API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-18 07:09:41.565139 | 2026-03-26 16:54:37.613527 | 21148330 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21148330 | Athletic Physical Therapy Inc | 1986-12-17 | 2026-03-20 | F | AE | PT | LANDA | NRS60534973101 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18082696/check_21148330_32ab5851-6d8b-4140-b21b-770e642165f2.json | N/A | N/A | N/A | N/A | N/A | NRS60534973101 | Exclusive Provider Organization | NORDSTROM, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-17 | N/A | 4010775 | N/A | EP | false | LANDA | N/A | JESSICA | N/A | 2026-03-31 | 2026-03-01 | SELF-FUNDED HDHP HERITAGE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049440 | N/A | N/A | 18082696 | 2222 | 4802 | 21755554 | N/A | 13582304 | 2026-03-26 16:54:37.613527 | 2026-03-27 22:26:31.935861 |
| 2026-03-18 07:09:41.414969 | 2026-03-26 16:53:18.461399 | 21148324 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21148324 | Athletic Physical Therapy Inc | 2011-11-14 | 2026-03-19 | F | AE | PT | RIOS | 000019686798 | SYDNEY | 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/2222/18081788/check_21148324_b636787e-1b47-4091-b744-011c7b924f07.json | N/A | N/A | N/A | N/A | N/A | 000019686798 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2011-11-14 | 4274058 | 1650095001 | N/A | N/A | false | RIOS | N/A | SYDNEY | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049439 | N/A | N/A | 18081788 | 2222 | 4801 | 21746173 | N/A | 16107768 | 2026-03-26 16:53:18.461399 | 2026-03-13 19:00:39.970087 |
| 2026-03-18 07:09:41.228448 | 2026-03-26 16:53:08.494521 | 21148317 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21148317 | Athletic Physical Therapy Inc | 1946-05-14 | 2026-03-19 | M | AE | PT | Hickey | 0025974806 | Thomas | 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/2222/18081534/check_21148317_17ce7523-baba-45af-8a73-60bf04d96106.json | N/A | N/A | N/A | N/A | N/A | 0025974806 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-05-14 | N/A | N/A | N/A | N/A | false | HICKEY | N/A | THOMAS | 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 | 10323049438 | N/A | N/A | 18081534 | 2222 | 4802 | 21744783 | N/A | 16107429 | 2026-03-26 16:53:08.494521 | 2026-03-20 21:29:38.978560 |
| 2026-03-18 07:09:41.012786 | 2026-03-26 16:54:19.223594 | 21148311 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148311 | Athletic Physical Therapy Inc | 2001-04-18 | 2026-03-19 | M | PT | N/A | Ott | JQU538A56107 | James | 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/2222/18078603/check_21148311_4d5103a9-7a0f-41bc-90d1-b343edfd29b7.json | N/A | N/A | N/A | N/A | N/A | JQU538A56107 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2001-04-18 | N/A | N/A | N/A | N/A | false | OTT | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049437 | N/A | N/A | 18078603 | 2222 | 4801 | 21753292 | N/A | 16104346 | 2026-03-26 16:54:19.223594 | 2026-03-13 17:20:37.406956 |
| 2026-03-18 07:09:40.842273 | 2026-03-26 17:01:15.194748 | 21148305 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148305 | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-19 | F | PT | N/A | MAJD | 00000000000000 | FLORA | 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/2222/18036986/check_21148305_78fa6d6a-a1f4-4ed5-90bd-b940dd9187f7.json | N/A | N/A | N/A | N/A | N/A | 00000000000000 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-04-11 | N/A | N/A | N/A | N/A | false | MAJD | N/A | FLORA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049436 | N/A | N/A | 18036986 | 2222 | 4802 | 21805352 | N/A | 4209898 | 2026-03-26 17:01:15.194748 | 2026-03-12 23:16:26.192781 |
| 2026-03-18 07:09:40.717615 | 2026-03-26 16:52:11.688044 | 21148301 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 21148301 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-03-20 | U | AE | PT | SOLARES | 31168520701 | THELMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18032688/check_21148301_0c75964e-225a-42cf-ac24-2b938d01801d.json | N/A | N/A | N/A | N/A | N/A | 31168520701 | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | SOLARES | N/A | THELMA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049435 | N/A | N/A | 18032688 | 2222 | 4801 | 21737688 | N/A | 16060652 | 2026-03-26 16:52:11.688044 | 2026-03-20 17:35:34.228514 |
| 2026-03-18 07:09:40.538827 | 2026-03-26 16:54:33.723331 | 21148295 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21148295 | Athletic Physical Therapy Inc | 1978-12-17 | 2026-03-20 | F | PT | N/A | UPDIKE | XAN903412717 | AMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18021836/check_21148295_e9976b19-90b3-4ed2-8b21-559e9f7fc68e.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049434 | N/A | N/A | 18021836 | 2222 | 4801 | 21755074 | N/A | 14884291 | 2026-03-26 16:54:33.723331 | 2026-02-12 23:28:22.567862 |
| 2026-03-18 07:09:40.386616 | 2026-03-26 16:53:35.364627 | 21148290 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 21148290 | override_provider | 1971-01-02 | 2026-03-19 | F | AE | PT | SIVAMALAR | 98940148E | THANGIAH | 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/2222/18018879/check_21148290_4b14c231-39f5-4ee3-b4d9-3c906a72d1ef.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049433 | N/A | N/A | 18018879 | 2222 | 4802 | 21748385 | N/A | 8251172 | 2026-03-26 16:53:35.364627 | 2025-10-03 18:17:22.871347 |
| 2026-03-18 07:09:40.152377 | 2026-03-26 16:58:17.219680 | 21148283 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148283 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-03-20 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_21148283_fa5c2e2e-6552-4eb2-af3a-b08e40c46b13.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | 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 | 10323049432 | N/A | N/A | 17961735 | 2222 | 4801 | 21784025 | N/A | 15883502 | 2026-03-26 16:58:17.219680 | 2026-03-11 00:48:56.434845 |
| 2026-03-18 07:09:39.977760 | 2026-03-26 16:58:11.400199 | 21148276 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148276 | Athletic Physical Therapy Inc | 1948-09-17 | 2026-03-20 | F | AE | PT | GALERA | 5NG1DR7VP25 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17943086/check_21148276_b66a536d-8299-4814-8017-10222efec5bc.json | N/A | N/A | N/A | N/A | N/A | 5NG1DR7VP25 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-17 | S5884 | N/A | N/A | MB | false | GALERA | N/A | EMMA | 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 | 10323049431 | N/A | N/A | 17943086 | 2222 | 4801 | 21783200 | N/A | 15982010 | 2026-03-26 16:58:11.400199 | 2026-03-11 22:46:44.886390 |
| 2026-03-18 07:09:39.845900 | 2026-03-26 16:53:34.207588 | 21148274 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21148274 | Athletic Physical Therapy Inc | 1972-12-05 | 2026-03-19 | F | AE | PT | BLUEROSE | 92521676F | KYRINA | 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/2222/17939188/check_21148274_feaf8ce5-9ea6-41f1-8be4-aace3b839186.json | N/A | N/A | N/A | N/A | N/A | 92521676F | N/A | N/A | HEALTH NET, LLC | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049430 | N/A | N/A | 17939188 | 2222 | 4802 | 21748233 | 4625 | 4214558 | 2026-03-26 16:53:34.207588 | 2026-03-07 00:55:14.494391 |
| 2026-03-18 07:09:39.681503 | 2026-03-26 16:53:20.893010 | 21148267 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 21148267 | override_provider | 1971-10-01 | 2026-03-20 | M | AE | PT | Funahashi | 000014029656 | Kenji | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17936108/check_21148267_2ed80b0e-4f09-45cb-bd4d-5de3031a76f1.json | N/A | N/A | N/A | N/A | N/A | 000014029656 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1971-10-01 | 4393049 | 231444 | N/A | N/A | false | FUNAHASHI | N/A | KENJI | N/A | 2026-12-31 | 2026-01-01 | MORRISON & FOERSTER LLP MORRISON AND FOERSTER LLP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049429 | N/A | N/A | 17936108 | 2222 | 4802 | 21746512 | N/A | 15974479 | 2026-03-26 16:53:20.893010 | 2026-03-11 19:55:51.324067 |
| 2026-03-18 07:09:39.507856 | 2026-03-26 16:52:53.811188 | 21148262 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21148262 | Athletic Physical Therapy Inc | 1954-02-05 | 2026-03-20 | M | AE | PT | HERNANDEZ | 254679401 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17930034/check_21148262_ebb42a07-cc56-44ce-8c28-a05a588d5f9c.json | N/A | N/A | N/A | N/A | N/A | 254679401 | Commercial | N/A | MEDICARE PART A | PCP TO SUBMIT A SPECIALIST REFERRAL | 1954-02-05 | N/A | 370035 | N/A | C1 | false | HERNANDEZ | N/A | FELIPE | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049428 | N/A | N/A | 17930034 | 2222 | 4793 | 21742787 | 6411 | 8252801 | 2026-03-26 16:52:53.811188 | 2026-02-23 23:58:40.440949 |
| 2026-03-18 07:09:39.292156 | 2026-03-26 16:53:21.241837 | 21148255 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 21148255 | override_provider | 1975-08-29 | 2026-03-19 | M | AE | PT | LUMER | 000019792887 | RAYEE | 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/2222/17925305/check_21148255_d4a760a8-a772-4481-92c5-14669d49d2ac.json | N/A | N/A | N/A | N/A | N/A | 000019792887 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1975-08-29 | 3066652 | 1650095001 | N/A | N/A | false | LUMER | N/A | RAYEE | N/A | 2026-12-31 | 2026-01-01 | CLSD JAN - KPIF COPAY SILVER 70 HMO 1500/40 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049427 | N/A | N/A | 17925305 | 2222 | 4802 | 21746560 | N/A | 15964069 | 2026-03-26 16:53:21.241837 | 2026-03-11 17:16:27.067844 |
| 2026-03-18 07:09:39.169362 | 2026-03-26 16:53:18.098537 | 21148250 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 21148250 | Athletic Physical Therapy Inc | 1974-07-05 | 2026-03-20 | F | AE | PT | Parker | 000016557541 | Brenda | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17924114/check_21148250_cf81a187-cb23-4fc4-9530-7e1a704cb7ce.json | N/A | N/A | N/A | N/A | N/A | 000016557541 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-07-05 | 3017901 | 201455 | N/A | N/A | false | PARKER | N/A | BRENDA | N/A | 2026-12-31 | 2026-01-01 | ABM SECURITY SERVICES HOURLY TRADITIONAL HMO SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049426 | N/A | N/A | 17924114 | 2222 | 4802 | 21746128 | N/A | 15963069 | 2026-03-26 16:53:18.098537 | 2026-05-29 22:16:21.036276 |
| 2026-03-18 07:09:38.963485 | 2026-03-26 16:53:42.139156 | 21148242 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 21148242 | Athletic Physical Therapy Inc | 1962-10-21 | 2026-03-20 | F | AE | PT | RIVERA | 98369505e | Blanca | Patricia | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17884589/check_21148242_c2065472-2a9a-4d84-8be6-73b726b3880f.json | N/A | N/A | N/A | N/A | N/A | 98369505E | N/A | MCLA WELL ND DIS>=21 | LA CARE HEALTH PLAN | N/A | 1962-10-21 | MCLA | MWLLNDIG21 | N/A | N/A | false | RIVERA | N/A | BLANCA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049425 | N/A | N/A | 17884589 | 2222 | 4802 | 21749246 | N/A | 15929290 | 2026-03-26 16:53:42.139156 | 2026-03-13 01:46:16.717303 |
| 2026-03-18 07:09:38.776150 | 2026-03-26 16:54:01.439635 | 21148233 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148233 | Athletic Physical Therapy Inc | 1960-03-02 | 2026-03-20 | M | PT | N/A | Christopher | 9101000302 | William | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17882026/check_21148233_2ed00b92-0421-4313-b0e8-5e04d4d98341.json | N/A | N/A | N/A | N/A | N/A | 9101000302 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1960-03-02 | N/A | N/A | N/A | N/A | false | CHRISTOPHER | N/A | WILLIAM | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049424 | N/A | N/A | 17882026 | 2222 | 4801 | 21751325 | N/A | 15926656 | 2026-03-26 16:54:01.439635 | 2026-03-20 18:37:05.778506 |
| 2026-03-18 07:09:38.521162 | 2026-03-26 16:53:59.869227 | 21148226 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148226 | Athletic Physical Therapy Inc | 1982-01-30 | 2026-03-20 | F | PT | N/A | Baze | MPI304844240 | Jacquiline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17881989/check_21148226_224b095a-adc8-4bd5-8d3f-ea0fa3e24711.json | N/A | N/A | N/A | N/A | N/A | MPI304844240 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1982-01-30 | N/A | N/A | N/A | N/A | false | BAZE | N/A | JACQUILINE | N/A | 9999-12-31 | 2022-03-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049423 | N/A | N/A | 17881989 | 2222 | 4793 | 21751185 | N/A | 15926600 | 2026-03-26 16:53:59.869227 | 2026-03-13 16:52:16.878039 |
| 2026-03-18 07:09:38.345014 | 2026-03-26 16:52:27.398393 | 21148219 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21148219 | Athletic Physical Therapy Inc | 1946-03-03 | 2026-03-19 | F | AE | PT | MENEZES | 40064186001 | SHALINI | 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/2222/17839385/check_21148219_6cb4f355-9736-49d5-a663-a09408c94eb6.json | N/A | N/A | N/A | N/A | N/A | 40064186001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-03-03 | 2026H5425001 | H5425M | N/A | N/A | false | MENEZES | N/A | SHALINI | 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 | 10323049295 | N/A | N/A | 17839385 | 2222 | 4793 | 21739837 | 6237 | 4209017 | 2026-03-26 16:52:27.398393 | 2025-05-13 04:29:37.223448 |
| 2026-03-18 07:09:38.122692 | 2026-03-26 16:49:46.209662 | 21148213 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 21148213 | Athletic Physical Therapy Inc | 1971-04-09 | 2026-03-19 | F | AE | PT | NEWMAN | 99514677E | CHRISTINE | M | 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/2222/17821217/check_21148213_fdda7691-c084-4b57-9b1b-b71f866b9c0c.json | N/A | N/A | N/A | N/A | N/A | 99514677E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1971-04-09 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | NEWMAN | N/A | CHRISTINE | 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 | 10323049294 | N/A | N/A | 17821217 | 2222 | 4793 | 21714410 | N/A | 15865943 | 2026-03-26 16:49:46.209662 | 2026-03-09 18:03:26.830821 |
| 2026-03-18 07:09:37.919792 | 2026-03-26 16:53:15.979284 | 21148206 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21148206 | Athletic Physical Therapy Inc | 1985-08-17 | 2026-03-20 | M | AE | PT | Cruz | 000022373578 | Edwin | Frank | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17815376/check_21148206_6ec18f4a-8d5f-4a71-a98d-0223c32dd37b.json | N/A | N/A | N/A | N/A | N/A | 000022373578 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1985-08-17 | 4383886 | 105705 | N/A | N/A | false | CRUZ | N/A | EDWIN | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049293 | N/A | N/A | 17815376 | 2222 | 4802 | 21745816 | N/A | 15860207 | 2026-03-26 16:53:15.979284 | 2026-03-09 16:33:41.451823 |
| 2026-03-18 07:09:37.745567 | 2026-03-26 16:58:16.326022 | 21148197 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148197 | Athletic Physical Therapy Inc | 1956-09-12 | 2026-03-20 | M | AE | PT | SALANT | 3WH1C51VA35 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17814115/check_21148197_51c185ec-2ae5-4845-8e26-78e500570155.json | N/A | N/A | N/A | N/A | N/A | 3WH1C51VA35 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-12 | S5617 | N/A | N/A | MA | false | SALANT | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049292 | N/A | N/A | 17814115 | 2222 | 4802 | 21783888 | N/A | 15858953 | 2026-03-26 16:58:16.326022 | 2026-03-09 15:55:48.784784 |
| 2026-03-18 07:09:37.521249 | 2026-03-26 16:49:46.729681 | 21148184 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21148184 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-03-20 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_21148184_3b5f7069-0436-449d-af04-5a0b644c4806.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049291 | N/A | N/A | 17744755 | 2222 | 4802 | 21714496 | 4211 | 4213934 | 2026-03-26 16:49:46.729681 | 2026-01-27 23:36:44.802366 |
| 2026-03-18 07:09:37.375262 | 2026-03-26 16:58:12.995364 | 21148180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148180 | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-19 | F | AE | PT | Kaur | 2AP8VU0HM59 | SARANJIT | 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/2222/17736420/check_21148180_bfee08b3-be3d-47e3-91bf-cd171190f2b3.json | N/A | N/A | N/A | N/A | N/A | 2AP8VU0HM59 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1966-02-10 | H5521 | N/A | N/A | MB | false | KAUR | N/A | SARANJIT | 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 | 10323049290 | N/A | N/A | 17736420 | 2222 | 4801 | 21783376 | N/A | 15497513 | 2026-03-26 16:58:12.995364 | 2026-03-06 21:33:02.751048 |
| 2026-03-18 07:09:37.189262 | 2026-03-26 16:54:19.756914 | 21148174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148174 | Athletic Physical Therapy Inc | 1941-08-29 | 2026-03-19 | M | PT | N/A | Parker | JQE625A51570 | james | Alan | 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/2222/17729464/check_21148174_1d2d580a-9039-490a-861f-0efebccec2e1.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049289 | N/A | N/A | 17729464 | 2222 | 4801 | 21753374 | N/A | 15775532 | 2026-03-26 16:54:19.756914 | 2026-03-06 21:09:06.720810 |
| 2026-03-18 07:09:36.984031 | 2026-03-26 16:58:10.037058 | 21148167 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148167 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-03-20 | M | AE | PT | DHIR | 1C87N86JG62 | PRADEEP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17719412/check_21148167_6419dd4b-9231-4632-bbbf-1bc7096f2415.json | N/A | N/A | N/A | N/A | N/A | 1C87N86JG62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-24 | S4802 | N/A | N/A | MB | false | DHIR | N/A | PRADEEP | 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 | 10323049288 | N/A | N/A | 17719412 | 2222 | 4801 | 21783018 | N/A | 15603579 | 2026-03-26 16:58:10.037058 | 2026-04-17 17:11:47.109035 |
| 2026-03-18 07:09:36.699265 | 2026-03-26 16:53:21.801358 | 21148158 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 21148158 | override_provider | 2010-06-05 | 2026-03-19 | F | AE | PT | Tal | 000032073042 | Ella | 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/2222/17718829/check_21148158_d319bc40-cf81-40be-9890-6fb3b0e7b9b0.json | N/A | N/A | N/A | N/A | N/A | 000032073042 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2010-06-05 | 4378733 | 1650095001 | N/A | N/A | false | TAL | N/A | ELLA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049287 | N/A | N/A | 17718829 | 2222 | 4802 | 21746647 | N/A | 15764652 | 2026-03-26 16:53:21.801358 | 2026-03-20 01:39:52.693368 |
| 2026-03-18 07:09:36.524033 | 2026-03-26 16:58:14.500271 | 21148152 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148152 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-19 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | 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/2222/17663491/check_21148152_099cf5e4-1afc-434f-bf7a-ef8fbdf88438.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MB | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 56920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049286 | N/A | N/A | 17663491 | 2222 | 4802 | 21783632 | N/A | 4213453 | 2026-03-26 16:58:14.500271 | 2025-05-13 04:29:37.227772 |
| 2026-03-18 07:09:36.364539 | 2026-03-26 16:54:36.215133 | 21148145 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21148145 | Athletic Physical Therapy Inc | 1958-04-28 | 2026-03-20 | F | PT | N/A | Chalquest | JOW812W16348 | Christine | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_21148145_38ce7977-c321-4de8-ab3f-de977cfce877.json | N/A | N/A | N/A | N/A | N/A | JOW812W16348 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | N/A | N/A | N/A | N/A | N/A | false | CHALQUEST | N/A | CHRISTINE | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049285 | N/A | N/A | 17660872 | 2222 | 4801 | 21755385 | N/A | 15705146 | 2026-03-26 16:54:36.215133 | 2026-03-05 22:44:33.989062 |
| 2026-03-18 07:09:36.143859 | 2026-03-26 16:50:48.425819 | 21148138 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21148138 | Athletic Physical Therapy Inc | 1954-02-10 | 2026-03-20 | F | AE | PT | SHARMA | H74807838 | MONIKA | Sarin | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_21148138_069bfd31-8afe-4449-a018-38c06766d9b6.json | N/A | N/A | N/A | N/A | N/A | H74807838 | 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 | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049284 | N/A | N/A | 17636010 | 2222 | 4801 | 21724286 | 5349 | 10330803 | 2026-03-26 16:50:48.425819 | 2025-11-03 22:25:23.404066 |
| 2026-03-18 07:09:35.976838 | 2026-03-26 16:58:17.923501 | 21148134 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148134 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-20 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_21148134_5945cabd-26d7-4924-abeb-7b1f939caa80.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20492 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049283 | N/A | N/A | 17600400 | 2222 | 4793 | 21784117 | N/A | 15647296 | 2026-03-26 16:58:17.923501 | 2026-03-04 22:22:31.397944 |
| 2026-03-18 07:09:35.807366 | 2026-03-26 16:47:20.917304 | 21148129 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 21148129 | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-20 | F | AE | PT | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_21148129_4971c745-acc8-4709-998b-68728af30b75.json | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049282 | N/A | N/A | 17600158 | 2222 | 4801 | 21694540 | N/A | 15647079 | 2026-03-26 16:47:20.917304 | 2026-03-04 22:16:35.562250 |
| 2026-03-18 07:09:35.608845 | 2026-03-26 16:52:27.008007 | 21148121 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21148121 | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-19 | F | AE | PT | Mamane | 40079211601 | Marlene | 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/2222/17585914/check_21148121_e1bf839d-8127-49a8-b432-1ea44654c131.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049281 | N/A | N/A | 17585914 | 2222 | 4802 | 21739766 | 6237 | 15633309 | 2026-03-26 16:52:27.008007 | 2026-03-04 17:46:21.126462 |
| 2026-03-18 07:09:35.429707 | 2026-03-26 16:54:32.433679 | 21148116 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 21148116 | Athletic Physical Therapy Inc | 1984-08-09 | 2026-03-20 | M | PT | N/A | MELENDEZ | 906557764000 | GEOVANY | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17558479/check_21148116_17ca46c6-bcac-4dd2-80a4-cc29e8fd45b9.json | N/A | N/A | N/A | N/A | N/A | XEH906557764 | Health Maintenance Organization (HMO) | LOS ANGELES TOURISM AND CONVENTION BOARD | BLUE SHIELD CALIFORNIA | N/A | 1984-08-09 | 1000LSXX0001 | W0002870 | N/A | HM | false | MELENDEZ | N/A | GEOVANY | N/A | 9999-12-31 | 2023-03-01 | GROUP LIFE AND AD D INSURANCE 2 X ANNUAL SALARY T | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049280 | N/A | N/A | 17558479 | 2222 | 4802 | 21754910 | 4191 | 15606345 | 2026-03-26 16:54:32.433679 | 2026-03-04 00:09:36.953684 |
| 2026-03-18 07:09:35.191903 | 2026-03-26 16:54:20.805896 | 21148106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148106 | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-19 | F | AE | PT | RUEMMELE | XOX815196499 | MAKENA | 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/2222/17557872/check_21148106_b57b5e8d-11f8-4b89-aaef-fab48336798a.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049279 | N/A | N/A | 17557872 | 2222 | 4793 | 21753494 | N/A | 4534546 | 2026-03-26 16:54:20.805896 | 2025-12-03 00:06:29.870228 |
| 2026-03-18 07:09:34.920103 | 2026-03-26 16:50:08.022799 | 21148099 | N/A | N/A | 60054 | Aetna | 1114042165 | 21148099 | Athletic Physical Therapy Inc | 1976-09-10 | 2026-03-19 | M | AE | PT | Klein | W290749793 | Kevin | 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/2222/17542748/check_21148099_2407df7b-9e6f-4260-8b5f-5adbc145664b.json | N/A | N/A | N/A | N/A | N/A | W290749793 | Point of Service (POS) | CUMMING MANAGEMENT GROUP, INC. | AETNA | N/A | 1976-09-10 | 0247320 | 024732001000001 | N/A | PS | false | KLEIN | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049278 | N/A | N/A | 17542748 | 2222 | 4793 | 21717775 | N/A | 15587352 | 2026-03-26 16:50:08.022799 | 2026-03-05 18:29:10.497749 |
| 2026-03-18 07:09:34.701029 | 2026-03-26 16:52:53.197125 | 21148093 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21148093 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-20 | F | AE | PT | Barrientos | 958247698 | Antoniette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_21148093_9f7598fc-57ac-4c94-9640-0d4469d38138.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049277 | N/A | N/A | 17540931 | 2222 | 4801 | 21742699 | 6411 | 15585907 | 2026-03-26 16:52:53.197125 | 2026-03-09 18:22:22.279915 |
| 2026-03-18 07:09:34.544847 | 2026-03-26 16:52:28.481612 | 21148087 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21148087 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-03-19 | M | AD | 30 | Sedlak | 40084772901 | Chris | 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/2222/17533302/check_21148087_377d4400-6aa2-4aca-a826-6bef9cb19b07.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10323049276 | N/A | N/A | 17533302 | 2222 | 4793 | 21739938 | 6237 | 15565486 | 2026-03-26 16:52:28.481612 | 2026-03-17 20:55:49.152309 |
| 2026-03-18 07:09:34.327020 | 2026-03-26 16:53:43.086290 | 21148082 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 21148082 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-19 | F | AE | PT | RODRIGUEZ | M013647 | MARIA | C | 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/2222/17501934/check_21148082_e348b346-6b05-40ec-b9eb-ca818bb69f46.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | 2078-12-31 | 2023-02-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049275 | N/A | N/A | 17501934 | 2222 | 4802 | 21749332 | 5538 | 15517334 | 2026-03-26 16:53:43.086290 | 2026-03-02 22:33:54.498929 |
| 2026-03-18 07:09:34.132172 | 2026-03-26 16:51:33.177928 | 21148077 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 21148077 | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-19 | M | AE | PT | ABDELMESSIH | U9059513401 | MINA | 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/2222/17498631/check_21148077_1401f90f-2a49-449c-9a0b-d259edab3ae6.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049274 | N/A | N/A | 17498631 | 2222 | 4801 | 21732069 | 4437 | 15513934 | 2026-03-26 16:51:33.177928 | 2026-03-11 16:41:57.340816 |
| 2026-03-18 07:09:33.850268 | 2026-03-26 16:54:37.185353 | 21148072 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21148072 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-03-19 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | 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/2222/17497004/check_21148072_4ec10aad-e067-42ee-9a18-b3ecb590460f.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049273 | N/A | N/A | 17497004 | 2222 | 4802 | 21755469 | N/A | 15511990 | 2026-03-26 16:54:37.185353 | 2026-03-02 20:39:57.609466 |
| 2026-03-18 07:09:33.619844 | 2026-03-26 16:53:22.130270 | 21148068 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 21148068 | override_provider | 1965-07-20 | 2026-03-19 | M | AE | PT | Williamson | 000023808951 | James | 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/2222/17494392/check_21148068_91460ec7-aa09-483f-b39a-63247e4565ae.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049272 | N/A | N/A | 17494392 | 2222 | 4802 | 21746683 | N/A | 15115643 | 2026-03-26 16:53:22.130270 | 2026-02-19 17:55:17.333175 |
| 2026-03-18 07:09:33.460953 | 2026-03-26 16:54:22.232123 | 21148064 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21148064 | Athletic Physical Therapy Inc | 1977-12-01 | 2026-03-20 | F | PT | N/A | TANGER | NCF189A56429 | Ashley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494208/check_21148064_d610d59b-1663-4f59-a7ef-910c1ca290e8.json | N/A | N/A | N/A | N/A | N/A | NCF189A56429 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-12-01 | 040 | 57AJCA | N/A | HM | false | TANGER | N/A | ASHLEY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049271 | N/A | N/A | 17494208 | 2222 | 4801 | 21753657 | 4185 | 15509440 | 2026-03-26 16:54:22.232123 | 2026-03-02 19:55:05.664511 |
| 2026-03-18 07:09:33.239983 | 2026-03-26 16:53:42.592798 | 21148059 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 21148059 | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-19 | F | AE | PT | RODEN | 622540880 | BERNADETTE | MARIE | 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/2222/17493076/check_21148059_2cb76e4a-e40f-4478-a598-b4ed97c0ca69.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049270 | N/A | N/A | 17493076 | 2222 | 4802 | 21749277 | N/A | 15508238 | 2026-03-26 16:53:42.592798 | 2026-03-02 19:30:52.935313 |
| 2026-03-18 07:09:32.962084 | 2026-03-26 16:53:32.821527 | 21148055 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21148055 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-19 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | 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/2222/17492780/check_21148055_e836553a-335d-485f-a989-3b1309006787.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049269 | N/A | N/A | 17492780 | 2222 | 4802 | 21748063 | 4625 | 15085116 | 2026-03-26 16:53:32.821527 | 2026-02-18 20:26:50.354139 |
| 2026-03-18 07:09:32.690176 | 2026-03-26 16:53:41.586920 | 21148050 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 21148050 | Athletic Physical Therapy Inc | 1965-02-23 | 2026-03-19 | M | AE | PT | Naito | 93614355F | Arthur | 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/2222/17429709/check_21148050_ff5ac7ec-5abf-4559-bc49-1d738b7e6b2a.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049268 | N/A | N/A | 17429709 | 2222 | 4802 | 21749174 | N/A | 15440773 | 2026-03-26 16:53:41.586920 | 2026-02-27 19:52:08.982558 |
| 2026-03-18 07:09:32.440824 | 2026-03-26 16:52:12.512622 | 21148046 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 21148046 | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-19 | F | AE | PT | Mosaddegh | 95255632H | Zahra | 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/2222/17424788/check_21148046_722c21a6-3dbd-425e-9ed7-903134f9869d.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049267 | N/A | N/A | 17424788 | 2222 | 4802 | 21737811 | N/A | 15435665 | 2026-03-26 16:52:12.512622 | 2026-02-27 18:02:10.906286 |
| 2026-03-18 07:09:32.248852 | 2026-03-26 16:54:37.899696 | 21148041 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21148041 | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-19 | F | PT | N/A | Mason | NTF411A78634 | Abigail | 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/2222/17381759/check_21148041_eea40f9e-1240-4025-bab5-2a78ff7e1e71.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049266 | N/A | N/A | 17381759 | 2222 | 4793 | 21755610 | N/A | 15393771 | 2026-03-26 16:54:37.899696 | 2026-02-26 19:44:45.385491 |
| 2026-03-18 07:09:32.024145 | 2026-03-26 16:58:16.616697 | 21148037 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21148037 | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-19 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | 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/2222/17378232/check_21148037_76dd5bab-2d55-4a80-bb29-80c88c098be3.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 48380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323049265 | N/A | N/A | 17378232 | 2222 | 4801 | 21783938 | N/A | 6660003 | 2026-03-26 16:58:16.616697 | 2026-06-01 17:03:48.982724 |
| 2026-03-18 07:09:31.805912 | 2026-03-26 16:54:17.707641 | 21148032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21148032 | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-20 | M | PT | N/A | Maudlin | GGS117W09763 | Holden | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.100222311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17376426/check_21148032_1b16aa09-362d-4205-b963-1b92004cc5ce.json | N/A | N/A | N/A | N/A | N/A | GGS117W09763 | Preferred Provider Organization (PPO) | GOOGLE GHIP CHDP HSA W/NON-INT BANKING | ANTHEM BLUE CROSS | N/A | 1996-08-15 | 040 | 174134M7A1 | N/A | PR | false | MAUDLIN | N/A | HOLDEN | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323049262 | N/A | N/A | 17376426 | 2222 | 4802 | 21753159 | N/A | 15388700 | 2026-03-26 16:54:17.707641 | 2026-02-26 17:31:02.471884 |