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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-24 16:35:07.398946 | 2026-03-24 16:35:09.214031 | 21960608 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-03-26 | 2026-03-24 | F | PT | 4191 | TOWNE | 914092488-000 | GENEVIEVE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17047162/check_21960608_ddcb2a82-5de4-4c41-a501-9653e453ba6a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17047162/check_21960608_f194217e-22dc-42cf-97a3-fef847f84349.json | N/A | N/A | N/A | N/A | N/A | XEH914092488 | Health Maintenance Organization (HMO) | KAC | BLUE SHIELD CALIFORNIA | N/A | 1974-03-26 | 1000VX000104 | W3000683 | N/A | HM | false | TOWNE | N/A | GENEVIEVE | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466407 | N/A | N/A | 17047162 | 2222 | N/A | 20910535 | N/A | 15035164 | 2026-03-24 16:35:09.214031 | 2026-03-09 13:10:48.239482 |
| 2026-03-24 16:35:07.259809 | 2026-03-24 16:35:10.882907 | 21960592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2026-03-24 | F | PT | 4184 | GARCIA | FJB21294792M | STARR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094426/check_21960592_09e6179f-a59d-466a-8eb7-9ca3c1e49f97.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094426/check_21960592_35ef8f2a-a534-4e1b-bc48-da8936ca7597.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 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466421 | N/A | N/A | 17094426 | 2222 | N/A | 20910546 | N/A | 4214641 | 2026-03-24 16:35:10.882907 | 2025-12-09 08:50:02.875071 |
| 2026-03-24 16:35:07.136158 | 2026-03-24 16:35:12.085853 | 21960580 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1944-07-17 | 2026-03-24 | F | AE | 5504 | Yin | 000002896249 | Cherry | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17086413/check_21960580_dbdd313a-9cb1-450e-b3f5-d74172719887.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086413/check_21960580_8a92947c-b874-474e-85e0-02de06552d8c.json | N/A | N/A | N/A | N/A | N/A | 000002896249 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1944-07-17 | 3029308 | 115509 | N/A | N/A | false | YIN | N/A | CHERRY | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT RETIREES LAUSD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466372 | N/A | N/A | 17086413 | 2222 | N/A | 20910558 | N/A | 15078236 | 2026-03-24 16:35:12.085853 | 2026-02-18 17:56:56.986469 |
| 2026-03-24 16:35:07.078019 | 2026-03-24 16:35:10.067721 | 21960574 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-15 | 2026-03-24 | F | AE | 4211 | DIBAEI | 95643445F | ATEFEH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16929305/check_21960574_0e8c47db-f0f2-4d77-8dfd-d7b4b4e88b17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_21960574_f04044b6-ddda-408f-b816-ff3b9549f45d.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466353 | N/A | N/A | 16929305 | 2222 | N/A | 20910541 | N/A | 14928874 | 2026-03-24 16:35:10.067721 | 2026-02-13 23:07:04.697142 |
| 2026-03-24 16:35:07.072785 | 2026-03-24 16:35:09.863035 | 21960572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-08-21 | 2026-03-24 | F | PT | 4184 | ESPINOZA | MPI30384960Q | amaya | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16930512/check_21960572_24cab6e8-b64d-46ba-b851-6899078a6abf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16930512/check_21960572_abf597a7-acfd-4302-ae0c-39d1cc3dbf9a.json | N/A | N/A | N/A | N/A | N/A | MPI30384960Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2012-08-21 | 040 | 277163M401 | N/A | PR | false | GONZALEZ | N/A | MIGUEL | N/A | 9999-12-31 | 2022-08-15 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466342 | N/A | N/A | 16930512 | 2222 | N/A | 20910540 | N/A | 14930156 | 2026-03-24 16:35:09.863035 | 2026-02-27 17:25:20.970187 |
| 2026-03-24 16:35:06.805307 | 2026-03-24 16:35:12.127274 | 21960544 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-21 | 2026-03-24 | F | AE | 6411 | Bischoff | 8901968-02 | Kaycee | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17003130/check_21960544_ef7a6809-4e0a-4ff5-bd33-7d54373ebbcc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17003130/check_21960544_662fefd8-2493-4bcd-a6a4-fc08758c5fa4.json | N/A | N/A | N/A | N/A | N/A | 890196802 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1963-03-21 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | KAYCEE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466307 | N/A | N/A | 17003130 | 2222 | N/A | 20910551 | N/A | 14999773 | 2026-03-24 16:35:12.127274 | 2026-02-17 00:31:52.140400 |
| 2026-03-24 16:35:06.683763 | 2026-03-24 16:35:09.427544 | 21960533 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-03-24 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_21960533_176499c6-e4ee-4d0c-befd-524825947eff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_21960533_68667cb7-0e6d-4809-96de-e8e5633ffcfa.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 9999-12-31 | 2026-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466289 | N/A | N/A | 16994489 | 2222 | N/A | 20910538 | N/A | 14991273 | 2026-03-24 16:35:09.427544 | 2026-02-23 20:45:39.769195 |
| 2026-03-24 16:35:06.595956 | 2026-03-24 16:35:08.603004 | 21960523 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-16 | 2026-03-24 | M | AE | 4497 | brosh | 1AC1KJ0CT14 | RAMI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16113776/check_21960523_9ddc1cf6-01c6-41a5-9f70-6b35182ffe99.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_21960523_007ec550-fe16-4b97-8d29-91397fea90d9.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MA | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 97064 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466283 | N/A | N/A | 16113776 | 2222 | N/A | 20910527 | N/A | 14174363 | 2026-03-24 16:35:08.603004 | 2026-05-29 18:00:53.778221 |
| 2026-03-24 16:35:06.575016 | 2026-03-24 16:35:10.699377 | 21960519 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-24 | F | AE | 5505 | Kantor | 000002491752 | Judith | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16357604/check_21960519_416d37bd-dd37-4d1a-a5fc-91b4e7a1bc42.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_21960519_d800e71d-5092-4007-9ef4-5c3e12f40acd.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 RET | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466284 | N/A | N/A | 16357604 | 2222 | N/A | 20910547 | N/A | 14403242 | 2026-03-24 16:35:10.699377 | 2026-02-04 22:38:19.962874 |
| 2026-03-24 16:35:06.457679 | 2026-03-24 16:35:09.197844 | 21960508 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-06-01 | 2026-03-24 | F | PT | 4185 | Velazquez | JQE124A75580 | Victoria | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16927466/check_21960508_3b28b958-c20f-4000-b5dc-cf14df573195.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16927466/check_21960508_d76b7a67-7839-4b1a-b5c5-29ed491b34bc.json | N/A | N/A | N/A | N/A | N/A | JQE124A75580 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-06-01 | 040 | CASUPWP0 | N/A | N/A | false | VELAZQUEZ | N/A | VICTORIA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466268 | N/A | N/A | 16927466 | 2222 | N/A | 20910536 | N/A | 14926242 | 2026-03-24 16:35:09.197844 | 2026-03-06 18:16:10.395182 |
| 2026-03-24 16:35:06.442585 | 2026-03-24 16:35:09.632798 | 21960506 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-02 | 2026-03-24 | M | PT | 4185 | TALAMANTE | MMA979W26491 | TONY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16213353/check_21960506_2a1d74e6-f384-49fa-b01d-ff9fc4fee3b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16213353/check_21960506_6110e671-57c1-4488-9960-4fa7e5824197.json | N/A | N/A | N/A | N/A | N/A | MMA979W26491 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-10-02 | 040 | CAMCRWP0 | N/A | MP | false | TALAMANTE | N/A | TONY | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466273 | N/A | N/A | 16213353 | 2222 | N/A | 20910537 | N/A | 13411314 | 2026-03-24 16:35:09.632798 | 2026-01-13 20:31:59.541152 |
| 2026-03-24 16:35:06.386683 | 2026-03-24 16:35:12.320873 | 21960500 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-11-07 | 2026-03-24 | F | AE | 5349 | Kennedy | H70494658 | Alicia | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16844787/check_21960500_7a6e8efa-145b-4a8b-b5a7-ff004c018793.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16844787/check_21960500_3fc5f49a-5d3f-426e-920c-882a398ca506.json | N/A | N/A | N/A | N/A | N/A | H70494658 | 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 | 1952-11-07 | N/A | 2B506001 | N/A | HN | false | KENNEDY | N/A | ALICIA | 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 | 10377466256 | N/A | N/A | 16844787 | 2222 | N/A | 20910562 | N/A | 14851553 | 2026-03-24 16:35:12.320873 | 2026-02-12 22:24:19.285657 |
| 2026-03-24 16:35:06.357174 | 2026-03-24 16:35:11.319127 | 21960496 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-06-30 | 2026-03-24 | F | AE | 5538 | MANZO | 97551002H | TRACY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282386/check_21960496_68c25f47-4bc3-4ee6-9fa2-0c5c41f9734d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282386/check_21960496_6addc795-8bad-47ef-8dcd-90676ff4e718.json | N/A | N/A | N/A | N/A | N/A | 97551002H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-30 | MCLA | MWLLNMEG21 | N/A | N/A | false | MANZO | N/A | TRACY | N/A | 2078-12-31 | 2025-08-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466264 | N/A | N/A | 16282386 | 2222 | N/A | 20910556 | N/A | 14331366 | 2026-03-24 16:35:11.319127 | 2026-02-03 23:08:47.204504 |
| 2026-03-24 16:35:06.247624 | 2026-03-24 16:35:10.013906 | 21960486 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-09-07 | 2026-03-24 | F | AE | 5505 | BATES | 000020963640 | DAISHA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16698600/check_21960486_e22ec266-30cc-40d5-9362-2311be622d48.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16698600/check_21960486_33d2dcae-26be-4b44-b044-aaade1cdc3fb.json | N/A | N/A | N/A | N/A | N/A | 000020963640 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1990-09-07 | 4320968 | 1650095001 | N/A | N/A | false | BATES | N/A | DAISHA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE-AMERICAN INDIAN BRO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466236 | N/A | N/A | 16698600 | 2222 | N/A | 20910542 | N/A | 14711287 | 2026-03-24 16:35:10.013906 | 2026-02-20 02:01:03.455950 |
| 2026-03-24 16:35:06.221443 | 2026-03-24 16:35:09.172864 | 21960481 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2026-03-24 | F | AE | 4625 | REZAYANI | 97093372E | SOHAYLA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16679973/check_21960481_a9267ee6-81a5-4a7d-a077-69317d0cf2f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_21960481_3991670b-b169-48ce-8703-684b1ed841de.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | N/A | 2026-03-12 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466228 | N/A | N/A | 16679973 | 2222 | N/A | 20910534 | N/A | 4213366 | 2026-03-24 16:35:09.172864 | 2025-07-14 15:29:50.728003 |
| 2026-03-24 16:35:06.082243 | 2026-03-24 16:35:10.889363 | 21960470 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-24 | M | AE | 3948 | Pederson | W245231300-03 | Camden | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16713614/check_21960470_5feab167-a8f9-4e50-8e07-6a32dd022c13.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16713614/check_21960470_28e9afb1-612b-4934-bd92-571958c8a60c.json | N/A | N/A | N/A | N/A | N/A | W245231300 | Point of Service (POS) | ALIGN TECHNOLOGY, INC. | AETNA | N/A | 2015-08-07 | 0883552 | 088355201400001 | N/A | PS | false | PEDERSON | N/A | RYAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466190 | N/A | N/A | 16713614 | 2222 | N/A | 20910553 | N/A | 14725710 | 2026-03-24 16:35:10.889363 | 2026-02-10 21:08:46.744563 |
| 2026-03-24 16:35:05.972739 | 2026-03-24 16:35:07.983194 | 21960457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-13 | 2026-03-24 | M | AE | 4497 | GROSS | 5J34NT0FH08 | HUGH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810927/check_21960457_20d2c1e4-a0bd-475a-a5cd-867383a0292a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810927/check_21960457_7479e0b4-37eb-4e4b-adc5-6bf4f6c3245b.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MB | false | GROSS | N/A | HUGH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 71100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466184 | N/A | N/A | 15810927 | 2222 | N/A | 20910523 | N/A | 13900460 | 2026-03-24 16:35:07.983194 | 2026-01-27 16:41:56.120390 |
| 2026-03-24 16:35:05.862013 | 2026-03-24 16:35:10.693536 | 21960447 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-04-21 | 2026-03-24 | F | AE | 3948 | FINK | 824993928 | DEBORAH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16125647/check_21960447_0c8a81a8-d9ed-4b0f-ae90-f41dfc465bf4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16125647/check_21960447_fd8a70fd-d94a-4867-a9f6-da3df44b6147.json | N/A | N/A | N/A | N/A | N/A | 824993928 | Point of Service (POS) | BANK OF AMERICA CORPORATION | AETNA | N/A | 1955-04-21 | 0326475 | 032647501000106 | N/A | PS | false | FINK | N/A | DEBORAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466174 | N/A | N/A | 16125647 | 2222 | N/A | 20910549 | N/A | 14185911 | 2026-03-24 16:35:10.693536 | 2026-01-31 00:16:18.156182 |
| 2026-03-24 16:35:05.776793 | 2026-03-24 16:35:08.552215 | 21960439 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-04-02 | 2026-03-24 | M | PT | 4191 | LORRAINE | XEH911817270 | ELIJAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16132086/check_21960439_50c997ee-0313-42d5-a106-2b02b97e07dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_21960439_8db1028f-67d5-4a6e-99f6-038c812ff850.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466158 | N/A | N/A | 16132086 | 2222 | N/A | 20910529 | N/A | 14191252 | 2026-03-24 16:35:08.552215 | 2026-03-12 15:28:35.280372 |
| 2026-03-24 16:35:05.605730 | 2026-03-24 16:35:08.957034 | 21960423 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-13 | 2026-03-24 | F | 30 | 6237 | SHAPIRO | 40065985101 | ONNETTE | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086772/check_21960423_711cbd8a-4c83-48af-8a08-0f95bcc508a9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_21960423_fdbb8829-39fd-4895-9b26-754fe0ca1894.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10377466149 | N/A | N/A | 16086772 | 2222 | N/A | 20910531 | N/A | 14151882 | 2026-03-24 16:35:08.957034 | 2026-01-30 16:12:37.739707 |
| 2026-03-24 16:35:05.360108 | 2026-03-24 16:35:08.340260 | 21960397 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-24 | M | PT | 4185 | DE LUNA | 025A51982 | NOEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086240/check_21960397_85ddaf2e-7a2b-40c2-81ac-d620d3379d38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_21960397_f3aa8613-6819-403f-ba70-26b678c2575e.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466130 | N/A | N/A | 16086240 | 2222 | N/A | 20910526 | N/A | 4343453 | 2026-03-24 16:35:08.340260 | 2025-05-13 04:29:37.230931 |
| 2026-03-24 16:35:05.053869 | 2026-03-24 16:35:07.961044 | 21960373 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-17 | 2026-03-24 | F | 30 | 6237 | TOBOLSKI | 40031694701 | MARSHA | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/16041163/check_21960373_94a6e660-9ad7-4cf2-bc98-d3f6b34974bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16041163/check_21960373_92e645a9-a732-4ee1-b071-5cdcdb6f105e.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10377466081 | N/A | N/A | 16041163 | 2222 | N/A | 20910524 | N/A | 14110956 | 2026-03-24 16:35:07.961044 | 2026-01-29 19:04:39.423629 |
| 2026-03-24 16:35:05.053797 | 2026-03-24 16:35:09.099965 | 21960372 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-09-28 | 2026-03-24 | M | AE | 5505 | Cuk | 000020940322 | Vladimir | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15748712/check_21960372_779cae3f-4856-4772-8d0a-43a2452dcd9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15748712/check_21960372_e1e41937-4b80-411a-8490-c37924c2953c.json | N/A | N/A | N/A | N/A | N/A | 000020940322 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-09-28 | 4384201 | 100201 | N/A | N/A | false | CUK | N/A | VLADIMIR | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG - PHYSICIANS - FULL TIME | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466085 | N/A | N/A | 15748712 | 2222 | N/A | 20910533 | N/A | 13846306 | 2026-03-24 16:35:09.099965 | 2026-01-21 19:53:17.349281 |
| 2026-03-24 16:35:04.989468 | 2026-03-24 16:35:06.802070 | 21960364 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-25 | 2026-03-24 | F | AE | 4497 | MOHAMMAD | 4X68DW7CW22 | FATAMA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16084472/check_21960364_e0a3f7bc-4cde-416f-9108-051aa0f056aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16084472/check_21960364_7cc43f70-c43d-47f0-a5cd-7eab1b9e58c0.json | N/A | N/A | N/A | N/A | N/A | 4X68DW7CW22 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-25 | S4802 | N/A | N/A | MA | false | MOHAMMAD | N/A | FATAMA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 99390 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466072 | N/A | N/A | 16084472 | 2222 | N/A | 20910514 | N/A | 14149549 | 2026-03-24 16:35:06.802070 | 2026-01-30 15:26:24.999158 |
| 2026-03-24 16:35:04.898622 | 2026-03-24 16:35:10.873857 | 21960357 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-01-12 | 2026-03-24 | F | PT | 4185 | BOSSART | JQZ016W14082 | LINDSAY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15838469/check_21960357_705da33d-a927-4228-8c96-29d27115b915.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15838469/check_21960357_913ec280-76e2-4f17-a285-83d74150225c.json | N/A | N/A | N/A | N/A | N/A | JQV016W14082 | Health Maintenance Organization (HMO) | BFTV INC | ANTHEM BLUE CROSS | N/A | 1999-01-12 | 040 | U76970 | N/A | HM | false | BOSSART | N/A | LINDSAY | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466062 | N/A | N/A | 15838469 | 2222 | N/A | 20910552 | N/A | 13837869 | 2026-03-24 16:35:10.873857 | 2026-01-23 18:37:51.711849 |
| 2026-03-24 16:35:04.896118 | 2026-03-24 16:35:06.750743 | 21960356 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-06 | 2026-03-24 | F | AE | 4497 | RIGGS | 2A62UC8QA95 | JAN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15761931/check_21960356_0f1ca0e2-6b64-43f5-93a1-a76487510b03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15761931/check_21960356_92dc3fa1-99e3-479e-8e33-cb7cba956d33.json | N/A | N/A | N/A | N/A | N/A | 2A62UC8QA95 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-06 | S5601 | N/A | N/A | MB | false | RIGGS | N/A | JAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 40409 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466067 | N/A | N/A | 15761931 | 2222 | N/A | 20910515 | N/A | 13855018 | 2026-03-24 16:35:06.750743 | 2026-01-21 23:02:56.677752 |
| 2026-03-24 16:35:04.623682 | 2026-03-24 16:35:08.463596 | 21960340 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1936-04-17 | 2026-03-24 | F | AE | 5504 | Frank | 000010875705 | Lya | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15509616/check_21960340_7f5b55fc-2398-4490-9d01-d14d3f83aed3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15509616/check_21960340_64a3f52f-32b5-46cb-9413-2e29e86bf03d.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION-SOUTH KPSA B SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466035 | N/A | N/A | 15509616 | 2222 | N/A | 20910528 | N/A | 13596403 | 2026-03-24 16:35:08.463596 | 2026-01-16 22:31:54.907256 |
| 2026-03-24 16:35:04.515409 | 2026-03-24 16:35:07.282282 | 21960330 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-10-28 | 2026-03-24 | M | PT | 4184 | MORRIS | ILL532A77856 | ERIC | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15236605/check_21960330_cce2ccd8-a4c8-4933-bd29-2df98c0c9e4b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15236605/check_21960330_79b4123a-799d-49d7-9295-bac21de7e240.json | N/A | N/A | N/A | N/A | N/A | ILL532A77856 | Preferred Provider Organization (PPO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1988-10-28 | 040 | 1854GAR000 | N/A | PR | false | MORRIS | N/A | ERIC | N/A | 9999-12-31 | 2024-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466009 | N/A | N/A | 15236605 | 2222 | N/A | 20910519 | N/A | 13337595 | 2026-03-24 16:35:07.282282 | 2026-01-13 22:56:53.164172 |
| 2026-03-24 16:35:04.475313 | 2026-03-24 16:35:07.469911 | 21960326 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-09-09 | 2026-03-24 | F | AE | 4211 | Jackson | 100001280396 | Joann | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15596622/check_21960326_9f4f5d3b-249c-433a-af74-8e1d9cf79e22.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15596622/check_21960326_61b258a1-990e-42d9-a4f8-0913c8fa6490.json | N/A | N/A | N/A | N/A | N/A | 100001280396 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1942-09-09 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | JACKSON | N/A | JOANN | N/A | 2078-12-31 | 2026-01-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466007 | N/A | N/A | 15596622 | 2222 | N/A | 20910521 | N/A | 13503048 | 2026-03-24 16:35:07.469911 | 2026-01-28 17:23:17.911334 |
| 2026-03-24 16:35:04.468719 | 2026-03-24 16:35:08.002617 | 21960325 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1987-08-28 | 2026-03-24 | M | AE | 4709 | Grinberg | 91813553H | Kostyantyn | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_21960325_05ca1b94-9ef5-44cf-b0e9-0800bb974c09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_21960325_b2319ead-13a4-4690-85e1-fc8058e081fd.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | N/A | 2026-01-31 | 2025-03-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377466014 | N/A | N/A | 14391843 | 2222 | N/A | 20910520 | N/A | 12525833 | 2026-03-24 16:35:08.002617 | 2025-12-18 00:21:04.843955 |
| 2026-03-24 16:35:04.438499 | 2026-03-24 16:35:17.600936 | 21960323 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-10-26 | 2026-03-24 | F | PT | 4191 | MORTENSEN | YZD737W24774 | KIRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15312803/check_21960323_a8b7922f-c36a-4539-bb01-f7124b3d889c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15312803/check_21960323_72fa2d0f-b7f9-4f4e-b093-67de3599e276.json | N/A | N/A | N/A | N/A | N/A | YZD737W24774 | Preferred Provider Organization (PPO) | MEDICAL INFORMATICS ENGINEERING LLC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-10-26 | 130 | W11821M001 | N/A | PR | false | MORTENSEN | N/A | KIRA | N/A | 9999-12-31 | 2025-09-09 | ANTHEM BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377466021 | N/A | N/A | 15312803 | 2222 | N/A | 20910608 | N/A | 13411691 | 2026-03-24 16:35:17.600936 | 2026-01-13 00:02:35.174807 |
| 2026-03-24 16:35:04.182546 | 2026-03-24 16:35:07.125069 | 21960300 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-06 | 2026-03-24 | F | AE | 4625 | GHARAVI | 99570419E | JASMINE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14856447/check_21960300_912249b5-71d5-4224-a016-9ddf6c8f5643.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856447/check_21960300_f76e76dd-d303-4c1c-9f82-72022b7ea3de.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-02-12 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377465987 | N/A | N/A | 14856447 | 2222 | N/A | 20910518 | N/A | 12968899 | 2026-03-24 16:35:07.125069 | 2026-01-05 20:58:07.379737 |
| 2026-03-24 16:35:04.146356 | 2026-03-24 16:35:06.944759 | 21960295 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-07-27 | 2026-03-24 | M | PT | 4184 | BOKHTIER | NGO052M92255 | GOLAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14925066/check_21960295_5417c380-93e4-4ec5-8fa0-de78b8bb7d91.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14925066/check_21960295_967c9776-22a2-4a7d-968a-ab48a9724295.json | N/A | N/A | N/A | N/A | N/A | NGO052M92255 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1982-07-27 | 040 | 174022MJAD | N/A | PR | false | BOKHTIER | N/A | GOLAM | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465961 | N/A | N/A | 14925066 | 2222 | N/A | 20910516 | N/A | 4212833 | 2026-03-24 16:35:06.944759 | 2025-05-28 20:46:35.079848 |
| 2026-03-24 16:35:03.860491 | 2026-03-24 16:35:07.117593 | 21960275 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-05-01 | 2026-03-24 | M | PT | 4185 | LANDAVERDE | 833W19349 | OSCAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14413682/check_21960275_37e60b0e-fd39-4067-a04d-a6b55407336d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_21960275_7f7d7801-ec2b-4d97-ba7a-02f14e0ee1cb.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465926 | N/A | N/A | 14413682 | 2222 | N/A | 20910517 | N/A | 12549123 | 2026-03-24 16:35:07.117593 | 2025-12-18 17:22:21.485744 |
| 2026-03-24 16:35:03.558789 | 2026-03-24 16:35:16.793048 | 21960248 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1962-09-10 | 2026-03-24 | M | PT | 4197 | M Johnson | KWS141015355001 | David | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14108628/check_21960248_966ee45c-43a9-46c5-9f71-a486fe7df416.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_21960248_09f76839-3277-446f-869a-a0f56769e553.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465890 | N/A | N/A | 14108628 | 2222 | N/A | 20910599 | N/A | 12247347 | 2026-03-24 16:35:16.793048 | 2025-12-10 23:35:09.824882 |
| 2026-03-24 16:35:03.432562 | 2026-03-24 16:35:06.513228 | 21960240 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-08-16 | 2026-03-24 | M | PT | 4191 | TAMHANE | VBG913306283 | SHAILESH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14216912/check_21960240_147c9cd2-42a3-49fb-9a3b-f389f9499d73.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14216912/check_21960240_0ea6a557-8829-4d6e-b206-a54444e71681.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1970-08-16 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2026-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465866 | N/A | N/A | 14216912 | 2222 | N/A | 20910513 | N/A | 12348892 | 2026-03-24 16:35:06.513228 | 2025-12-13 17:39:44.718220 |
| 2026-03-24 16:35:03.236527 | 2026-03-24 16:35:06.144290 | 21960223 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-01-01 | 2026-03-24 | F | PT | 4184 | Vo | TOA651A68427 | Tram | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14115191/check_21960223_7a668536-7640-4c8a-aaa9-30fc1e1d64da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14115191/check_21960223_ff53e6da-3e11-46fc-8830-6978d5cbcf8f.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 9999-12-31 | 2022-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465828 | N/A | N/A | 14115191 | 2222 | N/A | 20910512 | N/A | 12253534 | 2026-03-24 16:35:06.144290 | 2025-12-11 19:59:32.714775 |
| 2026-03-24 16:35:02.948580 | 2026-03-24 16:35:15.277584 | 21960204 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-25 | 2026-03-24 | M | PT | 4191 | WEISS | BMO846339245 | JASON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14060119/check_21960204_dd76cbf2-58f1-4cc3-bc19-e15aace34107.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14060119/check_21960204_216cb47e-19be-4837-845c-cc520e474660.json | N/A | N/A | N/A | N/A | N/A | BMO846339245 | Preferred Provider Organization (PPO) | ACTIVES | BLUE SHIELD OF CALIFORNIA | N/A | 1970-06-25 | N/A | 190565 | N/A | PR | false | WEISS | N/A | JULIE | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465791 | N/A | N/A | 14060119 | 2222 | N/A | 20910587 | N/A | 12204561 | 2026-03-24 16:35:15.277584 | 2025-12-11 19:10:26.555726 |
| 2026-03-24 16:35:02.848395 | 2026-03-24 16:35:09.791245 | 21960197 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-06 | 2026-03-24 | F | AE | 5505 | Benzaquen | 000007108227 | Yafa | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13007520/check_21960197_8c46a683-7e80-4db0-b495-c96143a67e79.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13007520/check_21960197_c80ccff0-4d2a-4035-ae96-683ab963ab7d.json | N/A | N/A | N/A | N/A | N/A | 000007108227 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1959-06-06 | 4332645 | 1650095001 | N/A | N/A | false | BENZAQUEN | N/A | YAFA | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377465778 | N/A | N/A | 13007520 | 2222 | N/A | 20910539 | N/A | 11166074 | 2026-03-24 16:35:09.791245 | 2025-11-18 22:12:26.920696 |
| 2026-03-24 16:35:02.845262 | 2026-03-24 16:35:05.637978 | 21960195 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-10-23 | 2026-03-24 | M | AE | 4211 | SMIT DUYZENTKUNST | 94370227G | JAMES | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14037868/check_21960195_d3792125-ab07-471f-807d-dc08c4090508.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14037868/check_21960195_7e776920-82eb-44d7-b510-f1351ab1d880.json | N/A | N/A | N/A | N/A | N/A | 94370227G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377465768 | N/A | N/A | 14037868 | 2222 | N/A | 20910508 | N/A | 6038528 | 2026-03-24 16:35:05.637978 | 2025-07-24 19:34:35.056005 |
| 2026-03-24 16:35:02.805725 | 2026-03-24 16:35:07.818589 | 21960193 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-28 | 2026-03-24 | M | AE | 5349 | Kisca | H6309049800 | John | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13037589/check_21960193_4f12cf62-8ac9-4041-8e74-58e85d9841c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_21960193_1c3fcb8d-0380-4245-b9ac-3237813d3871.json | N/A | N/A | N/A | N/A | N/A | H63090498 | 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 | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | 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 | 10377465774 | N/A | N/A | 13037589 | 2222 | N/A | 20910522 | N/A | 11194723 | 2026-03-24 16:35:07.818589 | 2025-12-17 17:59:32.346197 |
| 2026-03-24 16:35:02.738703 | 2026-03-24 16:35:06.121864 | 21960185 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-05 | 2026-03-24 | F | PT | 4184 | HOUSTON | TRJNP0019401 | VELINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12244725/check_21960185_0e673ed1-6a33-40ce-8121-91c5793e899b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_21960185_f3d10708-c94d-4233-ae97-8271ca197c33.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465755 | N/A | N/A | 12244725 | 2222 | N/A | 20910511 | N/A | 9637804 | 2026-03-24 16:35:06.121864 | 2026-04-24 18:56:42.779565 |
| 2026-03-24 16:35:02.656798 | 2026-03-24 16:35:08.973055 | 21960178 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1997-11-05 | 2026-03-24 | M | PT | 4197 | VILLANUEVA | ZGP813002220 | YAIR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11623284/check_21960178_b35da426-656a-4dbc-b568-6569353638d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_21960178_a5b442f2-b8b5-46f3-b8a4-9a0229dd86dd.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465758 | N/A | N/A | 11623284 | 2222 | N/A | 20910532 | N/A | 9860485 | 2026-03-24 16:35:08.973055 | 2025-11-10 18:34:52.696278 |
| 2026-03-24 16:35:02.274658 | 2026-03-24 16:35:05.105023 | 21960149 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2026-03-24 | F | PT | 4191 | Wesel | UCD914842883 | Ellen | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9854973/check_21960149_831befb9-6798-4cde-8d9f-8450b1e3c31c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_21960149_0019971e-52dc-40ec-82d6-7463b531245e.json | N/A | N/A | N/A | N/A | N/A | UCD914842883 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1967-01-16 | 1400PPOX0002 | W3000984 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 2025-12-31 | 2025-09-01 | HSA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465681 | N/A | N/A | 9854973 | 2222 | N/A | 20910506 | N/A | 8205288 | 2026-03-24 16:35:05.105023 | 2025-09-30 16:15:04.552446 |
| 2026-03-24 16:35:02.152431 | 2026-03-24 16:35:04.068514 | 21960137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-24 | M | AE | 4497 | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/10239788/check_21960137_b6bab252-7cdb-4393-ba1a-185ade57c9d2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_21960137_6c05c9ce-ff6c-4fa1-a63d-48dd7ca68762.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 115519 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377465671 | N/A | N/A | 10239788 | 2222 | N/A | 20910492 | N/A | 8527464 | 2026-03-24 16:35:04.068514 | 2025-10-14 15:25:46.972104 |
| 2026-03-24 16:35:02.040856 | 2026-03-24 16:35:03.951696 | 21960127 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1963-04-03 | 2026-03-24 | F | PT | 4197 | Protsenko | AJC912998623 | Tetiana | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9958584/check_21960127_e812bb4a-b56c-4009-a431-cec54980e3be.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_21960127_fc7be364-8ba7-45ca-b5a8-ed27bf02152a.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465660 | N/A | N/A | 9958584 | 2222 | N/A | 20910490 | N/A | 7994720 | 2026-03-24 16:35:03.951696 | 2025-09-24 04:33:28.125297 |
| 2026-03-24 16:35:01.775383 | 2026-03-24 16:35:04.892998 | 21960106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2026-03-24 | F | PT | 4185 | OBACZ | JQV897A63197 | KLOIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_21960106_da8bb278-13ff-45ed-baaf-d8b7b8d8ad48.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_21960106_2cd16d77-02f1-45af-9853-8966329b3f83.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465628 | N/A | N/A | 9102655 | 2222 | N/A | 20910504 | N/A | 7621062 | 2026-03-24 16:35:04.892998 | 2025-09-12 19:10:20.936695 |
| 2026-03-24 16:35:01.725173 | 2026-03-24 16:35:08.555520 | 21960103 | 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 | 5538 | Andrieieva | 925989899G | Taisiia | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9104487/check_21960103_ba4b28c0-0f97-4c3b-ba7c-8c7feba2abd3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | N/A | 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 | N/A | N/A | 6709145 | 2026-03-24 16:35:08.555520 | 2025-08-07 23:35:55.091438 |
| 2026-03-24 16:35:01.705525 | 2026-03-24 16:35:03.613082 | 21960099 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-13 | 2026-03-24 | F | AE | 4497 | BLUM | 4TT3J24RG08 | BONNIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539301/check_21960099_c89641ec-f8b9-4ce4-8044-d7bbeab12b1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_21960099_a2ac0e85-0ab4-4cc3-a73f-59c0debf8647.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5601 | N/A | N/A | MA | false | BLUM | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 121055 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10377465596 | N/A | N/A | 5539301 | 2222 | N/A | 20910485 | N/A | 4211624 | 2026-03-24 16:35:03.613082 | 2025-05-13 04:29:37.225953 |
| 2026-03-24 16:35:01.631455 | 2026-03-24 16:35:04.628771 | 21960090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2026-03-24 | M | PT | 4185 | FERNANDEZ | JQS315W00257 | FREDERICO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542274/check_21960090_f490c77c-253c-4fc8-b64d-79fae0721ee5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542274/check_21960090_9044599b-3972-4cef-8f09-e4a2a8d69722.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10377465577 | N/A | N/A | 5542274 | 2222 | N/A | 20910498 | N/A | 4214212 | 2026-03-24 16:35:04.628771 | 2025-05-13 04:29:37.228546 |