API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-21 07:12:10.769739 | 2026-03-21 07:12:10.928185 | 21694849 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21694849 | Athletic Physical Therapy Inc | 1972-09-28 | 2026-03-24 | M | AE | PT | Cuk | 000020940322 | Vladimir | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 15748712 | 2222 | 4802 | N/A | N/A | 13846306 | 2026-03-21 07:12:10.928185 | 2026-01-21 19:53:17.349281 |
| 2026-03-21 07:12:10.437800 | 2026-03-31 19:01:52.199272 | 21694804 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21694804 | Athletic Physical Therapy Inc | 1942-09-09 | 2026-03-24 | F | AE | PT | Jackson | 100001280396 | Joann | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15596622/check_21694804_77fa658a-881d-4a65-a56c-70b911ff1fe9.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 | 10352010120 | N/A | N/A | 15596622 | 2222 | 4802 | 22675928 | 4211 | 13503048 | 2026-03-31 19:01:52.199272 | 2026-01-28 17:23:17.911334 |
| 2026-03-21 07:12:10.282206 | 2026-03-21 07:12:10.432524 | 21694783 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21694783 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-03-23 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15534853 | 2222 | 4801 | N/A | 6237 | 4219334 | 2026-03-21 07:12:10.432524 | 2025-05-13 04:29:37.230357 |
| 2026-03-21 07:12:10.157644 | 2026-03-21 07:12:10.277810 | 21694763 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 21694763 | override_provider | 1936-04-17 | 2026-03-24 | F | AE | PT | Frank | 000010875705 | Lya | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 15509616 | 2222 | 4802 | N/A | N/A | 13596403 | 2026-03-21 07:12:10.277810 | 2026-01-16 22:31:54.907256 |
| 2026-03-21 07:12:09.992619 | 2026-03-21 07:12:10.155106 | 21694747 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21694747 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-03-23 | M | AE | PT | Wilson | 40066267001 | Jesse | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 15459527 | 2222 | 4802 | N/A | 6237 | 13546654 | 2026-03-21 07:12:10.155106 | 2026-01-15 21:26:11.579374 |
| 2026-03-21 07:12:09.899675 | 2026-03-21 07:12:09.989682 | 21694735 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21694735 | Athletic Physical Therapy Inc | 2001-10-26 | 2026-03-24 | F | PT | N/A | MORTENSEN | YZD737W24774 | KIRA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15312803 | 2222 | 4793 | N/A | N/A | 13411691 | 2026-03-21 07:12:09.989682 | 2026-01-13 00:02:35.174807 |
| 2026-03-21 07:12:09.779056 | 2026-03-31 21:13:13.493672 | 21694719 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 21694719 | Athletic Physical Therapy Inc | 1960-01-06 | 2026-03-23 | F | AE | PT | MORGEN | 5852851 | MINDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15287121/check_21694719_ae4b79db-24dd-435c-b856-86d65ba5d1f0.json | N/A | N/A | N/A | N/A | N/A | 5852851 | N/A | N/A | CENTENE CORPORATION | N/A | 1960-01-06 | N/A | N/A | N/A | N/A | false | MORGEN | N/A | MINDY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10352010115 | N/A | N/A | 15287121 | 2222 | 4793 | 22692068 | N/A | 13387979 | 2026-03-31 21:13:13.493672 | 2026-05-04 18:00:09.918838 |
| 2026-03-21 07:12:09.636069 | 2026-03-31 19:22:24.647839 | 21694699 | N/A | N/A | 60054 | Aetna | 1114042165 | 21694699 | Athletic Physical Therapy Inc | 1945-01-03 | 2026-03-24 | M | AE | PT | KIRK | 1013638055000 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15255514/check_21694699_9c1f88ca-3a63-4930-a0d6-f5d1fdc169a3.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | 2026-12-31 | 2026-01-01 | WEST ADV PLAN 125 PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10352010114 | N/A | N/A | 15255514 | 2222 | 4801 | 22680429 | N/A | 6476881 | 2026-03-31 19:22:24.647839 | 2025-07-29 22:42:05.499172 |
| 2026-03-21 07:12:09.553126 | 2026-03-21 07:12:09.633439 | 21694686 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694686 | Athletic Physical Therapy Inc | 2020-04-30 | 2026-03-23 | M | PT | N/A | Marez | LSA753A24370 | Sebastian | Blake | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15242730 | 2222 | 4793 | N/A | N/A | 13342601 | 2026-03-21 07:12:09.633439 | 2026-01-10 00:43:10.594667 |
| 2026-03-21 07:12:09.461979 | 2026-03-21 07:12:09.550245 | 21694674 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694674 | Athletic Physical Therapy Inc | 1988-10-28 | 2026-03-24 | M | PT | N/A | MORRIS | ILL532A77856 | ERIC | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15236605 | 2222 | 4802 | N/A | N/A | 13337595 | 2026-03-21 07:12:09.550245 | 2026-01-13 22:56:53.164172 |
| 2026-03-21 07:12:09.376093 | 2026-03-21 07:12:09.459492 | 21694661 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21694661 | Athletic Physical Therapy Inc | 1960-12-09 | 2026-03-23 | F | AE | PT | ANDREATTE | 40080474001 | DEANNA | L | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 15196264 | 2222 | 4802 | N/A | 6237 | 4755145 | 2026-03-21 07:12:09.459492 | 2026-01-14 18:08:34.434380 |
| 2026-03-21 07:12:09.290094 | 2026-03-21 07:12:09.373464 | 21694647 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694647 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-03-23 | M | PT | N/A | FRIEDMAN | JPU173A63431 | PHILLIP | C | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15026498 | 2222 | 4802 | N/A | N/A | 13139277 | 2026-03-21 07:12:09.373464 | 2026-01-08 19:03:05.462828 |
| 2026-03-21 07:12:09.179481 | 2026-03-21 07:12:09.287626 | 21694633 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694633 | Athletic Physical Therapy Inc | 1982-07-27 | 2026-03-23 | M | PT | N/A | BOKHTIER | NGO052M92255 | GOLAM | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14925066 | 2222 | 4793 | N/A | N/A | 4212833 | 2026-03-21 07:12:09.287626 | 2025-05-28 20:46:35.079848 |
| 2026-03-21 07:12:09.081759 | 2026-03-21 07:12:09.176153 | 21694618 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21694618 | Athletic Physical Therapy Inc | 1958-04-18 | 2026-03-23 | F | AE | PT | Carrillo | 000021555700 | Yolanda | A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 14778386 | 2222 | 4802 | N/A | N/A | 12908843 | 2026-03-21 07:12:09.176153 | 2025-12-29 19:20:06.652914 |
| 2026-03-21 07:12:09.008236 | 2026-03-21 07:12:09.079032 | 21694608 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694608 | Athletic Physical Therapy Inc | 2003-06-09 | 2026-03-23 | F | PT | N/A | FARDAD FINN | JQU683A20101 | MAYA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14765769 | 2222 | 4793 | N/A | N/A | 12896808 | 2026-03-21 07:12:09.079032 | 2025-12-29 16:45:47.287583 |
| 2026-03-21 07:12:08.926587 | 2026-03-21 07:12:09.005733 | 21694596 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 21694596 | Athletic Physical Therapy Inc | 1970-12-26 | 2026-03-23 | M | AE | PT | Ramos | R1137852900 | Jimmy | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 14714435 | 2222 | 4802 | N/A | N/A | 12842873 | 2026-03-21 07:12:09.005733 | 2025-12-26 20:01:20.701115 |
| 2026-03-21 07:12:08.833890 | 2026-03-21 07:12:08.923965 | 21694584 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21694584 | Athletic Physical Therapy Inc | 1957-04-20 | 2026-03-23 | F | PT | N/A | FOX | MMA941W23869 | GENOVEVA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14508581 | 2222 | 4793 | N/A | 4185 | 10741847 | 2026-03-21 07:12:08.923965 | 2025-11-17 21:17:39.202453 |
| 2026-03-21 07:12:08.724229 | 2026-03-21 07:12:08.827629 | 21694570 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21694570 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-03-24 | M | PT | N/A | LANDAVERDE | 833W19349 | OSCAR | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14413682 | 2222 | 4802 | N/A | 4185 | 12549123 | 2026-03-21 07:12:08.827629 | 2025-12-18 17:22:21.485744 |
| 2026-03-21 07:12:08.615339 | 2026-03-21 07:12:08.719763 | 21694556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694556 | Athletic Physical Therapy Inc | 2014-01-06 | 2026-03-24 | F | PT | N/A | HEINL | 146A63323 | MAYA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14389916 | 2222 | 4793 | N/A | N/A | 12524083 | 2026-03-21 07:12:08.719763 | 2025-12-17 23:40:25.293610 |
| 2026-03-21 07:12:08.504085 | 2026-03-21 07:12:08.608849 | 21694539 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 21694539 | override_provider | 1937-11-24 | 2026-03-23 | M | AE | PT | Hahn | 000002537359 | John | Y | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 14297735 | 2222 | 4802 | N/A | N/A | 12431457 | 2026-03-21 07:12:08.608849 | 2025-12-24 16:43:10.665380 |
| 2026-03-21 07:12:08.426740 | 2026-03-21 07:12:08.501354 | 21694529 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21694529 | Athletic Physical Therapy Inc | 1970-08-16 | 2026-03-24 | M | PT | N/A | TAMHANE | VBG913306283 | SHAILESH | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14216912 | 2222 | 4801 | N/A | N/A | 12348892 | 2026-03-21 07:12:08.501354 | 2025-12-13 17:39:44.718220 |
| 2026-03-21 07:12:08.340440 | 2026-03-21 07:12:08.424177 | 21694518 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694518 | Athletic Physical Therapy Inc | 1973-01-01 | 2026-03-24 | F | PT | N/A | Vo | TOA651A68427 | Tram | M | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14115191 | 2222 | 4802 | N/A | N/A | 12253534 | 2026-03-21 07:12:08.424177 | 2025-12-11 19:59:32.714775 |
| 2026-03-21 07:12:08.247141 | 2026-03-21 07:12:08.337766 | 21694506 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21694506 | Athletic Physical Therapy Inc | 1942-10-09 | 2026-03-23 | M | AE | PT | SZABO | 2D94CA5UN80 | GEORGE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 14109997 | 2222 | 4801 | N/A | N/A | 12248869 | 2026-03-21 07:12:08.337766 | 2025-12-10 22:52:03.780467 |
| 2026-03-21 07:12:08.117765 | 2026-03-31 19:11:38.628320 | 21694489 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 21694489 | override_provider | 1962-09-10 | 2026-03-24 | M | PT | N/A | M Johnson | KWS141015355001 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_21694489_bea0f301-91cb-40f4-aefe-fd8086c6f04d.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 | 10352010098 | N/A | N/A | 14108628 | 2222 | 4801 | 22678130 | N/A | 12247347 | 2026-03-31 19:11:38.628320 | 2025-12-10 23:35:09.824882 |
| 2026-03-21 07:12:08.034375 | 2026-03-21 07:12:08.115081 | 21694479 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21694479 | Athletic Physical Therapy Inc | 1970-06-25 | 2026-03-24 | M | PT | N/A | WEISS | BMO846339245 | JASON | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14060119 | 2222 | 4802 | N/A | N/A | 12204561 | 2026-03-21 07:12:08.115081 | 2025-12-11 19:10:26.555726 |
| 2026-03-21 07:12:07.938460 | 2026-03-31 19:03:09.677406 | 21694464 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21694464 | Athletic Physical Therapy Inc | 2003-10-23 | 2026-03-24 | M | AE | PT | SMIT DUYZENTKUNST | 94370227G | JAMES | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14037868/check_21694464_32c78822-2db2-43c6-88cb-1a51226a4223.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 | 10352010096 | N/A | N/A | 14037868 | 2222 | 4793 | 22676314 | 4211 | 6038528 | 2026-03-31 19:03:09.677406 | 2025-07-24 19:34:35.056005 |
| 2026-03-21 07:12:07.864830 | 2026-03-21 07:12:07.935879 | 21694453 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21694453 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-03-23 | M | AE | PT | Maher | 6FT2G33TN93 | Timothy | A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 13655342 | 2222 | 4802 | N/A | N/A | 11803316 | 2026-03-21 07:12:07.935879 | 2025-12-16 19:29:59.872631 |
| 2026-03-21 07:12:07.765094 | 2026-03-21 07:12:07.862253 | 21694437 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 21694437 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-03-23 | F | AE | PT | watson | 00000380103 | stella | G | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 13644272 | 2222 | 4801 | N/A | 2630 | 11792017 | 2026-03-21 07:12:07.862253 | 2025-12-04 01:49:08.682293 |
| 2026-03-21 07:12:07.677660 | 2026-03-21 07:12:07.762535 | 21694427 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21694427 | Athletic Physical Therapy Inc | 1996-02-29 | 2026-03-24 | F | AE | PT | Elzinga | 000025992229 | Stevie | F | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 13437538 | 2222 | 4802 | N/A | N/A | 11598678 | 2026-03-21 07:12:07.762535 | 2025-11-26 19:50:29.795204 |
| 2026-03-21 07:12:07.587050 | 2026-03-31 19:57:40.245588 | 21694410 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21694410 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-03-24 | M | AE | PT | Kisca | H6309049800 | John | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_21694410_208a20fe-8b94-40a9-8d6a-b2d489d8a81f.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 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 | 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 | 10352010092 | N/A | N/A | 13037589 | 2222 | 4793 | 22686692 | 5349 | 11194723 | 2026-03-31 19:57:40.245588 | 2025-12-17 17:59:32.346197 |
| 2026-03-21 07:12:07.493868 | 2026-03-21 07:12:07.584620 | 21694395 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21694395 | Athletic Physical Therapy Inc | 1959-06-06 | 2026-03-24 | F | AE | PT | Benzaquen | 000007108227 | Yafa | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 13007520 | 2222 | 4802 | N/A | N/A | 11166074 | 2026-03-21 07:12:07.584620 | 2025-11-18 22:12:26.920696 |
| 2026-03-21 07:12:07.396549 | 2026-03-21 07:12:07.491118 | 21694383 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 21694383 | Athletic Physical Therapy Inc | 2009-06-02 | 2026-03-23 | F | PT | N/A | MCDONALD | 901898112002 | DYLAN | Sydney | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12770187 | 2222 | 4793 | N/A | 4191 | 10925815 | 2026-03-21 07:12:07.491118 | 2025-11-26 16:58:09.174115 |
| 2026-03-21 07:12:07.246096 | 2026-03-31 19:58:08.672451 | 21694363 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21694363 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-03-23 | F | AE | PT | MENDEZ | H9608321000 | LINDA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_21694363_933d4ab8-8538-43ae-b00d-c84b1475e3cf.json | N/A | N/A | N/A | N/A | N/A | H96083210 | 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 REGAL MEDICAL GROUP | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 10352010089 | N/A | N/A | 12421991 | 2222 | 4793 | 22686730 | 5349 | 10601861 | 2026-03-31 19:58:08.672451 | 2025-11-07 18:35:55.025808 |
| 2026-03-21 07:12:07.147955 | 2026-03-21 07:12:07.242142 | 21694350 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694350 | Athletic Physical Therapy Inc | 1957-05-05 | 2026-03-24 | F | PT | N/A | HOUSTON | TRJNP0019401 | VELINA | AVISA HASU | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12244725 | 2222 | 4802 | N/A | N/A | 9637804 | 2026-03-21 07:12:07.242142 | 2026-04-24 18:56:42.779565 |
| 2026-03-21 07:12:07.003391 | 2026-03-21 07:12:07.145359 | 21694329 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694329 | Athletic Physical Therapy Inc | 1994-07-03 | 2026-03-23 | M | PT | N/A | STEALEY | JQU013W15922 | JACOB | REDMOND | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12010678 | 2222 | 4801 | N/A | N/A | 10232475 | 2026-03-21 07:12:07.145359 | 2025-11-01 00:03:21.076437 |
| 2026-03-21 07:12:06.857037 | 2026-03-31 19:11:48.234856 | 21694310 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 21694310 | override_provider | 1997-11-05 | 2026-03-24 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_21694310_61615976-5893-4d2b-a12f-1c1944eca63a.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 | 10352010086 | N/A | N/A | 11623284 | 2222 | 4801 | 22678167 | N/A | 9860485 | 2026-03-31 19:11:48.234856 | 2025-11-10 18:34:52.696278 |
| 2026-03-21 07:12:06.585716 | 2026-03-21 07:12:06.846032 | 21694267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694267 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-03-23 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11526121 | 2222 | 4801 | N/A | N/A | 9766947 | 2026-03-21 07:12:06.846032 | 2025-11-11 21:32:02.372730 |
| 2026-03-21 07:12:06.381548 | 2026-03-21 07:12:06.578698 | 21694236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21694236 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-03-23 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | E | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 11174640 | 2222 | 4802 | N/A | N/A | 9519718 | 2026-03-21 07:12:06.578698 | 2026-02-02 19:30:57.219688 |
| 2026-03-21 07:12:06.086552 | 2026-03-21 07:12:06.378218 | 21694192 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21694192 | Athletic Physical Therapy Inc | 1977-11-16 | 2026-03-23 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10355543 | 2222 | 4801 | N/A | N/A | 8619978 | 2026-03-21 07:12:06.378218 | 2025-10-13 20:53:09.422541 |
| 2026-03-21 07:12:02.707654 | 2026-03-21 07:12:06.066452 | 21693724 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21693724 | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-24 | M | AE | PT | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 10239788 | 2222 | 4793 | N/A | N/A | 8527464 | 2026-03-21 07:12:06.066452 | 2025-10-14 15:25:46.972104 |
| 2026-03-21 07:12:02.175094 | 2026-03-31 19:12:45.936437 | 21693653 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 21693653 | override_provider | 1963-04-03 | 2026-03-24 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_21693653_fddf173f-e2ac-4a73-bbb3-5fdb21a64544.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 | 10352010081 | N/A | N/A | 9958584 | 2222 | 4802 | 22678397 | N/A | 7994720 | 2026-03-31 19:12:45.936437 | 2025-09-24 04:33:28.125297 |
| 2026-03-21 07:11:50.320085 | 2026-03-31 20:32:20.488699 | 21692179 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 21692179 | Athletic Physical Therapy Inc | 1996-03-28 | 2026-03-23 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_21692179_bddc0b08-84e6-47d3-9775-d2540cea3e92.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10352010080 | N/A | N/A | 9924959 | 2222 | 4802 | 22689655 | 4437 | 4722569 | 2026-03-31 20:32:20.488699 | 2025-08-26 00:16:35.895658 |
| 2026-03-21 07:11:50.048089 | 2026-03-21 07:11:50.314931 | 21692149 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21692149 | Athletic Physical Therapy Inc | 1967-01-16 | 2026-03-24 | F | PT | N/A | Wesel | UCD914842883 | Ellen | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9854973 | 2222 | 4802 | N/A | N/A | 8205288 | 2026-03-21 07:11:50.314931 | 2025-09-30 16:15:04.552446 |
| 2026-03-21 07:11:49.767367 | 2026-03-21 07:11:50.034525 | 21692113 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21692113 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-03-23 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9691081 | 2222 | 4801 | N/A | N/A | 8110015 | 2026-03-21 07:11:50.034525 | 2025-10-05 15:24:30.421551 |
| 2026-03-21 07:11:49.567035 | 2026-03-21 07:11:49.746268 | 21692090 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21692090 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-03-23 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9562148 | 2222 | 4793 | N/A | N/A | 7997320 | 2026-03-21 07:11:49.746268 | 2025-10-02 21:07:14.563938 |
| 2026-03-21 07:11:49.299762 | 2026-03-21 07:11:49.549426 | 21692062 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21692062 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-03-23 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9556751 | 2222 | 4793 | N/A | N/A | 4210998 | 2026-03-21 07:11:49.549426 | 2026-02-23 18:49:01.874308 |
| 2026-03-21 07:11:49.091112 | 2026-03-21 07:11:49.293505 | 21692035 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 21692035 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-03-23 | F | AE | PT | MATHESON | 00000433752 | JANET | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9511696 | 2222 | 4801 | N/A | 2630 | 7954244 | 2026-03-21 07:11:49.293505 | 2025-09-29 18:15:39.145358 |
| 2026-03-21 07:11:48.854599 | 2026-03-31 19:22:04.580499 | 21692010 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 21692010 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-03-23 | M | AE | PT | HOPE | 101144710900 | LYNN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_21692010_9797262f-f6d7-4487-a3c7-3b6b6243fd91.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10352010074 | N/A | N/A | 9477069 | 2222 | 4802 | 22680361 | 3948 | 7927787 | 2026-03-31 19:22:04.580499 | 2025-09-17 17:11:58.574244 |
| 2026-03-21 07:11:48.652481 | 2026-03-21 07:11:48.843527 | 21691986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21691986 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-03-23 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9411083 | 2222 | 4802 | N/A | N/A | 7879863 | 2026-03-21 07:11:48.843527 | 2026-02-04 18:21:13.840230 |
| 2026-03-21 07:11:48.491033 | 2026-03-31 21:15:39.764327 | 21691966 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 21691966 | Athletic Physical Therapy Inc | 1963-03-16 | 2026-03-23 | M | AE | PT | SENDEROVICH | 93289206A | RUBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260321.121716429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321915/check_21691966_195954f6-50c9-49e7-b184-3cc86eaac8c8.json | N/A | N/A | N/A | N/A | N/A | 93289206A | N/A | N/A | HEALTH NET, LLC | N/A | 1963-03-16 | N/A | N/A | N/A | N/A | false | SENDEROVICH | N/A | RUBIN | N/A | 2026-02-18 | 2024-11-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10352010072 | N/A | N/A | 9321915 | 2222 | 4793 | 22692205 | N/A | 7821358 | 2026-03-31 21:15:39.764327 | 2025-09-16 21:45:39.144990 |