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 09:11:14.236877 | 2025-06-25 09:22:31.271170 | 9217205 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9217205 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-06-27 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | 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/2222/6203310/check_9217205_d1b7b4ef-db42-4ee5-860f-8d7fe7287d23.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MB | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042383304 | N/A | N/A | 6203310 | 2222 | 4801 | 8952076 | N/A | 4846213 | 2025-06-25 09:22:31.271170 | 2025-06-10 21:58:09.734801 |
| 2025-06-24 09:11:06.137724 | 2025-06-25 09:11:46.018390 | 9217064 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9217064 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-27 | M | PT | N/A | CAMPOS | JQU035W17626 | DEVON | 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/2222/6193743/check_9217064_955308bf-bad3-445c-8c14-4a474a29c961.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | Preferred Provider Organization (PPO) | A TECH CONSULTING INC | ANTHEM BLUE CROSS | N/A | 1999-05-15 | 040 | H27312 | N/A | PR | false | CAMPOS | N/A | DEVON | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042383281 | N/A | N/A | 6193743 | 2222 | 4802 | 8947207 | N/A | 4343457 | 2025-06-25 09:11:46.018390 | 2025-05-13 04:29:37.230935 |
| 2025-06-24 09:10:55.426268 | 2025-06-25 09:03:32.042621 | 9216881 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 9216881 | N/A | 1948-06-04 | 2025-06-27 | F | AE | PT | CARRILLO | 30127057 | SANDRA | 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/2222/6192336/check_9216881_6d058917-c376-4956-807a-f0893cb2bf8d.json | N/A | N/A | N/A | N/A | N/A | 30127057 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-06-04 | N/A | N/A | N/A | N/A | false | CARRILLO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042383083 | N/A | N/A | 6192336 | 2222 | 4801 | 8943243 | N/A | 4836434 | 2025-06-25 09:03:32.042621 | 2025-06-24 22:10:01.955161 |
| 2025-06-24 09:10:47.019528 | 2025-06-25 09:11:21.030370 | 9216751 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9216751 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-06-27 | M | AE | PT | MATHEU | 00000270336 | CARLOS | 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/2222/6189737/check_9216751_14dd52c7-678a-40cd-b425-91b7222c1ab6.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042383057 | N/A | N/A | 6189737 | 2222 | 4801 | 8947001 | N/A | 4209126 | 2025-06-25 09:11:21.030370 | 2025-05-13 04:29:37.223551 |
| 2025-06-24 09:10:14.426585 | 2025-06-25 09:22:30.403295 | 9216262 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9216262 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-27 | M | AE | PT | BOLTON | 3EK5DJ1UC60 | ALAN | 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/2222/6174537/check_9216262_9e329a2c-e4a8-4fb5-bcff-a7282049c077.json | N/A | N/A | N/A | N/A | N/A | 3EK5DJ1UC60 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1932-10-05 | S5617 | N/A | N/A | MA | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042381960 | N/A | N/A | 6174537 | 2222 | 4793 | 8952073 | N/A | 4815871 | 2025-06-25 09:22:30.403295 | 2025-08-01 15:33:39.468574 |
| 2025-06-24 09:10:11.343397 | 2025-06-25 09:08:07.528287 | 9216217 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9216217 | Athletic Physical Therapy Inc | 1989-06-30 | 2025-06-27 | M | AE | PT | HASSEL | 109334341 | AARON | 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/2222/6173580/check_9216217_391aef2a-82ac-4989-876b-864468ebb2b7.json | N/A | N/A | N/A | N/A | N/A | 10933434100 | N/A | RAWLINGS SPORTING GOODS COMPANY, INC | CHLIC | COMPLETE CARE MANAGEMENT | 1989-06-30 | N/A | 00623156 | N/A | N/A | false | HASSEL | N/A | AARON | N/A | N/A | N/A | HRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042381952 | N/A | N/A | 6173580 | 2222 | 4802 | 8945371 | N/A | 4814860 | 2025-06-25 09:08:07.528287 | 2026-03-05 17:32:00.360896 |
| 2025-06-24 09:09:26.343449 | 2025-06-25 09:22:32.166363 | 9215536 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9215536 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-06-27 | M | AE | PT | COLLINS | 9KH9YJ9KM24 | CHARLES | 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/2222/6165591/check_9215536_a0291267-3063-4d00-8788-43b1f96478d8.json | N/A | N/A | N/A | N/A | N/A | 9KH9YJ9KM24 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-13 | S5617 | N/A | N/A | MB | false | COLLINS | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042382568 | N/A | N/A | 6165591 | 2222 | 4801 | 8952080 | N/A | 4219605 | 2025-06-25 09:22:32.166363 | 2025-06-06 16:26:34.530119 |
| 2025-06-24 09:09:22.917535 | 2025-06-25 09:32:48.838410 | 9215475 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9215475 | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | WALLEN | 8Q55EE9RC74 | ELLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9215475_65c126ab-a701-49de-a306-8b8b2fc71734.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042396770 | N/A | N/A | 6492809 | 2222 | 4793 | 8954244 | N/A | 5121955 | 2025-06-25 09:32:48.838410 | 2025-06-19 17:23:34.410819 |
| 2025-06-24 09:09:18.604795 | 2025-06-25 09:11:47.890425 | 9215416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9215416 | Athletic Physical Therapy Inc | 1968-11-26 | 2025-06-27 | F | PT | N/A | PELLEGRINI | XEA913808278 | PATRICIA | 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/2222/6165269/check_9215416_a6c444e9-ac91-49f5-a75d-f1d33ee19d39.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382550 | N/A | N/A | 6165269 | 2222 | 4793 | 8947218 | N/A | 4807600 | 2025-06-25 09:11:47.890425 | 2025-06-18 15:19:08.524396 |
| 2025-06-24 09:08:54.698098 | 2025-06-24 09:09:01.609709 | 9215108 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-11 | 2025-06-24 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874457/check_9215108_0064a4e6-141e-4c61-9574-5723713a182d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_9215108_352c7f3d-f296-414e-a84a-318769233ba7.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | Preferred Provider Organization (PPO) | ACTIVE WAG | BLUE SHIELD OF CALIFORNIA | N/A | 1970-03-11 | N/A | 328059 | N/A | PR | false | MANNING | N/A | TRICIA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042342032 | N/A | N/A | 5874457 | 2222 | N/A | 8925427 | N/A | 4343472 | 2025-06-24 09:09:01.609709 | 2025-08-08 17:41:30.906097 |
| 2025-06-24 09:08:51.294563 | 2025-06-25 09:22:33.719638 | 9215066 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9215066 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-06-25 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141340716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_9215066_68cb8ace-7eaf-4ce8-adce-725f428e8df2.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MA | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042381393 | N/A | N/A | 6145897 | 2222 | 4801 | 8952088 | N/A | 4786709 | 2025-06-25 09:22:33.719638 | 2025-06-20 18:28:02.399027 |
| 2025-06-24 09:08:34.044919 | 2025-06-24 09:08:37.790852 | 9214826 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-10-14 | 2025-06-24 | F | AE | PT | HU | W290798901 | KERRY | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676395/check_9214826_477302af-0907-41f1-aaea-d5fe44fa51a9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676395/check_9214826_68e108ee-d978-4cab-a1be-3cd079392da7.json | N/A | N/A | N/A | N/A | N/A | W290798901 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1996-10-14 | 0247086 | 024708602300010 | N/A | PS | false | HU | N/A | KERRY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042337637 | N/A | N/A | 5676395 | 2222 | N/A | 8925380 | N/A | 4343450 | 2025-06-24 09:08:37.790852 | 2025-05-13 04:29:37.230928 |
| 2025-06-24 09:08:31.622173 | 2025-06-25 09:13:28.409347 | 9214787 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9214787 | Athletic Physical Therapy Inc | 1975-01-21 | 2025-06-27 | F | PT | N/A | ZAKLAMA | XEA913728701 | DINA | 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/2222/6140446/check_9214787_61210232-cd7d-41ac-8d9c-040b8207ea50.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1975-01-21 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382916 | N/A | N/A | 6140446 | 2222 | 4801 | 8948039 | N/A | 4781471 | 2025-06-25 09:13:28.409347 | 2025-06-06 17:06:04.900314 |
| 2025-06-24 09:08:31.336750 | 2025-06-25 09:11:10.950663 | 9214782 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9214782 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-06-27 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 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/2222/6140436/check_9214782_396548b8-39d4-449e-9175-8579ac11dd3d.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042382915 | N/A | N/A | 6140436 | 2222 | 4801 | 8946927 | N/A | 4781417 | 2025-06-25 09:11:10.950663 | 2025-06-06 17:03:19.078153 |
| 2025-06-24 09:08:29.707955 | 2025-06-25 09:05:21.328820 | 9214760 | N/A | N/A | 60054 | Aetna | 1114042165 | 9214760 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-06-27 | M | AE | PT | HUANG | W278191924 | DANNY | 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/2222/6140246/check_9214760_897ace65-751e-4ae2-a078-b62eba8ed277.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042382911 | N/A | N/A | 6140246 | 2222 | 4802 | 8943970 | N/A | 4781166 | 2025-06-25 09:05:21.328820 | 2025-06-11 17:29:46.826705 |
| 2025-06-24 09:08:19.787540 | 2025-06-24 09:08:23.051574 | 9214652 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-06-17 | 2025-06-24 | M | AD | N/A | HOWELLS | U49733346-02 | SEBASTIAN | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542688/check_9214652_ec3487f9-5466-4ad3-adf9-d2ecbafc2419.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542688/check_9214652_fad958d7-df76-4fa3-9ad5-30198819ee2d.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 | 8042334621 | N/A | N/A | 5542688 | 2222 | N/A | 8925347 | N/A | 4214567 | 2025-06-24 09:08:23.051574 | 2025-06-26 17:54:56.034825 |
| 2025-06-24 09:07:35.675874 | 2025-06-25 09:13:29.266880 | 9214050 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9214050 | Athletic Physical Therapy Inc | 2006-11-22 | 2025-06-27 | F | PT | N/A | MICHAEL | XEA913728701 | KRISTY | 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/2222/6123875/check_9214050_5cf3dd98-b116-4b78-a8e5-4154eb634c63.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2006-11-22 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042381650 | N/A | N/A | 6123875 | 2222 | 4801 | 8948044 | N/A | 4766599 | 2025-06-25 09:13:29.266880 | 2025-06-04 14:54:47.230310 |
| 2025-06-24 09:06:02.996832 | 2025-06-25 09:11:48.849145 | 9212777 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9212777 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-06-27 | F | PT | N/A | POU | JQU552A24008 | CHRISTINA | 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/2222/6105194/check_9212777_47182a74-d2b7-4041-a85a-3b322bf03b9c.json | N/A | N/A | N/A | N/A | N/A | JQU552A24008 | Preferred Provider Organization (PPO) | HARVEST PACK INC | ANTHEM BLUE CROSS | N/A | 1990-11-12 | 040 | U30558 | N/A | PR | false | POU | N/A | CHRISTINA | N/A | 9999-12-31 | 2025-02-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382766 | N/A | N/A | 6105194 | 2222 | 4802 | 8947228 | N/A | 4749678 | 2025-06-25 09:11:48.849145 | 2025-06-27 22:38:47.642007 |
| 2025-06-24 09:05:19.341895 | 2025-06-25 09:07:49.213395 | 9212166 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 9212166 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-06-27 | F | AE | PT | GOMEZ | 44116442 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_9212166_6fd7e2c8-af7b-488a-8f37-82adf6526191.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042397862 | N/A | N/A | 6434660 | 2222 | 4793 | 8945215 | 6798 | 5079832 | 2025-06-25 09:07:49.213395 | 2025-06-23 20:02:36.660262 |
| 2025-06-24 09:05:18.341968 | 2025-06-25 09:13:46.825456 | 9212152 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9212152 | Athletic Physical Therapy Inc | 1961-05-24 | 2025-06-27 | M | PT | N/A | TIDMORE | XOX826489646 | FRED | 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/2222/6079116/check_9212152_934ba592-b7d2-4750-b1e5-bfb016a57a53.json | N/A | N/A | N/A | N/A | N/A | XOX826489646 | Preferred Provider Organization (PPO) | SODICK, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1961-05-24 | N/A | 327914 | N/A | PR | false | TIDMORE | N/A | FRED | N/A | 9999-12-31 | 2023-10-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382370 | N/A | N/A | 6079116 | 2222 | 4801 | 8948191 | N/A | 4723148 | 2025-06-25 09:13:46.825456 | 2025-05-30 15:53:57.629593 |
| 2025-06-24 09:05:17.257202 | 2025-06-25 09:08:01.284469 | 9212139 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9212139 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-06-27 | F | PT | AE | SAGMAN | U9205101701 | SYDNEY | 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/2222/6078312/check_9212139_48be4b4e-c944-4bcf-854c-43033b2f7954.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042382364 | N/A | N/A | 6078312 | 2222 | 4802 | 8945319 | N/A | 4722569 | 2025-06-25 09:08:01.284469 | 2025-08-26 00:16:35.895658 |
| 2025-06-24 09:05:16.977599 | 2025-06-25 09:22:29.658513 | 9212137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9212137 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-27 | F | AE | PT | BERNSTEIN NOAH | 6HK3VD1GN77 | PAULA | 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/2222/6078301/check_9212137_fb03d0a3-f172-46b8-9a2c-b9282ebc0bac.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-08 | S5617 | N/A | N/A | MA | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042382363 | N/A | N/A | 6078301 | 2222 | 4802 | 8952069 | N/A | 4722556 | 2025-06-25 09:22:29.658513 | 2025-06-04 18:06:16.300392 |
| 2025-06-24 09:05:09.444561 | 2025-06-25 09:08:06.587224 | 9211993 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9211993 | Athletic Physical Therapy Inc | 1994-01-07 | 2025-06-27 | M | AE | PT | CHEN | R11196645MM1 | JONATHAN | 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/2222/6074008/check_9211993_53386845-4141-4e4f-8d97-95e736d80afc.json | N/A | N/A | N/A | N/A | N/A | R11196645MM100 | N/A | N/A | HEALTH NET OF CALIFORNIA, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1994-01-07 | N/A | N/A | N/A | N/A | false | CHIEN | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042381514 | N/A | N/A | 6074008 | 2222 | 4802 | 8945365 | N/A | 4718558 | 2025-06-25 09:08:06.587224 | 2025-05-29 22:37:20.400127 |
| 2025-06-24 09:05:07.466396 | 2025-06-25 09:11:46.508929 | 9211950 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9211950 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-27 | M | PT | N/A | CAMPOS | JQU035W17626 | DEVON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203889/check_9211950_4ec18d0a-493f-441c-bb12-776d91d1d589.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | Preferred Provider Organization (PPO) | A TECH CONSULTING INC | ANTHEM BLUE CROSS | N/A | 1999-05-15 | 040 | H27312 | N/A | PR | false | CAMPOS | N/A | DEVON | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042306199 | N/A | N/A | 6203889 | 2222 | 4802 | 8947209 | N/A | 4343457 | 2025-06-25 09:11:46.508929 | 2025-05-13 04:29:37.230935 |
| 2025-06-24 09:05:07.388811 | 2025-06-25 09:12:59.668639 | 9211945 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9211945 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-06-27 | F | AE | PT | CAVELLA | XEA913628752 | EMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_9211945_3e9b5e3a-b934-4592-bec3-ad97a3f77860.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042304646 | N/A | N/A | 6203312 | 2222 | 4801 | 8947795 | N/A | 4846213 | 2025-06-25 09:12:59.668639 | 2025-06-10 21:58:09.734801 |
| 2025-06-24 09:05:03.416906 | 2025-06-25 09:13:01.357013 | 9211847 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9211847 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-06-27 | F | AE | PT | MAYER | XEM912219422 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175091/check_9211847_bba9b715-d16b-42ce-9a61-daa212cf3181.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SD000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042304535 | N/A | N/A | 6175091 | 2222 | 4801 | 8947810 | N/A | 4213917 | 2025-06-25 09:13:01.357013 | 2025-06-25 01:53:37.609327 |
| 2025-06-24 09:05:02.740107 | 2025-06-25 09:11:09.477896 | 9211827 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9211827 | Athletic Physical Therapy Inc | 1965-06-20 | 2025-06-27 | F | PT | AE | TRUE | 000019461014 | MYRNA | 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/2222/6068073/check_9211827_163af3c4-eed9-48a3-ab1f-e848b2c2a032.json | N/A | N/A | N/A | N/A | N/A | 000019461014 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1965-06-20 | 3055890 | 100200 | N/A | N/A | false | TRUE | N/A | MYRNA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 KPHP- | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042383105 | N/A | N/A | 6068073 | 2222 | 4801 | 8946919 | N/A | 4713010 | 2025-06-25 09:11:09.477896 | 2025-05-28 23:30:35.802750 |
| 2025-06-24 09:05:02.638481 | 2025-06-25 09:02:47.067821 | 9211824 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9211824 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-27 | F | PT | AE | OROZCO | 22483267 | ODILIA | 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/2222/6068063/check_9211824_3d1deb80-46cf-437a-9265-6df2934f50a6.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042383104 | N/A | N/A | 6068063 | 2222 | 4802 | 8942959 | N/A | 4713004 | 2025-06-25 09:02:47.067821 | 2025-05-29 21:14:47.925641 |
| 2025-06-24 09:05:02.538276 | 2025-06-25 09:22:32.850873 | 9211823 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9211823 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-06-27 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | 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/2222/6068049/check_9211823_04f211a6-3dd0-40a2-b6d6-7d8e4891cafa.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042383103 | N/A | N/A | 6068049 | 2222 | 4793 | 8952085 | N/A | 4642852 | 2025-06-25 09:22:32.850873 | 2025-11-21 18:38:17.056437 |
| 2025-06-24 09:04:55.262351 | 2025-06-25 09:13:01.885366 | 9211639 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9211639 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-06-25 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_9211639_9156aa08-f0bd-4dde-8f02-f5a0df660c86.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042303882 | N/A | N/A | 6145898 | 2222 | 4801 | 8947816 | N/A | 4786709 | 2025-06-25 09:13:01.885366 | 2025-06-20 18:28:02.399027 |
| 2025-06-24 09:04:40.865046 | 2025-06-25 09:09:54.178256 | 9211296 | N/A | N/A | 60054 | Aetna | 1114042165 | 9211296 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-06-27 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_9211296_3053c577-e61a-423e-b51e-2a8c17f1e49a.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042396851 | N/A | N/A | 6417889 | 2222 | 4793 | 8946284 | N/A | 5065591 | 2025-06-25 09:09:54.178256 | 2025-06-18 18:47:45.179937 |
| 2025-06-24 09:04:40.189851 | 2025-06-25 09:18:28.399267 | 9211281 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9211281 | Athletic Physical Therapy Inc | 1988-01-09 | 2025-06-27 | F | PT | N/A | MOSER | JXN960M92481 | SHANNON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417803/check_9211281_3adadfc9-9065-459a-98ba-2d3297030b46.json | N/A | N/A | N/A | N/A | N/A | JXN960M92481 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1988-01-09 | 040 | 174222M2A1 | N/A | PR | false | MOSER | N/A | SHANNON | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042396850 | N/A | N/A | 6417803 | 2222 | 4793 | 8950388 | N/A | 5065504 | 2025-06-25 09:18:28.399267 | 2025-06-23 18:16:34.416791 |
| 2025-06-24 09:04:26.061292 | 2025-06-25 09:06:22.792258 | 9210913 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9210913 | Athletic Physical Therapy Inc | 2004-01-06 | 2025-06-27 | M | PT | N/A | SHIFRIN | JQV205W22902 | BORUCH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415606/check_9210913_6c980086-e19a-4941-915b-9945d1ce6c7d.json | N/A | N/A | N/A | N/A | N/A | JQV205W22902 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2004-01-06 | N/A | N/A | N/A | N/A | false | SHIFRIN | N/A | BORUCH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042396094 | N/A | N/A | 6415606 | 2222 | 4793 | 8944506 | N/A | 5063399 | 2025-06-25 09:06:22.792258 | 2025-06-30 20:57:45.480688 |
| 2025-06-24 09:04:23.709996 | 2025-06-25 09:11:49.530482 | 9210858 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210858 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-06-27 | M | AE | PT | JACOBS | JQE406W03039 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_9210858_7230cfa5-4958-4d90-b0f2-844f5c0ee974.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042302241 | N/A | N/A | 5993913 | 2222 | 4793 | 8947232 | N/A | 4642852 | 2025-06-25 09:11:49.530482 | 2025-11-21 18:38:17.056437 |
| 2025-06-24 09:03:42.417206 | 2025-06-25 09:11:56.039480 | 9210069 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210069 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-27 | F | AE | PT | SCHLEIKORN | XDD664W08200 | MARIETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_9210069_b4c02e10-58ac-43f1-a3f1-7af197cc9357.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042306413 | N/A | N/A | 5550960 | 2222 | 4793 | 8947281 | N/A | 4219792 | 2025-06-25 09:11:56.039480 | 2025-05-13 04:29:37.230832 |
| 2025-06-24 09:03:42.270029 | 2025-06-25 09:11:55.397541 | 9210068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210068 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-06-27 | M | PT | AE | NOVORR | U5X043M87191 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550909/check_9210068_b865cb79-7170-4513-9151-c476666e4034.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1958-07-03 | 040 | 280509C475 | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2024-11-01 | UC MEDICARE PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042306412 | N/A | N/A | 5550909 | 2222 | 4801 | 8947277 | N/A | 4219758 | 2025-06-25 09:11:55.397541 | 2025-05-13 04:29:37.230800 |
| 2025-06-24 09:03:42.148043 | 2025-06-25 09:11:50.219589 | 9210064 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210064 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-27 | F | AE | PT | MARTIN | DGA11867912J | DOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_9210064_a157d6dd-205d-4a9e-8744-210533e4f6e2.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042306411 | N/A | N/A | 5550799 | 2222 | 4793 | 8947240 | N/A | 4219681 | 2025-06-25 09:11:50.219589 | 2026-01-14 20:54:02.193776 |
| 2025-06-24 09:03:42.022283 | 2025-06-25 09:11:47.128103 | 9210062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210062 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-06-27 | M | AE | PT | COLLINS | JQE212W23450 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550686/check_9210062_1ccdd688-f347-488f-9278-f258045407a0.json | N/A | N/A | N/A | N/A | N/A | JQE212W23450 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-13 | 040 | CASUPWP0 | N/A | N/A | false | COLLINS | N/A | CHARLES | N/A | 9999-12-31 | 2025-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042306410 | N/A | N/A | 5550686 | 2222 | 4801 | 8947216 | N/A | 4219605 | 2025-06-25 09:11:47.128103 | 2025-06-06 16:26:34.530119 |
| 2025-06-24 09:03:40.915060 | 2025-06-25 09:11:56.706725 | 9210043 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210043 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-27 | F | AE | PT | SINGER | XEM911011492 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543248/check_9210043_1f67ddba-923c-40ff-aa02-8101a3b7a9d7.json | N/A | N/A | N/A | N/A | N/A | XEM911011492 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-05-17 | 2004SE000028 | X0001002 | N/A | SP | false | SINGER | N/A | JOEL | N/A | 2025-06-30 | 2025-06-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042306405 | N/A | N/A | 5543248 | 2222 | 4793 | 8947286 | N/A | 4215066 | 2025-06-25 09:11:56.706725 | 2025-05-13 04:29:37.229384 |
| 2025-06-24 09:03:40.625703 | 2025-06-25 09:13:00.709214 | 9210038 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9210038 | Athletic Physical Therapy Inc | 1948-07-16 | 2025-06-27 | M | AE | PT | KANDELA | XEM904119501 | IMAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543179/check_9210038_fe1eb958-dcff-4e65-b06a-e0a2087b0f4c.json | N/A | N/A | N/A | N/A | N/A | XEM904119501 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-07-16 | 2002SD000004 | X0001002 | N/A | OT | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042306404 | N/A | N/A | 5543179 | 2222 | 4793 | 8947805 | N/A | 4215003 | 2025-06-25 09:13:00.709214 | 2025-05-13 04:29:37.229322 |
| 2025-06-24 09:03:40.501612 | 2025-06-25 09:10:50.709889 | 9210034 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9210034 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-26 | F | AE | PT | LARSEN | R06053944FD1 | LANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9210034_8e14363f-aa3a-489e-9335-d53572821e8f.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 | 8042306403 | N/A | N/A | 5542850 | 2222 | 4793 | 8946780 | N/A | 4214714 | 2025-06-25 09:10:50.709889 | 2025-05-13 04:29:37.229031 |
| 2025-06-24 09:03:40.254417 | 2025-06-25 09:11:57.272807 | 9210032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210032 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-27 | M | PT | AE | WOLFE | JQE369M78235 | DIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541818/check_9210032_41c30fb7-6fd3-4143-9afa-abdf003c2a4b.json | N/A | N/A | N/A | N/A | N/A | JQE369M78235 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-05-13 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | DIA | N/A | 9999-12-31 | 2024-06-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042306401 | N/A | N/A | 5541818 | 2222 | 4801 | 8947291 | N/A | 4213795 | 2025-06-25 09:11:57.272807 | 2026-06-05 00:55:52.281598 |
| 2025-06-24 09:03:40.132190 | 2025-06-25 09:13:00.141091 | 9210031 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9210031 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-27 | M | AE | PT | DASILVA | XEM911406068 | BOB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_9210031_fc0670e8-545c-4793-93df-0ef837c02231.json | N/A | N/A | N/A | N/A | N/A | XEM911406068 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-08-09 | 2002SE000028 | X0001002 | N/A | OT | false | DASILVA | N/A | BOB | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042306400 | N/A | N/A | 5540845 | 2222 | 4793 | 8947800 | N/A | 4212930 | 2025-06-25 09:13:00.141091 | 2025-05-13 04:29:37.227258 |
| 2025-06-24 09:03:39.983967 | 2025-06-25 09:03:40.027879 | 9210027 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9210027 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-27 | F | AE | PT | GNAD | 03840002311 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9210027_8c4e73da-f1be-457c-90cb-202eff6b22d5.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | 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 | 8042306399 | N/A | N/A | 5540682 | 2222 | 4801 | 8943304 | N/A | 4212792 | 2025-06-25 09:03:40.027879 | 2025-10-07 20:33:25.637997 |
| 2025-06-24 09:03:39.843631 | 2025-06-25 09:11:48.631245 | 9210025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210025 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-25 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_9210025_922a4902-f6c3-4c8e-abc0-d11e1cf86ef6.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042306398 | N/A | N/A | 5539665 | 2222 | 4793 | 8947226 | N/A | 4211935 | 2025-06-25 09:11:48.631245 | 2025-05-13 04:29:37.226259 |
| 2025-06-24 09:03:39.703789 | 2025-06-25 09:11:54.647078 | 9210023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210023 | 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/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9210023_b494c388-5b78-44c3-8ac2-dfe8a4d33354.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 | 8042306397 | N/A | N/A | 5537188 | 2222 | 4802 | 8947247 | N/A | 4209789 | 2025-06-25 09:11:54.647078 | 2025-05-13 04:29:37.224215 |
| 2025-06-24 09:03:39.523829 | 2025-06-25 09:11:47.846663 | 9210019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9210019 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-27 | F | AE | PT | ELDRIDGE | JQE441W06248 | MARGARET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536112/check_9210019_0e28c094-20a6-4622-bcaf-174b56228659.json | N/A | N/A | N/A | N/A | N/A | JQE441W06248 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-09-13 | N/A | N/A | N/A | N/A | 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 | 8042306396 | N/A | N/A | 5536112 | 2222 | 4793 | 8947220 | N/A | 4208915 | 2025-06-25 09:11:47.846663 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 09:03:39.348568 | 2025-06-25 09:03:40.410947 | 9210017 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9210017 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-27 | M | PT | AE | ULLMAN | 557489000 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140620184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_9210017_ef1612e6-4743-4d8c-99e2-1e838f383774.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042306395 | N/A | N/A | 5535842 | 2222 | 4801 | 8943305 | N/A | 4208696 | 2025-06-25 09:03:40.410947 | 2025-06-07 16:16:45.844566 |
| 2025-06-24 09:03:24.100105 | 2025-06-25 09:11:45.190650 | 9209757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9209757 | Athletic Physical Therapy Inc | 2009-04-05 | 2025-06-26 | M | PT | N/A | WISEMAN | XXP966051946 | ELIAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141340716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993964/check_9209757_7fe2e670-3e78-4af1-b0c3-4089315105f1.json | N/A | N/A | N/A | N/A | N/A | XXP966051946 | Preferred Provider Organization (PPO) | LASTPASS | ANTHEM BLUE CROSS | N/A | 2009-04-05 | N/A | 002377750 | N/A | PR | false | ANDERSON | N/A | ERIC | N/A | 9999-12-31 | 2024-01-01 | PPO - BLUE CARE ELECT DEDUCTIBLE WITH COINSURANCE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382486 | N/A | N/A | 5993964 | 2222 | 4801 | 8947202 | N/A | 4642896 | 2025-06-25 09:11:45.190650 | 2025-06-04 17:16:59.944493 |
| 2025-06-24 09:03:23.664161 | 2025-06-25 09:11:08.426835 | 9209748 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9209748 | Athletic Physical Therapy Inc | 2002-09-02 | 2025-06-27 | M | AE | PT | TCHORBAJIAN | 000015560662 | AREN | 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/2222/5993954/check_9209748_aed2718b-a52c-4dd4-b0cf-5ed1a7b24f13.json | N/A | N/A | N/A | N/A | N/A | 000015560662 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2002-09-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | AREN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042382485 | N/A | N/A | 5993954 | 2222 | 4801 | 8946909 | N/A | 4642889 | 2025-06-25 09:11:08.426835 | 2025-06-13 05:53:58.450942 |