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 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-27 09:03:18.258429 | 2025-06-28 02:02:33.217431 | 9281551 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9281551 | Athletic Physical Therapy Inc | 1970-11-30 | 2025-06-30 | M | AE | PT | FITZGIBBON | R1075485200 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_9281551_45c10beb-447d-4285-864d-4b9689a62f9e.json | N/A | N/A | N/A | N/A | N/A | R1075485200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-11-30 | N/A | N/A | N/A | N/A | false | FITZGIBBON | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049952 | N/A | N/A | 5541889 | 2222 | 4802 | 9017164 | N/A | 4213867 | 2025-06-28 02:02:33.217431 | 2025-05-13 04:29:37.228184 |
| 2025-06-27 09:03:18.185867 | 2025-06-28 02:08:38.540877 | 9281547 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281547 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-06-30 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_9281547_21246481-78b7-456f-a904-aa7a62137eca.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2025-06-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049951 | N/A | N/A | 5541730 | 2222 | 4793 | 9023072 | N/A | 4213725 | 2025-06-28 02:08:38.540877 | 2025-05-13 04:29:37.228045 |
| 2025-06-27 09:03:18.111538 | 2025-06-28 02:08:41.681911 | 9281542 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281542 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-30 | M | PT | N/A | TOHLCHINSKY | XEA901508061 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9281542_833ef1b9-0fd1-48c4-9fa0-eeb2bff14ef6.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 9999-12-31 | 2015-12-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049950 | N/A | N/A | 5541542 | 2222 | 4793 | 9023118 | N/A | 4213542 | 2025-06-28 02:08:41.681911 | 2025-06-03 22:12:38.498592 |
| 2025-06-27 09:03:18.009428 | 2025-06-28 02:02:33.882915 | 9281532 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9281532 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-06-30 | F | PT | AE | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_9281532_7aa758d2-5658-4ba7-af9b-bdc067d5491b.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049949 | N/A | N/A | 5541519 | 2222 | 4802 | 9017175 | N/A | 4213530 | 2025-06-28 02:02:33.882915 | 2025-05-13 04:29:37.227860 |
| 2025-06-27 09:03:17.921510 | 2025-06-28 02:08:02.173945 | 9281526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281526 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-06-30 | M | PT | N/A | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_9281526_d2848644-d951-4862-9081-0f5dee77f141.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049948 | N/A | N/A | 5541518 | 2222 | 4793 | 9022477 | N/A | 4213526 | 2025-06-28 02:08:02.173945 | 2025-11-13 19:34:43.197819 |
| 2025-06-27 09:03:17.851026 | 2025-06-28 02:08:40.709035 | 9281520 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281520 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-06-30 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_9281520_9d5563bb-b7c1-4ceb-bfd6-b008c10f29a5.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 2025-10-31 | 2024-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049947 | N/A | N/A | 5541315 | 2222 | 4793 | 9023106 | N/A | 4213344 | 2025-06-28 02:08:40.709035 | 2025-05-13 04:29:37.227667 |
| 2025-06-27 09:03:17.780843 | 2025-06-28 02:08:38.144789 | 9281516 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281516 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-30 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9281516_feed9e85-9899-4f03-90ff-c175c6697748.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049946 | N/A | N/A | 5541314 | 2222 | 4793 | 9023064 | N/A | 4213343 | 2025-06-28 02:08:38.144789 | 2025-06-06 02:21:37.603701 |
| 2025-06-27 09:03:17.697092 | 2025-06-28 02:02:32.907304 | 9281508 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9281508 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-30 | F | AE | PT | BENDAVID | 95318118F | TALIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9281508_04f55ec0-09e4-4165-b557-dbb5e607f823.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049945 | N/A | N/A | 5540893 | 2222 | 4793 | 9017158 | N/A | 4212979 | 2025-06-28 02:02:32.907304 | 2025-06-04 21:11:15.590634 |
| 2025-06-27 09:03:17.621674 | 2025-06-28 02:12:50.435964 | 9281501 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281501 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-30 | M | AE | PT | DASILVA | 4KY4HX3NJ05 | BOB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9281501_4d201c0e-2f52-49d7-8ec3-840931a3a4f7.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MA | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049944 | N/A | N/A | 5540840 | 2222 | 4793 | 9026668 | N/A | 4212930 | 2025-06-28 02:12:50.435964 | 2025-05-13 04:29:37.227258 |
| 2025-06-27 09:03:17.554257 | 2025-06-28 02:12:53.290545 | 9281494 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281494 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-30 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_9281494_b98b8720-ac8c-417e-bcad-d01bea9affb3.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049943 | N/A | N/A | 5540676 | 2222 | 4801 | 9026693 | N/A | 4212792 | 2025-06-28 02:12:53.290545 | 2025-10-07 20:33:25.637997 |
| 2025-06-27 09:03:17.483017 | 2025-06-28 02:07:40.435840 | 9281490 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9281490 | Athletic Physical Therapy Inc | 1959-09-28 | 2025-06-30 | F | AE | PT | STEVENS | 00000348252 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540659/check_9281490_b52b2e9f-7945-4bff-853c-d5cca2dc25ce.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049942 | N/A | N/A | 5540659 | 2222 | 4801 | 9022140 | N/A | 4212773 | 2025-06-28 02:07:40.435840 | 2026-04-04 05:51:01.155131 |
| 2025-06-27 09:03:17.415313 | 2025-06-28 02:08:01.123428 | 9281480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281480 | Athletic Physical Therapy Inc | 2007-11-18 | 2025-06-30 | F | PT | N/A | PELLEGRINI | CPR038A72156 | REY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539454/check_9281480_8c0f133d-3b57-414f-b629-8d4edf5fbab8.json | N/A | N/A | N/A | N/A | N/A | CPR038A72156 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2007-11-18 | N/A | N/A | N/A | N/A | false | PELLEGRINI | N/A | REY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049941 | N/A | N/A | 5539454 | 2222 | 4793 | 9022463 | N/A | 4211757 | 2025-06-28 02:08:01.123428 | 2025-06-05 23:05:44.239427 |
| 2025-06-27 09:03:17.336670 | 2025-06-28 02:06:38.349421 | 9281477 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9281477 | N/A | 1958-02-11 | 2025-06-30 | F | AE | PT | LEVESQUE | 097A2439020 | JACQUELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_9281477_af10497e-2b27-4e04-a0cd-c5270dc6669e.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049940 | N/A | N/A | 5539382 | 2222 | 4793 | 9021121 | N/A | 4211704 | 2025-06-28 02:06:38.349421 | 2025-06-06 23:08:42.876895 |
| 2025-06-27 09:03:17.265472 | 2025-06-28 02:05:50.221473 | 9281473 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9281473 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-06-30 | F | AD | N/A | CHUNG | U8197480201 | KRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9281473_8ae41223-e431-450f-999b-d645a9d1df98.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8079049939 | N/A | N/A | 5539237 | 2222 | 4802 | 9020350 | N/A | 4211568 | 2025-06-28 02:05:50.221473 | 2025-05-13 04:29:37.225900 |
| 2025-06-27 09:03:17.085743 | 2025-06-28 02:08:42.041074 | 9281461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281461 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-30 | M | AD | N/A | WARD | XED913389013 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9281461_20692cc1-5766-40af-b855-04be9eb8e44e.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED DPPO JAN15 | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8079049937 | N/A | N/A | 5538129 | 2222 | 4802 | 9023126 | N/A | 4210590 | 2025-06-28 02:08:42.041074 | 2025-05-13 04:29:37.225004 |
| 2025-06-27 09:03:16.987648 | 2025-06-28 02:08:35.675086 | 9281454 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9281454 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-06-30 | F | PT | N/A | NAIMI | KSI73549599C | ERIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537507/check_9281454_1717f7d7-61cf-47f2-a6bb-41091f3f7952.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049936 | N/A | N/A | 5537507 | 2222 | 4802 | 9023027 | N/A | 4210057 | 2025-06-28 02:08:35.675086 | 2025-05-13 04:29:37.224477 |
| 2025-06-27 09:03:16.909925 | 2025-06-28 02:12:49.753125 | 9281448 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281448 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-30 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_9281448_a9f0c9a5-2307-4bda-9c9a-878eb0229a5d.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049935 | N/A | N/A | 5537480 | 2222 | 4802 | 9026661 | N/A | 4210038 | 2025-06-28 02:12:49.753125 | 2025-06-02 14:57:36.820684 |
| 2025-06-27 09:03:16.822638 | 2025-06-28 02:07:40.020708 | 9281444 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9281444 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-06-30 | M | PT | AE | GOMES | 00000285293 | NEMESIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_9281444_356dab34-92b3-494e-b1bc-0380f8c00c2e.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079049934 | N/A | N/A | 5537439 | 2222 | 4801 | 9022134 | 2630 | 4210001 | 2025-06-28 02:07:40.020708 | 2025-05-13 04:29:37.224421 |
| 2025-06-27 09:03:16.749395 | 2025-06-28 02:08:00.659095 | 9281439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281439 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-30 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9281439_324e9915-1b67-49e0-93e9-24ee33da8652.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049933 | N/A | N/A | 5537188 | 2222 | 4802 | 9022458 | N/A | 4209789 | 2025-06-28 02:08:00.659095 | 2025-05-13 04:29:37.224215 |
| 2025-06-27 09:03:16.680149 | 2025-06-28 02:08:03.596012 | 9281435 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9281435 | Athletic Physical Therapy Inc | 1977-02-28 | 2025-06-30 | F | PT | N/A | YOUNG | LDU021A75601 | AMY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536372/check_9281435_6e563d11-6426-42ce-82a6-1e18482e03a8.json | N/A | N/A | N/A | N/A | N/A | LDU021A75601 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-02-28 | 040 | 1838NC | N/A | EP | false | YOUNG | N/A | AMY | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079049932 | N/A | N/A | 5536372 | 2222 | 4801 | 9022501 | N/A | 4209123 | 2025-06-28 02:08:03.596012 | 2025-05-13 04:29:37.223548 |
| 2025-06-27 09:03:16.603663 | 2025-06-28 02:12:51.632732 | 9281428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9281428 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-30 | F | AE | PT | ELDRIDGE | 2XD1AM4AP01 | MARGARET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9281428_e1a28323-7e5d-49af-b608-12c4a46afe8e.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049931 | N/A | N/A | 5536109 | 2222 | 4793 | 9026679 | N/A | 4208915 | 2025-06-28 02:12:51.632732 | 2025-07-25 17:30:46.084330 |
| 2025-06-27 09:03:16.528809 | 2025-06-28 02:07:39.594343 | 9281420 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9281420 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-06-30 | M | AE | PT | CHISARI | 00000386684 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115326169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_9281420_690f5dc6-bdf7-4749-bd29-638fe7056e26.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079049930 | N/A | N/A | 5536007 | 2222 | 4793 | 9022128 | N/A | 4208829 | 2025-06-28 02:07:39.594343 | 2025-06-03 01:05:45.663969 |
| 2025-06-27 09:02:58.346204 | 2025-06-28 05:13:34.863579 | 9280232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9280232 | Athletic Physical Therapy Inc | 1968-11-26 | 2025-06-30 | F | PT | N/A | PELLEGRINI | XEA913808278 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_9280232_16a46116-6e49-4295-9a8f-38592600ae4e.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079101684 | N/A | N/A | 6165269 | 2222 | 4793 | 9038099 | N/A | 4807600 | 2025-06-28 05:13:34.863579 | 2025-06-18 15:19:08.524396 |
| 2025-06-27 09:02:49.864493 | 2025-06-28 05:15:46.598460 | 9279738 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9279738 | Athletic Physical Therapy Inc | 2009-10-30 | 2025-06-30 | F | PT | N/A | SMITH | XEA911729154 | KAMALA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_9279738_1cb8a56e-03d2-4a80-b2c5-f7bdb5c92ef1.json | N/A | N/A | N/A | N/A | N/A | XEA911729154 | Preferred Provider Organization (PPO) | SHANTHA K SMITH BOOKS AND TAX LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-10-30 | 1000VX000103 | W0074149 | N/A | PR | false | SMITH | N/A | SHANTHA | N/A | 2028-10-31 | 2022-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC CCSB MIR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079101517 | N/A | N/A | 6162659 | 2222 | 4802 | 9038348 | N/A | 4805243 | 2025-06-28 05:15:46.598460 | 2025-06-23 19:30:24.977468 |
| 2025-06-27 09:02:33.312124 | 2025-06-28 05:22:49.264706 | 9278842 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9278842 | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-30 | F | AE | PT | JACOBY | 5VX4HE8NC98 | LEAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9278842_24e01ede-fc42-4da6-85d0-4046f488f6e6.json | N/A | N/A | N/A | N/A | N/A | 5VX4HE8NC98 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-11-18 | S5921 | N/A | N/A | MA | false | JACOBY | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079101176 | N/A | N/A | 6145941 | 2222 | 4802 | 9039317 | N/A | 4786785 | 2025-06-28 05:22:49.264706 | 2025-06-13 00:55:48.629734 |
| 2025-06-27 09:02:32.459870 | 2025-06-28 05:13:35.284964 | 9278782 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9278782 | Athletic Physical Therapy Inc | 2010-10-08 | 2025-06-30 | M | PT | N/A | REBEAUD | DYZ6283553AB | JUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_9278782_8d99ac45-83e0-41f6-b9c0-301ed2c3ff5d.json | N/A | N/A | N/A | N/A | N/A | DYZ6283553AB | Point of Service (POS) | CLASSIC COLLISION LLC | ANTHEM BLUE CROSS | N/A | 2010-10-08 | 101 | L08292M003 | N/A | PS | false | REBEAUD | N/A | MARIA | N/A | 9999-12-31 | 2023-08-01 | GA POS BLUECHOICE OA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079101171 | N/A | N/A | 6145860 | 2222 | 4793 | 9038101 | N/A | 4786676 | 2025-06-28 05:13:35.284964 | 2025-06-10 23:45:59.927015 |
| 2025-06-27 09:02:09.079238 | 2025-06-28 05:06:29.020751 | 9277238 | N/A | N/A | 60054 | Aetna | 1114042165 | 9277238 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-06-30 | M | AE | PT | HUANG | W278191924 | DANNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_9277238_3254be56-f68d-4d08-91f9-a8f27bed1389.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079100826 | N/A | N/A | 6140246 | 2222 | 4802 | 9036852 | N/A | 4781166 | 2025-06-28 05:06:29.020751 | 2025-06-11 17:29:46.826705 |
| 2025-06-27 09:02:04.030541 | 2025-06-28 05:11:50.620271 | 9276874 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9276874 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-06-30 | F | AE | PT | DVORSKY | 000009483838 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_9276874_301d63dd-a2f7-4312-af3c-de277e26e079.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | SEARS HOLDINGS CORPORATION SEARS EARLY RETIREES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079068708 | N/A | N/A | 5874461 | 2222 | 4801 | 9037778 | N/A | 4534583 | 2025-06-28 05:11:50.620271 | 2025-05-27 21:59:00.919365 |
| 2025-06-27 09:02:03.902301 | 2025-06-28 05:12:45.795482 | 9276860 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9276860 | Athletic Physical Therapy Inc | 1954-07-05 | 2025-06-30 | M | PT | N/A | JACKSON OLISON | YGZ624W07431 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874450/check_9276860_41843b3f-ce76-4c2d-bf99-0ae9660bbb4f.json | N/A | N/A | N/A | N/A | N/A | YGZ624W07431 | N/A | INSURANCE TRUST FOR DELTA RETIREES | ANTHEM BLUE CROSS | N/A | 1954-07-05 | 101 | GAEGR001 | N/A | N/A | false | JACKSON OLISON | N/A | CHERYL | N/A | 9999-12-31 | 2025-01-01 | GA GRS ITDR H4036-801 MEDICARE PREFERRED MAPD 10P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079068707 | N/A | N/A | 5874450 | 2222 | 4801 | 9037940 | N/A | 4534573 | 2025-06-28 05:12:45.795482 | 2025-05-29 21:21:34.077440 |
| 2025-06-27 09:02:03.693754 | 2025-06-28 05:13:58.234022 | 9276844 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9276844 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-06-30 | F | PT | N/A | RAFFERTY | XED913453119 | ZOE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9276844_d6f9d1b7-68f5-419e-a49c-d071b1ec5fb6.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079068706 | N/A | N/A | 5874430 | 2222 | 4802 | 9038162 | N/A | 4534559 | 2025-06-28 05:13:58.234022 | 2025-06-06 02:13:35.698378 |
| 2025-06-27 09:02:03.513649 | 2025-06-28 05:02:33.534260 | 9276828 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9276828 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-06-30 | F | PT | AE | BIKOULOVA | 92040499F | ALEXANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9276828_267dc48e-cd7f-4942-af3e-c71c0ba5bdaf.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8079068705 | N/A | N/A | 5874423 | 2222 | 4802 | 9036153 | N/A | 4534552 | 2025-06-28 05:02:33.534260 | 2025-05-30 18:01:03.324126 |
| 2025-06-27 09:01:57.948236 | 2025-06-28 05:12:09.227972 | 9276434 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9276434 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-06-30 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115529081.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_9276434_1338b82e-9341-4b02-bc0d-888415537192.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079068553 | N/A | N/A | 5858742 | 2222 | 4801 | 9037839 | 2630 | 4219630 | 2025-06-28 05:12:09.227972 | 2025-05-13 04:29:37.230672 |
| 2025-06-27 02:24:29.700760 | 2025-06-27 02:24:31.462172 | 9273458 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-01-04 | 2025-06-27 | F | AE | PT | MARTINEZ | 400316530-01 | CONSUELO | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6442609/check_9273458_591ada18-c2fd-4b0a-93b7-b036ddc2e210.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_9273458_b1284a6d-716f-475b-af54-1528f2ca659f.json | N/A | N/A | N/A | N/A | N/A | 400316530-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-01-04 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | CONSUELO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6442609 | 2222 | N/A | 8995575 | N/A | 5083714 | 2025-06-27 02:24:31.462172 | 2025-07-18 18:00:26.722024 |
| 2025-06-27 02:24:27.670635 | 2025-06-27 02:24:29.698597 | 9273457 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-01-04 | 2025-06-27 | F | AE | PT | MARTINEZ | 400316530-01 | CONSUELO | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6442609/check_9273457_24a90abc-df54-4873-bc56-faa1ba8f9193.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 400316530-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-01-04 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | CONSUELO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6442609 | 2222 | N/A | N/A | N/A | 5083714 | 2025-06-27 02:24:29.698597 | 2025-07-18 18:00:26.722024 |
| 2025-06-27 00:39:58.894706 | 2025-06-27 00:40:00.730547 | 9273409 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-06-26 | M | AE | PT | FRIEDMAN | G46825417 | JOEL | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6400620/check_9273409_cb0f9f0e-dece-4dfc-b946-4424195722af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400620/check_9273409_aae9f823-39a2-49ff-b0ad-071fe6753704.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8074312500 | 5831 | N/A | 6400620 | 2222 | N/A | 8989285 | N/A | 4213013 | 2025-06-27 00:40:00.730547 | 2025-05-13 04:29:37.227340 |
| 2025-06-26 22:20:09.844365 | 2025-06-26 22:20:11.604254 | 9272716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-02-27 | 2025-07-15 | F | AE | PT | MARYAN | JPU047A23611 | MICHELLE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6600346/check_9272716_f9b6d3ee-ad80-49dd-b493-0d3c57839123.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_9272716_9e143436-8c24-4f58-a021-b8f77233ace1.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8073548284 | 7927 | N/A | 6600346 | 2222 | N/A | 8988321 | N/A | 4211322 | 2025-06-26 22:20:11.604254 | 2025-07-17 16:31:59.104530 |
| 2025-06-26 21:12:11.412553 | 2025-06-26 21:12:15.531898 | 9272311 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-02-12 | 2025-07-03 | F | AE | PT | MAJEED | 948836538-00 | MARY | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6613631/check_9272311_c7c099e6-5b87-474e-b2f2-b1fe4535c8d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6613631/check_9272311_3e2ed3ff-6f51-4c7a-ab73-49d372c1b6a3.json | N/A | N/A | N/A | N/A | N/A | 948836538 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL POLICY | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1960-02-12 | N/A | 0868760 | N/A | PR | false | MAJEED | N/A | MARY | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8073332573 | N/A | N/A | 6613631 | 2222 | N/A | 8987799 | N/A | 5232379 | 2025-06-26 21:12:15.531898 | 2025-07-03 16:30:13.139077 |
| 2025-06-26 21:11:37.264841 | 2025-06-26 21:11:41.122921 | 9272252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-02-27 | 2025-07-15 | F | AE | PT | MARYAN | JPU047A23611 | MICHELLE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6600346/check_9272252_1ef1fadf-5fe7-4c4c-bb3e-d0bef0df2021.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_9272252_7bc5ac4b-4b09-4a87-ae95-3b7af4eb8ffc.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8073330356 | 7927 | N/A | 6600346 | 2222 | N/A | 8987742 | N/A | 4211322 | 2025-06-26 21:11:41.122921 | 2025-07-17 16:31:59.104530 |
| 2025-06-26 19:50:44.939216 | 2025-06-26 19:50:48.899094 | 9269436 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-26 | F | AE | PT | CAPISTANO | 98696372G | FERDELLE | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_9269436_d5af2ab1-55f8-47ef-ba1a-51f6264f4155.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9269436_4f04dd09-9e37-41be-9091-4b33e8ccd7f1.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8072931977 | 5831 | N/A | 5542513 | 2222 | N/A | 8984691 | N/A | 4214418 | 2025-06-26 19:50:48.899094 | 2025-07-03 18:12:11.075357 |
| 2025-06-26 19:49:17.700003 | 2025-06-26 19:49:19.552302 | 9269432 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-26 | U | AE | PT | CAPISTANO | 98696372G | FERDELLE | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_9269432_1d116cce-7a21-453d-b76a-d80e2d2af0c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9269432_4629281e-9884-47ae-b1a3-d7192e1cc4d5.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1988-11-03 | N/A | N/A | N/A | N/A | false | CAPISTANO | N/A | FERDELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542513 | 2222 | N/A | 8984682 | N/A | 4214418 | 2025-06-26 19:49:19.552302 | 2025-07-03 18:12:11.075357 |
| 2025-06-26 19:49:15.984411 | 2025-06-26 19:49:17.697582 | 9269431 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-26 | U | AE | PT | CAPISTANO | 98696372G | FERDELLE | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_9269431_5d4fb5ff-209f-4442-b78a-da87967586d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1988-11-03 | N/A | N/A | N/A | N/A | false | CAPISTANO | N/A | FERDELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542513 | 2222 | N/A | N/A | N/A | 4214418 | 2025-06-26 19:49:17.697582 | 2025-07-03 18:12:11.075357 |
| 2025-06-26 18:41:13.421908 | 2025-06-26 18:41:15.240236 | 9268969 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-07-07 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9268969_3a67a6f7-4a5e-4444-941e-ea2d076eed16.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9268969_e3392ff4-4935-45f7-9c81-b1fd742c736d.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6611912 | 2222 | N/A | 8984035 | N/A | 5230345 | 2025-06-26 18:41:15.240236 | 2025-07-11 20:32:03.183345 |
| 2025-06-26 18:41:11.779217 | 2025-06-26 18:41:13.417832 | 9268968 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-07-07 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9268968_bbc20cfe-acc9-4358-9551-bc3b273d0347.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-06-26 18:41:13.417832 | 2025-07-11 20:32:03.183345 |
| 2025-06-26 16:52:47.715422 | 2025-06-26 16:52:49.655700 | 9268120 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-01-04 | 2025-06-26 | F | AE | PT | SUTTON | 40042449801 | PAMELA | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549270/check_9268120_bacbb0a1-2f68-466e-8893-f0e8ae3884c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549270/check_9268120_66d9945b-11d1-4f3d-8418-d59b62d8830c.json | N/A | N/A | N/A | N/A | N/A | 40042449801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-01-04 | 2025H5425001 | H5425M | N/A | N/A | false | SUTTON | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8071718871 | 7927 | N/A | 5549270 | 2222 | N/A | 8982944 | N/A | 4218971 | 2025-06-26 16:52:49.655700 | 2025-05-13 04:29:37.229987 |
| 2025-06-26 16:52:17.942134 | 2025-06-26 16:52:21.828152 | 9268117 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-01-04 | 2025-06-26 | F | AE | PT | SUTTON | 40042449801 | PAMELA | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549270/check_9268117_043c7423-2170-4129-b36d-987387ea762a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549270/check_9268117_27caf0b1-3a33-451d-b295-d7d0146aff97.json | N/A | N/A | N/A | N/A | N/A | 40042449801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-01-04 | 2025H5425001 | H5425M | N/A | N/A | false | SUTTON | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8071715396 | 7927 | N/A | 5549270 | 2222 | N/A | 8982942 | N/A | 4218971 | 2025-06-26 16:52:21.828152 | 2025-05-13 04:29:37.229987 |
| 2025-06-26 16:50:49.841616 | 2025-06-26 16:50:53.850598 | 9268112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2025-06-25 | M | PT | N/A | GARCIA | FJB21294792M | STARR | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542769/check_9268112_4772221d-f4b2-423d-80b1-1d9f4947a916.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9268112_d12711dc-68e3-4cb4-bea1-da761f0558cb.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8071703790 | 7927 | N/A | 5542769 | 2222 | N/A | 8982936 | N/A | 4214641 | 2025-06-26 16:50:53.850598 | 2025-12-09 08:50:02.875071 |
| 2025-06-26 16:38:34.475053 | 2025-06-26 16:38:37.313146 | 9267965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-26 | M | PT | AE | NEILSON | 468A54912 | GEORGE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542625/check_9267965_2e9db946-a9af-4129-b5f1-5bf9d02ecc77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_9267965_226ac0cf-33d1-4f19-a0fa-f964a0d48030.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542625 | 2222 | N/A | 8982783 | N/A | 4214511 | 2025-06-26 16:38:37.313146 | 2025-05-13 04:29:37.228826 |
| 2025-06-26 16:38:31.575963 | 2025-06-26 16:38:34.472264 | 9267964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-26 | M | PT | AE | NEILSON | 468A54912 | GEORGE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542625/check_9267964_fe28c436-d466-4ff4-b2fa-7b23408ff0f2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542625 | 2222 | N/A | N/A | N/A | 4214511 | 2025-06-26 16:38:34.472264 | 2025-05-13 04:29:37.228826 |
| 2025-06-26 16:38:06.080649 | 2025-06-26 16:38:08.897070 | 9267963 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-22 | 2025-06-26 | M | AE | PT | NOWAK | 31172069101 | DAVID | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492025/check_9267963_24f095ec-73b5-46d7-ae49-663dd3b910b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_9267963_c6bed568-da5c-4094-b52e-d2b3f0d39115.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2025H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8071579892 | 2097 | N/A | 6492025 | 2222 | N/A | 8982781 | N/A | 5121181 | 2025-06-26 16:38:08.897070 | 2025-06-19 16:42:31.208252 |
| 2025-06-26 16:09:22.668801 | 2025-06-26 16:09:24.408256 | 9267811 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-03-16 | 2025-07-03 | M | PT | N/A | KLEISS | XEH912564089 | LUCAS | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6609399/check_9267811_171b184f-13e8-4f72-b04d-5ece202586bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6609399/check_9267811_de09647e-16fd-4755-a82e-73ea8bd0f00f.json | N/A | N/A | N/A | N/A | N/A | XEH912564089 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1977-03-16 | N/A | N/A | N/A | N/A | false | KLEISS | N/A | LUCAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6609399 | 2222 | N/A | 8982589 | N/A | 5227772 | 2025-06-26 16:09:24.408256 | 2025-06-26 15:50:07.328044 |