API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-24 09:17:23.858270 | 2025-06-25 09:03:12.182672 | 9219769 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9219769 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-27 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9219769_fb00eb52-9dc2-47a8-abad-104d3dd909a9.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517955 | N/A | N/A | 5543270 | 2222 | 4793 | 8943108 | N/A | 4215086 | 2025-06-25 09:03:12.182672 | 2025-05-13 04:29:37.229401 |
| 2025-06-24 09:17:23.033329 | 2025-06-25 09:30:33.672187 | 9219765 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219765 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-27 | F | AE | PT | SINGER | 8XN3QF1XM78 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_9219765_7e309a77-ddf1-441d-8f15-d4a1777a25f5.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MA | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517954 | N/A | N/A | 5543247 | 2222 | 4793 | 8953991 | N/A | 4215066 | 2025-06-25 09:30:33.672187 | 2025-05-13 04:29:37.229384 |
| 2025-06-24 09:17:22.178999 | 2025-06-25 09:09:22.069704 | 9219761 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9219761 | Athletic Physical Therapy Inc | 1999-02-08 | 2025-06-27 | F | AD | N/A | SMALLWOOD | 109798591 | CORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_9219761_30ee5520-1c8c-4a8e-85ca-f4e0b66c38bc.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8042517953 | N/A | N/A | 5543189 | 2222 | 4802 | 8946022 | N/A | 4215016 | 2025-06-25 09:09:22.069704 | 2025-05-13 04:29:37.229333 |
| 2025-06-24 09:17:21.718383 | 2025-06-25 09:30:27.083730 | 9219759 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219759 | Athletic Physical Therapy Inc | 1948-07-16 | 2025-06-27 | M | AE | PT | KANDELA | 6J42U95NP24 | IMAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543177/check_9219759_91867027-58fd-4ee2-a12d-90d3c66f929c.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517952 | N/A | N/A | 5543177 | 2222 | 4793 | 8953978 | N/A | 4215003 | 2025-06-25 09:30:27.083730 | 2025-05-13 04:29:37.229322 |
| 2025-06-24 09:17:21.054622 | 2025-06-25 09:06:52.242552 | 9219756 | N/A | N/A | 60054 | AETNA | 1114042165 | 9219756 | Athletic Physical Therapy Inc | 1954-11-18 | 2025-06-27 | M | AE | PT | CUNNINGHAM | 101899291800 | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543176/check_9219756_ffac4cd8-b361-4eee-911d-2b043f42d18c.json | N/A | N/A | N/A | N/A | N/A | 101899291800 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1954-11-18 | 000003-CA000083 | 000003-CA | N/A | QM | false | CUNNINGHAM | N/A | RAY | N/A | N/A | N/A | AETNA MEDICARE VALUE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517951 | N/A | N/A | 5543176 | 2222 | 4802 | 8944742 | 3939 | 4215002 | 2025-06-25 09:06:52.242552 | 2025-05-28 20:18:01.917044 |
| 2025-06-24 09:17:19.935103 | 2025-06-25 09:14:09.798883 | 9219752 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219752 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-27 | M | PT | N/A | FEY | XED912890874 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_9219752_1f4e1f2b-e280-4b04-973a-985997383689.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517950 | N/A | N/A | 5543173 | 2222 | 4793 | 8948375 | N/A | 4215000 | 2025-06-25 09:14:09.798883 | 2025-05-13 04:29:37.229320 |
| 2025-06-24 09:17:18.830309 | 2025-06-25 09:14:16.900917 | 9219745 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219745 | Athletic Physical Therapy Inc | 1991-10-03 | 2025-06-27 | M | PT | N/A | PANTOSKEY | XED914113497 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543146/check_9219745_51c041ec-d568-4f83-9726-86aca59544e8.json | N/A | N/A | N/A | N/A | N/A | XED914113497 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-03 | 2001ZK002184 | X0001004 | N/A | PR | false | PANTOSKEY | N/A | SCOTT | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517949 | N/A | N/A | 5543146 | 2222 | 4802 | 8948437 | N/A | 4214969 | 2025-06-25 09:14:16.900917 | 2025-06-06 17:35:27.697291 |
| 2025-06-24 09:17:17.877657 | 2025-06-25 09:14:21.780618 | 9219744 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219744 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-27 | F | PT | N/A | STOLZ | XED912573254 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9219744_2edaa9e0-4888-4d9d-b022-3a2632e7eef0.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2023-10-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517948 | N/A | N/A | 5543121 | 2222 | 4802 | 8948474 | N/A | 4214948 | 2025-06-25 09:14:21.780618 | 2025-06-26 01:28:07.741882 |
| 2025-06-24 09:17:16.840363 | 2025-06-25 09:14:14.050182 | 9219741 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219741 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-06-27 | F | PT | N/A | NAFTZGER | XEK900854258 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_9219741_e5f2df90-fc02-4e0c-a525-d712e5366353.json | N/A | N/A | N/A | N/A | N/A | XEK900854258 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | 2001ZK002171 | X0001000 | N/A | PR | false | NAFTZGER | N/A | SANDRA | N/A | 2025-06-30 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517947 | N/A | N/A | 5543048 | 2222 | 4802 | 8948413 | N/A | 4214889 | 2025-06-25 09:14:14.050182 | 2025-05-13 04:29:37.229212 |
| 2025-06-24 09:17:16.354555 | 2025-06-25 09:12:29.903077 | 9219739 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9219739 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-06-27 | M | PT | N/A | BAIRD | XEH909620608 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_9219739_dc59e71c-1cb7-49fd-ade9-71990d1cd31a.json | N/A | N/A | N/A | N/A | N/A | XEH909620608 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 2007-05-15 | 1479HMOX0001 | W0051411 | N/A | HM | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517946 | N/A | N/A | 5542883 | 2222 | 4793 | 8947562 | 4184 | 4214747 | 2025-06-25 09:12:29.903077 | 2025-05-13 04:29:37.229066 |
| 2025-06-24 09:17:15.532716 | 2025-06-25 09:14:19.573253 | 9219735 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219735 | Athletic Physical Therapy Inc | 1963-08-16 | 2025-06-27 | M | PT | N/A | SILBER | XED909580436 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542831/check_9219735_4c3a7b03-4d8d-4bdb-ab57-373b96d9732c.json | N/A | N/A | N/A | N/A | N/A | XED909580436 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-08-16 | 2001ZK002184 | X0001004 | N/A | PR | false | SILBER | N/A | MICHAEL | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517945 | N/A | N/A | 5542831 | 2222 | 4793 | 8948458 | N/A | 4214698 | 2025-06-25 09:14:19.573253 | 2025-05-13 04:29:37.229015 |
| 2025-06-24 09:17:14.715799 | 2025-06-25 09:14:16.107009 | 9219730 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219730 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-06-27 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_9219730_ecdc11b2-5815-47fd-aac2-9bbe5df495b4.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517944 | N/A | N/A | 5542770 | 2222 | 4802 | 8948428 | N/A | 4214643 | 2025-06-25 09:14:16.107009 | 2025-05-13 04:29:37.228964 |
| 2025-06-24 09:17:13.883749 | 2025-06-25 09:09:20.755972 | 9219728 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9219728 | Athletic Physical Therapy Inc | 2007-06-17 | 2025-06-27 | M | AD | N/A | HOWELLS | U4973334602 | SEBASTIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542688/check_9219728_dce54ab0-b60f-4fb5-9f86-3cba50007f00.json | N/A | N/A | N/A | N/A | N/A | U4973334603 | N/A | CRINETICS PHARMACEUTICALS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 2007-06-17 | N/A | 3345982 | N/A | N/A | false | HOWELLS | N/A | SEBASTIAN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8042517943 | N/A | N/A | 5542688 | 2222 | 4793 | 8946012 | N/A | 4214567 | 2025-06-25 09:09:20.755972 | 2025-06-26 17:54:56.034825 |
| 2025-06-24 09:17:13.020086 | 2025-06-25 09:03:10.406355 | 9219725 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9219725 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-27 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9219725_80799d98-3481-49b1-abc8-36e282a229b7.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517942 | N/A | N/A | 5542660 | 2222 | 4802 | 8943096 | N/A | 4214542 | 2025-06-25 09:03:10.406355 | 2025-05-13 04:29:37.228868 |
| 2025-06-24 09:17:12.533781 | 2025-06-25 09:14:15.198351 | 9219723 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219723 | Athletic Physical Therapy Inc | 1964-12-21 | 2025-06-27 | F | PT | N/A | BERMAN | XEK909562521 | AMY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542576/check_9219723_18e2f28e-eb89-456f-a44b-e0a78525dffc.json | N/A | N/A | N/A | N/A | N/A | XEK909562521 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-12-21 | 2001ZK002189 | X0001000 | N/A | PR | false | NEAL | N/A | RON | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517941 | N/A | N/A | 5542576 | 2222 | 4793 | 8948419 | N/A | 4214467 | 2025-06-25 09:14:15.198351 | 2025-05-13 04:29:37.228779 |
| 2025-06-24 09:17:11.840257 | 2025-06-25 09:12:41.884996 | 9219720 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219720 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-06-27 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_9219720_375c8864-5571-430e-8d2f-e27a25cf7397.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517940 | N/A | N/A | 5542387 | 2222 | 4801 | 8947656 | N/A | 4214300 | 2025-06-25 09:12:41.884996 | 2025-06-17 13:03:57.252701 |
| 2025-06-24 09:17:10.931141 | 2025-06-25 09:12:39.287443 | 9219716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219716 | Athletic Physical Therapy Inc | 2008-04-12 | 2025-06-27 | M | PT | N/A | PULS | XTS068A69201 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542214/check_9219716_c1895bd7-3bbc-47e0-b061-83682034e04c.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517939 | N/A | N/A | 5542214 | 2222 | 4793 | 8947634 | N/A | 4214158 | 2025-06-25 09:12:39.287443 | 2025-05-13 04:29:37.228486 |
| 2025-06-24 09:17:10.338179 | 2025-06-25 09:12:36.440934 | 9219713 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9219713 | Athletic Physical Therapy Inc | 2000-02-29 | 2025-06-27 | M | PT | N/A | MILLER | XDM622A62041 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542028/check_9219713_1060a1e2-5c95-4526-ae8b-c7387835a72a.json | N/A | N/A | N/A | N/A | N/A | XDM622A62041 | Health Maintenance Organization (HMO) | MOUNTAINS RECREATION AND CONSERVATION AUTHORITY | ANTHEM BLUE CROSS | N/A | 2000-02-29 | 040 | 166337H004 | N/A | HM | false | MILLER | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517938 | N/A | N/A | 5542028 | 2222 | 4801 | 8947614 | 4184 | 4213985 | 2025-06-25 09:12:36.440934 | 2025-05-13 04:29:37.228303 |
| 2025-06-24 09:17:09.908863 | 2025-06-25 09:14:11.684677 | 9219710 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219710 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-06-27 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_9219710_e92a634e-bbef-4e53-9044-175d047f1a67.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517936 | N/A | N/A | 5541956 | 2222 | 4802 | 8948391 | N/A | 4213923 | 2025-06-25 09:14:11.684677 | 2025-05-13 04:29:37.228244 |
| 2025-06-24 09:17:09.212249 | 2025-06-25 09:12:28.695590 | 9219708 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9219708 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-27 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9219708_987c6ce2-03b5-4aa6-85ae-b5fce6933c9e.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517935 | N/A | N/A | 5541944 | 2222 | 4801 | 8947551 | 4184 | 4213907 | 2025-06-25 09:12:28.695590 | 2025-05-13 04:29:37.228228 |
| 2025-06-24 09:17:08.268658 | 2025-06-25 09:30:30.050039 | 9219705 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219705 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-06-27 | F | AE | PT | MAYER | 5J41QM7YN93 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_9219705_269abeb1-65ba-4188-a147-c2ca7e9db80c.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517934 | N/A | N/A | 5541938 | 2222 | 4801 | 8953984 | N/A | 4213917 | 2025-06-25 09:30:30.050039 | 2025-06-25 01:53:37.609327 |
| 2025-06-24 09:17:07.439236 | 2025-06-25 09:30:35.838782 | 9219701 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219701 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-27 | M | PT | AE | WOLFE | 1HG7NP4AM73 | DIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541812/check_9219701_36878b6f-d0eb-4034-b300-49772ab97ce9.json | N/A | N/A | N/A | N/A | N/A | 1HG7NP4AM73 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-13 | S4802 | N/A | N/A | MB | false | WOLFE | N/A | DIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042517933 | N/A | N/A | 5541812 | 2222 | 4801 | 8953997 | N/A | 4213795 | 2025-06-25 09:30:35.838782 | 2026-06-05 00:55:52.281598 |
| 2025-06-24 09:17:06.707247 | 2025-06-25 09:14:13.049196 | 9219696 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219696 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-06-27 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_9219696_8d191c82-e84c-4ba7-ae3f-da3563356bbf.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2025-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517932 | N/A | N/A | 5541730 | 2222 | 4793 | 8948400 | N/A | 4213725 | 2025-06-25 09:14:13.049196 | 2025-05-13 04:29:37.228045 |
| 2025-06-24 09:17:06.115473 | 2025-06-25 09:03:25.123768 | 9219693 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9219693 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-06-27 | F | PT | N/A | GARCIA | 666A55608320 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9219693_94fe304a-4f7e-425e-8abd-45f046a98a4f.json | N/A | N/A | N/A | N/A | N/A | 666A55608320 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517931 | N/A | N/A | 5541664 | 2222 | 4793 | 8943194 | N/A | 4213662 | 2025-06-25 09:03:25.123768 | 2025-05-13 04:29:37.227982 |
| 2025-06-24 09:17:05.374388 | 2025-06-25 09:09:21.624972 | 9219690 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9219690 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-06-27 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_9219690_049f3239-b38f-4551-a894-3595599b5370.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8042517930 | N/A | N/A | 5541552 | 2222 | 4802 | 8946017 | N/A | 4213562 | 2025-06-25 09:09:21.624972 | 2025-05-13 04:29:37.227895 |
| 2025-06-24 09:17:04.134952 | 2025-06-25 09:11:20.064138 | 9219686 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9219686 | Athletic Physical Therapy Inc | 1985-08-14 | 2025-06-27 | F | AE | PT | LIN | G44715088 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_9219686_c99aa445-efdc-4072-a5f7-831d0456fbbd.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1985-08-14 | 767000416933003 | 76416933 | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517928 | N/A | N/A | 5541550 | 2222 | 4802 | 8946993 | N/A | 4213560 | 2025-06-25 09:11:20.064138 | 2025-05-13 04:29:37.227892 |
| 2025-06-24 09:17:03.144715 | 2025-06-25 09:14:22.738305 | 9219683 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219683 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-27 | M | PT | N/A | TOHLCHINSKY | XEA901508061 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9219683_bfb1c283-dd11-4f83-8a91-1e7a3438cdb7.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 2025-11-30 | 2024-12-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517927 | N/A | N/A | 5541542 | 2222 | 4793 | 8948482 | N/A | 4213542 | 2025-06-25 09:14:22.738305 | 2025-06-03 22:12:38.498592 |
| 2025-06-24 09:17:02.177495 | 2025-06-25 09:14:10.435827 | 9219679 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219679 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-27 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9219679_f0d08129-0abe-4c76-8d6f-020cfa954473.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517926 | N/A | N/A | 5541314 | 2222 | 4793 | 8948384 | N/A | 4213343 | 2025-06-25 09:14:10.435827 | 2025-06-06 02:21:37.603701 |
| 2025-06-24 09:17:01.815112 | 2025-06-25 09:14:18.700427 | 9219677 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219677 | Athletic Physical Therapy Inc | 1988-05-30 | 2025-06-27 | M | PT | N/A | SCOTT | XEA900656048 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_9219677_5bd329ff-87f3-4ace-a2c1-591d198d6809.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2016-02-01 | CHILDREN S DENTAL PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517925 | N/A | N/A | 5541110 | 2222 | 4802 | 8948447 | N/A | 4213165 | 2025-06-25 09:14:18.700427 | 2025-05-13 04:29:37.227492 |
| 2025-06-24 09:17:01.004789 | 2025-06-25 09:30:23.948240 | 9219673 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219673 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-27 | M | AE | PT | DASILVA | 4KY4HX3NJ05 | BOB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9219673_8ff28a5b-176f-41d2-b625-10316bde2562.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MA | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517924 | N/A | N/A | 5540840 | 2222 | 4793 | 8953972 | N/A | 4212930 | 2025-06-25 09:30:23.948240 | 2025-05-13 04:29:37.227258 |
| 2025-06-24 09:17:00.116429 | 2025-06-25 09:06:51.436587 | 9219670 | N/A | N/A | 60054 | Aetna | 1114042165 | 9219670 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-06-27 | M | PT | AE | BOKHTIER | W275493875 | GOLAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_9219670_a1075d7c-546d-43c1-955c-aee411215299.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042517923 | N/A | N/A | 5540723 | 2222 | 4793 | 8944733 | N/A | 4212833 | 2025-06-25 09:06:51.436587 | 2025-05-28 20:46:35.079848 |
| 2025-06-24 09:16:59.199900 | 2025-06-25 09:30:26.194027 | 9219667 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219667 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-27 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_9219667_c3917ca8-7965-4943-b27e-d62d8f00a834.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517241 | N/A | N/A | 5540676 | 2222 | 4801 | 8953976 | N/A | 4212792 | 2025-06-25 09:30:26.194027 | 2025-10-07 20:33:25.637997 |
| 2025-06-24 09:16:58.507230 | 2025-06-25 09:05:46.954707 | 9219664 | N/A | N/A | 39026 | UMR | 1114042165 | 9219664 | Athletic Physical Therapy Inc | 1979-03-16 | 2025-06-27 | F | AE | PT | LAKANDULA | 28291063 | RICARDO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540442/check_9219664_d5830444-40c9-4385-8f7c-c3afeac6489d.json | N/A | N/A | N/A | N/A | N/A | 28291063 | N/A | ENSIGN-BICKFORD INDUSTRIES, INC. | UMR | N/A | 1979-03-16 | 417004415110002 | 76415110 | N/A | N/A | false | LAKANDULA | N/A | RICARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517240 | N/A | N/A | 5540442 | 2222 | 4801 | 8944191 | N/A | 4212597 | 2025-06-25 09:05:46.954707 | 2025-05-23 17:21:10.452450 |
| 2025-06-24 09:16:57.947316 | 2025-06-25 09:03:26.122842 | 9219662 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9219662 | Athletic Physical Therapy Inc | 1957-04-05 | 2025-06-27 | M | PT | N/A | GHAFFARI | XEE980566737 | HAMID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540041/check_9219662_ac4d7ece-38c8-4cc8-a6fa-84500e4fc1cc.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517239 | N/A | N/A | 5540041 | 2222 | 4802 | 8943203 | N/A | 4212255 | 2025-06-25 09:03:26.122842 | 2025-05-13 04:29:37.226591 |
| 2025-06-24 09:16:57.229225 | 2025-06-25 09:03:13.080939 | 9219660 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9219660 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-06-27 | F | AE | PT | WENSEL | 40065419401 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9219660_e31b3824-0860-4167-be41-ca31a59f898a.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517238 | N/A | N/A | 5539718 | 2222 | 4793 | 8943111 | N/A | 4211977 | 2025-06-25 09:03:13.080939 | 2025-05-13 04:29:37.226299 |
| 2025-06-24 09:16:56.569210 | 2025-06-25 09:12:31.592912 | 9219656 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219656 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-25 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_9219656_977a1148-d3a5-4ffc-8541-c17e373d8e0b.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517237 | N/A | N/A | 5539664 | 2222 | 4793 | 8947576 | N/A | 4211935 | 2025-06-25 09:12:31.592912 | 2025-05-13 04:29:37.226259 |
| 2025-06-24 09:16:55.544295 | 2025-06-25 09:12:34.594839 | 9219650 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219650 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-06-27 | F | PT | N/A | MAGEE | SRYHC0157512 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_9219650_694c6b07-c965-42fd-b439-92f780942dfa.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517236 | N/A | N/A | 5539606 | 2222 | 4793 | 8947601 | N/A | 4211886 | 2025-06-25 09:12:34.594839 | 2026-02-06 19:09:03.082684 |
| 2025-06-24 09:16:54.824977 | 2025-06-25 09:04:53.865862 | 9219646 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 9219646 | Athletic Physical Therapy Inc | 1953-08-21 | 2025-06-27 | M | AE | PT | CUMMINGS | 29086032 | OVERSTONE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539195/check_9219646_b2f03a35-577b-4fea-a482-269915cb92db.json | N/A | N/A | N/A | N/A | N/A | 29086032 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-08-21 | 406-024-000 | N/A | N/A | N/A | false | CUMMINGS JR | N/A | OVERSTONE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517235 | N/A | N/A | 5539195 | 2222 | 4801 | 8943766 | 6798 | 4211528 | 2025-06-25 09:04:53.865862 | 2025-05-29 22:30:24.728697 |
| 2025-06-24 09:16:53.712998 | 2025-06-25 09:03:23.955833 | 9219641 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9219641 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-27 | M | AE | PT | CHADIDA | 40060913601 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_9219641_598ea205-da59-4fe7-bc03-235f56afadd8.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517233 | N/A | N/A | 5538674 | 2222 | 4793 | 8943187 | N/A | 4211039 | 2025-06-25 09:03:23.955833 | 2025-05-13 04:29:37.225444 |
| 2025-06-24 09:16:53.097613 | 2025-06-25 09:28:34.685672 | 9219639 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 9219639 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-27 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_9219639_3f907a22-4d45-4f05-80a2-0461724e783f.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517232 | N/A | N/A | 5538157 | 2222 | 4802 | 8953755 | N/A | 4210607 | 2025-06-25 09:28:34.685672 | 2025-08-01 18:31:38.620742 |
| 2025-06-24 09:16:52.631149 | 2025-06-25 09:14:23.996708 | 9219634 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219634 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-27 | M | PT | N/A | WARD | XED913389013 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9219634_a3016416-5062-434b-adab-a80f32c7d26c.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517231 | N/A | N/A | 5538129 | 2222 | 4802 | 8948489 | N/A | 4210590 | 2025-06-25 09:14:23.996708 | 2025-05-13 04:29:37.225004 |
| 2025-06-24 09:16:52.059565 | 2025-06-25 09:14:20.547997 | 9219632 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9219632 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-06-27 | F | PT | N/A | SNELL | XED912271222 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_9219632_724947fe-1117-4441-9866-95e268203c16.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517230 | N/A | N/A | 5537740 | 2222 | 4802 | 8948465 | N/A | 4210260 | 2025-06-25 09:14:20.547997 | 2025-05-13 04:29:37.224672 |
| 2025-06-24 09:16:50.827044 | 2025-06-25 09:12:37.730415 | 9219625 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219625 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-27 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9219625_c834f9f6-b18f-47ed-bd3b-bd8252b5dc66.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517229 | N/A | N/A | 5537188 | 2222 | 4802 | 8947623 | N/A | 4209789 | 2025-06-25 09:12:37.730415 | 2025-05-13 04:29:37.224215 |
| 2025-06-24 09:16:50.071913 | 2025-06-25 09:12:40.485229 | 9219622 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219622 | Athletic Physical Therapy Inc | 1960-10-26 | 2025-06-27 | M | PT | N/A | SUCHER | NCF577A55433 | JAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536746/check_9219622_e984deb6-8dfa-4e2f-957e-eb0c6564fc81.json | N/A | N/A | N/A | N/A | N/A | NCF577A55433 | Health Maintenance Organization (HMO) | CALTECH JPL HMO ADVANTAGE | ANTHEM BLUE CROSS | N/A | 1960-10-26 | 040 | 175104H220 | N/A | HM | false | SUCHER | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | BLUE CROSS ADVANTAGE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517228 | N/A | N/A | 5536746 | 2222 | 4801 | 8947644 | N/A | 4209436 | 2025-06-25 09:12:40.485229 | 2025-06-27 22:58:27.733010 |
| 2025-06-24 09:16:49.512937 | 2025-06-25 09:12:44.534197 | 9219619 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219619 | Athletic Physical Therapy Inc | 1977-02-28 | 2025-06-27 | F | PT | N/A | YOUNG | LDU021A75601 | AMY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536372/check_9219619_176ade6f-0d05-467b-a78d-475c0148eae3.json | N/A | N/A | N/A | N/A | N/A | LDU021A75601 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-02-28 | 040 | 1838NC | N/A | EP | false | YOUNG | N/A | AMY | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517227 | N/A | N/A | 5536372 | 2222 | 4801 | 8947676 | N/A | 4209123 | 2025-06-25 09:12:44.534197 | 2025-05-13 04:29:37.223548 |
| 2025-06-24 09:16:48.865914 | 2025-06-25 09:30:25.110143 | 9219615 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219615 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-27 | F | AE | PT | ELDRIDGE | 2XD1AM4AP01 | MARGARET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9219615_f99bc66e-5930-4ba4-8496-aa66caf73766.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517226 | N/A | N/A | 5536109 | 2222 | 4793 | 8953974 | N/A | 4208915 | 2025-06-25 09:30:25.110143 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 09:16:48.007936 | 2025-06-25 09:03:27.559726 | 9219613 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9219613 | Athletic Physical Therapy Inc | 1946-07-28 | 2025-06-27 | M | AE | PT | LOGAN | 198908101 | SIDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535427/check_9219613_a967b2d9-2f76-4676-a25c-681a9ef5dd2f.json | N/A | N/A | N/A | N/A | N/A | 198908101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517225 | N/A | N/A | 5535427 | 2222 | 4802 | 8943211 | N/A | 4208354 | 2025-06-25 09:03:27.559726 | 2025-05-13 04:29:37.222775 |
| 2025-06-24 09:15:00.665637 | 2025-06-24 09:15:02.514925 | 9219033 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-24 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_9219033_ba27a2e1-966f-427b-a03b-317967b03151.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9219033_b93ee85f-ff11-4cd1-9604-752d924096b4.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042401451 | N/A | N/A | 5542850 | 2222 | N/A | 8926284 | N/A | 4214714 | 2025-06-24 09:15:02.514925 | 2025-05-13 04:29:37.229031 |
| 2025-06-24 09:12:08.558671 | 2025-06-25 09:09:16.257895 | 9217764 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9217764 | Athletic Physical Therapy Inc | 1976-11-09 | 2025-06-27 | M | AE | PT | LAWSON | I09755489 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141340716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9217764_512665e2-b15d-4b03-8c85-8c661e46ece5.json | N/A | N/A | N/A | N/A | N/A | I09755489 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1976-11-09 | N/A | N/A | N/A | N/A | false | LAWSON | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042382619 | N/A | N/A | 6213138 | 2222 | 4793 | 8945982 | N/A | 4856781 | 2025-06-25 09:09:16.257895 | 2025-06-12 21:52:37.627086 |
| 2025-06-24 09:11:54.325109 | 2025-06-25 09:02:46.242266 | 9217618 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9217618 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-06-27 | M | PT | N/A | ALBA | XEH909330777 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141340716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_9217618_6d116b07-280b-412e-8419-3ff4f437bcfd.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-08-11 | N/A | N/A | N/A | N/A | false | ALBA | N/A | KYLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382189 | N/A | N/A | 6210099 | 2222 | 4793 | 8942954 | N/A | 4852857 | 2025-06-25 09:02:46.242266 | 2025-06-17 16:28:13.795457 |