17:28:50.929241 | 22171477 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 22171477 | Athletic Physical Therapy Inc | 1960-01-06 | 2026-03-27 | F | AE | PT | MORGEN | 5852851 | MINDY | 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/2222/15287121/check_22171477_7ca7cbb6-3073-4a37-859e-5a608173a5c9.json | N/A | N/A | N/A | N/A | N/A | 5852851 | N/A | N/A | CENTENE CORPORATION | N/A | 1960-01-06 | N/A | N/A | N/A | N/A | false | MORGEN | N/A | MINDY | 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 | 10383172768 | N/A | N/A | 15287121 | 2222 | 4793 | 21987669 | N/A | 13387979 | 2026-03-26 17:28:50.929241 | 2026-05-04 18:00:09.918838 |
| 2026-03-25 07:25:43.628240 | 2026-03-26 17:30:14.608956 | 22171469 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22171469 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-03-26 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | 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/2222/15276776/check_22171469_a9a8cfe5-3a20-4d1d-89aa-199324358dbf.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172767 | N/A | N/A | 15276776 | 2222 | 4801 | 21995612 | 4185 | 9766947 | 2026-03-26 17:30:14.608956 | 2025-11-11 21:32:02.372730 |
| 2026-03-25 07:25:42.768026 | 2026-03-26 17:27:11.712923 | 22171459 | N/A | N/A | 60054 | Aetna | 1114042165 | 22171459 | Athletic Physical Therapy Inc | 1945-01-03 | 2026-03-26 | M | AE | PT | KIRK | 1013638055000 | DANIEL | 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/2222/15255514/check_22171459_3fd81809-4dec-4012-9372-6970887f6609.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | 2026-12-31 | 2026-01-01 | WEST ADV PLAN 125 PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172766 | N/A | N/A | 15255514 | 2222 | 4801 | 21977702 | N/A | 6476881 | 2026-03-26 17:27:11.712923 | 2025-07-29 22:42:05.499172 |
| 2026-03-25 07:25:41.742809 | 2026-03-26 17:30:24.856645 | 22171450 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171450 | Athletic Physical Therapy Inc | 2020-04-30 | 2026-03-26 | M | PT | N/A | Marez | LSA753A24370 | Sebastian | Blake | 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/2222/15242730/check_22171450_8ab1d5da-8f5d-4544-ae80-d8a2b24f4753.json | N/A | N/A | N/A | N/A | N/A | LSA753A24370 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2020-04-30 | 040 | 1841AC | N/A | PR | false | MAREZ | N/A | VANESSA | N/A | 9999-12-31 | 2020-05-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172765 | N/A | N/A | 15242730 | 2222 | 4793 | 21996435 | N/A | 13342601 | 2026-03-26 17:30:24.856645 | 2026-01-10 00:43:10.594667 |
| 2026-03-25 07:25:40.752384 | 2026-03-26 17:30:50.183252 | 22171440 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171440 | Athletic Physical Therapy Inc | 1988-10-28 | 2026-03-26 | M | PT | N/A | MORRIS | ILL532A77856 | ERIC | 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/2222/15236605/check_22171440_5e7f68ee-4000-43c3-948e-4e4a88a43d71.json | N/A | N/A | N/A | N/A | N/A | ILL532A77856 | Preferred Provider Organization (PPO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1988-10-28 | 040 | 1854GAR000 | N/A | PR | false | MORRIS | N/A | ERIC | N/A | 9999-12-31 | 2024-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172764 | N/A | N/A | 15236605 | 2222 | 4802 | 21997862 | N/A | 13337595 | 2026-03-26 17:30:50.183252 | 2026-01-13 22:56:53.164172 |
| 2026-03-25 07:25:39.805890 | 2026-03-26 17:30:16.334752 | 22171428 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171428 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-03-26 | M | PT | N/A | FRIEDMAN | JPU173A63431 | PHILLIP | C | 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/2222/15026498/check_22171428_97d6533f-a02f-4cff-aeef-23efc2cc0cee.json | N/A | N/A | N/A | N/A | N/A | JPU173A63431 | Preferred Provider Organization (PPO) | NC DYNAMICS LLC | ANTHEM BLUE CROSS | N/A | 1952-11-07 | 040 | L03068M001 | N/A | PR | false | FRIEDMAN | N/A | PHILLIP | N/A | 9999-12-31 | 2025-06-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172763 | N/A | N/A | 15026498 | 2222 | 4802 | 21995767 | N/A | 13139277 | 2026-03-26 17:30:16.334752 | 2026-01-08 19:03:05.462828 |
| 2026-03-25 07:25:39.050049 | 2026-03-26 17:35:12.745017 | 22171421 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22171421 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-03-26 | F | AE | PT | Rund | 5UN0TP0YV05 | Stephanie | 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/2222/15024391/check_22171421_34e9d2a8-1106-40ee-b4fd-4875f59bbc24.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MA | false | RUND | N/A | STEPHANIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91620 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172762 | N/A | N/A | 15024391 | 2222 | 4802 | 22012456 | N/A | 5046194 | 2026-03-26 17:35:12.745017 | 2026-01-06 19:15:31.520951 |
| 2026-03-25 07:25:38.166413 | 2026-03-26 17:31:02.167401 | 22171413 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22171413 | Athletic Physical Therapy Inc | 1991-09-17 | 2026-03-27 | F | PT | N/A | Levitt | XEA906302743 | Hannah | 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/2222/14999324/check_22171413_fef0cc70-a537-4d88-88ef-5afbde82d97e.json | N/A | N/A | N/A | N/A | N/A | XEA906302743 | Preferred Provider Organization (PPO) | AETHER FILMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-09-17 | 1000VX000103 | W0065938 | N/A | PR | false | DILILLO | N/A | DAVIS | N/A | 9999-12-31 | 2026-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172761 | N/A | N/A | 14999324 | 2222 | 4802 | 21998661 | N/A | 13112676 | 2026-03-26 17:31:02.167401 | 2026-01-05 17:03:35.278778 |
| 2026-03-25 07:25:37.437780 | 2026-03-26 17:30:12.380457 | 22171404 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171404 | Athletic Physical Therapy Inc | 1982-07-27 | 2026-03-27 | M | PT | N/A | BOKHTIER | NGO052M92255 | GOLAM | 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/2222/14925066/check_22171404_73ce6531-c50d-4eea-975c-8c1ec0e9005d.json | N/A | N/A | N/A | N/A | N/A | NGO052M92255 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1982-07-27 | 040 | 174022MJAD | N/A | PR | false | BOKHTIER | N/A | GOLAM | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172760 | N/A | N/A | 14925066 | 2222 | 4793 | 21995424 | N/A | 4212833 | 2026-03-26 17:30:12.380457 | 2025-05-28 20:46:35.079848 |
| 2026-03-25 07:25:36.544793 | 2026-03-26 17:29:52.296776 | 22171395 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22171395 | Athletic Physical Therapy Inc | 1997-12-06 | 2026-03-26 | F | AE | PT | GHARAVI | 99570419E | JASMINE | S | 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/2222/14856447/check_22171395_07f456d1-643a-41cc-b6e2-802f77af3efa.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-02-12 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172759 | N/A | N/A | 14856447 | 2222 | 4802 | 21993576 | 4625 | 12968899 | 2026-03-26 17:29:52.296776 | 2026-01-05 20:58:07.379737 |
| 2026-03-25 07:25:35.989143 | 2026-03-26 17:29:46.864904 | 22171388 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171388 | Athletic Physical Therapy Inc | 1982-09-29 | 2026-03-26 | M | AE | PT | Gill | 000023394350 | Eli | 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/2222/14792524/check_22171388_ccfbb7dc-dcf0-48cd-b23b-744b287c7338.json | N/A | N/A | N/A | N/A | N/A | 000023394350 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-09-29 | 4372793 | 236672 | N/A | N/A | false | GILL | N/A | ELI | N/A | 2026-12-31 | 2026-01-01 | AECOM PLATINUM / AC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172758 | N/A | N/A | 14792524 | 2222 | 4802 | 21993005 | N/A | 12922959 | 2026-03-26 17:29:46.864904 | 2025-12-30 00:47:01.960830 |
| 2026-03-25 07:25:35.424399 | 2026-03-26 17:29:45.174327 | 22171375 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171375 | Athletic Physical Therapy Inc | 1958-04-18 | 2026-03-26 | F | AE | PT | Carrillo | 000021555700 | Yolanda | 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/2222/14778386/check_22171375_e0d34260-9f81-4e35-9bb8-bced098e4da7.json | N/A | N/A | N/A | N/A | N/A | 000021555700 | N/A | N/A | KFHP 1001 | MDC - MEDICAID | 1958-04-18 | 4385825 | 236396 | N/A | N/A | false | CARRILLO | N/A | YOLANDA | N/A | 2026-12-31 | 2026-01-01 | MEDI-CAL SCR 19_MM SPD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172757 | N/A | N/A | 14778386 | 2222 | 4802 | 21992809 | N/A | 12908843 | 2026-03-26 17:29:45.174327 | 2025-12-29 19:20:06.652914 |
| 2026-03-25 07:25:34.769312 | 2026-03-26 17:30:21.418664 | 22171371 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22171371 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-03-26 | M | PT | N/A | LANDAVERDE | 833W19349 | OSCAR | 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/2222/14413682/check_22171371_45d42085-cf4e-4d8f-ba7a-ec01bf67db68.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172756 | N/A | N/A | 14413682 | 2222 | 4802 | 21996181 | 4185 | 12549123 | 2026-03-26 17:30:21.418664 | 2025-12-18 17:22:21.485744 |
| 2026-03-25 07:25:33.999271 | 2026-03-26 17:29:54.329007 | 22171364 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 22171364 | override_provider | 1987-08-28 | 2026-03-27 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 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/2222/14391843/check_22171364_c20e71d9-fd28-4990-80b6-86aacd04b9a0.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | N/A | 2026-01-31 | 2025-03-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172755 | N/A | N/A | 14391843 | 2222 | 4802 | 21993785 | N/A | 12525833 | 2026-03-26 17:29:54.329007 | 2025-12-18 00:21:04.843955 |
| 2026-03-25 07:25:33.203192 | 2026-03-26 17:30:16.044660 | 22171348 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171348 | Athletic Physical Therapy Inc | 1970-03-18 | 2026-03-27 | F | PT | N/A | Finn | JQU683A20101 | Farnaz | 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/2222/14187202/check_22171348_dff96b69-9a35-4372-a808-66650ee40950.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 1970-03-18 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172754 | N/A | N/A | 14187202 | 2222 | 4793 | 21995738 | N/A | 12318785 | 2026-03-26 17:30:16.044660 | 2026-03-02 22:19:42.373924 |
| 2026-03-25 07:25:32.230080 | 2026-03-26 17:31:08.922142 | 22171339 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22171339 | Athletic Physical Therapy Inc | 1951-12-15 | 2026-03-27 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | 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/2222/14110178/check_22171339_d0bee80b-87c1-4367-9ee6-23a88d417fc8.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 9999-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172753 | N/A | N/A | 14110178 | 2222 | 4801 | 21999068 | N/A | 10999467 | 2026-03-26 17:31:08.922142 | 2025-11-14 21:36:13.911423 |
| 2026-03-25 07:25:30.864554 | 2026-03-26 17:27:04.508171 | 22171321 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 22171321 | override_provider | 1962-09-10 | 2026-03-27 | M | PT | N/A | M Johnson | KWS141015355001 | David | 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/2222/14108628/check_22171321_0f6df8de-620e-4468-9d0f-a6795b760769.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172752 | N/A | N/A | 14108628 | 2222 | 4801 | 21977158 | N/A | 12247347 | 2026-03-26 17:27:04.508171 | 2025-12-10 23:35:09.824882 |
| 2026-03-25 07:25:30.022126 | 2026-03-26 17:26:51.972897 | 22171312 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 22171312 | Athletic Physical Therapy Inc | 2003-10-23 | 2026-03-26 | M | AE | PT | SMIT DUYZENTKUNST | 94370227G | JAMES | R | 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/2222/14037868/check_22171312_41e9928a-25d4-4ccf-9b3f-b871f4ce58eb.json | N/A | N/A | N/A | N/A | N/A | 94370227G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173672 | N/A | N/A | 14037868 | 2222 | 4793 | 21976117 | 4211 | 6038528 | 2026-03-26 17:26:51.972897 | 2025-07-24 19:34:35.056005 |
| 2026-03-25 07:25:29.123867 | 2026-03-26 17:30:20.322735 | 22171300 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171300 | Athletic Physical Therapy Inc | 1976-11-10 | 2026-03-27 | F | PT | N/A | HUYNH | NCF560A74564 | NHUNG | 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/2222/13683615/check_22171300_51d15cfe-1bfc-4395-b574-2ae6d35dbf00.json | N/A | N/A | N/A | N/A | N/A | NCF560A74564 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1976-11-10 | 040 | 57ADZG | N/A | HM | false | HUYNH | N/A | NHUNG HONG | N/A | 9999-12-31 | 2012-01-01 | HMO CEDARS SINAI ONLY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173671 | N/A | N/A | 13683615 | 2222 | 4801 | 21996097 | N/A | 11833771 | 2026-03-26 17:30:20.322735 | 2025-12-10 10:41:11.441314 |
| 2026-03-25 07:25:28.371441 | 2026-03-26 17:30:16.952455 | 22171290 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22171290 | Athletic Physical Therapy Inc | 1975-08-04 | 2026-03-26 | M | PT | N/A | GEFFEN | CFT037A52287 | JASON | 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/2222/13669648/check_22171290_37f4c6cc-55b4-4365-a962-2346d0297c2f.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | Preferred Provider Organization (PPO) | IMAX CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-08-04 | 243 | 300539002S | N/A | PR | false | GEFFEN | N/A | JASON | N/A | 9999-12-31 | 2021-11-26 | BLUE ACCESS PPO NY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383173670 | N/A | N/A | 13669648 | 2222 | 4793 | 21995815 | N/A | 10856744 | 2026-03-26 17:30:16.952455 | 2025-12-29 22:47:44.157557 |
| 2026-03-25 07:25:27.248451 | 2026-03-26 17:35:09.948088 | 22171277 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22171277 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-03-26 | M | AE | PT | Maher | 6FT2G33TN93 | Timothy | 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/2222/13655342/check_22171277_f88d8318-d83c-4f21-9124-f7dfe98386e6.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part A | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MA | false | MAHER | N/A | TIMOTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 234256 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173669 | N/A | N/A | 13655342 | 2222 | 4802 | 22012310 | N/A | 11803316 | 2026-03-26 17:35:09.948088 | 2025-12-16 19:29:59.872631 |
| 2026-03-25 07:25:26.364888 | 2026-03-26 17:29:48.109989 | 22171264 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171264 | Athletic Physical Therapy Inc | 1979-02-24 | 2026-03-27 | F | AE | PT | McCoy | 000024352430 | Colleen | Shannon | 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/2222/13582387/check_22171264_29ce0a6d-c94a-4a59-a890-3990a97dbb22.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | 2026-12-31 | 2026-01-01 | EDWARDS LIFESCIENCES EDWARDS LIFESCIENCES/COBRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173668 | N/A | N/A | 13582387 | 2222 | 4802 | 21993134 | N/A | 11732070 | 2026-03-26 17:29:48.109989 | 2025-12-02 18:46:08.427375 |
| 2026-03-25 07:25:25.546660 | 2026-03-26 17:29:46.091809 | 22171256 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 22171256 | Athletic Physical Therapy Inc | 1996-02-29 | 2026-03-26 | F | AE | PT | Elzinga | 000025992229 | Stevie | F | 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/2222/13437538/check_22171256_4c660ccd-faf9-4a62-83b8-aefdd518f00b.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4383425 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383173667 | N/A | N/A | 13437538 | 2222 | 4802 | 21992915 | N/A | 11598678 | 2026-03-26 17:29:46.091809 | 2025-11-26 19:50:29.795204 |