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 07:24:34.233266 | 2026-03-26 17:30:21.912168 | 22170157 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22170157 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-03-27 | F | PT | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_22170157_2603dbba-6959-4aa4-8edb-b8753c44e2aa.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172573 | N/A | N/A | 5543167 | 2222 | 4793 | 21996222 | N/A | 4214995 | 2026-03-26 17:30:21.912168 | 2025-05-13 04:29:37.229315 |
| 2026-03-25 07:24:33.181376 | 2026-03-26 17:30:19.780446 | 22170127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22170127 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-03-27 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_22170127_f8cb54f4-3c40-4fb7-b919-cfccb22c7a27.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172572 | N/A | N/A | 5543043 | 2222 | 4801 | 21996060 | N/A | 4214884 | 2026-03-26 17:30:19.780446 | 2025-11-12 00:46:10.301659 |
| 2026-03-25 07:24:32.147377 | 2026-03-26 17:29:39.051395 | 22170100 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22170100 | Athletic Physical Therapy Inc | 1962-06-19 | 2026-03-27 | M | AE | HAFNER | 896752501 | MARK | 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/2222/5542940/check_22170100_87dc1588-7984-4673-baa0-93e8ec05d3d9.json | N/A | N/A | N/A | N/A | N/A | 896752501 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1962-06-19 | N/A | 621350 | N/A | C1 | false | HAFNER | N/A | MARK | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO SILVER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172571 | N/A | N/A | 5542940 | 2222 | 4793 | 21992162 | 6411 | 4214793 | 2026-03-26 17:29:39.051395 | 2025-05-13 04:29:37.229118 |
| 2026-03-25 07:24:31.313750 | 2026-03-26 17:29:28.723785 | 22170084 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22170084 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-03-27 | M | AD | TARDIF | 40037365501 | TEDD | N/A | 30 | 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/2222/5542894/check_22170084_7db405e2-9691-481a-87ce-c58d02678c4b.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 10383172570 | N/A | N/A | 5542894 | 2222 | 4801 | 21991151 | 6237 | 4214757 | 2026-03-26 17:29:28.723785 | 2026-03-20 15:26:52.406374 |
| 2026-03-25 07:24:30.603540 | 2026-03-26 17:30:21.175330 | 22170065 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22170065 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-03-27 | F | AE | LAFRENIERE | JQV736A54997 | DONNA | 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/2222/5542812/check_22170065_9ae9578a-2e60-4c7d-b370-2cdd4ec3e05a.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 9999-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172569 | N/A | N/A | 5542812 | 2222 | 4801 | 21996159 | N/A | 4214677 | 2026-03-26 17:30:21.175330 | 2026-03-18 22:35:37.752534 |
| 2026-03-25 07:24:29.006989 | 2026-03-26 17:29:54.026355 | 22170027 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22170027 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-03-27 | F | AE | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_22170027_7f4b1bf9-1f61-410b-abea-8ae6a9b4a250.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | 2026-02-13 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172568 | N/A | N/A | 5542752 | 2222 | 4793 | 21993762 | 4625 | 4214627 | 2026-03-26 17:29:54.026355 | 2025-06-23 18:58:46.304598 |
| 2026-03-25 07:24:27.693147 | 2026-03-26 17:31:04.848617 | 22169998 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22169998 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-03-27 | M | PT | MOYNIHAN | QMS905764029 | KEITH | 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/2222/5542720/check_22169998_b854e1e9-82d1-4f9b-bc92-f60d90029f54.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | N/A | 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 | 10383172567 | N/A | N/A | 5542720 | 2222 | 4802 | 21998790 | N/A | 4214596 | 2026-03-26 17:31:04.848617 | 2025-05-13 04:29:37.228923 |
| 2026-03-25 07:24:26.706288 | 2026-03-26 17:29:51.256440 | 22169977 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 22169977 | override_provider | 1972-07-22 | 2026-03-27 | M | AE | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_22169977_fef96870-8ae2-4d3b-bca5-818efd9e3bfd.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172566 | N/A | N/A | 5542709 | 2222 | 4802 | 21993482 | N/A | 4214582 | 2026-03-26 17:29:51.256440 | 2025-12-02 00:00:04.433236 |
| 2026-03-25 07:24:25.683152 | 2026-03-26 17:30:17.880587 | 22169955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169955 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-03-26 | F | PT | GOLDMAN | MBL801W11756 | ROBERTA | 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/2222/5542655/check_22169955_8f6bbcc8-7085-40f4-ae74-3abf0f16bc68.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | 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 | 10383172565 | N/A | N/A | 5542655 | 2222 | 4802 | 21995894 | N/A | 4214541 | 2026-03-26 17:30:17.880587 | 2025-05-13 04:29:37.228867 |
| 2026-03-25 07:24:24.904909 | 2026-03-26 17:35:04.967842 | 22169936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169936 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-03-26 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | 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/2222/5542555/check_22169936_8ead9ae7-0c5e-4268-bca7-e3c821a5b0b9.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 144546 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172564 | N/A | N/A | 5542555 | 2222 | 4793 | 22012045 | N/A | 4214447 | 2026-03-26 17:35:04.967842 | 2026-04-23 20:11:34.441054 |
| 2026-03-25 07:24:23.859075 | 2026-03-26 17:31:02.716807 | 22169913 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22169913 | Athletic Physical Therapy Inc | 1983-10-27 | 2026-03-26 | M | PT | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_22169913_30b400ff-40ab-4290-bba8-4c08720f0881.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 2026-04-30 | 2025-05-01 | 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 | 10383172563 | N/A | N/A | 5542512 | 2222 | 4793 | 21998690 | N/A | 4214416 | 2026-03-26 17:31:02.716807 | 2025-05-13 04:29:37.228740 |
| 2026-03-25 07:24:22.953269 | 2026-03-26 17:30:15.758076 | 22169890 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22169890 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-03-26 | M | PT | FERNANDEZ | JQS315W00257 | FREDERICO | 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/2222/5542274/check_22169890_d5377506-9446-44f8-8b82-8a335e7a25b0.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172562 | N/A | N/A | 5542274 | 2222 | 4801 | 21995715 | 4185 | 4214212 | 2026-03-26 17:30:15.758076 | 2025-05-13 04:29:37.228546 |
| 2026-03-25 07:24:21.859055 | 2026-03-26 17:26:23.190440 | 22169864 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 22169864 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-03-26 | M | AE | VLAHOVICH | 34035035 | STEVEN | 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/2222/5542048/check_22169864_1f630137-ee2d-4e0c-bfa5-4bff26692f88.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | 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 | 10383172561 | N/A | N/A | 5542048 | 2222 | 4802 | 21973264 | N/A | 4214003 | 2026-03-26 17:26:23.190440 | 2025-05-13 04:29:37.228325 |
| 2026-03-25 07:24:21.158244 | 2026-03-26 17:30:55.959088 | 22169843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169843 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-03-27 | F | PT | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_22169843_d94966f8-3529-4174-8476-8e7693244ea9.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 10383172560 | N/A | N/A | 5542014 | 2222 | 4793 | 21998245 | N/A | 4213977 | 2026-03-26 17:30:55.959088 | 2025-05-13 04:29:37.228294 |
| 2026-03-25 07:24:20.463231 | 2026-03-26 17:35:11.123637 | 22169826 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169826 | Athletic Physical Therapy Inc | 1961-06-02 | 2026-03-26 | M | AE | MOGES | 9MF8NH0KD45 | MEKONNEN | 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/2222/5541892/check_22169826_5497b82a-70e6-49c0-b8c2-08647c58db78.json | N/A | N/A | N/A | N/A | N/A | 9MF8NH0KD45 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1961-06-02 | S5617 | N/A | N/A | MB | false | MOGES | N/A | MEKONNEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 90052 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172559 | N/A | N/A | 5541892 | 2222 | 4801 | 22012368 | N/A | 4213870 | 2026-03-26 17:35:11.123637 | 2026-02-04 16:47:08.016880 |
| 2026-03-25 07:24:19.245872 | 2026-03-26 17:27:04.210566 | 22169793 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 22169793 | override_provider | 1957-04-11 | 2026-03-27 | M | PT | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_22169793_aaf8950d-3cf2-4ac5-b40d-9e27726e96a8.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | 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 | 10383172558 | N/A | N/A | 5541841 | 2222 | 4801 | 21977132 | N/A | 4213826 | 2026-03-26 17:27:04.210566 | 2025-05-13 04:29:37.228146 |
| 2026-03-25 07:24:18.256371 | 2026-03-26 17:35:06.591656 | 22169768 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169768 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-03-27 | M | AE | DOUGHERTY | 7EE9WG6YG17 | KENNETH | 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/2222/5541619/check_22169768_806e207e-5137-4e65-9376-daeb61ef4747.json | N/A | N/A | N/A | N/A | N/A | 7EE9WG6YG17 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-19 | S5601 | N/A | N/A | MA | false | DOUGHERTY | N/A | KENNETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 84487 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172557 | N/A | N/A | 5541619 | 2222 | 4793 | 22012129 | N/A | 4213619 | 2026-03-26 17:35:06.591656 | 2025-05-13 04:29:37.227951 |
| 2026-03-25 07:24:17.269078 | 2026-03-26 17:29:35.729303 | 22169744 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 22169744 | Athletic Physical Therapy Inc | 1985-08-14 | 2026-03-27 | F | AE | LIN | G44715088 | JESSICA | 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/2222/5541550/check_22169744_104264df-0968-4682-9f95-b5339782b1fe.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1985-08-14 | 767000416933003 | 76416933 | N/A | N/A | false | LIN | N/A | JESSICA | 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 | 10383172556 | N/A | N/A | 5541550 | 2222 | 4802 | 21991834 | N/A | 4213560 | 2026-03-26 17:29:35.729303 | 2025-05-13 04:29:37.227892 |
| 2026-03-25 07:24:16.286519 | 2026-03-26 17:29:53.549527 | 22169719 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 22169719 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-03-26 | F | AE | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_22169719_d16e512f-8666-4bee-96ca-c7acdc1e5838.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | 2026-02-19 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172555 | N/A | N/A | 5541519 | 2222 | 4802 | 21993712 | 4625 | 4213530 | 2026-03-26 17:29:53.549527 | 2025-05-13 04:29:37.227860 |
| 2026-03-25 07:24:15.224561 | 2026-03-26 17:30:22.991508 | 22169698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169698 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-03-27 | F | PT | LORD | JQT822A53740 | ALYSSA | 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/2222/5541409/check_22169698_0ad54420-6828-41a8-9525-d311958dec67.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172554 | N/A | N/A | 5541409 | 2222 | 4793 | 21996304 | N/A | 4213435 | 2026-03-26 17:30:22.991508 | 2025-05-13 04:29:37.227756 |
| 2026-03-25 07:24:14.451397 | 2026-03-26 17:30:18.666352 | 22169677 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169677 | Athletic Physical Therapy Inc | 1995-06-07 | 2026-03-26 | M | PT | Greathouse | MPI30458946Q | Kheperan | R | 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/2222/5540871/check_22169677_7bed6007-f2c2-4e6e-be43-fcb7d2fcc215.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172553 | N/A | N/A | 5540871 | 2222 | 4793 | 21995966 | N/A | 4212959 | 2026-03-26 17:30:18.666352 | 2025-10-17 20:08:21.136268 |
| 2026-03-25 07:24:13.596822 | 2026-03-26 17:35:07.722067 | 22169657 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169657 | Athletic Physical Therapy Inc | 1942-09-22 | 2026-03-26 | M | AE | ELLIS | 5ME7TU7UA42 | JEFFREY | 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/2222/5540471/check_22169657_a51be833-c7b7-499f-b4e0-80ca6acc9e40.json | N/A | N/A | N/A | N/A | N/A | 5ME7TU7UA42 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-09-22 | S4802 | N/A | N/A | MA | false | ELLIS | N/A | JEFFREY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91787 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172552 | N/A | N/A | 5540471 | 2222 | 4793 | 22012187 | N/A | 4212625 | 2026-03-26 17:35:07.722067 | 2025-05-13 04:29:37.226968 |
| 2026-03-25 07:24:12.568356 | 2026-03-26 17:30:13.524464 | 22169635 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169635 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-03-26 | F | PT | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_22169635_f01fbe37-d613-47c9-8f02-3530d1e42546.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172551 | N/A | N/A | 5540282 | 2222 | 4802 | 21995520 | N/A | 4212465 | 2026-03-26 17:30:13.524464 | 2025-05-13 04:29:37.226801 |
| 2026-03-25 07:24:11.746326 | 2026-03-26 17:30:55.172452 | 22169613 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169613 | Athletic Physical Therapy Inc | 1985-08-05 | 2026-03-26 | F | PT | ROSKUL | JQT213W04900 | ANASTASIA | 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/2222/5539652/check_22169613_89ad9932-557a-4b5d-b6b8-cfc964e28cee.json | N/A | N/A | N/A | N/A | N/A | JQT213W04900 | Health Maintenance Organization (HMO) | GOLDEN ENTROPY MARKETING | ANTHEM BLUE CROSS | N/A | 1985-08-05 | 040 | F22035 | N/A | HM | false | ROSKUL | N/A | VALENTIN | N/A | 9999-12-31 | 2025-09-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172550 | N/A | N/A | 5539652 | 2222 | 4793 | 21998192 | N/A | 4211923 | 2026-03-26 17:30:55.172452 | 2026-03-05 01:01:11.510730 |
| 2026-03-25 07:24:10.909626 | 2026-03-26 17:35:09.686757 | 22169597 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169597 | Athletic Physical Therapy Inc | 1956-03-01 | 2026-03-26 | M | AE | KLINGE | 9JP2FT7FX98 | JOHN | Edgar | 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/2222/5539484/check_22169597_3b6c9753-2a0b-4e1f-b453-324a26a76f01.json | N/A | N/A | N/A | N/A | N/A | 9JP2FT7FX98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-03-01 | S5617 | N/A | N/A | MB | false | KLINGE | N/A | JOHN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172549 | N/A | N/A | 5539484 | 2222 | 4793 | 22012292 | N/A | 4211780 | 2026-03-26 17:35:09.686757 | 2025-10-27 16:53:51.769426 |
| 2026-03-25 07:24:10.287579 | 2026-03-26 17:30:20.038426 | 22169587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169587 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-03-27 | M | PT | Hurst | JQY695A75359 | Gregory | 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/2222/5539085/check_22169587_f99d4b72-eff4-4773-8b7d-6eadaa026f64.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172548 | N/A | N/A | 5539085 | 2222 | 4793 | 21996076 | N/A | 4211408 | 2026-03-26 17:30:20.038426 | 2025-09-18 00:42:48.586801 |
| 2026-03-25 07:24:09.397776 | 2026-03-26 17:31:09.156539 | 22169565 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22169565 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-03-27 | M | PT | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_22169565_4dd69aaf-78e8-47cc-96d0-66e1d86806ca.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M005 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2026-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172547 | N/A | N/A | 5538874 | 2222 | 4801 | 21999087 | N/A | 4211227 | 2026-03-26 17:31:09.156539 | 2025-05-13 04:29:37.225625 |
| 2026-03-25 07:24:08.607664 | 2026-03-26 17:28:54.445449 | 22169541 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22169541 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-03-27 | M | AE | CHADIDA | 40060913601 | DAVID | 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/2222/5538674/check_22169541_5f03f848-bb84-4983-b17d-a9d7bf15b132.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | 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 | 10383172544 | N/A | N/A | 5538674 | 2222 | 4793 | 21987985 | 6237 | 4211039 | 2026-03-26 17:28:54.445449 | 2025-05-13 04:29:37.225444 |
| 2026-03-25 07:24:07.819949 | 2026-03-26 17:35:13.644765 | 22169524 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169524 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-03-26 | M | AE | STEIN | 8MY3V79UN60 | DONALD | H | 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/2222/5538576/check_22169524_baba7a8a-cacf-49b3-89ab-eecf0ba49144.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 223800 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172543 | N/A | N/A | 5538576 | 2222 | 4802 | 22012493 | N/A | 4210984 | 2026-03-26 17:35:13.644765 | 2025-08-15 17:42:50.500189 |
| 2026-03-25 07:24:06.983290 | 2026-03-26 17:30:53.670055 | 22169503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169503 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-03-27 | M | PT | PERLMUTTER | JQH460A69253 | DREW | 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/2222/5538573/check_22169503_fd63f766-32e9-4cb8-ba9f-d367a7bebab7.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 9999-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172542 | N/A | N/A | 5538573 | 2222 | 4801 | 21998066 | N/A | 4210980 | 2026-03-26 17:30:53.670055 | 2025-05-13 04:29:37.225377 |
| 2026-03-25 07:24:05.977638 | 2026-03-26 17:35:08.261137 | 22169474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169474 | Athletic Physical Therapy Inc | 1954-01-12 | 2026-03-27 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | 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/2222/5538472/check_22169474_915983ae-18c8-4acc-bfe5-d615a6e0441a.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S5601 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 72023 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172541 | N/A | N/A | 5538472 | 2222 | 4802 | 22012216 | N/A | 4210886 | 2026-03-26 17:35:08.261137 | 2025-05-13 04:29:37.225284 |
| 2026-03-25 07:24:05.167429 | 2026-03-26 17:29:38.510864 | 22169456 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 22169456 | Athletic Physical Therapy Inc | 1980-09-10 | 2026-03-26 | M | AE | BRUNSKILL | 9853463 | NATHAN | 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/2222/5538359/check_22169456_5734ece6-77e3-4909-a62b-cb0cf66ff623.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172540 | N/A | N/A | 5538359 | 2222 | 4802 | 21992107 | 6411 | 4210784 | 2026-03-26 17:29:38.510864 | 2025-05-13 04:29:37.225193 |
| 2026-03-25 07:24:04.349509 | 2026-03-26 17:30:20.897118 | 22169441 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22169441 | Athletic Physical Therapy Inc | 1971-04-08 | 2026-03-27 | F | AE | JENKINS | NCF272A68033 | DAMIAN | 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/2222/5537969/check_22169441_de30dbe3-1f85-4761-abc4-92939ec47391.json | N/A | N/A | N/A | N/A | N/A | NCF272A68033 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-04-08 | 040 | 57AJCA | N/A | HM | false | JENKINS | N/A | SHAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172539 | N/A | N/A | 5537969 | 2222 | 4793 | 21996137 | 4185 | 4210463 | 2026-03-26 17:30:20.897118 | 2025-10-28 17:45:45.046366 |
| 2026-03-25 07:24:03.606162 | 2026-03-26 17:30:52.107567 | 22169418 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 22169418 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-03-26 | F | PT | OATES | JQS723M87472 | STACY | 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/2222/5537951/check_22169418_25e5f6a1-a1b4-4c11-a3e7-cbf058e2c549.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172538 | N/A | N/A | 5537951 | 2222 | 4793 | 21997986 | 4184 | 4210449 | 2026-03-26 17:30:52.107567 | 2026-02-25 15:35:31.486496 |
| 2026-03-25 07:24:02.813228 | 2026-03-26 17:31:06.171013 | 22169400 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22169400 | Athletic Physical Therapy Inc | 1974-09-12 | 2026-03-26 | M | PT | YOUNG | XEH910885070 | 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/2222/5537663/check_22169400_34a4eee3-46f7-4fe6-bbc5-36ad86a5141e.json | N/A | N/A | N/A | N/A | N/A | XEH910885070 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-09-12 | 1010VX000001 | W0069783 | N/A | HM | false | YOUNG | N/A | PAUL | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172537 | N/A | N/A | 5537663 | 2222 | 4793 | 21998888 | N/A | 4210189 | 2026-03-26 17:31:06.171013 | 2026-02-23 16:32:53.562405 |
| 2026-03-25 07:24:02.058730 | 2026-03-26 17:30:23.405823 | 22169380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169380 | Athletic Physical Therapy Inc | 2003-06-27 | 2026-03-26 | F | PT | LUCZYWEK | HFD100011213709 | DANIELLA | 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/2222/5537199/check_22169380_b58b290a-33e4-4de5-9e9a-45efc5b83929.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2003-06-27 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172536 | N/A | N/A | 5537199 | 2222 | 4801 | 21996327 | N/A | 4209807 | 2026-03-26 17:30:23.405823 | 2026-02-20 19:27:47.468875 |
| 2026-03-25 07:24:01.086141 | 2026-03-26 17:30:51.204595 | 22169351 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169351 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-03-27 | M | PT | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_22169351_73c3429d-bc45-4498-9c64-26510a972c01.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172535 | N/A | N/A | 5537188 | 2222 | 4802 | 21997920 | N/A | 4209789 | 2026-03-26 17:30:51.204595 | 2025-05-13 04:29:37.224215 |
| 2026-03-25 07:24:00.058792 | 2026-03-26 17:30:25.933463 | 22169322 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169322 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-03-26 | M | PT | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_22169322_e64d21bd-671a-4e2b-a766-27c4fe6d1128.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172533 | N/A | N/A | 5536896 | 2222 | 4793 | 21996497 | N/A | 4209567 | 2026-03-26 17:30:25.933463 | 2025-05-13 04:29:37.223990 |
| 2026-03-25 07:23:59.065017 | 2026-03-26 17:30:18.387818 | 22169297 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22169297 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-03-27 | M | AE | GOTLER | NCF018M77628 | RONALD | 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/2222/5536875/check_22169297_d4f42cfd-56a3-48ee-a3a3-0f3cc8d7d0d5.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172532 | N/A | N/A | 5536875 | 2222 | 4802 | 21995946 | 4185 | 4209547 | 2026-03-26 17:30:18.387818 | 2025-05-13 04:29:37.223974 |
| 2026-03-25 07:23:58.212910 | 2026-03-26 17:30:54.854741 | 22169276 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22169276 | Athletic Physical Therapy Inc | 1972-04-10 | 2026-03-26 | M | PT | REPOSAR | ncf900m81170 | ALEXANDER | 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/2222/5536777/check_22169276_effa53ce-a18e-4d66-8251-bcd3d1cc34ed.json | N/A | N/A | N/A | N/A | N/A | JMV900M81170 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1972-04-10 | 040 | 56677NR000 | N/A | HM | false | REPOSAR | N/A | ALEXANDER | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172531 | N/A | N/A | 5536777 | 2222 | 4801 | 21998156 | 4185 | 4209460 | 2026-03-26 17:30:54.854741 | 2025-05-13 04:29:37.223893 |
| 2026-03-25 07:23:57.171587 | 2026-03-26 17:35:12.478797 | 22169249 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169249 | Athletic Physical Therapy Inc | 1945-03-19 | 2026-03-27 | F | AE | ROSS | 6QX7T41GM46 | MARTHA | 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/2222/5536301/check_22169249_7d6269f3-f96e-41e4-adf9-9c4a2613970d.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 213619 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172530 | N/A | N/A | 5536301 | 2222 | 4802 | 22012441 | N/A | 4209073 | 2026-03-26 17:35:12.478797 | 2025-11-19 19:47:03.642493 |
| 2026-03-25 07:23:56.019925 | 2026-03-26 17:35:13.315781 | 22169219 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169219 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-27 | F | AE | SPIGELMAN | 8FK0QJ6EQ10 | JUDY | 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/2222/5536252/check_22169219_2bf2dae6-aa89-4e64-9b1e-b3cbf3400bed.json | N/A | N/A | N/A | N/A | N/A | 8FK0QJ6EQ10 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-23 | N/A | N/A | N/A | MB | false | SPIGELMAN | N/A | JUDY | 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 | 10383172529 | N/A | N/A | 5536252 | 2222 | 4802 | 22012484 | N/A | 4209028 | 2026-03-26 17:35:13.315781 | 2026-03-12 23:35:58.198593 |
| 2026-03-25 07:23:54.867687 | 2026-03-26 17:35:11.931860 | 22169185 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22169185 | Athletic Physical Therapy Inc | 1943-10-22 | 2026-03-27 | F | AE | ODONNELL | 8XF6N21DN43 | AUDREY | 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/2222/5536184/check_22169185_f5e3cc6e-047b-4396-8cfd-5af67f205615.json | N/A | N/A | N/A | N/A | N/A | 8XF6N21DN43 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | AUDREY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172528 | N/A | N/A | 5536184 | 2222 | 4802 | 22012414 | N/A | 4208979 | 2026-03-26 17:35:11.931860 | 2025-05-13 04:29:37.223405 |
| 2026-03-25 07:23:53.871146 | 2026-03-26 17:30:14.058745 | 22169159 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 22169159 | Athletic Physical Therapy Inc | 1974-05-24 | 2026-03-27 | F | PT | CLARK | JQU645W04003 | CLAUDIA | 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/2222/5536134/check_22169159_93bddf91-92b8-4d79-9eee-6824af0a74fa.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172527 | N/A | N/A | 5536134 | 2222 | 4793 | 21995570 | N/A | 4208937 | 2026-03-26 17:30:14.058745 | 2026-02-26 17:45:27.761245 |
| 2026-03-25 07:23:52.873711 | 2026-03-26 17:30:11.548599 | 22169131 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 22169131 | Athletic Physical Therapy Inc | 1947-04-18 | 2026-03-26 | F | PT | BELL | MNL880M78427 | JACQUELYN | 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/2222/5536041/check_22169131_9820cba8-0e21-4e9e-8aad-d02507e2a987.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172526 | N/A | N/A | 5536041 | 2222 | 4802 | 21995354 | 4184 | 4208856 | 2026-03-26 17:30:11.548599 | 2025-05-13 04:29:37.223284 |
| 2026-03-25 07:23:52.039517 | 2026-03-26 17:29:29.578784 | 22169110 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22169110 | Athletic Physical Therapy Inc | 1939-12-25 | 2026-03-26 | M | AE | UNDERHILL | 31135655801 | DIRK | 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/2222/5535951/check_22169110_f0f51b24-522d-4a76-8de8-11633670c78e.json | N/A | N/A | N/A | N/A | N/A | 31135655801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-25 | 2026H5425001 | H5425M | N/A | N/A | false | UNDERHILL | N/A | DIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172524 | N/A | N/A | 5535951 | 2222 | 4801 | 21991238 | 6237 | 4208785 | 2026-03-26 17:29:29.578784 | 2026-02-25 19:42:29.414844 |
| 2026-03-25 07:23:50.876713 | 2026-03-26 17:26:30.751713 | 22169075 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 22169075 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-03-27 | M | AE | ULLMAN | 03520409411 | DAVID | 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/2222/5535842/check_22169075_aa26de57-02a9-442e-8dfb-bad238f8eeb7.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383172523 | N/A | N/A | 5535842 | 2222 | 4801 | 21974042 | N/A | 4208696 | 2026-03-26 17:26:30.751713 | 2025-06-07 16:16:45.844566 |
| 2026-03-25 07:23:49.904444 | 2026-03-26 17:31:06.390652 | 22169048 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22169048 | Athletic Physical Therapy Inc | 1953-09-19 | 2026-03-26 | F | PT | CARLON | R15684508 | JACQUELINE | 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/2222/5535724/check_22169048_30d11188-139a-40ff-92c1-7d0250ef01e5.json | N/A | N/A | N/A | N/A | N/A | R15684508 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1953-09-19 | N/A | 106 | N/A | PR | false | CARLON | N/A | STEVEN | N/A | 9999-12-31 | 2016-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383172522 | N/A | N/A | 5535724 | 2222 | 4801 | 21998906 | N/A | 4208597 | 2026-03-26 17:31:06.390652 | 2025-05-13 04:29:37.223030 |
| 2026-03-25 07:23:48.905903 | 2026-03-26 17:29:26.866671 | 22169019 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 22169019 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-03-27 | F | AD | RYAN | 31026142401 | CAROL | N/A | 30 | 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/2222/5535455/check_22169019_27cb9611-e723-4b56-9aa6-19d8de536b04.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 10383172521 | N/A | N/A | 5535455 | 2222 | 4793 | 21989986 | 6237 | 4208375 | 2026-03-26 17:29:26.866671 | 2025-08-08 21:08:12.459471 |
| 2026-03-25 07:15:59.151876 | 2026-03-26 18:06:12.860428 | 22136798 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 22136798 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-03-27 | M | AD | TARDIF | 1DU7DV5YD36 | TEDD | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.121825361.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143995/check_22136798_a10403f2-9bb8-4093-8260-79a04d5a23d4.json | N/A | N/A | N/A | N/A | N/A | 1DU7DV5YD36 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-02 | H5425 | N/A | N/A | MB | false | TARDIF | N/A | TEDD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10383096304 | N/A | N/A | 6143995 | 2222 | 4801 | 22034674 | N/A | 4214757 | 2026-03-26 18:06:12.860428 | 2026-03-20 15:26:52.406374 |