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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-19 07:20:09.614223 | 2026-03-26 16:46:06.166704 | 21411287 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21411287 | Athletic Physical Therapy Inc | 1975-08-04 | 2026-03-20 | M | PT | GEFFEN | CFT037A52287 | JASON | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13669648/check_21411287_db466a7d-533a-48d2-a2b5-fb581452111f.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | Preferred Provider Organization (PPO) | IMAX CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-08-04 | 243 | 300539002S | N/A | PR | false | GEFFEN | N/A | JASON | N/A | 9999-12-31 | 2021-11-26 | BLUE ACCESS PPO NY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074082 | N/A | N/A | 13669648 | 2222 | 4793 | 21685774 | N/A | 10856744 | 2026-03-26 16:46:06.166704 | 2025-12-29 22:47:44.157557 |
| 2026-03-19 07:20:08.401545 | 2026-03-26 16:43:46.926976 | 21411230 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21411230 | Athletic Physical Therapy Inc | 1959-02-22 | 2026-03-20 | M | AE | ELGHANIAN | H6572019100 | KAM | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644533/check_21411230_47eadd35-81f0-47c8-846d-3429f7b71ab0.json | N/A | N/A | N/A | N/A | N/A | H65720191 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1959-02-22 | N/A | 5A962001 | N/A | HN | false | ELGHANIAN | N/A | KAMBIZ | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074081 | N/A | N/A | 13644533 | 2222 | 4802 | 21670647 | 5349 | 11234326 | 2026-03-26 16:43:46.926976 | 2026-04-14 20:04:17.055093 |
| 2026-03-19 07:20:07.641028 | 2026-03-26 16:45:31.906899 | 21411188 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21411188 | Athletic Physical Therapy Inc | 1996-02-29 | 2026-03-20 | F | AE | Elzinga | 000025992229 | Stevie | F | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_21411188_8aff61b4-cd98-49d8-9e1b-37ce8a2d4e53.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4383425 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074080 | N/A | N/A | 13437538 | 2222 | 4802 | 21681998 | N/A | 11598678 | 2026-03-26 16:45:31.906899 | 2025-11-26 19:50:29.795204 |
| 2026-03-19 07:20:07.093438 | 2026-03-26 16:46:28.152307 | 21411158 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21411158 | Athletic Physical Therapy Inc | 1974-12-26 | 2026-03-20 | M | PT | SALEWSKE | SZR60090562401 | TYSON | J | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13154733/check_21411158_dc116ea8-175b-4e04-91f4-1619f74ab183.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2026-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074079 | N/A | N/A | 13154733 | 2222 | 4793 | 21688398 | N/A | 4213526 | 2026-03-26 16:46:28.152307 | 2025-11-13 19:34:43.197819 |
| 2026-03-19 07:20:06.772827 | 2026-03-26 16:43:47.216605 | 21411139 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21411139 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-03-20 | M | AE | Kisca | H6309049800 | John | C | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_21411139_10d03231-d2d8-404e-80a0-25229cd3b806.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074078 | N/A | N/A | 13037589 | 2222 | 4793 | 21670680 | 5349 | 11194723 | 2026-03-26 16:43:47.216605 | 2025-12-17 17:59:32.346197 |
| 2026-03-19 07:20:06.466463 | 2026-03-26 16:46:04.070750 | 21411122 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21411122 | Athletic Physical Therapy Inc | 1994-07-04 | 2026-03-20 | M | PT | Daich | JQY912W17468 | Austin | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12517512/check_21411122_5482c312-4749-47f7-af8c-2f42bb786d4b.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2026-01-01 | ANTHEM SILVER SELECT PPO HSA/H 3000/3400/6000 35% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074077 | N/A | N/A | 12517512 | 2222 | 4802 | 21685591 | N/A | 9234161 | 2026-03-26 16:46:04.070750 | 2025-10-15 16:55:10.102836 |
| 2026-03-19 07:20:06.046269 | 2026-03-26 16:50:36.112405 | 21411100 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21411100 | Athletic Physical Therapy Inc | 1958-07-30 | 2026-03-20 | F | AE | Ruhe | 6E08G29GT63 | Jacqueline | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438098/check_21411100_e0301107-d654-42e1-89a9-e31035aa4f37.json | N/A | N/A | N/A | N/A | N/A | 6E08G29GT63 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-30 | S4802 | N/A | N/A | MA | false | RUHE | N/A | JACQUELINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 152380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074076 | N/A | N/A | 12438098 | 2222 | 4802 | 21722155 | N/A | 10618088 | 2026-03-26 16:50:36.112405 | 2026-03-18 22:31:10.360004 |
| 2026-03-19 07:20:05.429016 | 2026-03-26 16:43:47.580020 | 21411067 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21411067 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-03-20 | F | AE | MENDEZ | H9608321000 | LINDA | I | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_21411067_5e500be5-fa97-4e26-afb5-f2d413534b62.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074075 | N/A | N/A | 12421991 | 2222 | 4793 | 21670705 | 5349 | 10601861 | 2026-03-26 16:43:47.580020 | 2025-11-07 18:35:55.025808 |
| 2026-03-19 07:20:04.897370 | 2026-03-26 16:42:41.069662 | 21411042 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 21411042 | Athletic Physical Therapy Inc | 1951-05-28 | 2026-03-20 | M | 96 | ADELMAN | 27936686 | JEFFREY | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_21411042_8027e6d2-8a0b-4d14-826f-890d7a527934.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-034-002 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10333074074 | N/A | N/A | 12298760 | 2222 | 4801 | 21663835 | 6798 | 10484794 | 2026-03-26 16:42:41.069662 | 2025-11-05 22:04:00.322040 |
| 2026-03-19 07:20:04.187887 | 2026-03-26 16:46:08.152920 | 21411001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21411001 | Athletic Physical Therapy Inc | 1957-05-05 | 2026-03-20 | F | PT | HOUSTON | TRJNP0019401 | VELINA | AVISA HASU | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_21411001_81bf81a3-02a7-42f1-89b5-1ab5dc353366.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074073 | N/A | N/A | 12244725 | 2222 | 4802 | 21685994 | N/A | 9637804 | 2026-03-26 16:46:08.152920 | 2026-04-24 18:56:42.779565 |
| 2026-03-19 07:20:03.465052 | 2026-03-26 16:50:37.713730 | 21410959 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410959 | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-20 | M | AE | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_21410959_0d028d33-a014-4170-bc05-3ef443f41010.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 83746 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074072 | N/A | N/A | 10239788 | 2222 | 4793 | 21722397 | N/A | 8527464 | 2026-03-26 16:50:37.713730 | 2025-10-14 15:25:46.972104 |
| 2026-03-19 07:20:02.731578 | 2026-03-26 16:42:54.070499 | 21410926 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21410926 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-03-20 | F | AE | CRUTCHFIELD | 90443065C | HELEN | Denise | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_21410926_d9d5e1a0-0f93-4a57-b1ea-39f0199d04ff.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 10333074071 | N/A | N/A | 10103203 | 2222 | 4802 | 21665368 | 4211 | 8437251 | 2026-03-26 16:42:54.070499 | 2025-10-07 19:08:26.048804 |
| 2026-03-19 07:20:02.344706 | 2026-03-26 16:46:07.224734 | 21410907 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21410907 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-03-20 | M | PT | GREEN | JQV184A72608 | ALLEN | E | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_21410907_1283844f-f521-4aae-89be-4ccb38fb0d25.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074070 | N/A | N/A | 10091887 | 2222 | 4793 | 21685899 | 4185 | 8429919 | 2026-03-26 16:46:07.224734 | 2025-10-07 22:01:52.720968 |
| 2026-03-19 07:20:01.936389 | 2026-03-26 16:50:33.900736 | 21410882 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410882 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-03-20 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9556751/check_21410882_68c40e18-2250-41a2-a110-b6e3707938b9.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 92630 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074069 | N/A | N/A | 9556751 | 2222 | 4793 | 21721828 | N/A | 4210998 | 2026-03-26 16:50:33.900736 | 2026-02-23 18:49:01.874308 |
| 2026-03-19 07:20:01.627245 | 2026-03-26 16:45:35.375111 | 21410865 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 21410865 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-03-20 | F | AE | MATHESON | 00000433752 | JANET | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_21410865_ee42202f-667d-418c-8af8-655ebe2fa324.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074068 | N/A | N/A | 9511696 | 2222 | 4801 | 21682433 | 2630 | 7954244 | 2026-03-26 16:45:35.375111 | 2025-09-29 18:15:39.145358 |
| 2026-03-19 07:20:01.251197 | 2026-03-26 16:45:36.776879 | 21410839 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 21410839 | Athletic Physical Therapy Inc | 1999-03-02 | 2026-03-20 | F | AE | Andrieieva | 92598899G | Taisiia | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_21410839_133b494c-97b3-4a07-a2d1-53e6ac4d4e6d.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074067 | N/A | N/A | 9104487 | 2222 | 4802 | 21682616 | 5538 | 6709145 | 2026-03-26 16:45:36.776879 | 2025-08-07 23:35:55.091438 |
| 2026-03-19 07:20:00.854615 | 2026-03-26 16:50:35.471478 | 21410813 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410813 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-03-20 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_21410813_e3597652-c508-4289-a86b-dc7a8b0b11f3.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 130644 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074066 | N/A | N/A | 8979192 | 2222 | 4793 | 21722067 | N/A | 7498543 | 2026-03-26 16:50:35.471478 | 2025-10-14 17:13:32.178778 |
| 2026-03-19 07:20:00.436535 | 2026-03-26 16:43:09.904765 | 21410790 | N/A | N/A | 60054 | Aetna | 1114042165 | 21410790 | Athletic Physical Therapy Inc | 1967-12-19 | 2026-03-20 | F | AE | BURRY | 101323278900 | CAROLYN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_21410790_87eb2ec5-2c5f-47eb-9072-cc27413b63d8.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074065 | N/A | N/A | 8971092 | 2222 | 4801 | 21666984 | N/A | 7486536 | 2026-03-26 16:43:09.904765 | 2025-09-15 03:16:44.869236 |
| 2026-03-19 07:19:59.912815 | 2026-03-26 16:43:06.028771 | 21410749 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 21410749 | Athletic Physical Therapy Inc | 2010-03-18 | 2026-03-20 | M | PT | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_21410749_ad2d5898-2d37-4ecb-b7ad-216bb2e34b74.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2026-05-31 | 2025-06-01 | PLATINUM ACCESS HMO R 0 20 OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074064 | N/A | N/A | 6967909 | 2222 | 4793 | 21666588 | N/A | 5990447 | 2026-03-26 16:43:06.028771 | 2025-07-21 18:40:33.917911 |
| 2026-03-19 07:19:59.434897 | 2026-03-26 16:45:34.339909 | 21410718 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21410718 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-03-20 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_21410718_7db1e88f-2da5-4ccf-b3ab-3f42e26a32b6.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | 2026-01-22 | 2024-02-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074063 | N/A | N/A | 5874423 | 2222 | 4802 | 21682301 | 4625 | 4534552 | 2026-03-26 16:45:34.339909 | 2025-05-30 18:01:03.324126 |
| 2026-03-19 07:19:58.962461 | 2026-03-26 16:46:26.621599 | 21410691 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 21410691 | Athletic Physical Therapy Inc | 1981-09-25 | 2026-03-20 | F | PT | VERSTEEG | 903359946001 | CYNTHIA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549702/check_21410691_c4f36d11-e97c-413a-b3c7-fb883a4b1ddc.json | N/A | N/A | N/A | N/A | N/A | XEH903359946 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1981-09-25 | 1477HMOX0001 | W0051411 | N/A | HM | false | VERSTEEG | N/A | CASEY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074062 | N/A | N/A | 5549702 | 2222 | 4801 | 21688209 | 4191 | 4219312 | 2026-03-26 16:46:26.621599 | 2026-02-23 23:08:40.715435 |
| 2026-03-19 07:19:58.413817 | 2026-03-26 16:49:35.780266 | 21410665 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 21410665 | Athletic Physical Therapy Inc | 2004-11-06 | 2026-03-20 | M | AE | HAZANY | 909936004H | DAVID | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543309/check_21410665_3055ae61-53e0-480d-a2c8-905e7c2727cf.json | N/A | N/A | N/A | N/A | N/A | 909936004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2004-11-06 | N/A | N/A | N/A | N/A | false | HAZANY | N/A | DAVID | 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 | 10333074061 | N/A | N/A | 5543309 | 2222 | 4802 | 21712727 | N/A | 4215115 | 2026-03-26 16:49:35.780266 | 2026-02-17 23:55:26.098884 |
| 2026-03-19 07:19:57.901432 | 2026-03-26 16:42:54.347508 | 21410636 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21410636 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-03-20 | M | AE | MCCOWAN | 93341440D | KEVIN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_21410636_90f83e2a-e245-40f4-8bc5-98d359141b7b.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074060 | N/A | N/A | 5543270 | 2222 | 4793 | 21665406 | 4211 | 4215086 | 2026-03-26 16:42:54.347508 | 2025-05-13 04:29:37.229401 |
| 2026-03-19 07:19:57.570221 | 2026-03-26 16:46:08.476653 | 21410607 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21410607 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-03-20 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_21410607_f4ea46ca-2f35-4ebc-bf22-8a45c3e9b64d.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074059 | N/A | N/A | 5543043 | 2222 | 4801 | 21686025 | N/A | 4214884 | 2026-03-26 16:46:08.476653 | 2025-11-12 00:46:10.301659 |
| 2026-03-19 07:19:57.315702 | 2026-03-26 16:45:18.914678 | 21410589 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21410589 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-03-20 | M | AD | TARDIF | 40037365501 | TEDD | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_21410589_c1cd045a-1948-488e-82a1-9a8ab06df3b4.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 10333074058 | N/A | N/A | 5542894 | 2222 | 4801 | 21680569 | 6237 | 4214757 | 2026-03-26 16:45:18.914678 | 2026-03-20 15:26:52.406374 |
| 2026-03-19 07:19:56.854515 | 2026-03-26 16:46:09.031185 | 21410554 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21410554 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-03-20 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542812/check_21410554_a1ad910c-df91-4adb-86aa-b78e29b02640.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 9999-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074057 | N/A | N/A | 5542812 | 2222 | 4801 | 21686075 | 4185 | 4214677 | 2026-03-26 16:46:09.031185 | 2026-03-18 22:35:37.752534 |
| 2026-03-19 07:19:56.272843 | 2026-03-26 16:46:25.303305 | 21410536 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21410536 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-03-20 | M | PT | MOYNIHAN | QMS905764029 | KEITH | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542720/check_21410536_20573acb-8c4c-4e87-bab3-01dad4f6c9ac.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | N/A | FULL PPO NO NETWORK DEDUCTIBLE 10 100 50 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074056 | N/A | N/A | 5542720 | 2222 | 4802 | 21688042 | N/A | 4214596 | 2026-03-26 16:46:25.303305 | 2025-05-13 04:29:37.228923 |
| 2026-03-19 07:19:55.695030 | 2026-03-26 16:45:34.091380 | 21410505 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 21410505 | override_provider | 1972-07-22 | 2026-03-20 | M | AE | KOZMA | U9714475101 | JASON | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_21410505_588d49c9-08e5-45e0-a703-aa0e3a3225f9.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074055 | N/A | N/A | 5542709 | 2222 | 4802 | 21682270 | N/A | 4214582 | 2026-03-26 16:45:34.091380 | 2025-12-02 00:00:04.433236 |
| 2026-03-19 07:19:55.144322 | 2026-03-26 16:45:34.604716 | 21410472 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21410472 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-03-20 | F | AE | CHERE | 98953535F | DIANA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_21410472_24921afb-038e-4f48-9645-895ad06decf6.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-02-05 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074054 | N/A | N/A | 5542660 | 2222 | 4802 | 21682334 | 4625 | 4214542 | 2026-03-26 16:45:34.604716 | 2025-05-13 04:29:37.228868 |
| 2026-03-19 07:19:54.571795 | 2026-03-26 16:50:35.128941 | 21410443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410443 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-03-20 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_21410443_9c413309-cf08-4c19-991e-34ddb0ba921e.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074053 | N/A | N/A | 5542318 | 2222 | 4802 | 21722019 | N/A | 4214241 | 2026-03-26 16:50:35.128941 | 2025-05-13 04:29:37.228574 |
| 2026-03-19 07:19:54.011733 | 2026-03-26 16:50:34.828926 | 21410418 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410418 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-03-20 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_21410418_f0929eaf-1f01-468e-abc5-2bf05412d490.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101038 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074052 | N/A | N/A | 5542251 | 2222 | 4802 | 21721965 | N/A | 4214191 | 2026-03-26 16:50:34.828926 | 2025-05-13 04:29:37.228525 |
| 2026-03-19 07:19:53.521194 | 2026-03-26 16:42:41.390087 | 21410394 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 21410394 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-03-20 | M | AE | VLAHOVICH | 34035035 | STEVEN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_21410394_8114ea61-50d9-40ff-8e83-8b3b578e7c32.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | 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 | 10333074051 | N/A | N/A | 5542048 | 2222 | 4802 | 21663872 | N/A | 4214003 | 2026-03-26 16:42:41.390087 | 2025-05-13 04:29:37.228325 |
| 2026-03-19 07:19:53.158498 | 2026-03-26 16:46:18.249662 | 21410376 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21410376 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-03-20 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_21410376_f491f9f5-0d9f-4007-8cc8-c111e6c1a32d.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074050 | N/A | N/A | 5542014 | 2222 | 4793 | 21687014 | N/A | 4213977 | 2026-03-26 16:46:18.249662 | 2025-05-13 04:29:37.228294 |
| 2026-03-19 07:19:52.756525 | 2026-03-26 16:46:23.440900 | 21410350 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21410350 | Athletic Physical Therapy Inc | 1980-10-14 | 2026-03-20 | M | PT | ABI MALHAB | KSI73549599C | NADIM | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541968/check_21410350_fa79b0b6-cd8a-40e3-a283-eb524db58264.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074049 | N/A | N/A | 5541968 | 2222 | 4802 | 21687773 | N/A | 4213936 | 2026-03-26 16:46:23.440900 | 2025-05-13 04:29:37.228255 |
| 2026-03-19 07:19:52.356999 | 2026-03-26 16:46:28.413200 | 21410326 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21410326 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-03-20 | M | PT | TESAR | V6D954A52172 | SCOTT | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541690/check_21410326_2ce8445b-b905-4cb7-9620-3b2cf76382de.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074048 | N/A | N/A | 5541690 | 2222 | 4801 | 21688432 | N/A | 4213669 | 2026-03-26 16:46:28.413200 | 2026-02-11 01:39:53.284479 |
| 2026-03-19 07:19:51.702012 | 2026-03-26 16:45:21.767718 | 21410287 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 21410287 | Athletic Physical Therapy Inc | 1985-08-14 | 2026-03-20 | F | AE | LIN | G44715088 | JESSICA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_21410287_962b3465-c900-4bfd-9b3c-5b2d5558e4c7.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | G.E.H.A 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074047 | N/A | N/A | 5541550 | 2222 | 4802 | 21680827 | N/A | 4213560 | 2026-03-26 16:45:21.767718 | 2025-05-13 04:29:37.227892 |
| 2026-03-19 07:19:50.700393 | 2026-03-26 16:45:18.101913 | 21410234 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21410234 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-03-20 | F | AD | POLAK | 40047825101 | JOANNA | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_21410234_51fd61ad-76af-4789-bfff-09ddf591c101.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10333074046 | N/A | N/A | 5541023 | 2222 | 4793 | 21680490 | 6237 | 4213093 | 2026-03-26 16:45:18.101913 | 2025-05-13 04:29:37.227419 |
| 2026-03-19 07:19:50.200364 | 2026-03-26 16:45:26.066443 | 21410209 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21410209 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-03-20 | M | AE | RUIZ | 594887901 | EDUARDO | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_21410209_bab0b823-4c09-41d2-82a4-2eeee78c6a09.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | 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 | 10333074045 | N/A | N/A | 5539853 | 2222 | 4801 | 21681267 | 6411 | 4212098 | 2026-03-26 16:45:26.066443 | 2025-05-13 04:29:37.226429 |
| 2026-03-19 07:19:49.935711 | 2026-03-26 16:50:33.315812 | 21410192 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410192 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-03-20 | F | AE | BLUM | 5G57RW1XT38 | BONNIE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539302/check_21410192_3e52377d-d36b-4595-bead-0549f47bde90.json | N/A | N/A | N/A | N/A | N/A | 5G57RW1XT38 | N/A | N/A | CMS | N/A | 1945-04-13 | N/A | N/A | N/A | N/A | false | BLUM | N/A | BONNIE | 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 | 10333074044 | N/A | N/A | 5539302 | 2222 | 4802 | 21721731 | N/A | 4211624 | 2026-03-26 16:50:33.315812 | 2025-05-13 04:29:37.225953 |
| 2026-03-19 07:19:49.678192 | 2026-03-26 16:46:17.500765 | 21410175 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21410175 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-03-20 | M | PT | PERLMUTTER | JQH460A69253 | DREW | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_21410175_585b2cdd-64bd-4314-80c4-be7120aab08c.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 9999-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074043 | N/A | N/A | 5538573 | 2222 | 4801 | 21686852 | N/A | 4210980 | 2026-03-26 16:46:17.500765 | 2025-05-13 04:29:37.225377 |
| 2026-03-19 07:19:49.383666 | 2026-03-26 16:50:34.173409 | 21410159 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410159 | Athletic Physical Therapy Inc | 1954-01-12 | 2026-03-20 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_21410159_b07eb275-408d-4c43-a490-1666aca729cc.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S5601 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 61734 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074042 | N/A | N/A | 5538472 | 2222 | 4802 | 21721872 | N/A | 4210886 | 2026-03-26 16:50:34.173409 | 2025-05-13 04:29:37.225284 |
| 2026-03-19 07:19:48.838269 | 2026-03-26 16:46:08.753752 | 21410118 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21410118 | Athletic Physical Therapy Inc | 1971-04-08 | 2026-03-20 | F | PT | JENKINS | NCF272A68033 | DAMIAN | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537969/check_21410118_129784f5-e8bb-44f9-8a44-57718c74e21b.json | N/A | N/A | N/A | N/A | N/A | NCF272A68033 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-04-08 | 040 | 57AJCA | N/A | HM | false | JENKINS | N/A | SHAWN | 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 | 10333074041 | N/A | N/A | 5537969 | 2222 | 4793 | 21686051 | 4185 | 4210463 | 2026-03-26 16:46:08.753752 | 2025-10-28 17:45:45.046366 |
| 2026-03-19 07:19:48.400375 | 2026-03-26 16:46:16.348699 | 21410086 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21410086 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-03-20 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_21410086_8b537583-4240-459e-a14c-226c63736bd5.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10333074040 | N/A | N/A | 5537188 | 2222 | 4802 | 21686775 | N/A | 4209789 | 2026-03-26 16:46:16.348699 | 2025-05-13 04:29:37.224215 |
| 2026-03-19 07:19:47.897781 | 2026-03-26 16:50:35.758506 | 21410059 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410059 | Athletic Physical Therapy Inc | 1945-03-19 | 2026-03-20 | F | AE | ROSS | 6QX7T41GM46 | MARTHA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_21410059_d584713a-714a-4820-a1ac-3a5a66bf8750.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 183080 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074039 | N/A | N/A | 5536301 | 2222 | 4802 | 21722114 | N/A | 4209073 | 2026-03-26 16:50:35.758506 | 2025-11-19 19:47:03.642493 |
| 2026-03-19 07:19:47.110215 | 2026-03-26 16:50:37.138103 | 21410011 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21410011 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-20 | F | AE | SPIGELMAN | 8FK0QJ6EQ10 | JUDY | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536252/check_21410011_e9544c4f-9e7e-4c0d-ad32-9b599532b4e6.json | N/A | N/A | N/A | N/A | N/A | 8FK0QJ6EQ10 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-23 | N/A | N/A | N/A | MB | false | SPIGELMAN | N/A | JUDY | 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 | 10333074038 | N/A | N/A | 5536252 | 2222 | 4802 | 21722311 | N/A | 4209028 | 2026-03-26 16:50:37.138103 | 2026-03-12 23:35:58.198593 |
| 2026-03-19 07:19:46.404125 | 2026-03-26 16:42:43.363238 | 21409980 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 21409980 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-03-20 | M | AE | ULLMAN | 03520409411 | DAVID | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_21409980_433338a1-35da-4742-a8c8-12083aecc746.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10333074037 | N/A | N/A | 5535842 | 2222 | 4801 | 21664161 | N/A | 4208696 | 2026-03-26 16:42:43.363238 | 2025-06-07 16:16:45.844566 |
| 2026-03-19 07:19:46.041566 | 2026-03-26 16:45:18.351346 | 21409964 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21409964 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-03-20 | F | AD | RYAN | 31026142401 | CAROL | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260319.113420954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_21409964_0b01cd64-4b68-47b3-acb8-44f52b840de4.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 10333074036 | N/A | N/A | 5535455 | 2222 | 4793 | 21680523 | 6237 | 4208375 | 2026-03-26 16:45:18.351346 | 2025-08-08 21:08:12.459471 |
| 2026-03-19 07:18:01.323806 | 2026-03-19 07:18:34.880567 | 21402369 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | YUNG | 00854676304 | MAYA | N/A | AE | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21402369_2b09dd9a-336c-4b0c-adcc-7d46e81e31ad.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-19 07:18:34.880567 | 2025-05-13 04:29:37.229495 |
| 2026-03-19 07:11:37.978934 | 2026-03-19 07:11:40.181880 | 21366005 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-17 | 2026-03-19 | F | 30 | SHOTWELL | 40070614601 | KATHY | N/A | AD | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15737586/check_21366005_b538f300-3dce-4982-9314-fc1b9690093d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15737586/check_21366005_927dd713-0ef3-403e-a122-7aae78ba3afe.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10333000123 | N/A | N/A | 15737586 | 2222 | N/A | 20608599 | N/A | 13837022 | 2026-03-19 07:11:40.181880 | 2026-01-27 20:49:36.385334 |
| 2026-03-19 07:11:22.530608 | 2026-03-19 07:11:24.419958 | 21364637 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-19 | F | AE | MAJD | 00000000000000 | FLORA | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18036986/check_21364637_ad1c63b4-61a0-4235-a6fe-6733eb2df2e1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18036986/check_21364637_f222df38-cb22-4965-8ed4-2da045676994.json | N/A | N/A | N/A | N/A | N/A | 00000000000000 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-04-11 | N/A | N/A | N/A | N/A | false | MAJD | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18036986 | 2222 | N/A | 20608448 | N/A | 4209898 | 2026-03-19 07:11:24.419958 | 2026-03-12 23:16:26.192781 |