API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | 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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-24 16:38:25.330704 | 2026-03-26 17:22:39.296273 | 21987517 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21987517 | Athletic Physical Therapy Inc | 1949-06-20 | 2026-03-26 | F | AE | PT | MORALES | XEM904136832 | ANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_21987517_568cbf1c-08cb-4079-9fdb-3cb3e81d59fd.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | 2025-12-31 | 2025-01-01 | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649035 | N/A | N/A | 6074748 | 2222 | 4793 | 21950678 | N/A | 4718913 | 2026-03-26 17:22:39.296273 | 2025-05-29 22:23:40.462913 |
| 2026-03-24 16:38:24.931335 | 2026-03-26 17:22:38.500022 | 21987419 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21987419 | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-25 | F | AE | PT | LIBAW | XEM911326489 | PAMELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928760/check_21987419_cbfa28c8-4961-4f9e-8400-73f7a54ed8eb.json | N/A | N/A | N/A | N/A | N/A | XEM911326489 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-12-10 | 2004SE000030 | X0001002 | N/A | OT | false | LIBAW | N/A | EVAN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649034 | N/A | N/A | 5928760 | 2222 | 4802 | 21950586 | N/A | 4211753 | 2026-03-26 17:22:38.500022 | 2025-05-13 04:29:37.226073 |
| 2026-03-24 16:38:24.517298 | 2026-03-26 17:22:25.859791 | 21987320 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21987320 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-03-26 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_21987320_445e8013-b889-4bc1-b524-f6420e73a1fc.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2026-02-01 | CA PLAN F INNOVATIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649033 | N/A | N/A | 5550535 | 2222 | 4801 | 21949064 | N/A | 4219556 | 2026-03-26 17:22:25.859791 | 2025-05-13 04:29:37.230592 |
| 2026-03-24 16:38:24.191879 | 2026-03-26 17:19:37.729284 | 21987245 | N/A | N/A | 60054 | Aetna | 1114042165 | 21987245 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-03-26 | F | AE | PT | UYGUR | GLA008101 | NUKHET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_21987245_3b0f04ff-3c7c-42ba-b0fa-c80b129d1bd3.json | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 10377649032 | N/A | N/A | 5543315 | 2222 | 4802 | 21930359 | N/A | 4215116 | 2026-03-26 17:19:37.729284 | 2025-05-29 22:32:19.748297 |
| 2026-03-24 16:38:23.930157 | 2026-03-26 17:22:26.630250 | 21987182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21987182 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-03-27 | M | AE | PT | DOUGHERTY | XEA913685152 | KENNETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541623/check_21987182_cccbdbf0-011e-4b6a-a785-d50651f9a774.json | N/A | N/A | N/A | N/A | N/A | XAN913685152 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1949-09-19 | 1002VX000001 | W0051411 | N/A | PR | false | DOUGHERTY | N/A | AGNES | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO VISION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649031 | N/A | N/A | 5541623 | 2222 | 4793 | 21949163 | N/A | 4213619 | 2026-03-26 17:22:26.630250 | 2025-05-13 04:29:37.227951 |
| 2026-03-24 16:38:23.612554 | 2026-03-26 17:16:32.117417 | 21987101 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 21987101 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-26 | F | AE | PT | MILLER | 32189178511 | PEGGY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541431/check_21987101_6dab18d5-37b9-4138-a80b-b768f9c48c69.json | N/A | N/A | N/A | N/A | N/A | 32189178511 | 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. | 1943-11-05 | N/A | N/A | N/A | SP | false | MILLER | N/A | PEGGY | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649030 | N/A | N/A | 5541431 | 2222 | 4802 | 21912501 | N/A | 4213453 | 2026-03-26 17:16:32.117417 | 2025-05-13 04:29:37.227772 |
| 2026-03-24 16:38:23.297074 | 2026-03-26 17:22:27.181203 | 21987019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21987019 | Athletic Physical Therapy Inc | 1942-09-22 | 2026-03-26 | M | AE | PT | ELLIS | JQE785A78452 | JEFFREY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540472/check_21987019_26eca9fc-ad96-4361-a9c2-c207101a9cb2.json | N/A | N/A | N/A | N/A | N/A | JQE785A78452 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-09-22 | 040 | CASUPWP0 | N/A | N/A | false | ELLIS | N/A | JEFFREY | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649029 | N/A | N/A | 5540472 | 2222 | 4793 | 21949224 | N/A | 4212625 | 2026-03-26 17:22:27.181203 | 2025-05-13 04:29:37.226968 |
| 2026-03-24 16:38:22.991182 | 2026-03-26 17:22:39.632652 | 21986946 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21986946 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-25 | F | AE | PT | PODRAT | XEM904657915 | CHARLOTTE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540124/check_21986946_ef7fa218-25ed-4d1f-9c70-3a81be00cd2c.json | N/A | N/A | N/A | N/A | N/A | XEM904657915 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1943-10-18 | 2002SD000004 | X0001002 | N/A | OT | false | PODRAT | N/A | CHARLOTTE | N/A | 9999-12-31 | 2026-01-01 | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649028 | N/A | N/A | 5540124 | 2222 | 4793 | 21950713 | N/A | 4212321 | 2026-03-26 17:22:39.632652 | 2026-03-11 15:45:38.887850 |
| 2026-03-24 16:38:22.639951 | 2026-03-26 17:22:26.942613 | 21986864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21986864 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-03-27 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_21986864_b5cac2f7-e272-4398-87d3-46b1b41049ce.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649027 | N/A | N/A | 5538605 | 2222 | 4793 | 21949188 | N/A | 4210998 | 2026-03-26 17:22:26.942613 | 2026-02-23 18:49:01.874308 |
| 2026-03-24 16:38:22.343402 | 2026-03-26 17:22:27.453671 | 21986797 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21986797 | Athletic Physical Therapy Inc | 1954-01-12 | 2026-03-27 | F | AE | PT | FINCH | XDD909A67880 | DAWN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_21986797_4764d4aa-38e9-41d6-b021-30853b583205.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | 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 | 10377649026 | N/A | N/A | 5538474 | 2222 | 4802 | 21949250 | N/A | 4210886 | 2026-03-26 17:22:27.453671 | 2025-05-13 04:29:37.225284 |
| 2026-03-24 16:38:22.011836 | 2026-03-26 17:22:38.745498 | 21986721 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21986721 | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-26 | F | AE | PT | MAJD | XEM912252269 | FLORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537313/check_21986721_fe35fdb8-aea0-46f5-863f-c5cf32cc9274.json | N/A | N/A | N/A | N/A | N/A | XEM912252269 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-04-11 | 2002SF000028 | X0001002 | N/A | OT | false | MAJD | N/A | FLORA | N/A | 9999-12-31 | 2024-01-01 | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649024 | N/A | N/A | 5537313 | 2222 | 4802 | 21950624 | N/A | 4209898 | 2026-03-26 17:22:38.745498 | 2026-03-12 23:16:26.192781 |
| 2026-03-24 16:38:21.761775 | 2026-03-26 17:22:28.744733 | 21986659 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21986659 | Athletic Physical Therapy Inc | 1945-03-19 | 2026-03-27 | F | AE | PT | ROSS | JQU064A62211 | MARTHA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536304/check_21986659_eb3f88bf-49f6-4cb6-a3e5-f27c8f520790.json | N/A | N/A | N/A | N/A | N/A | JQU064A62211 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-03-19 | 040 | 07MS00 | N/A | N/A | false | ROSS | N/A | MARTHA | 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 | 10377649023 | N/A | N/A | 5536304 | 2222 | 4802 | 21949394 | N/A | 4209073 | 2026-03-26 17:22:28.744733 | 2025-11-19 19:47:03.642493 |
| 2026-03-24 16:38:21.512358 | 2026-03-26 17:16:12.582296 | 21986600 | N/A | N/A | 31053 | State Farm Insurance Companies | 1114042165 | 21986600 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-25 | F | AE | PT | SPIGELMAN | HC5192477575 | JUDY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536257/check_21986600_aeb357f1-0f54-415a-8e27-d468f4a472f6.json | N/A | N/A | N/A | N/A | N/A | HC5192477575 | Medigap Part A | N/A | STATE FARM INSURANCE COMPANIES | N/A | 1937-02-23 | N/A | N/A | N/A | MH | false | SPIGELMAN | N/A | JUDY | N/A | N/A | N/A | MEDICARE SUPPLEMENT - FOLLOWS MEDICARE GUIDELINES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649022 | N/A | N/A | 5536257 | 2222 | 4802 | 21910421 | N/A | 4209028 | 2026-03-26 17:16:12.582296 | 2026-03-12 23:35:58.198593 |
| 2026-03-24 16:38:21.173410 | 2026-03-26 17:16:38.087167 | 21986534 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 21986534 | Athletic Physical Therapy Inc | 1943-10-22 | 2026-03-27 | F | AE | PT | ODONNELL | 02722745412 | AUDREY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536187/check_21986534_9cd8b9f0-c5e0-4871-ba64-2348f25d0a6e.json | N/A | N/A | N/A | N/A | N/A | 02722745412 | 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. | 1943-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | AUDREY | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377649021 | N/A | N/A | 5536187 | 2222 | 4802 | 21912539 | N/A | 4208979 | 2026-03-26 17:16:38.087167 | 2025-05-13 04:29:37.223405 |
| 2026-03-24 16:38:20.859112 | 2026-03-26 17:16:39.319239 | 21986463 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 21986463 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-03-25 | M | AE | PT | ULLMAN | 03520409411 | DAVID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260324.214716674.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_21986463_2c8cccfa-b546-434f-be6b-fa3735a592bc.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 | 10377649020 | N/A | N/A | 5535842 | 2222 | 4801 | 21913250 | N/A | 4208696 | 2026-03-26 17:16:39.319239 | 2025-06-07 16:16:45.844566 |
| 2026-03-24 16:35:20.403623 | 2026-03-24 16:35:51.542241 | 21961890 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-24 | F | AE | PT | Barrientos | 958247698-00 | Antoniette | N/A | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17540931/check_21961890_60ec4215-71d9-42bd-86fc-ddd669ca669f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_21961890_24af8b11-f6c7-46d6-a528-22f1fe4d5fa2.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377468580 | N/A | N/A | 17540931 | 2222 | N/A | 20910891 | N/A | 15585907 | 2026-03-24 16:35:51.542241 | 2026-03-09 18:22:22.279915 |
| 2026-03-24 16:35:11.556732 | 2026-03-24 16:35:14.535367 | 21961065 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-01-20 | 2026-03-24 | M | AE | PT | GOTTLIEB | 95971728F | GUY | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17437673/check_21961065_a290c153-4a63-469e-bd63-d47d006981ec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_21961065_206a5370-8122-485f-9458-0259c71866ee.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467136 | N/A | N/A | 17437673 | 2222 | N/A | 20910582 | N/A | 15449397 | 2026-03-24 16:35:14.535367 | 2026-02-28 00:00:01.256842 |
| 2026-03-24 16:35:11.554849 | 2026-03-24 16:35:14.478184 | 21961064 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-17 | 2026-03-24 | F | AE | PT | ROGERS | 31093568401 | MARY | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17306773/check_21961064_e2fe3066-a698-42b6-8c72-d02418dab83b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_21961064_c992ad86-2f54-4fb0-b0e3-02116909ba65.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467130 | N/A | N/A | 17306773 | 2222 | N/A | 20910581 | N/A | 15321704 | 2026-03-24 16:35:14.478184 | 2026-02-26 19:15:43.216582 |
| 2026-03-24 16:35:11.377853 | 2026-03-24 16:35:13.287134 | 21961041 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-01-03 | 2026-03-24 | M | AE | PT | JACOBS | 909763451 | JESSE | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18407669/check_21961041_a13740e7-19c9-44b0-8856-5ec5bdf13206.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_21961041_e191d573-d20b-451b-86ca-27b25fd47cf4.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467103 | N/A | N/A | 18407669 | 2222 | N/A | 20910568 | N/A | 16411150 | 2026-03-24 16:35:13.287134 | 2026-03-20 21:53:00.475363 |
| 2026-03-24 16:35:11.329394 | 2026-03-24 16:35:13.555639 | 21961035 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-09 | 2026-03-24 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18029271/check_21961035_e1f2927c-7359-45d7-b3ed-1bbbb7eae2d2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_21961035_f1baaf48-701b-4f5e-b6eb-80d257a746b9.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | N/A | 9999-12-31 | 2024-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377467114 | N/A | N/A | 18029271 | 2222 | N/A | 20910571 | N/A | 16057887 | 2026-03-24 16:35:13.555639 | 2026-03-23 17:30:23.761066 |
| 2026-03-24 16:35:11.229056 | 2026-03-24 16:35:14.062287 | 21961025 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-22 | 2026-03-24 | F | AE | PT | RASHIDI | 93712342E | ZAHRA | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18279699/check_21961025_15960ae5-ce45-46e2-86d1-792bb1e51d83.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_21961025_362d243f-6b2b-4af2-8dd9-72a5511782c3.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467089 | N/A | N/A | 18279699 | 2222 | N/A | 20910580 | N/A | 16293253 | 2026-03-24 16:35:14.062287 | 2026-03-17 23:01:51.545839 |
| 2026-03-24 16:35:11.007138 | 2026-03-24 16:35:16.147848 | 21961003 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-14 | 2026-03-24 | M | AE | PT | Hickey | 000025974506 | Thomas | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18081534/check_21961003_119fb142-f425-4f23-a2c7-62cecd6e185b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18081534/check_21961003_dc352512-32b4-4a29-afa9-2660d3a75bca.json | N/A | N/A | N/A | N/A | N/A | 000025974506 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1946-05-14 | 4378211 | 1650095002 | N/A | N/A | false | HICKEY | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | COUNTY OF SANTA CLARA - SOUTHERN/RETIREES RETIREES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467073 | N/A | N/A | 18081534 | 2222 | N/A | 20910590 | N/A | 16107429 | 2026-03-24 16:35:16.147848 | 2026-03-20 21:29:38.978560 |
| 2026-03-24 16:35:10.969643 | 2026-03-24 16:35:12.966954 | 21960998 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-04-12 | 2026-03-24 | F | PT | N/A | JARRIN | XEA911784312 | MARIAJOSE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18335373/check_21960998_4724c500-e234-4805-9baa-a0b2564e1ed9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18335373/check_21960998_9a36d70c-f2c6-4360-b339-c8a70da8df45.json | N/A | N/A | N/A | N/A | N/A | XEA911784312 | Preferred Provider Organization (PPO) | KFA LLP | BLUE SHIELD CALIFORNIA | N/A | 1996-04-12 | 1000VX000102 | W0105276 | N/A | PR | false | JARRIN LOPEZ | N/A | MARIAJOSE | N/A | 9999-12-31 | 2022-12-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377467050 | N/A | N/A | 18335373 | 2222 | N/A | 20910564 | N/A | 16345883 | 2026-03-24 16:35:12.966954 | 2026-03-24 03:37:53.217177 |
| 2026-03-24 16:35:10.828903 | 2026-03-24 16:35:12.883229 | 21960981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-29 | 2026-03-24 | F | AE | PT | PETROSIAN | 6PK0HF2DF31 | SILVA | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18321858/check_21960981_88b206a2-009e-495f-81d6-0b423c16ffa4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18321858/check_21960981_77ee7897-06cb-45e6-9c6e-5a4309d7b9fb.json | N/A | N/A | N/A | N/A | N/A | 6PK0HF2DF31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-29 | S4802 | N/A | N/A | MA | false | PETROSIAN | N/A | SILVA | 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 | 10377467024 | N/A | N/A | 18321858 | 2222 | N/A | 20910566 | N/A | 4212923 | 2026-03-24 16:35:12.883229 | 2025-05-13 04:29:37.227251 |
| 2026-03-24 16:35:10.815205 | 2026-03-24 16:35:14.674362 | 21960979 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-04-09 | 2026-03-24 | F | AE | PT | NEWMAN | 99514677E | CHRISTINE | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17821217/check_21960979_2d0eed92-bca1-4616-943c-26c17da29ecc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17821217/check_21960979_bd44e6b3-c37d-4c75-b47e-5860b78a5509.json | N/A | N/A | N/A | N/A | N/A | 99514677E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1971-04-09 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | NEWMAN | N/A | CHRISTINE | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467022 | N/A | N/A | 17821217 | 2222 | N/A | 20910583 | N/A | 15865943 | 2026-03-24 16:35:14.674362 | 2026-03-09 18:03:26.830821 |
| 2026-03-24 16:35:10.787742 | 2026-03-24 16:35:12.546697 | 21960976 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-24 | F | AE | PT | MAJD | 8TC0P28KR43 | FLORA | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18036986/check_21960976_4081bf06-a40b-4ea1-b9b1-6a78542af142.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18036986/check_21960976_e80e5bf5-eb7e-4674-987a-971b02af76a4.json | N/A | N/A | N/A | N/A | N/A | 8TC0P28KR43 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-04-11 | S4802 | N/A | N/A | MA | false | MAJD | N/A | FLORA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 72710 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377467013 | N/A | N/A | 18036986 | 2222 | N/A | 20910563 | N/A | 4209898 | 2026-03-24 16:35:12.546697 | 2026-03-12 23:16:26.192781 |
| 2026-03-24 16:35:10.625575 | 2026-03-24 16:35:13.493630 | 21960959 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-08-12 | 2026-03-24 | M | AE | PT | Lopez Garcia | 95890433F | Eduardo | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18216914/check_21960959_0ed723bf-8361-49e3-9d92-a9f594941073.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_21960959_882a080b-89af-4032-9b60-698247344481.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466986 | N/A | N/A | 18216914 | 2222 | N/A | 20910573 | N/A | 16232218 | 2026-03-24 16:35:13.493630 | 2026-03-16 23:33:21.904145 |
| 2026-03-24 16:35:10.569802 | 2026-03-24 16:35:13.549457 | 21960953 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-27 | 2026-03-24 | F | AE | PT | NOURI | 612170695 | MARYAM | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18029673/check_21960953_1118d3db-7582-4d27-aac8-80dd93d6de59.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029673/check_21960953_9799a54e-877f-4f10-8fb4-f2a960db3583.json | N/A | N/A | N/A | N/A | N/A | 612170695 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1970-07-27 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | NOURI | N/A | MARYAM | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466975 | N/A | N/A | 18029673 | 2222 | N/A | 20910572 | N/A | 16058383 | 2026-03-24 16:35:13.549457 | 2026-03-12 21:38:28.159137 |
| 2026-03-24 16:35:10.535063 | 2026-03-24 16:35:13.248269 | 21960948 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-07-25 | 2026-03-24 | M | PT | N/A | DOBBIE | JQU942M93268 | DRAKE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18097686/check_21960948_26804547-1ba1-45ae-a822-505048b4d875.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_21960948_01b40a04-f78d-43cf-b476-8cfd32c7f2d6.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466969 | N/A | N/A | 18097686 | 2222 | N/A | 20910570 | N/A | 16122002 | 2026-03-24 16:35:13.248269 | 2026-03-19 18:31:16.913461 |
| 2026-03-24 16:35:10.246224 | 2026-03-24 16:35:12.081484 | 21960919 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-06 | 2026-03-24 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17961735/check_21960919_bad234db-4fde-44a9-81bd-fe4f855104a5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_21960919_a342db1e-a79b-4799-bb16-c7b77770f3e2.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | 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 | 10377466927 | N/A | N/A | 17961735 | 2222 | N/A | 20910559 | N/A | 15883502 | 2026-03-24 16:35:12.081484 | 2026-03-11 00:48:56.434845 |
| 2026-03-24 16:35:10.177117 | 2026-03-24 16:35:15.243591 | 21960914 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-21 | 2026-03-24 | M | AE | PT | PACHECO | H90214706 | PETER | N/A | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17932257/check_21960914_494abd7e-3404-46ba-9aca-974f8c5cc333.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17932257/check_21960914_39f7643d-265f-4fd7-b05c-405cdd36a2ce.json | N/A | N/A | N/A | N/A | N/A | H90214706 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-12-21 | N/A | 2B722001 | N/A | HN | false | PACHECO | N/A | PETER | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466925 | N/A | N/A | 17932257 | 2222 | N/A | 20910586 | N/A | 15970549 | 2026-03-24 16:35:15.243591 | 2026-03-11 20:12:02.029845 |
| 2026-03-24 16:35:10.111989 | 2026-03-24 16:35:13.049067 | 21960905 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-04 | 2026-03-24 | F | PT | N/A | PATTERSON | MUU796W26629 | SARAH | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17868567/check_21960905_805517c8-df9e-4d12-96f8-bf52a8d825bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_21960905_06c2cac2-8c6b-43f7-92fd-5ccfe7d1eb80.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466924 | N/A | N/A | 17868567 | 2222 | N/A | 20910567 | N/A | 15913011 | 2026-03-24 16:35:13.049067 | 2026-03-16 22:33:11.392245 |
| 2026-03-24 16:35:09.830130 | 2026-03-24 16:35:13.753322 | 21960876 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-24 | F | AE | PT | Kaur | 102258428900 | SARANJIT | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736385/check_21960876_ba41e0b3-56bc-43d3-815a-22c5946eea82.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_21960876_81e68ddf-9257-4d61-8aaf-72cde768aeaa.json | N/A | N/A | N/A | N/A | N/A | 102258428900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1966-02-10 | 000003-CA000027 | 000003-CA | N/A | QM | false | KAUR | N/A | SARANJIT | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466887 | N/A | N/A | 17736385 | 2222 | N/A | 20910575 | N/A | 15497513 | 2026-03-24 16:35:13.753322 | 2026-03-06 21:33:02.751048 |
| 2026-03-24 16:35:09.423717 | 2026-03-24 16:35:13.233726 | 21960837 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-02-23 | 2026-03-24 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17650446/check_21960837_b3a32c1b-b1a1-4d3e-a69a-86952485f0b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_21960837_8882bbbf-359f-4739-b3c1-19cb08d84550.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466836 | N/A | N/A | 17650446 | 2222 | N/A | 20910569 | N/A | 9635663 | 2026-03-24 16:35:13.233726 | 2025-10-22 19:43:50.510670 |
| 2026-03-24 16:35:09.361614 | 2026-03-24 16:35:12.078218 | 21960826 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-29 | 2026-03-24 | M | PT | N/A | Parker | JQE625A51570 | james | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17729464/check_21960826_28d640b8-4d78-441f-9ba1-810c7a63a30b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17729464/check_21960826_e6791384-3b4c-45e8-bbcc-8c099aa0217e.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466828 | N/A | N/A | 17729464 | 2222 | N/A | 20910560 | N/A | 15775532 | 2026-03-24 16:35:12.078218 | 2026-03-06 21:09:06.720810 |
| 2026-03-24 16:35:09.242274 | 2026-03-24 16:35:14.068088 | 21960814 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-11 | 2026-03-24 | M | AE | PT | FARRUGIA | H6573816900 | JEFF | N/A | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17264465/check_21960814_42ae1bbb-44a6-478a-99b7-763ddbcd33c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_21960814_04b47744-f0d3-4119-9213-db5c9ee6b741.json | N/A | N/A | N/A | N/A | N/A | H65738169 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO LAKESIDE MEDICAL GROUP | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466804 | N/A | N/A | 17264465 | 2222 | N/A | 20910579 | N/A | 15281758 | 2026-03-24 16:35:14.068088 | 2026-04-16 18:41:33.012590 |
| 2026-03-24 16:35:09.201066 | 2026-03-24 16:35:12.152067 | 21960808 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-24 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600400/check_21960808_256a6e2e-aebd-4c14-92f5-024e87762a01.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_21960808_88afe8c5-bac8-4941-acf7-b9a18df8a0d1.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 41674 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466802 | N/A | N/A | 17600400 | 2222 | N/A | 20910554 | N/A | 15647296 | 2026-03-24 16:35:12.152067 | 2026-03-04 22:22:31.397944 |
| 2026-03-24 16:35:09.090287 | 2026-03-24 16:35:15.094936 | 21960796 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-24 | F | PT | N/A | RUEMMELE | XOX815196499 | MAKENA | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17557872/check_21960796_2abbd876-233b-4c7f-b9da-886ebcf03c5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_21960796_58c4a8a6-af88-4e37-a4e4-a4c42a414fd0.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466788 | N/A | N/A | 17557872 | 2222 | N/A | 20910585 | N/A | 4534546 | 2026-03-24 16:35:15.094936 | 2025-12-03 00:06:29.870228 |
| 2026-03-24 16:35:08.872156 | 2026-03-24 16:35:12.827847 | 21960772 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-08-04 | 2026-03-24 | M | AE | PT | GRAY | R15051156MM1 | DAVID | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17309570/check_21960772_040043b5-7540-4069-a1b1-dab0b1a2ebe5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_21960772_e5c9e9f1-f5bf-446d-82c8-0eaaee64d133.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466772 | N/A | N/A | 17309570 | 2222 | N/A | 20910565 | N/A | 15324565 | 2026-03-24 16:35:12.827847 | 2026-02-27 21:58:34.959613 |
| 2026-03-24 16:35:08.865076 | 2026-03-24 16:35:10.643796 | 21960771 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-24 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17378232/check_21960771_0babc1be-2db1-4ba2-99c2-b4934a465600.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_21960771_0f8e288c-4b72-49a7-ab57-897ca053af8d.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 68784 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466769 | N/A | N/A | 17378232 | 2222 | N/A | 20910548 | N/A | 6660003 | 2026-03-24 16:35:10.643796 | 2026-06-01 17:03:48.982724 |
| 2026-03-24 16:35:08.737245 | 2026-03-24 16:35:16.718604 | 21960760 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-20 | 2026-03-24 | M | AE | PT | Williamson | 000023808951 | James | N/A | 5503 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17494392/check_21960760_08148cc8-e2bf-46d5-a740-9dc97933c4d7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_21960760_a0f71dd1-55ad-437b-ba4c-c1219d292526.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | MDC - MEDICAID | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT EXP M/O | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466754 | N/A | N/A | 17494392 | 2222 | N/A | 20910598 | N/A | 15115643 | 2026-03-24 16:35:16.718604 | 2026-02-19 17:55:17.333175 |
| 2026-03-24 16:35:08.618621 | 2026-03-24 16:35:13.460094 | 21960744 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-08-18 | 2026-03-24 | M | PT | N/A | Cobb | JQU014M90117 | Matthew | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17499521/check_21960744_84a141c2-8dc8-42de-b95b-3d3772f62d67.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17499521/check_21960744_33bbb773-5ada-475a-930d-59de4d82d2a7.json | N/A | N/A | N/A | N/A | N/A | JQU014M90117 | Preferred Provider Organization (PPO) | FANTASY COOKIE CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1976-08-18 | 040 | J94507 | N/A | PR | false | COBB | N/A | MATTHEW | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466718 | N/A | N/A | 17499521 | 2222 | N/A | 20910574 | N/A | 15514816 | 2026-03-24 16:35:13.460094 | 2026-03-02 21:32:43.458747 |
| 2026-03-24 16:35:08.617612 | 2026-03-24 16:35:20.400267 | 21960741 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-24 | F | AE | PT | Barrientos | 958247698-00 | Antoniette | N/A | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17540931/check_21960741_c6ffaa59-1c32-417a-aec1-9783b2e81740.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 958247698-00 | N/A | N/A | UNITED HEALTH CARE | N/A | 1959-09-28 | N/A | N/A | N/A | N/A | false | BARRIENTOS | N/A | ANTONIETTE | 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 | N/A | N/A | N/A | 17540931 | 2222 | N/A | N/A | N/A | 15585907 | 2026-03-24 16:35:20.400267 | 2026-03-09 18:22:22.279915 |
| 2026-03-24 16:35:08.559332 | 2026-03-24 16:35:10.395418 | 21960739 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-02 | 2026-03-24 | F | AE | PT | Andrieieva | 925989899G | Taisiia | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9104487/check_21960739_40079911-fc97-4b4d-9f5c-f5ac83637bee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_21960739_3f4539e8-fdd5-49d1-a26d-6ec661ec94df.json | N/A | N/A | N/A | N/A | N/A | 925989899G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1999-03-02 | N/A | N/A | N/A | N/A | false | ANDRIEIEVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | 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 | 9104487 | 2222 | N/A | 20910545 | N/A | 6709145 | 2026-03-24 16:35:10.395418 | 2025-08-07 23:35:55.091438 |
| 2026-03-24 16:35:08.508006 | 2026-03-24 16:35:11.465918 | 21960731 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-24 | F | AE | PT | Mosaddegh | 95255632H | Zahra | N/A | 1030 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17424788/check_21960731_b185d87d-76ec-4cb1-8bf6-1df715200a85.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17424788/check_21960731_7f9b8d4c-45d3-4509-9253-3b726a19ac21.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466698 | N/A | N/A | 17424788 | 2222 | N/A | 20910557 | N/A | 15435665 | 2026-03-24 16:35:11.465918 | 2026-02-27 18:02:10.906286 |
| 2026-03-24 16:35:08.429792 | 2026-03-24 16:35:15.039892 | 21960725 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-24 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492780/check_21960725_96968e10-3f9e-47be-ab14-c48c3ec1e48f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_21960725_4196be9e-3263-40b8-9950-5e543b523455.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | 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. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466673 | N/A | N/A | 17492780 | 2222 | N/A | 20910584 | N/A | 15085116 | 2026-03-24 16:35:15.039892 | 2026-02-18 20:26:50.354139 |
| 2026-03-24 16:35:08.152536 | 2026-03-24 16:35:14.005737 | 21960695 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-24 | F | PT | N/A | Mason | NTF411A78634 | Abigail | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_21960695_6e7d07c4-fbb0-4c8c-a606-18e392d418db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_21960695_21b8474a-cc37-4a99-bdc8-5ef7b8c5619f.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | 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 | 10377466634 | N/A | N/A | 17381759 | 2222 | N/A | 20910578 | N/A | 15393771 | 2026-03-24 16:35:14.005737 | 2026-02-26 19:44:45.385491 |
| 2026-03-24 16:35:07.887297 | 2026-03-24 16:35:11.374432 | 21960664 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-07-26 | 2026-03-24 | M | AE | PT | Michael | 93519276F | Thomas | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17302887/check_21960664_a2e18780-978f-463c-a648-983a9f9b5d7e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17302887/check_21960664_68acb934-376c-4b52-a903-35a1845657b4.json | N/A | N/A | N/A | N/A | N/A | 93519276F | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1978-07-26 | MCLA | MWLLNFAG21 | N/A | N/A | false | MICHAEL | N/A | THOMAS | N/A | 2078-12-31 | 2019-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466580 | N/A | N/A | 17302887 | 2222 | N/A | 20910555 | N/A | 15318734 | 2026-03-24 16:35:11.374432 | 2026-02-27 16:33:40.478105 |
| 2026-03-24 16:35:07.510399 | 2026-03-24 16:35:10.411752 | 21960621 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-24 | M | PT | N/A | LOPEZ | 914314600-000 | RAFAEL | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17262479/check_21960621_ce613434-0693-488b-a6cb-8fe5bc855a36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_21960621_c8ca39b1-d1e4-4e55-8d33-154b5a17f1b6.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466436 | N/A | N/A | 17262479 | 2222 | N/A | 20910544 | N/A | 15279850 | 2026-03-24 16:35:10.411752 | 2026-03-03 00:15:33.322173 |
| 2026-03-24 16:35:07.463669 | 2026-03-24 16:35:10.306579 | 21960616 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-24 | F | AE | PT | Moore | MNL788W15745 | Jean | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_21960616_d3c1c092-3286-4b0e-8f0c-eade073d78f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_21960616_591c1fd7-2eb3-471b-8e18-87031e1cd736.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466424 | N/A | N/A | 17099336 | 2222 | N/A | 20910543 | N/A | 6725117 | 2026-03-24 16:35:10.306579 | 2026-02-18 22:27:04.950292 |