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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-18 07:12:00.856817 | 2026-03-18 07:12:05.962879 | 21159256 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-21 | 2026-03-18 | M | PT | 4191 | Toobi | XDL045A69958 | Sean | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14226250/check_21159256_85725367-9f4d-400d-848c-3167a43e5939.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_21159256_b3a25b26-a075-4de1-87d6-fba6c0980feb.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033948 | N/A | N/A | 14226250 | 2222 | N/A | 20513449 | N/A | 12357271 | 2026-03-18 07:12:05.962879 | 2025-12-12 23:21:42.214124 |
| 2026-03-18 07:12:00.723227 | 2026-03-18 07:12:03.686544 | 21159240 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-04 | 2026-03-18 | M | PT | 4185 | GEFFEN | CFT037A52287 | JASON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13669648/check_21159240_10f18345-5772-4fcd-9200-7fcbbd3d3cf8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13669648/check_21159240_30c90eb1-10ac-4ee3-b623-cae0a0bedf64.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 | 10323033951 | N/A | N/A | 13669648 | 2222 | N/A | 20513436 | N/A | 10856744 | 2026-03-18 07:12:03.686544 | 2025-12-29 22:47:44.157557 |
| 2026-03-18 07:12:00.538719 | 2026-03-18 07:12:03.283081 | 21159222 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-16 | 2026-03-18 | M | PT | 4185 | GREENHALGE | NCF143A55388 | STEVE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14411082/check_21159222_3fc2f131-4d13-455e-90be-f5286f82c041.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14411082/check_21159222_98c8a328-2d11-4767-bdf6-d9be7e99f312.json | N/A | N/A | N/A | N/A | N/A | NCF143A55388 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1957-07-16 | 040 | 57AJCA | N/A | HM | false | GREENHALGE | N/A | STEVE | 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 | 10323033928 | N/A | N/A | 14411082 | 2222 | N/A | 20513433 | N/A | 12546413 | 2026-03-18 07:12:03.283081 | 2026-02-05 22:22:26.212113 |
| 2026-03-18 07:11:59.839469 | 2026-03-18 07:12:03.039339 | 21159155 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-18 | 2026-03-18 | F | AE | 2630 | watson | 00000380103 | stella | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13644272/check_21159155_cf2e0ce2-9647-4824-b330-30b21c75e049.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_21159155_59d14e79-c026-4760-a26e-840aba809baf.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-18 | H3815050 | N/A | N/A | HM | false | WATSON | N/A | STELLA | N/A | 2025-12-31 | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033886 | N/A | N/A | 13644272 | 2222 | N/A | 20513429 | N/A | 11792017 | 2026-03-18 07:12:03.039339 | 2025-12-04 01:49:08.682293 |
| 2026-03-18 07:11:59.708960 | 2026-03-18 07:12:02.750516 | 21159148 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-06 | 2026-03-18 | F | AE | 4625 | JACKSIER | R06211516FM1 | JENNIFER | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12436059/check_21159148_80f15052-ac49-4a1a-b641-7ef154117546.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436059/check_21159148_b24cabd5-80c0-4e8e-8374-4c7fd033df82.json | N/A | N/A | N/A | N/A | N/A | R06211516FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1972-03-06 | N/A | N/A | N/A | N/A | false | JACKSIER | N/A | JENNIFER | N/A | 2026-02-11 | 2026-01-01 | NC0 COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033877 | N/A | N/A | 12436059 | 2222 | N/A | 20513426 | N/A | 10616484 | 2026-03-18 07:12:02.750516 | 2025-11-24 21:45:10.432927 |
| 2026-03-18 07:11:59.590244 | 2026-03-18 07:12:02.727375 | 21159134 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-02-29 | 2026-03-18 | F | AE | 5505 | Elzinga | 000025992229 | Stevie | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13437538/check_21159134_066e2442-a2af-44df-8ee3-c5be04a30e4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_21159134_34ccc0bc-d693-4a18-88bc-fc87077fc964.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 | 10323033869 | N/A | N/A | 13437538 | 2222 | N/A | 20513428 | N/A | 11598678 | 2026-03-18 07:12:02.727375 | 2025-11-26 19:50:29.795204 |
| 2026-03-18 07:11:59.574993 | 2026-03-18 07:12:03.482990 | 21159133 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-04 | 2026-03-18 | F | AE | 5349 | MENDEZ | H9608321000 | LINDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12421991/check_21159133_58241e04-004b-4388-a446-95dd3048150d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_21159133_bf3bcd4a-440b-458d-a93b-bc195eb1d498.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 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 | 10323033850 | N/A | N/A | 12421991 | 2222 | N/A | 20513435 | N/A | 10601861 | 2026-03-18 07:12:03.482990 | 2025-11-07 18:35:55.025808 |
| 2026-03-18 07:11:59.388851 | 2026-03-18 07:12:03.230254 | 21159113 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-24 | 2026-03-18 | M | PT | 4184 | RAY | PAS838471972 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11420779/check_21159113_3bbbd02e-6ff2-40d5-bcbd-5879016bb989.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_21159113_5286c260-cb08-44a9-97cb-4856f6ccbcc8.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033840 | N/A | N/A | 11420779 | 2222 | N/A | 20513431 | N/A | 9673427 | 2026-03-18 07:12:03.230254 | 2025-11-03 19:27:12.288254 |
| 2026-03-18 07:11:59.357950 | 2026-03-18 07:12:03.258814 | 21159109 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-03-18 | F | AE | 5349 | JOHNSON OLAD | H6507221700 | CATINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415027/check_21159109_f60fd483-77b1-4fa8-a300-c75d35a66356.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_21159109_4c90d870-07b8-495f-b8d8-ad2e08b81bc5.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 1972-07-09 | N/A | 2B506001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | 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 | 10323033838 | N/A | N/A | 11415027 | 2222 | N/A | 20513430 | N/A | 9669773 | 2026-03-18 07:12:03.258814 | 2025-10-30 23:36:57.101747 |
| 2026-03-18 07:11:59.258669 | 2026-03-18 07:12:02.137266 | 21159100 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-03-15 | 2026-03-18 | F | PT | 4185 | DUMAIS | JQV380A68679 | JULIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11399834/check_21159100_19276cac-4e4c-4e9b-8b12-d5700fb9bf77.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11399834/check_21159100_a7424331-460e-4f48-8b78-3da81c306257.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033830 | N/A | N/A | 11399834 | 2222 | N/A | 20513422 | N/A | 9659468 | 2026-03-18 07:12:02.137266 | 2025-10-23 16:38:33.858959 |
| 2026-03-18 07:11:59.060773 | 2026-03-18 07:12:02.197955 | 21159085 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-18 | M | AE | 4497 | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/10239788/check_21159085_8ddfb099-fec3-40c5-800a-87c13beba068.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_21159085_24bbc93c-975e-47d7-bcf3-3e8a92ad9f0c.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MB | 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 | 10323033826 | N/A | N/A | 10239788 | 2222 | N/A | 20513423 | N/A | 8527464 | 2026-03-18 07:12:02.197955 | 2025-10-14 15:25:46.972104 |
| 2026-03-18 07:11:59.051765 | 2026-03-18 07:12:01.933575 | 21159083 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-17 | 2026-03-18 | M | AE | 4497 | WAHL | 6CX2NW3WP90 | LELAND | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364481/check_21159083_82b7b9ab-0289-48f0-9c0b-c5f9f38cf8e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_21159083_3a919a7c-f1d3-444f-9124-a5a3f0246ae6.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 116901 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033813 | N/A | N/A | 11364481 | 2222 | N/A | 20513420 | N/A | 9633229 | 2026-03-18 07:12:01.933575 | 2026-02-05 17:07:37.378883 |
| 2026-03-18 07:11:59.037521 | 2026-03-18 07:12:02.160771 | 21159080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-03-18 | M | PT | 4185 | Moreno jr | VDHE01043007 | Hector | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_21159080_74ee3b5d-5263-479d-85e4-bec6fd03ea4b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_21159080_d193758d-678d-4469-95da-fe64a03bb2d0.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033818 | N/A | N/A | 9691081 | 2222 | N/A | 20513421 | N/A | 8110015 | 2026-03-18 07:12:02.160771 | 2025-10-05 15:24:30.421551 |
| 2026-03-18 07:11:58.986053 | 2026-03-18 07:12:06.569670 | 21159074 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-13 | 2026-03-18 | F | AE | 1030 | BANITT | 91412011H | MAYA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7982486/check_21159074_ae8c5a9a-d40d-4686-b9c7-3ee17bd2233d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7982486/check_21159074_8ef97bc3-4448-4004-af13-0c5ccfcd663a.json | N/A | N/A | N/A | N/A | N/A | 91412011H | N/A | N/A | HEALTH NET, LLC | N/A | 1996-12-13 | N/A | N/A | N/A | N/A | false | BANITT | N/A | MAYA | N/A | 2026-02-11 | 2025-06-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033829 | N/A | N/A | 7982486 | 2222 | N/A | 20513453 | N/A | 6793895 | 2026-03-18 07:12:06.569670 | 2025-08-11 19:39:51.529122 |
| 2026-03-18 07:11:58.925608 | 2026-03-18 07:12:28.260442 | 21159066 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-05-16 | 2026-03-18 | M | AE | 3948 | HOPE | 101144710900 | LYNN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9477069/check_21159066_b94fe46b-c9c0-470f-94ff-4d9a98cddf6d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_21159066_a7f578e9-285a-40d6-9344-224d40ca6d44.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033811 | N/A | N/A | 9477069 | 2222 | N/A | 20513601 | N/A | 7927787 | 2026-03-18 07:12:28.260442 | 2025-09-17 17:11:58.574244 |
| 2026-03-18 07:11:58.831752 | 2026-03-18 07:12:02.602919 | 21159054 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-03-18 | F | AE | 4211 | CRUTCHFIELD | 90443065C | HELEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_21159054_22102519-e519-4730-8dcd-abf0fad9b80c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_21159054_f08c0bbb-afd2-4171-a687-9d92dd61a05c.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 | 10323033801 | N/A | N/A | 10103203 | 2222 | N/A | 20513425 | N/A | 8437251 | 2026-03-18 07:12:02.602919 | 2025-10-07 19:08:26.048804 |
| 2026-03-18 07:11:58.737436 | 2026-03-18 07:12:00.737664 | 21159043 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-29 | 2026-03-18 | F | PT | 4191 | LARSON | XEA913804058 | DEBRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9562148/check_21159043_ffa56116-6ddc-4dcf-9fbc-f9348177e292.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_21159043_ff4eebf5-4eb0-4eb9-af5b-8b9778055ead.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033795 | N/A | N/A | 9562148 | 2222 | N/A | 20513410 | N/A | 7997320 | 2026-03-18 07:12:00.737664 | 2025-10-02 21:07:14.563938 |
| 2026-03-18 07:11:58.535966 | 2026-03-18 07:13:12.081489 | 21159025 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-19 | 2026-03-18 | F | AE | 3948 | BURRY | 101323278900 | CAROLYN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8971092/check_21159025_a6251e36-1e4e-4ac7-85ac-5b86336ca51f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_21159025_d421ad6c-be2d-4400-9072-e1c61c4a4339.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 | 10323033781 | N/A | N/A | 8971092 | 2222 | N/A | 20513964 | N/A | 7486536 | 2026-03-18 07:13:12.081489 | 2025-09-15 03:16:44.869236 |
| 2026-03-18 07:11:58.470368 | 2026-03-18 07:12:01.108804 | 21159018 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-05-24 | 2026-03-18 | F | 96 | 6798 | REGGIANI | 41813758 | SUSANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549015/check_21159018_151ff9c6-e18e-4de6-a82d-283026c3da03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_21159018_55b54356-3c62-4a0f-a164-67aa474a291a.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | 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 | 10323033803 | N/A | N/A | 5549015 | 2222 | N/A | 20513412 | N/A | 4208849 | 2026-03-18 07:12:01.108804 | 2025-05-13 04:29:37.223279 |
| 2026-03-18 07:11:58.374126 | 2026-03-18 07:12:02.165754 | 21159008 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2026-03-18 | M | AE | 4211 | RAFIEI | 92836714F | SAM | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_21159008_0608bfb7-bf33-488f-abba-7db6c981ddd8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_21159008_0bde4be0-ffde-454f-96e5-4f526c8b78c8.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033770 | N/A | N/A | 8173002 | 2222 | N/A | 20513424 | N/A | 6939518 | 2026-03-18 07:12:02.165754 | 2025-08-18 21:40:08.349494 |
| 2026-03-18 07:11:58.214680 | 2026-03-18 07:12:01.488241 | 21158993 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-12 | 2026-03-18 | M | AE | 4625 | Aldana | 95423949E | George | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6568645/check_21158993_6e38af55-1d7c-45d0-87c3-a85ad36e28f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_21158993_7268a56c-d780-4359-ab16-53128693720f.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | 2025-10-31 | 2025-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033766 | N/A | N/A | 6568645 | 2222 | N/A | 20513415 | N/A | 5190481 | 2026-03-18 07:12:01.488241 | 2025-06-24 17:29:30.756528 |
| 2026-03-18 07:11:58.181296 | 2026-03-18 07:12:01.356584 | 21158988 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-08-19 | 2026-03-18 | M | PT | 4185 | Bridgemohansingh | NTF910W08222 | Jason | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7258746/check_21158988_542042e1-e0c1-4028-ad12-3a2ffd16667c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_21158988_d28d3d22-2cd5-45e5-8ce3-444aa70ae515.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033775 | N/A | N/A | 7258746 | 2222 | N/A | 20513416 | N/A | 6224482 | 2026-03-18 07:12:01.356584 | 2025-08-07 00:03:18.267969 |
| 2026-03-18 07:11:58.162192 | 2026-03-18 07:12:01.668943 | 21158987 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-25 | 2026-03-18 | F | PT | 4185 | CLOONAN | XDM481M99931 | LINDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193751/check_21158987_33442d7c-c870-4983-a7d7-42ae0bafdd0a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_21158987_1e22e574-bc08-4a7d-9e3c-817a6c6aaa2d.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033759 | N/A | N/A | 6193751 | 2222 | N/A | 20513417 | N/A | 4837995 | 2026-03-18 07:12:01.668943 | 2025-06-13 00:15:18.726975 |
| 2026-03-18 07:11:58.120855 | 2026-03-18 07:12:01.381188 | 21158982 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-16 | 2026-03-18 | F | AE | 4625 | DE FELICE | R07457624FM1 | CHRISTINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140436/check_21158982_522d93b1-525b-41ad-8bde-6c45c9a6d5bf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_21158982_5c2b673e-62c5-4c47-ae1a-81c227dedfc4.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 | 2025-11-30 | 2024-12-01 | MI4 SBP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033771 | N/A | N/A | 6140436 | 2222 | N/A | 20513414 | N/A | 4781417 | 2026-03-18 07:12:01.381188 | 2025-06-06 17:03:19.078153 |
| 2026-03-18 07:11:58.109492 | 2026-03-18 07:12:01.899262 | 21158981 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2026-03-18 | M | AE | 4211 | Thur | 95641377F | Pyi | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_21158981_331dd7f6-b037-4b77-886c-20abd615943b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_21158981_a80582dd-1337-4a25-aabb-f72db726b789.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033752 | N/A | N/A | 7449843 | 2222 | N/A | 20513419 | N/A | 6399635 | 2026-03-18 07:12:01.899262 | 2025-07-29 18:42:47.970149 |
| 2026-03-18 07:11:58.008230 | 2026-03-18 07:11:59.776379 | 21158966 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2026-03-18 | M | AE | 4497 | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752936/check_21158966_5fa8fc47-b6c9-4b11-ac8c-6ec480bf0e28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_21158966_d415b76b-889a-4997-b6c2-bfa087309f31.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 182517 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033746 | N/A | N/A | 6752936 | 2222 | N/A | 20513406 | N/A | 5065602 | 2026-03-18 07:11:59.776379 | 2025-07-01 17:25:13.681724 |
| 2026-03-18 07:11:57.803811 | 2026-03-18 07:12:20.970803 | 21158949 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2026-03-18 | F | 30 | 6237 | AMOROSA | 40037132201 | RITA | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_21158949_a9c54561-f341-4b43-8981-4ea63d18ea34.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874458 | 2222 | N/A | N/A | N/A | 4534582 | 2026-03-18 07:12:20.970803 | 2026-03-02 22:06:30.224734 |
| 2026-03-18 07:11:57.707633 | 2026-03-18 07:12:00.769456 | 21158941 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-04-28 | 2026-03-18 | M | PT | 4185 | CORPUS | SIF943M82836 | WILBUR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549387/check_21158941_b5b5e417-79bd-4b82-8f42-6a47960b3735.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549387/check_21158941_4a179da1-1d44-43d1-ad67-849d71391c6f.json | N/A | N/A | N/A | N/A | N/A | LDU943M82836 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1979-04-28 | 040 | 1838NL | N/A | EP | false | CORPUS | N/A | GINA | N/A | 9999-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033722 | N/A | N/A | 5549387 | 2222 | N/A | 20513411 | N/A | 4219061 | 2026-03-18 07:12:00.769456 | 2025-05-13 04:29:37.230079 |
| 2026-03-18 07:11:57.364457 | 2026-03-18 07:12:00.307605 | 21158906 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-26 | 2026-03-18 | F | 30 | 6237 | TORRES | 40067303001 | OLGA | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543371/check_21158906_fe7b9dff-19cf-4367-be78-86dcee9c4386.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_21158906_827f96c6-283c-41f6-afa2-5901122c6451.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 10323033704 | N/A | N/A | 5543371 | 2222 | N/A | 20513409 | N/A | 4215172 | 2026-03-18 07:12:00.307605 | 2025-05-13 04:29:37.229489 |
| 2026-03-18 07:11:57.364216 | 2026-03-18 07:11:59.554025 | 21158905 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2026-03-18 | F | AE | 4497 | UYGUR | 1VV2MA6GE80 | NUKHET | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543311/check_21158905_93d39a8d-8a78-495b-80ad-5144b9ef5b82.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_21158905_efd64eb6-928d-4f3f-9a2f-58417c4d6156.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MB | false | UYGUR | N/A | NUKHET | 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 | 10323033716 | N/A | N/A | 5543311 | 2222 | N/A | 20513404 | N/A | 4215116 | 2026-03-18 07:11:59.554025 | 2025-05-29 22:32:19.748297 |
| 2026-03-18 07:11:57.297034 | 2026-03-18 07:12:01.394125 | 21158898 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-01-23 | 2026-03-18 | F | AE | 4211 | SILVERS | 1866968 | JOIEMAY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543335/check_21158898_dcf35243-bff9-4cb2-89a7-1f08d1f09b2e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_21158898_0cd48aa6-9271-449f-addd-d6024ed0c7db.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033708 | N/A | N/A | 5543335 | 2222 | N/A | 20513418 | N/A | 4215139 | 2026-03-18 07:12:01.394125 | 2025-05-13 21:20:11.455022 |
| 2026-03-18 07:11:57.254768 | 2026-03-18 07:12:00.253566 | 21158891 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-21 | 2026-03-18 | M | AE | 6237 | SHADDAY | 40064865601 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543011/check_21158891_ae2406c5-3c52-4bb8-a7d0-59c6ddc2e43e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_21158891_29a17ea9-a073-42ac-b2c8-68f35eaa6a7e.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | 2026H5425001 | H5425M | N/A | N/A | false | SHADDAY | N/A | STEVEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033695 | N/A | N/A | 5543011 | 2222 | N/A | 20513408 | N/A | 4214861 | 2026-03-18 07:12:00.253566 | 2026-02-04 19:10:58.526441 |
| 2026-03-18 07:11:56.977269 | 2026-03-18 07:11:58.725678 | 21158861 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-16 | 2026-03-18 | M | AE | 4497 | GELLER | 5C32TT5YQ84 | STUART | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542950/check_21158861_3c88e45a-e6be-400f-9b0b-953e729409b8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542950/check_21158861_375baa7b-e3ce-4891-acc3-471c83366326.json | N/A | N/A | N/A | N/A | N/A | 5C32TT5YQ84 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-03-16 | S5884 | N/A | N/A | MB | false | GELLER | N/A | STUART | 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 | 10323033671 | N/A | N/A | 5542950 | 2222 | N/A | 20513398 | N/A | 4214802 | 2026-03-18 07:11:58.725678 | 2025-05-13 04:29:37.229127 |
| 2026-03-18 07:11:56.797465 | 2026-03-18 07:12:00.292672 | 21158843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-06-25 | 2026-03-18 | F | PT | 4185 | LORD | JQT822A53740 | ALYSSA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541409/check_21158843_bd10c282-bcf6-4530-92d8-75f049fc941a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_21158843_3930159f-da5e-4f47-bd5d-5356c9bae04f.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033677 | N/A | N/A | 5541409 | 2222 | N/A | 20513407 | N/A | 4213435 | 2026-03-18 07:12:00.292672 | 2025-05-13 04:29:37.227756 |
| 2026-03-18 07:11:56.779492 | 2026-03-18 07:11:59.855088 | 21158838 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2026-03-18 | F | AE | 4625 | LARSEN | R06053944FD1 | LANA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_21158838_38c7071c-1153-470a-834c-a6f3e0f5eae0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_21158838_de9c3978-3b80-46ac-8b12-3c7d15ce4b74.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 | 2026-02-10 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033660 | N/A | N/A | 5542850 | 2222 | N/A | 20513405 | N/A | 4214714 | 2026-03-18 07:11:59.855088 | 2025-05-13 04:29:37.229031 |
| 2026-03-18 07:11:56.319578 | 2026-03-18 07:11:59.141386 | 21158783 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-03 | 2026-03-18 | M | AE | 4625 | MOSLEY | R02649763MM1 | MICHAEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542606/check_21158783_760a940e-ef7d-492c-8208-64c1a6de136b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_21158783_0682f4b3-8304-4769-99d0-1e5a5a34b9b5.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2025-08-31 | 2025-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033611 | N/A | N/A | 5542606 | 2222 | N/A | 20513402 | N/A | 4214496 | 2026-03-18 07:11:59.141386 | 2025-05-13 04:29:37.228812 |
| 2026-03-18 07:11:55.856357 | 2026-03-18 07:11:58.921329 | 21158731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-25 | 2026-03-18 | M | PT | 4185 | JEWETT | MNL165W05926 | BRAD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542557/check_21158731_67cc848b-7c4d-4d25-8aa2-29c1d2afe1fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542557/check_21158731_5aa6a51a-82cd-48ae-be25-32c0f8a58b5e.json | N/A | N/A | N/A | N/A | N/A | MNL165W05926 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-08-25 | 040 | CAMCRWP0 | N/A | MP | false | JEWETT | N/A | BRAD | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033593 | N/A | N/A | 5542557 | 2222 | N/A | 20513399 | N/A | 4214450 | 2026-03-18 07:11:58.921329 | 2026-03-06 00:04:40.436388 |
| 2026-03-18 07:11:55.840936 | 2026-03-18 07:11:57.809030 | 21158727 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-09-18 | 2026-03-18 | F | PT | 4191 | SHAPIRO | XEA901579979 | ANDREA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541315/check_21158727_bfdb3331-5581-4208-96b4-65334bbf8f4b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_21158727_2dbc800d-1d3d-4062-94e1-d59286cd9713.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2025-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033588 | N/A | N/A | 5541315 | 2222 | N/A | 20513390 | N/A | 4213344 | 2026-03-18 07:11:57.809030 | 2025-05-13 04:29:37.227667 |
| 2026-03-18 07:11:55.831100 | 2026-03-18 07:11:59.207959 | 21158726 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-30 | 2026-03-18 | M | PT | 4185 | SILVA | NCF278A23385 | IRAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537475/check_21158726_e147f2d7-e158-48d1-b32b-f7166231e654.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537475/check_21158726_468ccbf8-ce4b-4908-a3e3-c15c96bf162a.json | N/A | N/A | N/A | N/A | N/A | NCF278A23385 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 57AJCA | N/A | HM | false | ROBLES SILVA | N/A | VERONICA | 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 | 10323033584 | N/A | N/A | 5537475 | 2222 | N/A | 20513401 | N/A | 4210032 | 2026-03-18 07:11:59.207959 | 2026-03-11 16:04:50.320792 |
| 2026-03-18 07:11:55.771236 | 2026-03-18 07:11:57.707763 | 21158714 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-18 | F | AE | 4497 | LIBAW | 9T01HM2XE02 | PAMELA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539452/check_21158714_09f300a8-d826-4b0d-868a-eee6e6a2d534.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539452/check_21158714_c5c84086-4d30-42f1-ba4b-dab9a6a6a918.json | N/A | N/A | N/A | N/A | N/A | 9T01HM2XE02 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-10 | S4802 | N/A | N/A | MA | false | LIBAW | N/A | PAMELA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 46382 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033565 | N/A | N/A | 5539452 | 2222 | N/A | 20513387 | N/A | 4211753 | 2026-03-18 07:11:57.707763 | 2025-05-13 04:29:37.226073 |
| 2026-03-18 07:11:55.472336 | 2026-03-18 07:11:58.400709 | 21158683 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-11-17 | 2026-03-18 | M | PT | 4185 | HAMILTON | KZU14135950E | JAMES | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538409/check_21158683_0558c77e-9cb7-4299-900f-b94664498b51.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538409/check_21158683_ff88eb9d-0d5a-44d3-aabe-279593a240a8.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033545 | N/A | N/A | 5538409 | 2222 | N/A | 20513396 | N/A | 4210828 | 2026-03-18 07:11:58.400709 | 2025-05-13 04:29:37.225234 |
| 2026-03-18 07:11:55.386358 | 2026-03-18 07:11:58.112456 | 21158673 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1956-10-22 | 2026-03-18 | F | AE | 4709 | VARGAS | C4080406701 | AUXILIADORA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_21158673_9e5c007c-2910-4cd6-ad96-ed36865dfb89.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_21158673_e2e2388d-7214-44a9-b339-9912ea219751.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033535 | N/A | N/A | 5538314 | 2222 | N/A | 20513393 | N/A | 4210749 | 2026-03-18 07:11:58.112456 | 2026-01-29 18:21:20.298304 |
| 2026-03-18 07:11:55.341535 | 2026-03-18 07:12:01.363741 | 21158671 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-01-18 | 2026-03-18 | F | PT | 4191 | SONNENBERG RHIM | JXN215M92476 | MIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537289/check_21158671_4739145f-7a0c-4069-bc89-50bb6f52ca26.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537289/check_21158671_0b20b8ec-2c63-48be-8b36-31c4cbc28ef7.json | N/A | N/A | N/A | N/A | N/A | JXN215M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 2005-01-18 | 040 | 174222M2A1 | N/A | PR | false | SONNENBERG RHIM | N/A | JENNIFER | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033536 | N/A | N/A | 5537289 | 2222 | N/A | 20513413 | N/A | 4209879 | 2026-03-18 07:12:01.363741 | 2026-02-02 17:58:08.499602 |
| 2026-03-18 07:11:55.193123 | 2026-03-18 07:11:57.302203 | 21158652 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-08-09 | 2026-03-18 | F | AE | 6237 | NOWAK | 31183221401 | DEBORAH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537039/check_21158652_6af2ca32-65f4-48ae-86f8-b4a3d8926d29.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537039/check_21158652_ee6d0bf2-2ef0-4fdf-a9aa-d59367f342e2.json | N/A | N/A | N/A | N/A | N/A | 31183221401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-08-09 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DEBORAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323033528 | N/A | N/A | 5537039 | 2222 | N/A | 20513382 | N/A | 4209676 | 2026-03-18 07:11:57.302203 | 2025-11-19 17:57:16.607946 |
| 2026-03-18 07:11:55.075343 | 2026-03-18 07:11:59.423856 | 21158644 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-02 | 2026-03-18 | F | AE | 5349 | HASSEY DE HANSON | H6569972200 | HILDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536963/check_21158644_5f5fa03a-8ccc-41b7-8b8a-50ae9af1eece.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_21158644_3ba5bdb6-cc72-4b53-83dd-1124a4461267.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 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 | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | 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 | 10323033541 | N/A | N/A | 5536963 | 2222 | N/A | 20513403 | N/A | 4209616 | 2026-03-18 07:11:59.423856 | 2025-12-02 19:38:35.715555 |
| 2026-03-18 07:11:54.777101 | 2026-03-18 07:11:57.591264 | 21158607 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-03-28 | 2026-03-18 | M | PT | 4185 | KOSTER | DGA11321380J | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536722/check_21158607_5490eab3-6a5d-491d-ad44-6edaab2ebcf5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_21158607_ee7484cf-18ff-475b-8ca7-40c7992fbb2c.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323033506 | N/A | N/A | 5536722 | 2222 | N/A | 20513386 | N/A | 4209420 | 2026-03-18 07:11:57.591264 | 2025-05-13 04:29:37.223843 |
| 2026-03-18 07:11:54.664178 | 2026-03-18 07:11:57.621951 | 21158597 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2026-03-18 | M | AE | 3842 | ULLMAN | 03520409411 | DAVID | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535842/check_21158597_c633a43f-d331-47cc-883c-4ee55122ff40.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_21158597_c72a5982-c6df-4dbb-ab3b-911491ab283f.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 | 10323033490 | N/A | N/A | 5535842 | 2222 | N/A | 20513388 | N/A | 4208696 | 2026-03-18 07:11:57.621951 | 2025-06-07 16:16:45.844566 |
| 2026-03-18 07:10:48.582553 | 2026-03-18 07:11:22.010341 | 21151960 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-12 | N/A | PT | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21151960_fd785ad3-51f7-4817-a1eb-bf358ebda29d.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-12 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | 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 | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:11:22.010341 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:09:41.877898 | 2026-03-26 16:52:25.672098 | 21148341 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21148341 | Athletic Physical Therapy Inc | 1942-02-14 | 2026-03-19 | F | AE | N/A | BELTRAN | 40067235601 | ANGIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18204816/check_21148341_70b2beaa-9575-4094-9e5b-cb4a52487380.json | N/A | N/A | N/A | N/A | N/A | 40067235601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-02-14 | 2026H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | ANGIE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049442 | N/A | N/A | 18204816 | 2222 | 4801 | 21739658 | 6237 | 16219626 | 2026-03-26 16:52:25.672098 | 2026-03-16 19:25:33.055259 |
| 2026-03-18 07:09:41.715875 | 2026-03-26 16:54:05.702453 | 21148336 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148336 | Athletic Physical Therapy Inc | 1979-07-25 | 2026-03-19 | M | PT | N/A | DOBBIE | JQU942M93268 | DRAKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_21148336_b4dc4e89-63e2-439c-b08d-c575bc8ba909.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049441 | N/A | N/A | 18097686 | 2222 | 4801 | 21751768 | N/A | 16122002 | 2026-03-26 16:54:05.702453 | 2026-03-19 18:31:16.913461 |