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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-20 07:08:48.546548 | 2026-03-26 16:55:10.939602 | 21510881 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 21510881 | Athletic Physical Therapy Inc | 1969-06-12 | 2026-03-23 | F | AE | PT | Rowlands | H69992193 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17870887/check_21510881_9378f114-e985-4e8d-bacf-3ecb1c118269.json | N/A | N/A | N/A | N/A | N/A | H69992193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 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 | 1969-06-12 | N/A | 2B798001 | N/A | HN | false | ROWLANDS | N/A | KIMBERLY | 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 | 10342620808 | N/A | N/A | 17870887 | 2222 | 4801 | 21759661 | N/A | 15914963 | 2026-03-26 16:55:10.939602 | 2026-03-15 17:01:29.240163 |
| 2026-03-20 07:08:48.407704 | 2026-03-26 16:53:39.935084 | 21510878 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21510878 | Athletic Physical Therapy Inc | 1979-05-28 | 2026-03-23 | F | AE | PT | TALEBI | 2264229 | AZADEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17838545/check_21510878_b4049592-2692-437b-b8bc-d9f968c324ad.json | N/A | N/A | N/A | N/A | N/A | 2264229 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1979-05-28 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | TALEBI | N/A | AZADEH | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342620807 | N/A | N/A | 17838545 | 2222 | 4802 | 21748973 | 4211 | 15883071 | 2026-03-26 16:53:39.935084 | 2026-03-16 15:21:21.241671 |
| 2026-03-20 07:08:48.280689 | 2026-03-26 16:57:54.971083 | 21510876 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510876 | Athletic Physical Therapy Inc | 1970-03-31 | 2026-03-23 | M | PT | N/A | GODIN | MPI01391129Q | RODERICK | Paul | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826471/check_21510876_75cf0d30-b743-4e53-b901-c0aa7858aa5c.json | N/A | N/A | N/A | N/A | N/A | MPI01391129Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1970-03-31 | 040 | 277163M401 | N/A | PR | false | GODIN | N/A | RODERICK | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342620806 | N/A | N/A | 17826471 | 2222 | 4801 | 21781016 | N/A | 15870803 | 2026-03-26 16:57:54.971083 | 2026-03-09 19:03:45.705231 |
| 2026-03-20 07:08:48.190778 | 2026-03-26 16:57:26.502863 | 21510874 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21510874 | Athletic Physical Therapy Inc | 1985-08-17 | 2026-03-23 | M | AE | PT | Cruz | 000022373578 | Edwin | Frank | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17815376/check_21510874_2ca63a85-9520-4499-a76b-bb4bc28e0470.json | N/A | N/A | N/A | N/A | N/A | 000022373578 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1985-08-17 | 4383886 | 105705 | N/A | N/A | false | CRUZ | N/A | EDWIN | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342620805 | N/A | N/A | 17815376 | 2222 | 4802 | 21777003 | N/A | 15860207 | 2026-03-26 16:57:26.502863 | 2026-03-09 16:33:41.451823 |
| 2026-03-20 07:08:48.083931 | 2026-03-26 17:01:07.621839 | 21510871 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21510871 | Athletic Physical Therapy Inc | 1956-09-12 | 2026-03-23 | M | AE | PT | SALANT | 3WH1C51VA35 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17814115/check_21510871_352c1a41-bac0-4ad2-bb12-eb1e0383a521.json | N/A | N/A | N/A | N/A | N/A | 3WH1C51VA35 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-12 | S5617 | N/A | N/A | MA | false | SALANT | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342620804 | N/A | N/A | 17814115 | 2222 | 4802 | 21804416 | N/A | 15858953 | 2026-03-26 17:01:07.621839 | 2026-03-09 15:55:48.784784 |
| 2026-03-20 07:08:47.972874 | 2026-03-26 16:57:41.740080 | 21510869 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 21510869 | Athletic Physical Therapy Inc | 1961-12-26 | 2026-03-23 | F | AE | PT | Tadmor | 99113784F | Lisa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_21510869_9464b520-b57d-4ef3-814d-8bb318a6ea0b.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342620803 | N/A | N/A | 17749411 | 2222 | 4802 | 21779151 | N/A | 15798656 | 2026-03-26 16:57:41.740080 | 2026-03-07 00:12:23.548270 |
| 2026-03-20 07:08:47.865128 | 2026-03-26 16:53:39.073021 | 21510867 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21510867 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-03-23 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_21510867_9c8f5e18-021e-4091-9fbb-13339d75b0e7.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621444 | N/A | N/A | 17744755 | 2222 | 4802 | 21748849 | 4211 | 4213934 | 2026-03-26 16:53:39.073021 | 2026-01-27 23:36:44.802366 |
| 2026-03-20 07:08:47.711002 | 2026-03-26 17:01:06.490911 | 21510863 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21510863 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-23 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_21510863_9a31ca93-27d0-4579-972d-a4802569f4b7.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 67100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621443 | N/A | N/A | 17663491 | 2222 | 4802 | 21804296 | N/A | 4213453 | 2026-03-26 17:01:06.490911 | 2025-05-13 04:29:37.227772 |
| 2026-03-20 07:08:47.442160 | 2026-03-26 16:57:59.581736 | 21510858 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510858 | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-23 | M | PT | N/A | SANCHEZ | VDHE010175088 | LUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_21510858_4d719490-dce4-4367-a717-65ed4c951238.json | N/A | N/A | N/A | N/A | N/A | VDHE010175088 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621442 | N/A | N/A | 17645349 | 2222 | 4801 | 21781562 | N/A | 15689321 | 2026-03-26 16:57:59.581736 | 2026-03-10 14:49:11.771842 |
| 2026-03-20 07:08:47.243696 | 2026-03-26 16:55:09.746345 | 21510856 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 21510856 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-03-23 | F | AE | PT | HILL | H96403611 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_21510856_e99468da-113f-42a2-a5af-e3ff930b3f2e.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621440 | N/A | N/A | 17641125 | 2222 | 4793 | 21759507 | N/A | 4213760 | 2026-03-26 16:55:09.746345 | 2026-03-23 22:17:45.263893 |
| 2026-03-20 07:08:46.943227 | 2026-03-26 17:01:07.854368 | 21510851 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21510851 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-03-23 | F | AE | PT | SHEINBEIN | 5NQ8U19JG46 | Nancy | THURLO | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_21510851_8c495555-b32b-453e-b363-fc505b2783d2.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MA | false | SHEINBEIN | N/A | NANCY | 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 | 10342621439 | N/A | N/A | 17593459 | 2222 | 4802 | 21804449 | N/A | 15407829 | 2026-03-26 17:01:07.854368 | 2026-03-03 21:31:17.107791 |
| 2026-03-20 07:08:46.650910 | 2026-03-26 16:56:50.364764 | 21510846 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21510846 | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-23 | F | AE | PT | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_21510846_d40453d0-215d-4e7a-ad1f-78b88dca79ec.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621438 | N/A | N/A | 17585914 | 2222 | 4802 | 21772326 | 6237 | 15633309 | 2026-03-26 16:56:50.364764 | 2026-03-04 17:46:21.126462 |
| 2026-03-20 07:08:46.545088 | 2026-03-26 16:57:55.830389 | 21510843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510843 | Athletic Physical Therapy Inc | 1954-04-01 | 2026-03-23 | F | PT | N/A | Hoffmon | FJB24530065M | Desiree | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_21510843_f77732f4-4139-4dad-b877-e6d466f2a83a.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | 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 | 10342621437 | N/A | N/A | 17585043 | 2222 | 4802 | 21781113 | N/A | 15632407 | 2026-03-26 16:57:55.830389 | 2026-03-04 17:26:22.963141 |
| 2026-03-20 07:08:46.410990 | 2026-03-26 16:57:59.228887 | 21510841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510841 | Athletic Physical Therapy Inc | 1986-02-14 | 2026-03-23 | F | PT | N/A | CARAZO | N8E117919898001 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17553325/check_21510841_05e478be-5522-4d70-85c5-5a907fd93ed3.json | N/A | N/A | N/A | N/A | N/A | N8E117919898001 | Preferred Provider Organization (PPO) | NEP GROUP ACTIVE | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1986-02-14 | 363 | 10696646 | N/A | PR | false | PYATTE | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621436 | N/A | N/A | 17553325 | 2222 | 4793 | 21781527 | N/A | 4214484 | 2026-03-26 16:57:59.228887 | 2025-05-13 04:29:37.228799 |
| 2026-03-20 07:08:46.282340 | 2026-03-26 16:57:52.042996 | 21510837 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510837 | Athletic Physical Therapy Inc | 1995-04-03 | 2026-03-23 | M | PT | N/A | Brant | XDM186M90966 | Nicholas | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17537799/check_21510837_7049f3f1-3cdc-459c-a600-c40db1e3987c.json | N/A | N/A | N/A | N/A | N/A | XDM186M90966 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 1995-04-03 | 040 | 1855RA | N/A | PR | false | BRANDT | N/A | NICHOLAS | N/A | 9999-12-31 | 2024-04-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621435 | N/A | N/A | 17537799 | 2222 | 4801 | 21780608 | N/A | 15582598 | 2026-03-26 16:57:52.042996 | 2026-03-03 18:12:24.590490 |
| 2026-03-20 07:08:46.137189 | 2026-03-26 16:53:51.854170 | 21510834 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21510834 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-03-23 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_21510834_6c82590b-f61d-4005-8c5d-56c6dda60032.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621434 | N/A | N/A | 17509843 | 2222 | 4802 | 21749011 | 4211 | 15524188 | 2026-03-26 16:53:51.854170 | 2026-03-03 00:12:08.668405 |
| 2026-03-20 07:08:46.009918 | 2026-03-26 16:56:05.128705 | 21510831 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 21510831 | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-23 | M | AE | PT | ABDELMESSIH | U9059513401 | MINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_21510831_255c4b96-63ba-4157-a2b4-20bbbef1167a.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621433 | N/A | N/A | 17498631 | 2222 | 4801 | 21766420 | 4437 | 15513934 | 2026-03-26 16:56:05.128705 | 2026-03-11 16:41:57.340816 |
| 2026-03-20 07:08:45.890391 | 2026-03-26 16:58:00.789453 | 21510827 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21510827 | Athletic Physical Therapy Inc | 1977-12-01 | 2026-03-23 | F | PT | N/A | TANGER | NCF189A56429 | Ashley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494208/check_21510827_bbade1c8-03bc-4241-a40f-aeed76ad4aa9.json | N/A | N/A | N/A | N/A | N/A | NCF189A56429 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-12-01 | 040 | 57AJCA | N/A | HM | false | TANGER | N/A | ASHLEY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621432 | N/A | N/A | 17494208 | 2222 | 4801 | 21781728 | 4185 | 15509440 | 2026-03-26 16:58:00.789453 | 2026-03-02 19:55:05.664511 |
| 2026-03-20 07:08:45.759635 | 2026-03-26 16:57:09.848831 | 21510825 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21510825 | Athletic Physical Therapy Inc | 1960-03-17 | 2026-03-23 | M | AE | PT | Bischoff | 890196801 | Marc | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_21510825_39868ca0-44fa-44f6-b96c-75063878f771.json | N/A | N/A | N/A | N/A | N/A | 890196801 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1960-03-17 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | MARC | 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 | 10342621431 | N/A | N/A | 17493013 | 2222 | 4801 | 21774771 | 6411 | 15508155 | 2026-03-26 16:57:09.848831 | 2026-03-09 16:11:53.480346 |
| 2026-03-20 07:08:45.602008 | 2026-03-26 17:01:08.559823 | 21510819 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21510819 | Athletic Physical Therapy Inc | 1947-01-16 | 2026-03-23 | F | AE | PT | Teichner | 8GX9YP6RV43 | Miriam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492302/check_21510819_6ac968d3-2a84-4997-87cb-d4e6c9bef437.json | N/A | N/A | N/A | N/A | N/A | 8GX9YP6RV43 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-16 | S4802 | N/A | N/A | MA | false | TEICHNER | N/A | MIRIAM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 21936 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621430 | N/A | N/A | 17492302 | 2222 | 4793 | 21804521 | N/A | 15507331 | 2026-03-26 17:01:08.559823 | 2026-03-02 19:12:00.362589 |
| 2026-03-20 07:08:45.477039 | 2026-03-26 16:57:59.887775 | 21510816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510816 | Athletic Physical Therapy Inc | 1968-12-15 | 2026-03-23 | F | PT | N/A | Silkman | JXN347A59050 | Valerie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_21510816_ead79369-1dad-4641-afe8-9a9a36572f08.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621429 | N/A | N/A | 17490472 | 2222 | 4801 | 21781606 | N/A | 15505614 | 2026-03-26 16:57:59.887775 | 2026-03-02 18:44:52.817150 |
| 2026-03-20 07:08:45.342172 | 2026-03-26 16:57:27.385657 | 21510814 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21510814 | Athletic Physical Therapy Inc | 1997-04-29 | 2026-03-23 | M | AE | PT | Nguyen | 000025947427 | Taylor | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_21510814_deb46e17-d2f6-4be9-b0a6-e9fe0d5fb613.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | 2026-12-31 | 2026-01-01 | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621428 | N/A | N/A | 17435550 | 2222 | 4802 | 21777124 | N/A | 15447177 | 2026-03-26 16:57:27.385657 | 2026-02-27 22:36:21.536137 |
| 2026-03-20 07:08:45.228894 | 2026-03-26 16:57:51.453498 | 21510810 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510810 | Athletic Physical Therapy Inc | 2002-12-19 | 2026-03-23 | F | PT | N/A | Becerra | CZCAN2537305 | Daniella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17433624/check_21510810_c85c83d7-de06-48bc-865a-9135ee7f8f6b.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | ANTHEM BLUE CROSS | N/A | 2002-12-19 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621427 | N/A | N/A | 17433624 | 2222 | 4793 | 21780536 | N/A | 15445066 | 2026-03-26 16:57:51.453498 | 2026-02-27 21:30:30.313264 |
| 2026-03-20 07:08:45.011928 | 2026-03-26 16:57:39.598998 | 21510805 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 21510805 | Athletic Physical Therapy Inc | 1965-02-23 | 2026-03-23 | M | AE | PT | Naito | 93614355F | Arthur | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17429709/check_21510805_3fc03744-01a4-43c6-b4c5-986d34dffcb5.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621425 | N/A | N/A | 17429709 | 2222 | 4802 | 21778842 | N/A | 15440773 | 2026-03-26 16:57:39.598998 | 2026-02-27 19:52:08.982558 |
| 2026-03-20 07:08:44.891728 | 2026-03-26 16:56:50.865412 | 21510802 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 21510802 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-03-23 | F | AD | 30 | MONTALVO | 40057101101 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_21510802_817c7f23-9fbf-45b6-b6de-2711579ca911.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10342621424 | N/A | N/A | 17396005 | 2222 | 4801 | 21772385 | N/A | 15407473 | 2026-03-26 16:56:50.865412 | 2026-03-02 03:41:34.276739 |
| 2026-03-20 07:08:44.771762 | 2026-03-26 16:57:27.933317 | 21510799 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21510799 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-23 | F | AE | PT | Valenza | 000026028938 | Magali | Giselle | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_21510799_8180e116-390d-42a9-aa76-7965e6e3399a.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621423 | N/A | N/A | 17355763 | 2222 | 4802 | 21777198 | N/A | 15367776 | 2026-03-26 16:57:27.933317 | 2026-03-02 18:02:01.247721 |
| 2026-03-20 07:08:44.626786 | 2026-03-26 16:57:56.448368 | 21510796 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510796 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-23 | M | PT | N/A | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_21510796_2ce33d81-d6a8-4fc1-98d8-43060c5d2c53.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621422 | N/A | N/A | 17346208 | 2222 | 4802 | 21781188 | N/A | 15356693 | 2026-03-26 16:57:56.448368 | 2026-02-25 22:30:35.848496 |
| 2026-03-20 07:08:44.425334 | 2026-03-26 16:58:07.844793 | 21510791 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21510791 | Athletic Physical Therapy Inc | 1992-08-24 | 2026-03-23 | M | PT | N/A | Gaertner | XEA910044631 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_21510791_3327d4c1-8e73-4472-a53f-b2be204e1144.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2026-03-01 | GOLD FULL PPO 750 35 OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621421 | N/A | N/A | 17309222 | 2222 | 4802 | 21782695 | N/A | 15324299 | 2026-03-26 16:58:07.844793 | 2026-02-25 00:33:12.075173 |
| 2026-03-20 07:08:44.249110 | 2026-03-26 16:54:44.589822 | 21510787 | N/A | N/A | 60054 | Aetna | 1114042165 | 21510787 | Athletic Physical Therapy Inc | 1996-08-22 | 2026-03-23 | F | AE | PT | Clarke | W295118204 | Rebecca | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_21510787_c5c84870-ff80-4e64-a830-e9a398d5e1de.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621420 | N/A | N/A | 17287671 | 2222 | 4802 | 21756417 | N/A | 15305664 | 2026-03-26 16:54:44.589822 | 2026-02-24 17:22:14.995942 |
| 2026-03-20 07:08:43.861269 | 2026-03-26 16:57:56.149775 | 21510781 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510781 | Athletic Physical Therapy Inc | 1999-03-13 | 2026-03-23 | F | PT | N/A | HOLLAND | YVA250263382 | KELSEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_21510781_4b48c96a-2ba8-49a4-b666-65461ad4bb00.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621418 | N/A | N/A | 17257631 | 2222 | 4802 | 21781150 | N/A | 15275187 | 2026-03-26 16:57:56.149775 | 2026-02-23 23:05:07.406692 |
| 2026-03-20 07:08:43.551119 | 2026-03-26 16:54:44.891957 | 21510777 | N/A | N/A | 60054 | Aetna | 1114042165 | 21510777 | Athletic Physical Therapy Inc | 1999-07-02 | 2026-03-23 | M | AE | PT | Clemen | IDN268756197 | Tate | W | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_21510777_a7966255-0601-45c2-8e2d-287acda8d689.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | 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 | 10342621417 | N/A | N/A | 17257296 | 2222 | 4802 | 21756443 | N/A | 15274431 | 2026-03-26 16:54:44.891957 | 2026-02-26 01:15:47.249061 |
| 2026-03-20 07:08:43.298377 | 2026-03-26 16:56:51.478136 | 21510772 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21510772 | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-23 | M | AE | PT | Seth | 40042142001 | Sushil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_21510772_6fea4d7e-ba66-4ed3-ad5c-6995c0f6c397.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621416 | N/A | N/A | 17252132 | 2222 | 4802 | 21772453 | 6237 | 15269089 | 2026-03-26 16:56:51.478136 | 2026-03-03 16:25:21.496329 |
| 2026-03-20 07:08:43.170655 | 2026-03-26 16:58:08.809064 | 21510769 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21510769 | Athletic Physical Therapy Inc | 1966-11-18 | 2026-03-23 | M | PT | N/A | Ratsch | UCD914872609 | Christian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17232261/check_21510769_563972d0-2940-4fe5-b658-30a135983a2d.json | N/A | N/A | N/A | N/A | N/A | UCD914872609 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1966-11-18 | 1400PPOX0001 | W3000984 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621415 | N/A | N/A | 17232261 | 2222 | 4802 | 21782828 | N/A | 15250062 | 2026-03-26 16:58:08.809064 | 2026-02-23 15:20:23.082808 |
| 2026-03-20 07:08:43.073754 | 2026-03-26 16:53:52.246098 | 21510766 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21510766 | Athletic Physical Therapy Inc | 1989-11-05 | 2026-03-23 | M | AE | PT | WALTHER | 91450497C | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145820/check_21510766_69ce5e45-617b-4cb3-af21-36dc2fd33a70.json | N/A | N/A | N/A | N/A | N/A | 91450497C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1989-11-05 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | WALTHER | N/A | EDGAR | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621414 | N/A | N/A | 17145820 | 2222 | 4802 | 21750470 | 4211 | 15134963 | 2026-03-26 16:53:52.246098 | 2026-03-05 23:10:38.165816 |
| 2026-03-20 07:08:42.971059 | 2026-03-26 16:57:05.942258 | 21510763 | N/A | N/A | 87726 | UMR | 1114042165 | 21510763 | Athletic Physical Therapy Inc | 1992-02-26 | 2026-03-23 | F | AE | PT | BEASLEY | G45096418 | AMBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145684/check_21510763_ffb08c15-fa00-458f-9e47-1801ddfbc7c2.json | N/A | N/A | N/A | N/A | N/A | G45096418 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1992-02-26 | 767000416933002 | 76416933 | N/A | N/A | false | BEASLEY | N/A | AMBER | 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 | 10342621413 | N/A | N/A | 17145684 | 2222 | 4801 | 21774240 | N/A | 15134758 | 2026-03-26 16:57:05.942258 | 2026-02-20 20:44:43.451428 |
| 2026-03-20 07:08:42.831249 | 2026-03-26 16:56:50.600686 | 21510758 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21510758 | Athletic Physical Therapy Inc | 1956-01-05 | 2026-03-23 | F | AE | PT | MANN SHELLY | 40066654701 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17127499/check_21510758_cb7410fa-d13d-46c8-9de2-9102f8b15091.json | N/A | N/A | N/A | N/A | N/A | 40066654701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-05 | 2026H5425001 | H5425M | N/A | N/A | false | MANN SHELLY | N/A | LISA | 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 | 10342621410 | N/A | N/A | 17127499 | 2222 | 4801 | 21772358 | 6237 | 15117739 | 2026-03-26 16:56:50.600686 | 2026-03-06 19:39:46.448612 |
| 2026-03-20 07:08:42.691431 | 2026-03-26 16:57:57.238923 | 21510756 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510756 | Athletic Physical Therapy Inc | 1969-05-12 | 2026-03-23 | M | PT | N/A | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17122946/check_21510756_1a192523-1332-44b6-a64b-a4f806eb9044.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1969-05-12 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621409 | N/A | N/A | 17122946 | 2222 | 4793 | 21781265 | N/A | 15113667 | 2026-03-26 16:57:57.238923 | 2026-02-24 15:18:30.819287 |
| 2026-03-20 07:08:42.588117 | 2026-03-26 16:57:54.695813 | 21510751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510751 | Athletic Physical Therapy Inc | 1984-10-11 | 2026-03-23 | M | PT | N/A | Gibson | B6M8530851 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_21510751_097852a6-838b-4402-9bd2-96f79f6cfd2c.json | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621408 | N/A | N/A | 17087478 | 2222 | 4802 | 21780975 | N/A | 15079139 | 2026-03-26 16:57:54.695813 | 2026-03-03 01:53:25.910380 |
| 2026-03-20 07:08:42.439693 | 2026-03-26 16:55:10.611800 | 21510748 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21510748 | Athletic Physical Therapy Inc | 1939-08-26 | 2026-03-23 | F | AE | PT | Paltenghe | H7957237000 | Beverley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086727/check_21510748_b2948c83-a196-4b34-8032-fe5ab920b8b1.json | N/A | N/A | N/A | N/A | N/A | H79572370 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 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 | 1939-08-26 | N/A | Y9623001 | N/A | HN | false | PALTENGHE | N/A | BEVERLY | 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 | 10342621407 | N/A | N/A | 17086727 | 2222 | 4793 | 21759621 | 5349 | 15078543 | 2026-03-26 16:55:10.611800 | 2026-02-25 17:47:59.680372 |
| 2026-03-20 07:08:42.233855 | 2026-03-26 16:57:10.393621 | 21510742 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21510742 | Athletic Physical Therapy Inc | 1966-06-02 | 2026-03-23 | F | AE | PT | ISRAEL | 925576042 | JJ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17004851/check_21510742_2d41183b-ddc0-443c-b690-a866874dc5d2.json | N/A | N/A | N/A | N/A | N/A | 925576042 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 10342621406 | N/A | N/A | 17004851 | 2222 | 4802 | 21774832 | 6411 | 4214617 | 2026-03-26 16:57:10.393621 | 2025-07-28 17:06:19.583415 |
| 2026-03-20 07:08:42.124484 | 2026-03-26 17:01:07.325496 | 21510740 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21510740 | Athletic Physical Therapy Inc | 1955-11-25 | 2026-03-23 | M | AE | PT | RUBIN | 8P63F06UN75 | RONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16917799/check_21510740_901a6e04-2201-4e1e-92d7-0688a0b4056d.json | N/A | N/A | N/A | N/A | N/A | 8P63F06UN75 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-25 | S4802 | N/A | N/A | MA | false | RUBIN | N/A | RONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621405 | N/A | N/A | 16917799 | 2222 | 4793 | 21804386 | N/A | 14917009 | 2026-03-26 17:01:07.325496 | 2026-02-20 22:29:32.356717 |
| 2026-03-20 07:08:41.978712 | 2026-03-26 16:57:58.599837 | 21510736 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21510736 | Athletic Physical Therapy Inc | 2005-07-19 | 2026-03-23 | F | PT | N/A | SHADMAN | XDM294A72965 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16909269/check_21510736_0922c24c-595b-4feb-a2cd-3328db23ced0.json | N/A | N/A | N/A | N/A | N/A | XDM294A72965 | Health Maintenance Organization (HMO) | SISC - PASADENA CITY COLLEGE | ANTHEM BLUE CROSS | N/A | 2005-07-19 | 040 | 57ANQE | N/A | HM | false | NAGY | N/A | ELIZABETH | N/A | 9999-12-31 | 2017-10-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621404 | N/A | N/A | 16909269 | 2222 | 4801 | 21781438 | 4185 | 14909038 | 2026-03-26 16:57:58.599837 | 2026-02-23 22:02:41.875233 |
| 2026-03-20 07:08:41.802099 | 2026-03-26 16:57:55.265202 | 21510733 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510733 | Athletic Physical Therapy Inc | 1987-02-24 | 2026-03-23 | F | PT | N/A | Grace | JXN583W02509 | Dana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887799/check_21510733_adcb147e-fa66-4e29-99da-73b6173e9319.json | N/A | N/A | N/A | N/A | N/A | JXN583W02509 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1987-02-24 | 040 | 174222M2A1 | N/A | PR | false | GRACE | N/A | DANA | N/A | 9999-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621403 | N/A | N/A | 16887799 | 2222 | 4801 | 21781051 | N/A | 14890630 | 2026-03-26 16:57:55.265202 | 2026-02-13 00:25:52.751690 |
| 2026-03-20 07:08:41.651571 | 2026-03-26 17:01:05.577560 | 21510729 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21510729 | Athletic Physical Therapy Inc | 1956-04-15 | 2026-03-23 | F | AE | PT | Kent | 3G20V48CP02 | Lianne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16886551/check_21510729_38e5686e-b187-4ea3-9cce-e89eca3ce1b2.json | N/A | N/A | N/A | N/A | N/A | 3G20V48CP02 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-04-15 | S5601 | N/A | N/A | MA | false | KENT | N/A | LIANNE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 27760 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621402 | N/A | N/A | 16886551 | 2222 | 4801 | 21804197 | N/A | 14889116 | 2026-03-26 17:01:05.577560 | 2026-02-12 23:35:21.377304 |
| 2026-03-20 07:08:41.550793 | 2026-03-26 16:58:07.186602 | 21510727 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 21510727 | Athletic Physical Therapy Inc | 1960-03-09 | 2026-03-23 | M | PT | N/A | BALLINGER | XEH909317629 | JIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16870368/check_21510727_df65cf97-21f6-42fe-b054-ac83146c1c12.json | N/A | N/A | N/A | N/A | N/A | XEH909317629 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1960-03-09 | 1000VX000001 | W0069783 | N/A | HM | false | BALLINGER | N/A | JIM | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621401 | N/A | N/A | 16870368 | 2222 | 4793 | 21782612 | 4191 | 14875811 | 2026-03-26 16:58:07.186602 | 2026-02-12 18:13:52.548548 |
| 2026-03-20 07:08:41.414486 | 2026-03-26 16:57:56.803905 | 21510724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510724 | Athletic Physical Therapy Inc | 1971-08-23 | 2026-03-23 | M | PT | N/A | MACLEAN | JQU120W20392 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16838110/check_21510724_f35605f5-488f-4509-a225-911202468394.json | N/A | N/A | N/A | N/A | N/A | JQU120W20392 | Preferred Provider Organization (PPO) | CEDAR VALLEY PLUMBING SUPPLY | ANTHEM BLUE CROSS | N/A | 1971-08-23 | 040 | Q75469 | N/A | PR | false | MACLEAN | N/A | JAMES | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621400 | N/A | N/A | 16838110 | 2222 | 4793 | 21781221 | N/A | 14845258 | 2026-03-26 16:57:56.803905 | 2026-02-18 01:53:33.223443 |
| 2026-03-20 07:08:41.275167 | 2026-03-26 16:57:37.906046 | 21510721 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 21510721 | Athletic Physical Therapy Inc | 1955-08-19 | 2026-03-23 | F | AE | PT | SHIRLEY | 00000473306 | CHERYLL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16719138/check_21510721_30204170-0af8-4fbb-98d4-ca9d3c8101c9.json | N/A | N/A | N/A | N/A | N/A | 00000473306 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1955-08-19 | N/A | N/A | N/A | N/A | false | SHIRLEY | N/A | CHERYLL | 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 | 10342621399 | N/A | N/A | 16719138 | 2222 | 4801 | 21778604 | 2630 | 14730996 | 2026-03-26 16:57:37.906046 | 2026-02-10 01:02:18.142372 |
| 2026-03-20 07:08:41.149877 | 2026-03-26 16:57:25.835190 | 21510717 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21510717 | Athletic Physical Therapy Inc | 1993-04-22 | 2026-03-23 | M | AE | PT | Becerra | 000022595313 | Sergio | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16712943/check_21510717_93984ec9-9ab8-490e-8010-a32b082e82de.json | N/A | N/A | N/A | N/A | N/A | 000022595313 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1993-04-22 | 4308300 | 228273 | N/A | N/A | false | BECERRA | N/A | SERGIO | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR GOLD DHMO 250/35 MAR PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342621396 | N/A | N/A | 16712943 | 2222 | 4802 | 21776923 | N/A | 14725042 | 2026-03-26 16:57:25.835190 | 2026-02-09 22:20:56.705118 |
| 2026-03-20 07:08:41.035795 | 2026-03-26 16:57:55.526208 | 21510715 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21510715 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-03-23 | M | PT | N/A | Higa | NCF843A55961 | Parrish | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16685165/check_21510715_1dc6a482-68ab-4e93-9da4-de7db0df22c7.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342621395 | N/A | N/A | 16685165 | 2222 | 4801 | 21781083 | N/A | 14698980 | 2026-03-26 16:57:55.526208 | 2026-02-09 18:51:36.820546 |
| 2026-03-20 07:08:40.916821 | 2026-03-26 16:57:35.882863 | 21510711 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21510711 | Athletic Physical Therapy Inc | 1983-04-17 | 2026-03-23 | F | AE | PT | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121931324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_21510711_088da75c-5161-4131-8d7d-ae9d96cd19b2.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET, LLC | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | 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 | 10342621394 | N/A | N/A | 16579498 | 2222 | 4793 | 21778330 | 4625 | 14597625 | 2026-03-26 16:57:35.882863 | 2026-02-09 19:54:47.612972 |